Determinants of the Utilization of Recognized Traditional and Complementary Medicine Service in Malaysia: A Secondary Analysis of a Cross-Sectional Population-Based Survey.

IF 1.1 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Medicine Research Pub Date : 2024-01-01 Epub Date: 2024-07-22 DOI:10.1159/000540114

Suk Kuan Ng, Kimihiro Nishino, Zamtira Seman, Souphalak Inthaphatha, Eiko Yamamoto

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引用次数: 0

Abstract

Introduction: The utilization of traditional and complementary medicine (T&CM) services has witnessed a global increase over the past decades. Currently, seven practice areas are recognized in Malaysia: traditional Malay medicine (TMM), traditional Chinese medicine (TCM), traditional Indian medicine, homeopathy, Islamic medical practice, chiropractic, and osteopathy. Many global studies have investigated the general determinants of T&CM service utilization. However, there has been no comprehensive study reporting specific determinants of recognized T&CM service utilization. This study aimed to examine the prevalence and specific determinants of recognized T&CM service utilization in Malaysia at a national level.

Methods: This study is a secondary analysis of data from the National Health and Morbidity Survey (NHMS), a cross-sectional population-based survey conducted in Malaysia in 2015. A total of 6,207 respondents aged ≥18 years were included in this study. The associations of sociodemographic, health, and lifestyle factors with the utilization of the three T&CM service categories (TMM, TCM, and other T&CM) were examined using three separate logistic regression analyses.

Results: The prevalence of recognized T&CM service utilization in the last 12 months was 19.3%, with 15.0% for TMM, 3.9% for TCM, and 1.5% for other T&CM. The determinants of TMM service utilization were female sex; age range of 18-29 years; married or widowed/divorced status; Malay, indigenous, or other ethnicities; high household income; and being overweight/obese. The determinants of TCM service utilization were the age range of 30-49 years, urban residential location, Chinese ethnicity, and adequate fruit and vegetable intake. No specific determinants were identified for other T&CM.

Conclusion: This study provided novel evidence of a strong ethnocultural ownership toward traditional medicine. User profiles were distinctively different between varied T&CM services. Customized approaches to regulate, develop, and institutionalize specific T&CM services are crucial for fulfilling the unique needs of diverse communities.

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马来西亚使用公认的传统和补充医学服务的决定因素：对一项基于人口的横断面调查的二次分析。

导言：在过去的几十年里，全球对传统与补充医学（T&CM）服务的利用率不断提高。目前，马来西亚承认七种实践领域：传统马来医学、传统中医、传统印度医学、顺势疗法、伊斯兰医疗实践、脊椎按摩和整骨疗法。许多全球性研究都对使用传统中医服务的一般决定因素进行了调查。然而，还没有一项全面的研究报告了公认的中医药服务使用的具体决定因素。本研究旨在从国家层面研究马来西亚公认的 T&CM 服务利用率和具体决定因素：本研究对国家健康与发病率调查（NHMS）的数据进行了二次分析，NHMS是马来西亚于2015年开展的一项基于人口的横断面调查。本研究共纳入了6207名年龄≥18岁的受访者。通过三个独立的逻辑回归分析，研究了社会人口学、健康和生活方式因素与三类中医药服务（传统马来医药、传统中医药和其他中医药）使用情况的关系：过去 12 个月中使用过公认的中医药服务的比例为 19.3%，其中马来传统医药为 15.0%，传统中医药为 3.9%，其他中医药为 1.5%。使用马来传统医药服务的决定因素包括：女性；年龄在 18-29 岁之间；已婚或丧偶/离婚；马来、土著或其他族裔；家庭收入高；超重/肥胖。使用传统中医药服务的决定因素是 30-49 岁的年龄段、城市居住地、华裔以及充足的水果和蔬菜摄入量。结论：这项研究提供了新的证据，证明人们对传统医药有着强烈的民族文化认同感。各种传统医药服务的用户特征截然不同。为满足不同社区的独特需求，采用定制方法来规范、发展和制度化特定的传统医药服务至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary Medicine Research Medicine-Complementary and Alternative Medicine

CiteScore

2.90

自引率

5.60%

发文量

期刊介绍： Aims and Scope ''Complementary Medicine Research'' is an international journal that aims to bridge the gap between conventional medicine and complementary/alternative medicine (CAM) on a sound scientific basis, promoting their mutual integration. Accordingly, experts of both conventional medicine and CAM medicine cooperate on the journal‘s editorial board, which accepts papers only after a rigorous peer-review process in order to maintain a high standard of scientific quality. Spectrum of ''Complementary Medicine Research'': - Review and Original Articles, Case Reports and Essays regarding complementary practice and methods - Journal Club: Analysis and discussion of internationally published articles in complementary medicine - Editorials of leading experts in complementary medicine - Questions of complementary patient-centered care - Education in complementary medicine - Reports on important meetings and conferences - Society Bulletins of Schweizerische Medizinische Gesellschaft für Phytotherapie (SMGP) and Deutsche Gesellschaft für Naturheilkunde Bibliographic Details Complementary Medicine Research Journal Abbreviation: Complement Med Res ISSN: 2504-2092 (Print) e-ISSN: 2504-2106 (Online) DOI: 10.1159/issn.2504-2092 www.karger.com/CMR