Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study
Abstract Background Many women experience menstruation-related health issues during their child-bearing years. This study aimed to evaluate women’s tendency to seek Traditional Chinese Medicine (TCM) and/or Western Medicine (WM) when newly diagnosed with menstrual syndromes and to identify factors a...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40001-022-00871-0 |
| _version_ | 1797984096603865088 |
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| author | Jong-Long Guo Tzu-Chi Lee Fen-He Lin Hsiao-Pei Hsu Chiu-Mieh Huang |
| author_facet | Jong-Long Guo Tzu-Chi Lee Fen-He Lin Hsiao-Pei Hsu Chiu-Mieh Huang |
| author_sort | Jong-Long Guo |
| collection | DOAJ |
| description | Abstract Background Many women experience menstruation-related health issues during their child-bearing years. This study aimed to evaluate women’s tendency to seek Traditional Chinese Medicine (TCM) and/or Western Medicine (WM) when newly diagnosed with menstrual syndromes and to identify factors associated with their medical care-seeking behaviors. Methods The data of a total of 47,097 women aged between 15 and 50 years with newly diagnosed menstrual syndromes in 2005 were extracted from the Taiwan National Health Insurance Database. The follow-up period was divided equally into 6 month segments over 5 years starting with patients’ first visit for obstetric/gynecologic care. Outcomes were outpatient visits and number of TCM or WM visits during each period. Patients’ tendency for medical care utilization was estimated using Poisson regression analysis. Results Number of outpatient visits using TCM was 0.62 (29187/47097), and using WM was 1.67 (78697/47097) within 6 months after the first menstrual syndrome diagnosis. The tendency for TCM utilization increased as follow-up time increased after controlling for potential confounders, while WM utilization decreased as follow-up time increased. Age, economic status, infertility, value of prevention, baby delivery, and obstetric/gynecologic inpatient histories were significantly associated with patients’ medical care-seeking behaviors. Conclusions TCM and WM medical care-seeking patterns are significantly different among women with diagnoses associated with menstrual syndromes. Related factors affecting medical care-seeking behavior include age, economic status, infertility, value of prevention, childbirth and Ob/Gyn inpatient histories. |
| first_indexed | 2024-04-11T06:57:07Z |
| format | Article |
| id | doaj.art-be32785414ff4c1da953e873710a7e7b |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-04-11T06:57:07Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-be32785414ff4c1da953e873710a7e7b2022-12-22T04:39:00ZengBMCEuropean Journal of Medical Research2047-783X2022-11-012711810.1186/s40001-022-00871-0Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based studyJong-Long Guo0Tzu-Chi Lee1Fen-He Lin2Hsiao-Pei Hsu3Chiu-Mieh Huang4Department of Health Promotion and Health Education, National Taiwan Normal UniversityDepartment of Health Promotion and Health Education, National Taiwan Normal UniversityDepartment of Nursing, College of Nursing, National Yang Ming Chiao Tung UniversityDepartment of Nursing, College of Nursing, National Yang Ming Chiao Tung UniversityInstitute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung UniversityAbstract Background Many women experience menstruation-related health issues during their child-bearing years. This study aimed to evaluate women’s tendency to seek Traditional Chinese Medicine (TCM) and/or Western Medicine (WM) when newly diagnosed with menstrual syndromes and to identify factors associated with their medical care-seeking behaviors. Methods The data of a total of 47,097 women aged between 15 and 50 years with newly diagnosed menstrual syndromes in 2005 were extracted from the Taiwan National Health Insurance Database. The follow-up period was divided equally into 6 month segments over 5 years starting with patients’ first visit for obstetric/gynecologic care. Outcomes were outpatient visits and number of TCM or WM visits during each period. Patients’ tendency for medical care utilization was estimated using Poisson regression analysis. Results Number of outpatient visits using TCM was 0.62 (29187/47097), and using WM was 1.67 (78697/47097) within 6 months after the first menstrual syndrome diagnosis. The tendency for TCM utilization increased as follow-up time increased after controlling for potential confounders, while WM utilization decreased as follow-up time increased. Age, economic status, infertility, value of prevention, baby delivery, and obstetric/gynecologic inpatient histories were significantly associated with patients’ medical care-seeking behaviors. Conclusions TCM and WM medical care-seeking patterns are significantly different among women with diagnoses associated with menstrual syndromes. Related factors affecting medical care-seeking behavior include age, economic status, infertility, value of prevention, childbirth and Ob/Gyn inpatient histories.https://doi.org/10.1186/s40001-022-00871-0Medical care-seeking patternsMenstrual syndromesTraditional Chinese MedicineWestern Medicine |
| spellingShingle | Jong-Long Guo Tzu-Chi Lee Fen-He Lin Hsiao-Pei Hsu Chiu-Mieh Huang Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study European Journal of Medical Research Medical care-seeking patterns Menstrual syndromes Traditional Chinese Medicine Western Medicine |
| title | Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study |
| title_full | Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study |
| title_fullStr | Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study |
| title_full_unstemmed | Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study |
| title_short | Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study |
| title_sort | medical care seeking patterns among women with menstrual syndromes related diagnoses a longitudinal population based study |
| topic | Medical care-seeking patterns Menstrual syndromes Traditional Chinese Medicine Western Medicine |
| url | https://doi.org/10.1186/s40001-022-00871-0 |
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