Abstract:

Objective　To investigate the current awareness and willingness in Madagascar residents toward traditional Chinese medicine. Methods　A total of 415 patients who were 18-69 years and who attended one representative hospital in the north, east, and south of Madagascar from March to August 2021 were included, including 174 males and 241 females. The awareness of traditional Chinese medicine, utilization of traditional Chinese medicine health services, and related factors affecting the willingness of Malagasy residents to use traditional Chinese medicine were analyzed. The SPSS 25.0 software was applied to analyze the data by χ² test, Spearman correlation analysis, and multivariate logistic regression analysis. If P<0.05, there is a statistical difference. Results　The respondents had a good overall understanding of traditional Chinese medicine (365 cases, 88.0%), but lacked in-depth understanding. The results of logistic regression analysis showed that the residents of Chinese Han nationality (OR=5.016) and Antandero nationality (OR=2.492) of the 12 ethnic groups knew the most about traditional Chinese medicine, and the awareness rates of traditional Chinese medicine among the residents with college degree (OR=2.656) and university undergraduate degree (OR=4.424) were high (all P<0.05). The Beshi Mizaraka people (OR=0.207) had the lowest trust in traditional Chinese medicine, and the residents with high school (OR=3.720), college (OR=2.838), undergraduate (OR=5.812), and master's degrees or above (OR=5.165) had the highest trust in traditional Chinese medicine (all P<0.05). The people with lower income (OR=0.336 and 0.279) made more use of traditional Chinese medicine (P<0.05). Conclusions　Malagascar residents have certain understanding of traditional Chinese medicine. Nationality, education level, and family income are the main factors affecting their knowledge, belief, and practice of traditional Chinese medicine. The sense of experience and satisfaction with traditional Chinese medicine health services and the lack of a suitable Chinese medicine service platform are the main factors for the underutilization of traditional Chinese medicine.

Key words:

Madagascar, Traditional Chinese medicine, Health service of traditional Chinese medicine, Utilization willingness

摘要：

目的　调查分析马达加斯加居民中医药认知现状及利用意愿。方法　纳入2021年3月至8月在马达加斯加北部、东部和南部各一所代表性医院就诊患者415例，男174例，女241例，年龄18～69岁。分析中医药知晓情况、中医药卫生服务利用情况及影响马达加斯加居民对中医药利用意愿的相关因素。应用SPSS 25.0软件分析数据，采用χ²检验、Spearman相关分析、多因素logistic回归分析，P<0.05为差异有统计学意义。结果　调查对象对中医药总体知晓情况较好（365例，88.0%），但缺乏深入认知。logistic回归分析结果显示，在12个民族中，华裔汉族（OR=5.016）和安坦德罗族（OR=2.492）居民对中医药知识了解最多，大专学历（OR=2.656）和大学本科学历（OR=4.424）居民中医药知晓率较高（均P<0.05）。贝希米扎拉卡族（OR=0.207）对中医药的信任度最低，高中（OR=3.720）、大专（OR=2.838）、大学本科（OR=5.812）和硕士及以上学历（OR=5.165）居民对中医药的信任度最高（均P<0.05）。收入水平较低者（OR=0.336、0.279）对中医药的利用相对较多（P<0.05）。结论　马达加斯加居民对中医药有一定认知，但普遍缺乏深入了解。民族、文化程度和家庭经济收入是影响其中医药“知”“信”“行”的主要因素。对中医药卫生服务的体验感、满意度，及缺乏适宜的中医药服务平台是中医药利用不足的主要因素。

关键词:

马达加斯加, 中医药, 中医药卫生服务, 利用意愿