Zhongguo quanke yixue (May 2024)
Analysis of Knowledge-attitude-practice Behavior and Influencing Factors for Prevention of Disease in TCM in Community Residents in Guangzhou
Abstract
Background With the change of disease spectrum and the development of modern medical model, traditional Chinese medicine (TCM) is playing an important role in disease prevention, health care and rehabilitation. It is necessary to further promote the development of prevention of disease in TCM and vigorously promote the unique role of TCM in maintaining and promoting people's health. However, popularization and education of the concept of prevention of disease in TCM among community residents remains unclear. Objective To understand the overall awareness, trust, and adoption behavior of prevention of disease in TCM of community residents in Guangzhou, and explore the influencing factors of community residents' trust in prevention of disease in TCM services. Methods From April to August 2022, a stratified cluster sampling method was used to interview 652 community residents from 12 streets in 4 administrative regions of Guangzhou city based on geographic location (central city, urban-rural areas, and suburbs) and economic factors by questionnaires. The survey included residents' basic information, awareness and access to knowledge of prevention of disease in TCM, as well as their demand, utilization and trust in it. The influencing factors of community residents' trust in prevention of disease in TCM services were explored by binary Logistic regression analysis. Results Among the 652 community residents, 67.79% (442/652) were aware of prevention of disease in TCM, 77.91% (508/652) trusted prevention of disease in TCM services, 69.63% (454/652) had received traditional TCM physiotherapy, and only 6.59% (43/652) had received prevention of disease in TCM services more than 4 times in the past year. Univariate correlation analysis showed that age (χ2=9.218), household type (χ2=19.356), marriage status (χ2=2.490), occupation (χ2=17.889), and medical insurance payment type (χ2=13.516) were influencing factors of residents' trust in prevention of disease in TCM services. Binary Logistic regression analysis showed that household type (non-agricultural, agricultural to resident, and non-agricultural to resident) was an influential factor for community residents' trust in prevention of disease in TCM services (OR=2.646, 5.593, 10.502) . Conclusion The overall awareness (67.79%) and trust (77.91%) of prevention of disease in TCM among community residents in Guangzhou are relatively high, but the actual number of services received is insufficient, with a phenomenon of knowledge-attitude-practice separation. Community residents with non-agricultural household type have a higher level of trust, while those with agricultural household type have a lower level of trust. During popularization and services of prevention of disease in TCM, it is necessary to fully utilize the residents' preferred forms, as well as to target specific groups, so as to cultivate the health habits of prevention of disease in community residents.
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