Abstract：
BACKGROUND:Although traditional Chinese medicine (TCM) is known as an integrative part of China's health care system, little is known on the prevalence and determinants of using TCM among the middle-aged and older Chinese population, especially among those with chronic conditions. METHODS:The nationwide survey data of 17,708 Chinese adults aged 45 and older from the China Health and Retirement Longitudinal Study were used to estimate the prevalence of TCM. SAS SURVEYLOGISTIC procedure was applied to identify factors associated with using TCM. Analysis took into account the complex survey design and nonresponse rate. RESULTS:The prevalence of using TCM was 19.3% (95% CI 18.4%-20.1%) among the overall participants and 24.5% (95% CI 23.4%-25.5%) among those with self-reported chronic conditions. Participants with stroke, cardiovascular disease, and chronic kidney diseases were the most frequent users of TCM to treat their conditions. Age, individual income, and family income were associated with TCM use; however, when further controlling for chronic diseases, these variables became nonsignificant. Besides TCM, 4.4% (3.8%-5.0%) and 4.6% (4.0%-5.2%) of the overall participants and those with chronic conditions, respectively, used other forms of complementary and alternative medicine. CONCLUSIONS:The prevalence of using TCM was high among the middle-aged and older Chinese population. The use of TCM was mainly driven by chronic conditions. The main conditions that patients used TCM to treat were stroke, cardiovascular disease, and chronic kidney disease.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Liu T,Li X,Zou ZY,Li Cdoi
10.1016/j.jamda.2015.07.011subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1002.e1-5issue
11eissn
1525-8610issn
1538-9375pii
S1525-8610(15)00490-9journal_volume
16pub_type
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journal_title：Journal of the American Medical Directors Association
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