Title

Sociocultural hegemony, gendered identity and use of traditional and complementary medicine in Ghana

Document Type

Journal article

Source Publication

Women & Health

Publication Date

4-21-2017

Volume

Advance publication

First Page

1

Last Page

18

Publisher

Routledge

Keywords

Femininity, gender, Ghana, masculinity, public health, sociocultural hegemony, traditional and complementary medicine

Abstract

This study investigated gender differences in the use of traditional and complementary medicine (TCM) in Ghana. Using an interviewer-administered questionnaire, we collected data from March to June 2013 from 324 randomly sampled adults in the Ashanti region. The prevalence of TCM use in the prior 12 months was 86 percent. Females constituted the majority (61 percent) of TCM users. Female TCM users were more likely than male users to have had only a basic education, been traders (p ˂ .0001), and have health insurance (p ˂ .05). Using multiple logistic regression, TCM use was associated with urban residence for females (odds ratio [OR] = 7.82; 95 percent confidence interval [CI]: 1.28–47.83) but negatively related for males (OR = 0.032; 95 percent CI: 0.002–0.63). Being self-employed was associated with TCM use among males (OR = 7.62; 95 percent CI: 1.22–47.60), while females’ TCM use was associated with higher income (OR = 3.72; 95 percent CI: 1.21–11.48) and perceived efficacy of TCM (OR = 5.60; 95 percent CI: 1.78–17.64). The African sociocultural structure vests household decision-making power in men but apparently not regarding TCM use, and the factors associated with TCM use largely differed by gender. These findings provide ingredients for effective health policy planning and evaluation. Adoption and modernization of TCM should apply a gendered lens.

DOI

10.1080/03630242.2017.1321608

Print ISSN

03630242

E-ISSN

15410331

Publisher Statement

Copyright © 2017 Taylor & Francis. Access to external full text or publisher's version may require subscription.

Full-text Version

Publisher’s Version

Recommended Citation

Gyasi, R. M., Buor, D., Adu-Gyamfi, S., Adjei, P. O.-W., & Amoah, P. A. (2017). Sociocultural hegemony, gendered identity and use of traditional and complementary medicine in Ghana. Women & Health, Advance publication, 1-18. doi: 10.1080/03630242.2017.1321608