Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2017

Open Access 01-12-2017 | Research article

The prevalence, characteristics, and factors associated with purchasing Chinese herbal medicine among adults in Taiwan

Authors: Chun -Chuan Shih, Lu-Hsiang Huang, Chun-Chieh Yeh, Hsin-Long Lane, Chang-Ju Hsieh, Chin-Chuan Tsai, Li-Wei Lin, Ta-Liang Chen, Chien-Chang Liao

Published in: BMC Complementary Medicine and Therapies | Issue 1/2017

Login to get access

Abstract

Background

The objective of this study was to investigate the prevalence and factors associated with purchasing Chinese herbal medicine (CHM) without a physician’s prescription among adults.

Methods

Using data from the 2005 National Health Interview Survey and National Health Insurance, we identified 16,756 individuals aged 20 years and older. Socio-demographic factors, lifestyle, medical services utilization and health behaviors were compared between people with and without a history of purchasing CHM by calculating adjusted odds ratios (ORs) and 95% confidence intervals (CIs) in a multiple logistic regression analysis.

Results

The one-month prevalence of purchasing CHM without a physician’ prescription was 5.2% in Taiwan. People more likely to purchase CHM included people aged ≥70 years (OR 2.84, 95% CI 2.03-3.99), women (OR 1.28, 95% CI 1.11-1.48), non-indigenous people (OR 2.61, 95% CI 1.29–5.30), and people with an illness not receiving medical care (OR 2.69, 95% CI 2.19-3.31).

Conclusion

The prevalence of purchasing CHM without a physician’s prescription is high in Taiwan and is correlated with factors such as socio-demographics, disease history, and behaviors surrounding the utilization of medical care.
Literature
1.
go back to reference Boon HS, Olatunde F, Zick SM. Trends in complementary/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 2005. BMC Womens Health. 2007;7:4.CrossRefPubMedPubMedCentral Boon HS, Olatunde F, Zick SM. Trends in complementary/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 2005. BMC Womens Health. 2007;7:4.CrossRefPubMedPubMedCentral
2.
go back to reference Wang CC, Kennedy J, Wu CH. Alternative therapies as a substitute for costly prescription medications: results from the 2011 National Health Interview Survey. Clin Ther. 2015;37:1022–30.CrossRefPubMed Wang CC, Kennedy J, Wu CH. Alternative therapies as a substitute for costly prescription medications: results from the 2011 National Health Interview Survey. Clin Ther. 2015;37:1022–30.CrossRefPubMed
3.
go back to reference Italia S, Brand H, Heinrich J, Berdel D, von Berg A, Wolfenstetter SB. Utilization of complementary and alternative medicine (CAM) among children from a German birth cohort (GINIplus): patterns, costs, and trends of use. BMC Complement Altern Med. 2015;15:49.CrossRefPubMedPubMedCentral Italia S, Brand H, Heinrich J, Berdel D, von Berg A, Wolfenstetter SB. Utilization of complementary and alternative medicine (CAM) among children from a German birth cohort (GINIplus): patterns, costs, and trends of use. BMC Complement Altern Med. 2015;15:49.CrossRefPubMedPubMedCentral
4.
go back to reference Shih CC, Su YC, Liao CC, Lin JG. Patterns of medical pluralism among adults: results from the 2001 National Health Interview Survey in Taiwan. BMC Health Serv Res. 2010;10:191.CrossRefPubMedPubMedCentral Shih CC, Su YC, Liao CC, Lin JG. Patterns of medical pluralism among adults: results from the 2001 National Health Interview Survey in Taiwan. BMC Health Serv Res. 2010;10:191.CrossRefPubMedPubMedCentral
5.
go back to reference Shih CC, Lin JG, Liao CC, Su YC. The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002. Chin Med J. 2009;122:1544–8.PubMed Shih CC, Lin JG, Liao CC, Su YC. The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002. Chin Med J. 2009;122:1544–8.PubMed
6.
go back to reference Nahin RL, Barnes PM, Stussman BJ. Expenditures on complementary health approaches: United States, 2012. Natl Health Stat Rep. 2016;95:1–11. Nahin RL, Barnes PM, Stussman BJ. Expenditures on complementary health approaches: United States, 2012. Natl Health Stat Rep. 2016;95:1–11.
7.
go back to reference Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Altern Ther Health Med. 2005;11:42–9.PubMed Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Altern Ther Health Med. 2005;11:42–9.PubMed
8.
go back to reference Shih CC, Huang LH, Lane HL, Tsai CC, Lin JG, Chen TL, Yeh CC, Liao CC. Use of folk therapy in Taiwan: a nationwide cross-sectional survey of prevalence and associated factors. Evid Based Complement Alternat Med. 2015;2015:649265.CrossRefPubMedPubMedCentral Shih CC, Huang LH, Lane HL, Tsai CC, Lin JG, Chen TL, Yeh CC, Liao CC. Use of folk therapy in Taiwan: a nationwide cross-sectional survey of prevalence and associated factors. Evid Based Complement Alternat Med. 2015;2015:649265.CrossRefPubMedPubMedCentral
9.
go back to reference Cooper KL, Harris PE, Relton C, Thomas KJ. Prevalence of visits to five types of complementary and alternative medicine practitioners by the general population: a systematic review. Complement Ther Clin Pract. 2013;19:214–20.CrossRefPubMed Cooper KL, Harris PE, Relton C, Thomas KJ. Prevalence of visits to five types of complementary and alternative medicine practitioners by the general population: a systematic review. Complement Ther Clin Pract. 2013;19:214–20.CrossRefPubMed
10.
go back to reference Chang LC, Huang N, Chou YJ, Lee CH, Kao FY, Huang YT. Utilization patterns of Chinese medicine and western medicine under the National Health Insurance Program in Taiwan,a population-basedstudy from 1997 to 2003. BMC Health Serv Res 2008;8:170. Chang LC, Huang N, Chou YJ, Lee CH, Kao FY, Huang YT. Utilization patterns of Chinese medicine and western medicine under the National Health Insurance Program in Taiwan,a population-basedstudy from 1997 to 2003. BMC Health Serv Res 2008;8:170.
11.
go back to reference Burke A, Upchurch DM, Dye C, Chyu L. Acupuncture use in the United States: findings from the National Health Interview Survey. J Altern Complement Med. 2006;12:639–48.CrossRefPubMed Burke A, Upchurch DM, Dye C, Chyu L. Acupuncture use in the United States: findings from the National Health Interview Survey. J Altern Complement Med. 2006;12:639–48.CrossRefPubMed
12.
go back to reference MacPherson H, Sinclair-Lian N, Thomas K. Patients seeking care from acupuncture practitioners in the UK: a national survey. Complement Ther Med. 2006;14:20–30.CrossRefPubMed MacPherson H, Sinclair-Lian N, Thomas K. Patients seeking care from acupuncture practitioners in the UK: a national survey. Complement Ther Med. 2006;14:20–30.CrossRefPubMed
13.
go back to reference Upchurch DM, Burke A, Dye C, Chyu L, Kusunoki Y, Greendale GA. A sociobehavioral model of acupuncture use, patterns, and satisfaction among women in the United States, 2002. Womens Health Issues. 2008;18:62–71.CrossRefPubMedPubMedCentral Upchurch DM, Burke A, Dye C, Chyu L, Kusunoki Y, Greendale GA. A sociobehavioral model of acupuncture use, patterns, and satisfaction among women in the United States, 2002. Womens Health Issues. 2008;18:62–71.CrossRefPubMedPubMedCentral
14.
go back to reference Isnard Bagnis C, Deray G, Baumelou A, Le Quintrec M, Vanherweghem JL. Herbs and the kidney. Am J Kidney Dis. 2004;44:1–11.CrossRefPubMed Isnard Bagnis C, Deray G, Baumelou A, Le Quintrec M, Vanherweghem JL. Herbs and the kidney. Am J Kidney Dis. 2004;44:1–11.CrossRefPubMed
15.
go back to reference Vanherweghem JL, Tielemans C, Abramowicz D, et al. Rapidly progressive interstitial renal fibrosis in young women: association with slimming regimen including Chinese herbs. Lancet. 1993;341:387–91.CrossRefPubMed Vanherweghem JL, Tielemans C, Abramowicz D, et al. Rapidly progressive interstitial renal fibrosis in young women: association with slimming regimen including Chinese herbs. Lancet. 1993;341:387–91.CrossRefPubMed
16.
go back to reference Yuen MF, Tam S, Fung J, Wong DK, Wong BC, Lai CL. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment Pharmacol Ther. 2006;24:1179–86.CrossRefPubMed Yuen MF, Tam S, Fung J, Wong DK, Wong BC, Lai CL. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment Pharmacol Ther. 2006;24:1179–86.CrossRefPubMed
17.
go back to reference Kim JH, Chung CH, Lau CH, Goggins WB, Lau JT, Griffiths SM. Adverse events and poisoning from over-the-counter traditional Chinese medicine: a population-based survey. Hong Kong Med J. 2016;22(Suppl 2):S23–8.PubMed Kim JH, Chung CH, Lau CH, Goggins WB, Lau JT, Griffiths SM. Adverse events and poisoning from over-the-counter traditional Chinese medicine: a population-based survey. Hong Kong Med J. 2016;22(Suppl 2):S23–8.PubMed
18.
go back to reference Zuo Z, Huang M, Kanfer I, Chow MS, Cho WC. Herb-drug interactions: systematic review, mechanisms, and therapies. Evid Based Complement Alternat Med. 2015;2015:239150.CrossRefPubMedPubMedCentral Zuo Z, Huang M, Kanfer I, Chow MS, Cho WC. Herb-drug interactions: systematic review, mechanisms, and therapies. Evid Based Complement Alternat Med. 2015;2015:239150.CrossRefPubMedPubMedCentral
19.
go back to reference Izzo AA, Ernst E. Interactions between herbal medicines and prescribed drugs: an updated systematic review. Drugs. 2009;69:1777–98.CrossRefPubMed Izzo AA, Ernst E. Interactions between herbal medicines and prescribed drugs: an updated systematic review. Drugs. 2009;69:1777–98.CrossRefPubMed
20.
go back to reference Kim JH, Kwong EM, Chung VC, Lee JC, Wong T, Goggins WB. Acute adverse events from over-the-counter Chinese herbal medicines: a population-based survey of Hong Kong Chinese. BMC Complement Altern Med. 2013;13:336.CrossRefPubMedPubMedCentral Kim JH, Kwong EM, Chung VC, Lee JC, Wong T, Goggins WB. Acute adverse events from over-the-counter Chinese herbal medicines: a population-based survey of Hong Kong Chinese. BMC Complement Altern Med. 2013;13:336.CrossRefPubMedPubMedCentral
21.
go back to reference Al-Ramahi R, Jaradat N, Shalalfeh R, Nasir S, Manasra Y, Shalalfeh I, Esam Y. Evaluation of potential drug- herb interactions among a group of Palestinian patients with chronic diseases. BMC Complement Altern Med. 2015;15:221.CrossRefPubMedPubMedCentral Al-Ramahi R, Jaradat N, Shalalfeh R, Nasir S, Manasra Y, Shalalfeh I, Esam Y. Evaluation of potential drug- herb interactions among a group of Palestinian patients with chronic diseases. BMC Complement Altern Med. 2015;15:221.CrossRefPubMedPubMedCentral
22.
go back to reference Zhong LL, Zheng G, Da Ge L, Lin CY, Huang T, Zhao L, Lu C, Lu AP, Bian ZX. Chinese herbal medicine for constipation: zheng-based associations among herbs, formulae, proprietary medicines, and herb-drug interactions. Chin Med. 2016;11:28.CrossRefPubMedPubMedCentral Zhong LL, Zheng G, Da Ge L, Lin CY, Huang T, Zhao L, Lu C, Lu AP, Bian ZX. Chinese herbal medicine for constipation: zheng-based associations among herbs, formulae, proprietary medicines, and herb-drug interactions. Chin Med. 2016;11:28.CrossRefPubMedPubMedCentral
23.
go back to reference Liao HL, Ma TC, Chiu YL, Chen JT, Chang YS. Factors influencing the purchasing behavior of TCM outpatients in Taiwan. J Altern Complement Med. 2008;14:741–8.CrossRefPubMed Liao HL, Ma TC, Chiu YL, Chen JT, Chang YS. Factors influencing the purchasing behavior of TCM outpatients in Taiwan. J Altern Complement Med. 2008;14:741–8.CrossRefPubMed
24.
go back to reference Liao CC, Li TC, Lin RS, Sung FC. Urban and difference in prevalence and incidence of stroke in 2000 in Taiwan. Taiwan J Public Health. 2006;25:223–30. Liao CC, Li TC, Lin RS, Sung FC. Urban and difference in prevalence and incidence of stroke in 2000 in Taiwan. Taiwan J Public Health. 2006;25:223–30.
25.
go back to reference Liao CC, Wang HY, Lin RS, Hsieh CY, Sung FC. Colorectal and prostate cancer screening practices among men in Taiwan. Taiwan J Public Health. 2005;24:209–16. Liao CC, Wang HY, Lin RS, Hsieh CY, Sung FC. Colorectal and prostate cancer screening practices among men in Taiwan. Taiwan J Public Health. 2005;24:209–16.
26.
go back to reference Lukovic JA, Miletic V, Pekmezovic T, et al. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PLoS One. 2014;9:e114644.CrossRefPubMedPubMedCentral Lukovic JA, Miletic V, Pekmezovic T, et al. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PLoS One. 2014;9:e114644.CrossRefPubMedPubMedCentral
27.
28.
go back to reference Carrasco-Garrido P, Hernández-Barrera V, López de Andrés A, Jiménez-Trujillo I, Jiménez-García R. Sex--differences on self-medication in Spain. Pharmacoepidemiol Drug Saf. 2010;19:1293–9.CrossRefPubMed Carrasco-Garrido P, Hernández-Barrera V, López de Andrés A, Jiménez-Trujillo I, Jiménez-García R. Sex--differences on self-medication in Spain. Pharmacoepidemiol Drug Saf. 2010;19:1293–9.CrossRefPubMed
29.
go back to reference Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279:1548–53.CrossRefPubMed Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279:1548–53.CrossRefPubMed
30.
go back to reference Hildreth KD, Elman C. Alternative worldviews and the utilization of conventional and complementary medicine. Sociol Inq. 2007;77:76–103.CrossRef Hildreth KD, Elman C. Alternative worldviews and the utilization of conventional and complementary medicine. Sociol Inq. 2007;77:76–103.CrossRef
31.
go back to reference Liu CY, Liu JS. Socioeconomic and demographic factors associated with health care choices in Taiwan. Asia Pac J Public Health. 2010;22:51–62.CrossRefPubMed Liu CY, Liu JS. Socioeconomic and demographic factors associated with health care choices in Taiwan. Asia Pac J Public Health. 2010;22:51–62.CrossRefPubMed
32.
go back to reference Blenkinsopp A, Bradley C. Patients, society, and the increase in self medication. Br Med J. 1996;312:629–32.CrossRef Blenkinsopp A, Bradley C. Patients, society, and the increase in self medication. Br Med J. 1996;312:629–32.CrossRef
33.
Metadata
Title
The prevalence, characteristics, and factors associated with purchasing Chinese herbal medicine among adults in Taiwan
Authors
Chun -Chuan Shih
Lu-Hsiang Huang
Chun-Chieh Yeh
Hsin-Long Lane
Chang-Ju Hsieh
Chin-Chuan Tsai
Li-Wei Lin
Ta-Liang Chen
Chien-Chang Liao
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2017
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-017-1679-2

Other articles of this Issue 1/2017

BMC Complementary Medicine and Therapies 1/2017 Go to the issue