Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study

Abstract Background Traditional medicine is broadly used across Asian societies for various medical conditions and health concerns. However, there remains a wide disparity between users and non-use, which makes it imperative to understand the factors affecting the lay perception and utilization of t...

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Main Authors: Benlu Xin, Siyu Mu, Teckkiang Tan, Anne Yeung, Danan Gu, Qiushi Feng
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12906-020-02910-x
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author Benlu Xin
Siyu Mu
Teckkiang Tan
Anne Yeung
Danan Gu
Qiushi Feng
author_facet Benlu Xin
Siyu Mu
Teckkiang Tan
Anne Yeung
Danan Gu
Qiushi Feng
author_sort Benlu Xin
collection DOAJ
description Abstract Background Traditional medicine is broadly used across Asian societies for various medical conditions and health concerns. However, there remains a wide disparity between users and non-use, which makes it imperative to understand the factors affecting the lay perception and utilization of traditional medicine. This study systematically examined the demographic, medical, and socioeconomic factors affecting belief in and use of traditional medicine among older adults of Shanghai, China. Methods We used the data from Survey of Life and Opinion on Shanghai Older Adults in 2013 with a sample of 3418 older adults aged 50 years or older. The multilevel logistic models were applied to examine the associations between faith and utilization of traditional medicine and a set of factors of the respondents, including demographics (gender, age, rural/urban residence), socioeconomic status (educational attainment, income, primary occupation), social support (marital status, social network), and disease/conditions. The associations between individual use of traditional medicine and the profile of socioeconomic development and the medical services conditions of local communities were also modelled. Results We found that cardiovascular diseases, lung diseases, cancer, prostatitis, arthritis, and nervous system diseases were positive correlates for using traditional medicine. Older adults who had a cancer, a prostatitis, or a fracture had more faith in traditional treatment. Rural living, higher educational attainment, and white-collar occupation promoted the use of traditional medicine. A higher number of strong social ties and a tie connected with medical staff were positive factors of use as well. Conclusion The belief in and use of traditional medicine were prevalent among older adults in Shanghai, China. Though not conclusive, our study suggested that traditional medicine in China appears to serve two distinct functions, namely complementary medicine for those socioeconomically advantaged whereas alternative medicine for those socioeconomically disadvantaged.
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spelling doaj.art-b9de119dcc4d4018aac846f7c7597a412022-12-21T18:59:53ZengBMCBMC Complementary Medicine and Therapies2662-76712020-04-0120111010.1186/s12906-020-02910-xBelief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional studyBenlu Xin0Siyu Mu1Teckkiang Tan2Anne Yeung3Danan Gu4Qiushi Feng5Center for Quantitative Economics, Jilin UniversityBusiness School, Jilin UniversityInstitute for Applied Learning Sciences and Educational Technology (ALSET), National University of SingaporeIndependent ResearcherIndependent ResearcherDepartment of Sociology, National University of SingaporeAbstract Background Traditional medicine is broadly used across Asian societies for various medical conditions and health concerns. However, there remains a wide disparity between users and non-use, which makes it imperative to understand the factors affecting the lay perception and utilization of traditional medicine. This study systematically examined the demographic, medical, and socioeconomic factors affecting belief in and use of traditional medicine among older adults of Shanghai, China. Methods We used the data from Survey of Life and Opinion on Shanghai Older Adults in 2013 with a sample of 3418 older adults aged 50 years or older. The multilevel logistic models were applied to examine the associations between faith and utilization of traditional medicine and a set of factors of the respondents, including demographics (gender, age, rural/urban residence), socioeconomic status (educational attainment, income, primary occupation), social support (marital status, social network), and disease/conditions. The associations between individual use of traditional medicine and the profile of socioeconomic development and the medical services conditions of local communities were also modelled. Results We found that cardiovascular diseases, lung diseases, cancer, prostatitis, arthritis, and nervous system diseases were positive correlates for using traditional medicine. Older adults who had a cancer, a prostatitis, or a fracture had more faith in traditional treatment. Rural living, higher educational attainment, and white-collar occupation promoted the use of traditional medicine. A higher number of strong social ties and a tie connected with medical staff were positive factors of use as well. Conclusion The belief in and use of traditional medicine were prevalent among older adults in Shanghai, China. Though not conclusive, our study suggested that traditional medicine in China appears to serve two distinct functions, namely complementary medicine for those socioeconomically advantaged whereas alternative medicine for those socioeconomically disadvantaged.http://link.springer.com/article/10.1186/s12906-020-02910-xTraditional medicineBeliefUseChinaShanghaiOlder adults
spellingShingle Benlu Xin
Siyu Mu
Teckkiang Tan
Anne Yeung
Danan Gu
Qiushi Feng
Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
BMC Complementary Medicine and Therapies
Traditional medicine
Belief
Use
China
Shanghai
Older adults
title Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
title_full Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
title_fullStr Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
title_full_unstemmed Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
title_short Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study
title_sort belief in and use of traditional chinese medicine in shanghai older adults a cross sectional study
topic Traditional medicine
Belief
Use
China
Shanghai
Older adults
url http://link.springer.com/article/10.1186/s12906-020-02910-x
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AT anneyeung beliefinanduseoftraditionalchinesemedicineinshanghaiolderadultsacrosssectionalstudy
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