The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study

Abstract Chronic noncommunicable diseases, which can be referred to as chronic diseases, have become a significant challenge to global public health. Various studies have shown that traditional Chinese medicine (TCM) therapies are effective means of preventing and treating chronic diseases. The purp...

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Main Authors: Yifei Cao, Ting Huang, Haoyan Deng, Jingyi Zhang, Fengjiao Guo, Wenqiang Yin, Jinwei Hu, Zhongming Chen, Hongwei Guo
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-16933-2
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author Yifei Cao
Ting Huang
Haoyan Deng
Jingyi Zhang
Fengjiao Guo
Wenqiang Yin
Jinwei Hu
Zhongming Chen
Hongwei Guo
author_facet Yifei Cao
Ting Huang
Haoyan Deng
Jingyi Zhang
Fengjiao Guo
Wenqiang Yin
Jinwei Hu
Zhongming Chen
Hongwei Guo
author_sort Yifei Cao
collection DOAJ
description Abstract Chronic noncommunicable diseases, which can be referred to as chronic diseases, have become a significant challenge to global public health. Various studies have shown that traditional Chinese medicine (TCM) therapies are effective means of preventing and treating chronic diseases. The purpose of our study was to analyze the present circumstances of the use of TCM therapies among Chinese patients who have chronic diseases and explore the related influencing factors. Using datasets from the 2021 China General Social Survey (CGSS), we collected basic information, health status, and lifestyle data from 1,023 residents who suffered from at least one chronic disease. We analyzed the distribution characteristics of different indicators among patients using TCM therapies through the χ2 test and determined the main factors influencing the use of TCM therapies through binary logistic regression analysis. Among the 1,023 patients with chronic diseases, 502 (49.07%) used TCM therapies. The five types of TCM therapies were used in the following order of frequency: Chinese herbal medicine (73.11%), cupping (37.45%), acupressure or massage (31.27%), acupuncture (30.48%), and moxibustion (23.11%). Age, self-rated health status, frequency of drinking, frequency of medical visits in the past year, media information sources, types of chronic diseases, and comorbidities significantly affected the use of TCM therapies (P < 0.05). Compared with the population aged over 81 years, patients aged 41–60 years (OR: 1.978, 95% CI: 1.069–3.663) had a higher rate of TCM therapy use. Compared with patients who never drank, those who drank several times a year or less (OR: 1.628, 95% CI: 1.031–2.569) had a higher rate of TCM therapy use. Compared with patients who had never visited a doctor in the past year, those who had visited a doctor several times a week (OR: 2.888, 95% CI: 1.047–7.966), approximately once a week (OR: 3.101, 95% CI: 1.369–7.023), approximately once a month (OR: 1.988, 95% CI: 1.239–3.190), or several times a year (OR: 1.734, 95% CI: 1.202–2.502) had a greater rate of TCM therapy use. Compared with patients whose self-rated health status was poor, those whose self-rated health status was normal (OR: 0.709, 95% CI: 0.504–0.996) had a lower rate of TCM therapy use. Compared with patients who obtained media information through more than three sources, those who obtained it only through television (OR: 0.624, 95% CI: 0.410–0.948) had a lower rate of TCM therapy use. Compared with patients who suffered from three or more chronic diseases simultaneously, those who suffered from hypertension (OR: 0.260, 95% CI: 0.134 ~ 0.507) alone, diabetes (OR: 0.359, 95% CI: 0.149 ~ 0.864) alone, musculoskeletal diseases (OR: 0.466, 95% CI: 0.237 ~ 0.917) alone, other types of chronic diseases (OR: 0.367, 95% CI: 0.191 ~ 0.706) alone, and two (OR: 0.394, 95% CI: 0.212 ~ 0.732) or three (OR: 0.375, 95% CI: 0.186 ~ 0.755) kinds of chronic diseases simultaneously had a lower rate of TCM therapy use. Many factors affect the use of TCM therapies in patients with chronic diseases. The government and relevant departments should understand the trend in the use of TCM therapies in chronic disease management, accurately identify the characteristics of the population that has chronic diseases, optimize publicity channels, enhance the accessibility and acceptance of TCM therapies in global chronic disease health management, and provide practical references for enriching the methods available for preventing and treating chronic diseases.
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spelling doaj-art-8565a6856bbf47a3a4e3e5dd83664d022025-08-24T11:23:23ZengNature PortfolioScientific Reports2045-23222025-08-0115111310.1038/s41598-025-16933-2The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional studyYifei Cao0Ting Huang1Haoyan Deng2Jingyi Zhang3Fengjiao Guo4Wenqiang Yin5Jinwei Hu6Zhongming Chen7Hongwei Guo8School of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversitySchool of Management, Shandong Second Medical UniversityAbstract Chronic noncommunicable diseases, which can be referred to as chronic diseases, have become a significant challenge to global public health. Various studies have shown that traditional Chinese medicine (TCM) therapies are effective means of preventing and treating chronic diseases. The purpose of our study was to analyze the present circumstances of the use of TCM therapies among Chinese patients who have chronic diseases and explore the related influencing factors. Using datasets from the 2021 China General Social Survey (CGSS), we collected basic information, health status, and lifestyle data from 1,023 residents who suffered from at least one chronic disease. We analyzed the distribution characteristics of different indicators among patients using TCM therapies through the χ2 test and determined the main factors influencing the use of TCM therapies through binary logistic regression analysis. Among the 1,023 patients with chronic diseases, 502 (49.07%) used TCM therapies. The five types of TCM therapies were used in the following order of frequency: Chinese herbal medicine (73.11%), cupping (37.45%), acupressure or massage (31.27%), acupuncture (30.48%), and moxibustion (23.11%). Age, self-rated health status, frequency of drinking, frequency of medical visits in the past year, media information sources, types of chronic diseases, and comorbidities significantly affected the use of TCM therapies (P < 0.05). Compared with the population aged over 81 years, patients aged 41–60 years (OR: 1.978, 95% CI: 1.069–3.663) had a higher rate of TCM therapy use. Compared with patients who never drank, those who drank several times a year or less (OR: 1.628, 95% CI: 1.031–2.569) had a higher rate of TCM therapy use. Compared with patients who had never visited a doctor in the past year, those who had visited a doctor several times a week (OR: 2.888, 95% CI: 1.047–7.966), approximately once a week (OR: 3.101, 95% CI: 1.369–7.023), approximately once a month (OR: 1.988, 95% CI: 1.239–3.190), or several times a year (OR: 1.734, 95% CI: 1.202–2.502) had a greater rate of TCM therapy use. Compared with patients whose self-rated health status was poor, those whose self-rated health status was normal (OR: 0.709, 95% CI: 0.504–0.996) had a lower rate of TCM therapy use. Compared with patients who obtained media information through more than three sources, those who obtained it only through television (OR: 0.624, 95% CI: 0.410–0.948) had a lower rate of TCM therapy use. Compared with patients who suffered from three or more chronic diseases simultaneously, those who suffered from hypertension (OR: 0.260, 95% CI: 0.134 ~ 0.507) alone, diabetes (OR: 0.359, 95% CI: 0.149 ~ 0.864) alone, musculoskeletal diseases (OR: 0.466, 95% CI: 0.237 ~ 0.917) alone, other types of chronic diseases (OR: 0.367, 95% CI: 0.191 ~ 0.706) alone, and two (OR: 0.394, 95% CI: 0.212 ~ 0.732) or three (OR: 0.375, 95% CI: 0.186 ~ 0.755) kinds of chronic diseases simultaneously had a lower rate of TCM therapy use. Many factors affect the use of TCM therapies in patients with chronic diseases. The government and relevant departments should understand the trend in the use of TCM therapies in chronic disease management, accurately identify the characteristics of the population that has chronic diseases, optimize publicity channels, enhance the accessibility and acceptance of TCM therapies in global chronic disease health management, and provide practical references for enriching the methods available for preventing and treating chronic diseases.https://doi.org/10.1038/s41598-025-16933-2TCM therapiesPrevention and treatment of chronic diseasesInfluencing factorsComorbidities
spellingShingle Yifei Cao
Ting Huang
Haoyan Deng
Jingyi Zhang
Fengjiao Guo
Wenqiang Yin
Jinwei Hu
Zhongming Chen
Hongwei Guo
The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
Scientific Reports
TCM therapies
Prevention and treatment of chronic diseases
Influencing factors
Comorbidities
title The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
title_full The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
title_fullStr The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
title_full_unstemmed The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
title_short The current situation and factors influencing the use of traditional Chinese medicine therapies among patients with chronic disease in china: a cross-sectional study
title_sort current situation and factors influencing the use of traditional chinese medicine therapies among patients with chronic disease in china a cross sectional study
topic TCM therapies
Prevention and treatment of chronic diseases
Influencing factors
Comorbidities
url https://doi.org/10.1038/s41598-025-16933-2
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