Beliefs and Traditional Medicine Use Among Vietnamese Older Adults: The Case Study in Hoc Mon District
Main Article Content
Abstract
The paper explores traditional medicine beliefs among older Vietnamese persons in the Hoc Mon district. Twenty-two respondents aged 62 to 82 years and nine key informants were recruited. Bourdieu’s theory of practice was used to analyze data through thematic analysis. The main findings explore two models of traditional medicine used in the aging population to control chronic diseases and post-stroke: (1) the switch from western to traditional medicine and (2) the use of both western and traditional medicine. Moreover, traditional medicine use is influenced by beliefs about susceptibility and severity of disease, the pros and cons of traditional medicine, and beliefs about traditional medicine practitioners. This exploratory study may shed more light on the promotion of traditional medicine for health and health management for the aging population in Vietnam.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
• Adler, S. R., Wrubel, J., Hughes, E., & Beinfield, H. (2009). Patients’ interactions with physicians and complementary and alternative medicine practitioners: Older women with breast cancer and self-managed health care. Integrative Cancer Therapies, 8(1), 63–70. https://doi.org/10.1177/1534735408329410
• Applewhite, S. L. (1995). Curanderismo: Demystifying the health beliefs and practices of elderly Mexican Americans. Health & Social Work, 20(4), 247–253. https://doi.org/10.1093/hsw/20.4.247
• Ayele, A. A., Tegegn, H. G., Haile, K. T., Belachew, S. A., Mersha, A. G., & Erku, D. A. (2017). Complementary and alternative medicine use among elderly patients living with chronic diseases in a teaching hospital in Ethiopia. Complementary Therapies in Medicine, 35, 115–119. https://doi.org/10.1016/j.ctim.2017.10.006
• Berger, S., Braehler, E., & Ernst, J. (2012). The health professional–patient-relationship in conventional versus complementary and alternative medicine. A qualitative study comparing the perceived use of medical shared decision-making between two different approaches of medicine. Patient Education and Counseling, 88(1), 129–137. https://doi.org/10.1016/j.pec.2012.01.003
• Bourdieu, P. (1990). The logic of practice (R. Nice, Trans.). Stanford University Press.
• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
• Che, C., Geogre, V., Ijinu, T., Pushpangadan, P., & Andrae-Marobela, K. (2017). Traditional medicine. In S. Badal & R. Delgoda (Eds.), Pharmacognosy: Fundamentals, applications and strategies (pp. 15–30). Academic Press.
• Cohen, R. J., Ek, K., & Pan, C. X. (2002). Complementary and alternative medicine (CAM) use by older adults: A comparison of self-report and physician chart documentation. The Journals of Gerontology, 57(4), M223–M227. https://doi.org/10.1093/gerona/57.4.m223
• Department of Health in Ho Chi Minh City. (2016, December 23). Báo cáo Tình hình hoạt động Ngành Y tế Thành phố năm 2015 và phương hướng hoạt động năm 2016. [Report on activities of the Ho Chi Minh City Health Sector in 2015 and further activities in 2016]. https://medinet.hochiminhcity.gov.vn/chuyen-muc/bao-cao-tinh-hinh-hoat-dong-nganh-y-te-thanh-pho-nam-2015-va-phuong-huong-hoat-cmobile4675-58639.aspx
• Gupchup, G. V., Abhyankar, U. L., Worley, M. M., Raisch, D. W., Marfatia, A. A., & Namdar, R. (2006). Relationships between Hispanic ethnicity and attitudes and beliefs toward herbal medicine use among older adults. Research in Social and Administrative Pharmacy, 2(2), 266–279. https://doi.org/10.1016/j.sapharm.2006.02.002
• Himmel, W., Schulte, M., & Kochen, M. M. (1993). Complementary medicine: Are patients’ expectations being met by their general practitioners? British Journal of General Practice, 43(371), 232–235. https://bjgp.org/content/43/371/232
• Hossen, A., & Westhues, A. (2012). In search of healing between two worlds: The use of traditional and modern health services by older women in rural Bangladesh. Social Work in Health Care, 51(4), 327–344. https://doi.org/10.1080/00981389.2011.638223
• Huang, C. W., Hwang, I. H., Lee, Y. S., Hwang, S. J., Ko, S. G., Chen, F. P., & Jang, B. H. (2018). Utilization patterns of traditional medicine in Taiwan and South Korea by using national health insurance data in 2011. PLOS ONE, 13(12), Article e0208569. https://doi.org/10.1371/journal.pone.0208569
• Krah, E., de Kruijf, J., & Ragno, L. (2017). Integrating traditional healers into the health care system: Challenges and opportunities in rural Northern Ghana. Journal of Community Health, 43(1), 157–163. https://doi.org/10.1007/s10900-017-0398-4
• Kumar, V. S., & Navaratnam, V. (2013). Neem (Azadirachta indica): Prehistory to contemporary medicinal uses to humankind. Asian Pacific Journal of Tropical Biomedicine, 3(7), 505–514. https://doi.org/10.1016/s2221-1691(13)60105-7
• McLaughlin, D., Lui, C. W., & Adams, J. (2012). Complementary and alternative medicine use among older Australian women - A qualitative analysis. BMC Complementary and Alternative Medicine, 12(1), Article 34. https://doi.org/10.1186/1472-6882-12-34
• Mitha, S., Nagarajan, V., Babar, M. G., Siddiqui, M. J. A., & Jamshed, S. Q. (2013). Reasons of using complementary and alternative medicines (CAM) among elderly Malaysians of Kuala Lumpur and Selangor states: An exploratory study. Journal of Young Pharmacists, 5(2), 50–53. https://doi.org/10.1016/j.jyp.2013.05.002
• Nguyen, D. T. (2018). Nghiên cứu thực trạng khám chữa bệnh bằng Y học cổ truyền tại các bệnh viện đa khoa tuyến huyện của tỉnh Vĩnh Phúc và giải pháp can thiệp [Research on actual situation of traditional medicine health care service at district general hospitals in Vinh Phuc province and interventional solutions] [Doctoral dissertation, Hanoi Medical University]. DSpace. http://dulieuso.hmu.edu.vn/handle/hmu/1761.
• Nguyen, T., Pham, N., Hoang Văn Đông, V., Nguyen, M., Nguyen, M., & Tran, B. (2021). Thực trạng sử dụng thuốc y học cổ truyền ở bệnh nhân ung thư tại Bệnh viện Trung ương Thái Nguyên năm 2020 [Situation of traditional medicine use among cancer patients at Thai Nguyen National Hospital in 2020]. Vietnam Journal of Preventive Medicine [Tạp chí Y học dự phòng], 31(6), 19–28. https://doi.org/10.51403/0868-2836/2021/370
• Nguyen, T. T. T., & Nguyen, T. T. (2022). Khảo sát phương pháp y học cổ truyền và y học hiện đại điều trị bệnh loãng xương tại Khoa Lão Bệnh Viện Y Học Cổ Truyền Trung Ương [Survey on traditional medicine and modern medicine in treating osteoporosis in the geriatric department of National Hospital of Traditional Medicine]. Vietnam Medical Journal [Tạp chí Y học Việt Nam], 516(1), 168–173. https://doi.org/10.51298/vmj.v516i1.2977
• Özera, Ö., Şantaşa, F., & Yıldırıma, H. (2012). An evaluation on levels of knowledge, attitude and behavior of people at 65 years and above about alternative medicine living in Ankara. African Journal of Traditional, Complementary and Alternative Medicines, 10(1), 134–141. https://doi.org/10.4314/ajtcam.v10i1.18
• Peltzer, K., Pengpid, S., Puckpinyo, A., Yi, S., & Vu Anh, L. (2016). The utilization of traditional, complementary and alternative medicine for non-communicable diseases and mental disorders in health care patients in Cambodia, Thailand and Vietnam. BMC Complementary and Alternative Medicine, 16(1), Article 92. https://doi.org/10.1186/s12906-016-1078-0
• Pham, D. D., Yoo, J. H., Tran, B. Q., & Ta, T. T. (2013). Complementary and alternative medicine use among physicians in oriental medicine hospitals in Vietnam: A hospital-based survey. Evidence-Based Complementary and Alternative Medicine, 2013, Article 392191. https://doi.org/10.1155/2013/392191
• Popper-Giveon, A., Schiff, E., & Ben-Arye, E. (2012). I will always be with you: Traditional and complementary therapists’ perspectives on patient-therapist-doctor communication regarding treatment of Arab patients with cancer in Israel. Patient Education and Counseling, 89(3), 381–386. https://doi.org/10.1016/j.pec.2012.03.016
• Shetty, P. (2012). Grey matter: Ageing in developing countries. The Lancet, 379(9823), 1285–1287. https://doi.org/10.1016/s0140-6736(12)60541-8
• Tran, B. X., Nguyen, L. H., Nong, V. M., & Nguyen, C. T. (2016). Health status and health service utilization in remote and mountainous areas in Vietnam. Health and Quality of Life Outcomes, 14(1), Article 85. https://doi.org/10.1186/s12955-016-0485-8
• United Nations. (2017). World Population Ageing 2017: Highlights (ST/ESA/SER.A/397). Department of Economic and Social Affairs, Population Division. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf
• United Nations. (2019). World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). Department of Economic and Social Affairs, Population Division. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
• Vietnamese Association of Elderly (VAE). (2019). Báo cáo tổng kết công tác người cao tuổi huyện Hóc Môn năm 2019. [Report on elderly activities in Hoc Mon district in 2019]. Lưu hành nội bộ [Released for internal circulation].
• Vo, T. K. A., Nguyen, H. C., Nguyen, T. M. T. & Le, P. N. H. (2022). Sử dụng dịch vụ Y học cổ truyền của người dân tại trạm y tế phường 9, Quận 8, Thành phố Hồ Chí Minh [Using the traditional medicine services of people at medical station, District 8, Ho Chi Minh City]. Tạp chí Y học Việt Nam [Journal of Vietnamese Medicine], 514(2), 74–79. doi.org/10.51298/vmj.v514i2.2625
• World Health Organization (WHO). (2001). Legal status of traditional medicine and complementary/alternative medicine: A worldwide review. https://apps.who.int/iris/handle/10665/42452
• World Health Organization (WHO). (2013). WHO traditional medicine strategy: 2014–2023. https://apps.who.int/iris/handle/10665/92455
• World Health Organization (WHO). (2019). WHO global report on traditional and complementary medicine 2019. https://apps.who.int/iris/handle/10665/312342
• World Health Organization (WHO). (2020). Traditional medicine in the WHO South-East Asia Region: Review of progress 2014–2019. Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/340393
• Xin, B., Mu, S., Tan, T., Yeung, A., Gu, D., & Feng, Q. (2020). Belief in and use of traditional Chinese medicine in Shanghai older adults: a cross-sectional study. BMC Complementary Medicine and Therapies, 20(1), Article 128. https://doi.org/10.1186/s12906-020-02910-x