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Age and Ageing 2004; 33: 135-142
© 2004, British Geriatrics Society


Research Paper

The use of Chinese herbal medicines and their correlates in Chinese older adults: the Singapore Chinese Longitudinal Aging Study

Tze Pin Ng1, C. H. Tan2 and E. H. Kua1

1 Departments of Psychological Medicine, National University of Singapore
2 Departments of Pharmacology, National University of Singapore

Address correspondence to: T. P. Ng, Department of Psychological Medicine, The National University of Singapore, Faculty of Medicine, 16 Medical Drive, Singapore 117597. Fax: (+65) 779 1489. Email: cofngtp{at}nus.edu.sg

Abstract

Background: there are very few studies of the use of Chinese herbal medicine and their psychosocial and health-related determinants in older adults.

Objectives: to determine the prevalence of use of Chinese herbal medicine in community-living Chinese older adults in Singapore and its associations with socio-economic status, social support, health behaviour, health and functional status.

Design: cross-sectional analyses of baseline data from a longitudinal cohort study of old adults (Singapore Chinese Longitudinal Aging Study).

Setting: community of Toa Payoh in Singapore (total population 22,800 out of 3 million).

Participants: community residents comprising 2010 Chinese older adults aged 65 years and above.

Measurements: participants completed a questionnaire on Chinese herbal medicine use and other information on psychosocial and health-related variables.

Results: the use of Chinese herbal medicine over the past year was reported by 25.3% of the subjects, among whom 52% reported concurrent use of Western prescription medications. Significant factors that were strongly and independently associated with Chinese herbal medicine use were limited to extensive social support (OR = 2.66–5.56), current smoking (OR = 1.35), regular taiqi (OR = 1.94), arthritis (OR = 2.36), cancer (OR = 3.15), hypnotic use (OR = 2.08), IADL disability (OR = 1.72) and poor treatment compliance (OR = 2.35).

Conclusion: positive and negative psychosocial and health-related factors determine the use of Chinese herbal medicine use in Chinese older adults, consistent with the dual-pattern use of Chinese herbal medicine as health supplement and complementary/alternative medicine.

Keywords: complementary alternative medicine, psychosocial, health behaviour, elderly, Chinese herbal medicine

Received January 25, 2003; Revision received August 29, 2003. accepted in revised form August 29, 2003.


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