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Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years

Hypertension is one of the chronic diseases that threaten the health of the elderly population. This study aims to explore the treatment and medication preferences in Chinese elderly patients (≥45 years old) with hypertension, and to investigate the relevant influencing factors. A cross-sectional de...

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Detalles Bibliográficos
Autores principales: Zhang, Hangjing, Ding, Ye, Qin, Shangren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659625/
https://www.ncbi.nlm.nih.gov/pubmed/37986303
http://dx.doi.org/10.1097/MD.0000000000036158
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author Zhang, Hangjing
Ding, Ye
Qin, Shangren
author_facet Zhang, Hangjing
Ding, Ye
Qin, Shangren
author_sort Zhang, Hangjing
collection PubMed
description Hypertension is one of the chronic diseases that threaten the health of the elderly population. This study aims to explore the treatment and medication preferences in Chinese elderly patients (≥45 years old) with hypertension, and to investigate the relevant influencing factors. A cross-sectional design was adopted. Utilizing the data from the public database CHARLS 2018, the factors influencing the treatment and medication preference among the elderly hypertensive patients were explored with multinomial logistic regression models. A total of 6588 hypertensive patients aged ≥ 45 years were included in this study, of which 5135 (77.94%) received treatment. Besides, 4939 (96.18%) chose oral medication, which was the most preferred treatment for these patients. The proportion of patients who chose “oral medication only” increased with age, but decreased with educational level and self-reported health. Patients with higher educational levels were more likely to choose other modalities of treatment. In particular, patients with better self-reported health were more willing to try traditional Chinese medication (TCM). Lower income group without medical insurance preferred to choose “Chinese medicine only.” Patients aged ≥ 75 years, urban residents, and those with 2 or more chronic diseases were more willing to try combined Chinese and Western medicines. Patients’ preference for TCM therapy was correlated positively with the provincial economic welfare factor, and negatively with the provincial medical and social welfare factors. During treatment of patients with hypertension, clinicians should pay attention to their preferences and formulate personalized regimens for them, in order to improve their compliance with treatment. Additionally, the government should steadily improve the local medical benefits, thereby facilitating the promotion and application of local TCM services.
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spelling pubmed-106596252023-11-17 Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years Zhang, Hangjing Ding, Ye Qin, Shangren Medicine (Baltimore) 3400 Hypertension is one of the chronic diseases that threaten the health of the elderly population. This study aims to explore the treatment and medication preferences in Chinese elderly patients (≥45 years old) with hypertension, and to investigate the relevant influencing factors. A cross-sectional design was adopted. Utilizing the data from the public database CHARLS 2018, the factors influencing the treatment and medication preference among the elderly hypertensive patients were explored with multinomial logistic regression models. A total of 6588 hypertensive patients aged ≥ 45 years were included in this study, of which 5135 (77.94%) received treatment. Besides, 4939 (96.18%) chose oral medication, which was the most preferred treatment for these patients. The proportion of patients who chose “oral medication only” increased with age, but decreased with educational level and self-reported health. Patients with higher educational levels were more likely to choose other modalities of treatment. In particular, patients with better self-reported health were more willing to try traditional Chinese medication (TCM). Lower income group without medical insurance preferred to choose “Chinese medicine only.” Patients aged ≥ 75 years, urban residents, and those with 2 or more chronic diseases were more willing to try combined Chinese and Western medicines. Patients’ preference for TCM therapy was correlated positively with the provincial economic welfare factor, and negatively with the provincial medical and social welfare factors. During treatment of patients with hypertension, clinicians should pay attention to their preferences and formulate personalized regimens for them, in order to improve their compliance with treatment. Additionally, the government should steadily improve the local medical benefits, thereby facilitating the promotion and application of local TCM services. Lippincott Williams & Wilkins 2023-11-17 /pmc/articles/PMC10659625/ /pubmed/37986303 http://dx.doi.org/10.1097/MD.0000000000036158 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 3400
Zhang, Hangjing
Ding, Ye
Qin, Shangren
Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title_full Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title_fullStr Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title_full_unstemmed Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title_short Preference between Chinese and Western medicines for hypertension treatment: Evidences based on Chinese population aged ≥ 45 years
title_sort preference between chinese and western medicines for hypertension treatment: evidences based on chinese population aged ≥ 45 years
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659625/
https://www.ncbi.nlm.nih.gov/pubmed/37986303
http://dx.doi.org/10.1097/MD.0000000000036158
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