台灣成年民眾使用傳統與民俗療法及其相關因素的探討

Utilization of Traditional and Folk Therapy and Its Associated Factors among Adults in Taiwan: A Population-based Study

目的：探討有醫療需求的台灣成年民眾，近一年內使用傳統與民俗療法的相關因素。

方法：資料來源為中央研究院台灣社會變遷基本調查第六期第二次調查，此研究為橫斷面設計，於2011年7月至2012年4月針對全國18歲以上民眾抽樣，由訪視員面訪進行資料收集；本研究選取原始樣本中，近12個月內曾因病或受傷有醫療需求者。依變項為過去12個月內是、否使用傳統與民俗療法；自變項參考Andersen行為模式理論，納入29個可能影響依變項的因子。以SPSS套裝軟體，卡方檢定，二項式羅吉斯複迴歸進行統計分析。

結果：2,077位研究對象中有745位近12個月內曾使用傳統與民俗療法(35.9%)。單變項分析結果：女性、年輕族群、居住都市、教育程度較高、未婚、對醫療保健系統不滿意、對醫師不信任、對上一次看西醫不滿意，就醫填寫醫療表格非常有自信、全民健保外有私人保險、自覺有適當醫療保險、有慢性病、近四週內曾因健康而阻礙日常工作者、近四週經常心情低落者、無吸菸、有運動者有較高比例接受傳統與民俗療法，且有顯著差異(p<0.05)。羅吉斯迴歸分析結果，女性，年輕族群、全民健保外有私人醫療保險、近四週曾因健康而阻礙日常工作者、近四週經常心情低落者，上一次看西醫感到不滿意是民眾使用傳統與民俗療法的獨立影響因子。看西醫不滿意者使用傳統與民俗療法為滿意者的1.78倍(OR 1.78, 95% CI 1.17-2.72)。

結論：有醫療需求的台灣成年人，使用傳統與民俗療法，有性別及年齡層上的差異。此外，對西醫看診的滿意度會影響傳統與民俗療法的使用，對於不滿意西醫服務的原因值得進一步分析，可做為未來醫療保險體系及醫療服務品質改善的方向。

 

Purpose: The study aimed to explore the utilization of traditional or folk therapy and its associated factors among adults in the past year in Taiwan.

Methods: The data was based on the 2011 the “Health” section of Taiwan Social Change Survey (Round 6, Year 2) conducted by the Social Science Research Institute of the Academia Sinica. The subjects of the study were Taiwanese adults over 18 years of age who had medical needs due to illness or injury in the past 12 months. Subjects were divided into two groups in line with utilization or no-utilization of traditional or folk therapy in the past 12 months, Based on Andersen’s Behavioral Model of Health Services Use, 29 potential dependent variables were selected. The study used SPSS 25.0 statistical package software, chi-square test, and binomial logistic regression to explore the relationship between variables and the utilization of traditional or folk therapy.

Results: Of the 2077 subjects reporting medical needs in the past year, 745 (35.9%) had used traditional or folk therapy. Results of univariate analysis identified the following factors significantly associated with a higher percentage of subjects utilizing traditional or folk therapy: woman, younger age, urban residents, higher education, unmarried, dissatisfied with the healthcare system, distrustful of doctors, dissatisfied with last clinic visit, highly confident in filling out medical forms for medical treatment, additional private medical insurance other than national health insurance, adequate medical insurance, chronic diseases, nonsmoker, exercise participation, troubled by health problems affecting work or family affairs in the past 4 weeks, and experiencing low mood in the past 4 weeks. In multivariate analyses, woman, younger age, additional private medical insurance other than national health insurance, troubled by health problems affecting work or family affairs in the past 4 weeks, experiencing low mood in the past 4 weeks, and dissatisfied with last clinic visit were independently associated with the use of traditional or folk therapy.

Conclusion: Dissatisfaction with last clinic visit appears to exert considerable influence on whether people choose traditional or folk therapies. In order to improve future health insurance system and medical services, the potential reasons of dissatisfaction with Western medical services merit further exploration.