Factors associated with seeking western or Chinese medical treatment for fertility among women with breast cancer in Taiwan

IF 2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Traditional Chinese Medicine Pub Date : 2018-12-15 DOI:10.1016/S0254-6272(18)30990-7
Ping-Ho Chen , Sheng-Miauh Huang , Jerry Cheng-Yen Lai , Chen-Jei Tai , Li-Yin Chien , Yun-Hsiang Lee
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Abstract

OBJECTIVE

To examine and describe the use of Western and Chinese Medicine for pregnancy preparation among women with breast cancer after cancer-related treatment in Taiwan.

METHODS

Women of reproductive age (20-49 years) women who were treated for breast cancer from January 2011 through June 2015 in a Taiwanese city participated in the study. Of 306 eligible study participants, interviews were completed in 197 (64%). Participants were asked about sociode-mographic variables, disease and treatment characteristics, their desire for fertility, and their use of Western or Chinese Medicine.

RESULTS

The proportions of women who planned to use Western or Chinese Medicine to help achieve pregnancy were 17.3% and 14.7%, respectively. The result of binary logistic regression showed that current employment and lack of children were factors predictive of the use of Western Medicine. Younger age and the use of Chinese Medicine before treatment were predictors of using Chinese Medicine. While the desire for fertility preservation was related to the use of Western Medicine, the desire for pregnancy was related to the use of Chinese Medicine.

CONCLUSION

Various characteristics guided the women's decisions to use Western or Chinese Medicine. Health care providers should learn patients' preferences for fertility preservation and provide appropriate advice, referring them to safe providers of their desired method of fertility treatment.

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台湾乳腺癌妇女寻求西医或中医治疗生育的相关因素
目的了解台湾地区乳腺癌患者接受癌症相关治疗后中西医结合备孕的情况。方法2011年1月至2015年6月在台湾某城市接受乳腺癌治疗的育龄妇女(20-49岁)参与了这项研究。在306名符合条件的研究参与者中,197人(64%)完成了访谈。参与者被问及社会人口统计学变量、疾病和治疗特征、他们对生育的渴望以及他们对西医或中医的使用。结果计划使用西药或中药助孕的比例分别为17.3%和14.7%。二元logistic回归分析结果显示,当前就业和无子女是西药使用的预测因素。年龄较小和治疗前使用中药是使用中药的预测因素。保留生育能力的愿望与使用西医有关,而怀孕的愿望与使用中医有关。结论不同的特点指导了妇女选择西药或中药。卫生保健提供者应了解患者对保留生育能力的偏好,并提供适当的建议,将其转介给提供其所需生育治疗方法的安全提供者。
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来源期刊
Journal of Traditional Chinese Medicine
Journal of Traditional Chinese Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.40
自引率
3.80%
发文量
32269
审稿时长
2 months
期刊介绍: Journal of Traditional Chinese Medicine(JTCM) is devoted to clinical and theortical research on the use of acupuncture and Oriental medicine. The main columns include Clinical Observations, Basic Investigations, Reviews, Questions and Answers, an Expert''s Forum, and Discussions of Clinical Cases. Its key topics include acupuncture and electro-acupuncture, herbal medicine, homeopathy, masseotherapy, mind-body therapies, palliative care, and other CAM therapies.
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