Evidence map›Paper›PMID 42098300›Full record

ArticleScientific reports2026

Factors associated with Traditional Chinese Medicine use among older adults with chronic diseases in China.

Xuexia Gao, Hui Huang, Dequan Shen, Dahui Wang, Rouyi Xu, Chenxuan Gong, Yan Chen

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xuexia Gao *Department of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Hui Huang *Department of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Dequan ShenDepartment of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Dahui WangDepartment of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Rouyi XuDepartment of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Chenxuan GongDepartment of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China.
Yan Chen *Department of Health Management, School of Public Administration, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, Zhejiang, China. yanch20130046@hznu.edu.cn.

Funding

HZNU scientific research and innovation team project TD2025009National Natural Science Foundation of China 71904037Zhejiang Traditional Chinese Medicine Administration 2022ZQ060
6 · The paper itself

Abstract

Chronic diseases impose a substantial health and economic burden in China, particularly among its rapidly aging population. Traditional Chinese Medicine (TCM) has been integrated into primary healthcare through national policies and is considered a promising approach for chronic disease management. However, utilization of community-based TCM services among older adults remains limited, and the determinants of service utilization have not been systematically examined within a theoretical framework. Guided by the Andersen Behavioral Model, this study examined factors associated with community-based TCM service utilization among older adults with chronic diseases and quantified their relative importance. A multi-stage stratified random sampling design was applied to survey 1,385 participants from community health service centers in Zhejiang Province and the Guangxi Zhuang Autonomous Region between July and September 2022. Data were collected via structured questionnaires covering TCM service utilization and predisposing, enabling, and need factors. Complex survey logistic regression models were applied to identify factors associated with the utilization of TCM treatment services and public health services, respectively. Overall, the utilization rates of TCM treatment and public health services were 14.2% and 15.7%, respectively. Predisposing factors (education, TCM health literacy, and familiarity with TCM services) and enabling factors (perceived competence of TCM physicians) were consistently positively associated with utilization of both service types (all p < 0.05). Accessibility to community health centers and need factors (particularly chronic disease severity and pain) were positively associated, whereas age (≥ 80 years) was negatively associated with utilization of TCM treatment services. In contrast, no significant associations were observed for public health service utilization. Utilization of TCM services in CHC among older adults with chronic diseases remains low. Predisposing and enabling factors are the main drivers. While need factors significantly predict treatment service use but not public health services. Enhancing health literacy, building provider trust, and adopting service-specific strategies are key.

Indexed as

Medicine, Chinese TraditionalPatient Acceptance of Health CareAgedAged, 80 and overChinaChronic DiseaseFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChronic diseasesCommunityInfluencing factorsOlder adultsService utilizationTaditional Chinese Medicine services

Identifiers

PMID42098300
PMCPMC13342286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.