The association between socioeconomic status and traditional chinese medicine use among children in Taiwan

Shih, Chun Chuan; Liao, Chien Chang; Su, Yi; Yeh, Tsu-Fuh; Lin, Jaung Geng

doi:10.1186/1472-6963-12-27

Cited by 20 publications

(20 citation statements)

References 39 publications

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“…As a result, out-of-pocket items of complementary healthcare have become obstacles for low-income patients. The present study revealed that higher economic status was associated with TCM use, which is consistent with the ndings of previous research [20].…”

Section: Tcm Is Widely Used In Taiwan and Other Asian Countries As Psupporting

confidence: 93%

Medical Care-seeking Patterns Among Women with Diagnoses Associated with Menstrual Syndromes: A Longitudinal Population-based Study

Guo

Lee

Hsu

et al. 2020

Preprint

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Background: This study aimed to explore women’s tendency to seek Traditional Chinese Medicine and/or Western Medicine when newly diagnosed with menstrual syndromes, and to identify factors associated with their medical care-seeking behavior. Methods: Women aged 15 to 50 years with newly diagnosed menstrual syndromes were selected from Taiwan’s 2005 National Health Insurance Database. Follow-up was divided into 10 time-periods (1-6, 7-12, 13-18, 19-24, 25-30, 31-36, 37-42, 43-48, 49-54 and 55-60 months) after patients’ first visits for obstetric/gynecologic care. Patients’ tendency for medical care utilization was estimated using Poisson regression. Unadjusted and adjusted relative risks and their 95 % confidence intervals were calculated.Results: The number of Traditional Chinese Medicine utilization was 0.69, and Western Medicine utilization was 1.75 within six months after the first menstrual syndrome diagnosis. The tendency for Traditional Chinese Medicine utilization increased as follow-up time increased after controlling for potential confounders, while Western medicine utilization decreased gradually as follow-up time increased. Women’s age, economic status, infertility, value of prevention, baby delivery and Obstetric/ Gynecologic inpatient histories were significantly associated with their medical care-seeking behavior.Conclusions: Traditional Chinese Medicine and Western Medicine medical care-seeking patterns are significantly different among women with diagnoses associated with menstrual syndromes. Related factors affecting Medical care-seeking behavior have been explored in this study.

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Section: Tcm Is Widely Used In Taiwan and Other Asian Countries As Psupporting

confidence: 93%

Medical Care-seeking Patterns Among Women with Diagnoses Associated with Menstrual Syndromes: A Longitudinal Population-based Study

Guo

Lee

Hsu

et al. 2020

Preprint

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“…Children with high SES also had the highest TCM utilization, and this may be because the behavior of seeking medical service and the SES of children are both related to their parents. [ 32 ] Recently, the rise in TCM utilization by people with high SES could result from belief in TCM and using TCM as an adjunct to WM as well as expectation of better quality of life and improvement of constitution through supplementary TCM treatment. [ 10 , 22 , 23 ]…”

Section: Discussionmentioning

confidence: 99%

The trends of utilization in traditional Chinese medicine in Taiwan from 2000 to 2010

Yeh

Chou²,

Huang

et al. 2016

Medicine

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Introduction:There is no study exploring the trend of utilization in traditional Chinese medicine (TCM) from 2000 to 2010. The objective of this study was to investigate the trends of TCM utilization among 3 cross-sectional cohorts of 2000, 2005, and 2010.Method:This study was a cross-sectional analysis of TCM utilization over time. We compared the mean TCM visits among 3 cohorts of 2000, 2005, and 2010. We derived 3 randomly sampled cohorts of nearly 1 million representative beneficiaries in each of 2000, 2005, and 2010 from National Health Insurance Research Database for this research. Multivariate logistic regression was performed to evaluate the relative relationship in categorical variables correlating to TCM users. The percentage change (% change) in mean TCM visits between 2000 and 2005 (2010) was used to evaluate the trends of TCM utilization during the period.Results:The ratio of TCM users increased throughout cohorts. The ratio of TCM users among women was more than that among men in all cohorts of 2000, 2005, and 2010 (adjusted odds ratio = 1.47; 1.52; 1.62). The mean TCM visits increased from 2000 to 2010. The percentage change in mean TCM visits among women was more than that among men. The group aged less than 20 years had the least percentage change in mean TCM visits (18.8%); nevertheless, the group aged 20 to 34 years had the largest change (30.2%). The high socioeconomic status group had the largest percentage change in mean visits to TCM, whereas the central region had the least percentage change. Neoplasms had the greatest increase in percentage change in mean TCM visits among all disease categories; in contrast, diseases of the respiratory system had the greatest decrease.Conclusion:Both the ratio of TCM users and mean TCM visits increased gradually from 2000 to 2005 and further to 2010. Women used TCM more than men, and this is expected to continue in the future. The high socioeconomic status group used TCM more and more over time. The picture of TCM need among different types of cancer patients should be explored in further research because of the substantial increase in TCM utilization for the disease category of neoplasms.

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“…Previous studies exploring the factors associated with TCM uses in Taiwan have found that people living in rural areas are less likely to access various conventional or unconventional therapies [28,36,37]. Second, the socioeconomic status (SES) of these individuals is usually low and low SES has been reported to be associated with low TCM use [38]. …”

Section: Discussionmentioning

confidence: 99%

Utilization pattern of traditional Chinese medicine for liver cancer patients in Taiwan

Liao

Lin

et al. 2012

BMC Complement Altern Med

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BackgroundTraditional Chinese Medicine (TCM) is one of the most popular complementary and alternative medicine modalities worldwide. In Chinese and East Asian societies, TCM plays an active role in the modern health care system and is even covered by the National Health Insurance Program of Taiwan. Liver cancer is the second most common cancer in Taiwan. This study aimed to analyze the TCM utilization patterns of patients with liver cancer from 1996–2007 using a population-based random sample of one million insured patients.MethodsA cross-sectional study was conducted using registration and claim data sets from 1996 to 2007 obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The outpatient datasets contained the encounter form-based dates of visit, three items from the International Classification of Diseases (Ninth Revision, Clinical Modification codes), the primary procedure (e.g., drug or diagnostic procedure), type of copayment, billed amount, and paid amount. Only ambulatory care was analyzed.ResultsA total of 6358 liver cancer patients utilized ambulatory care during the study period. Among them, 1240 (19.50%) availed of TCM outpatient services. The prevalence of TCM use fluctuated during the study period, with a peak of 25.11% in 2001. After multivariable adjustment, the likelihood of TCM users was lower in participants aged 70 years and older (odds ratio, OR = 0.79, 95% confidence interval, CI: 0.64–0.97), males (OR = 0.60, 95% CI: 0.52–0.68), residents of Taipei (OR = 0.75, 95% CI: 0.58–0.96) as well as farmers and fishermen (OR = 0.71, 95% CI: 0.54–0.94), but was higher in residents of central Taiwan (OR = 1.99, 95% CI: 1.56–2.54. Most biomedicine and TCM outpatient services were provided by private clinics, followed by private hospitals. The two most frequently recorded coexisting diseases for both biomedicine and TCM outpatient visits specifically for liver cancer were (1) chronic liver disease and cirrhosis, and (2) malignant neoplasm of the liver and hepatic bile duct. The mean fee per visit for biomedicine was much higher than that for TCM, and the average expenditure was NT$429.73 (US$13.25) per biomedicine visit and NT$301.93 (US$9.32) per TCM visit (US$1 = NT$32.4 in 2007). For outpatient visits specifically for liver cancer, the mean fee per visit for biomedicine was much higher than that for TCM. The average cost per visit was NT$1457.31 (US$44.98) for biomedicine and NT$1080.76 (US$33.36) for TCM.ConclusionTCM was widely used by the patients with liver cancer, and the prevalence of TCM use remained stably high during the study period. The costs of insurance covering TCM were consistently lower than those covering biomedicine in patients with liver cancer. The findings of this study should be useful for health policy makers as well as researchers considering the integration of TCM and biomedicine.

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The association between socioeconomic status and traditional chinese medicine use among children in Taiwan

Cited by 20 publications

References 39 publications

Medical Care-seeking Patterns Among Women with Diagnoses Associated with Menstrual Syndromes: A Longitudinal Population-based Study

Medical Care-seeking Patterns Among Women with Diagnoses Associated with Menstrual Syndromes: A Longitudinal Population-based Study

The trends of utilization in traditional Chinese medicine in Taiwan from 2000 to 2010

Utilization pattern of traditional Chinese medicine for liver cancer patients in Taiwan

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