title: The association between socioeconomic status and traditional chinese medicine use among children in Taiwan.
abstract: BACKGROUND
  Traditional Chinese medicine (TCM) utilization is common in Asian countries. Limited studies are available on the socioeconomic status (SES) associated with TCM use among the pediatric population. We report on the association between SES and TCM use among children and adolescents in Taiwan.
  
  
  METHODS
  A National Health Interview Survey was conducted in Taiwan in 2001 that included 5,971 children and adolescents. We assessed the children's SES using the head of household's education, occupation and income. This information was used to calculate pediatric SES scores, which in turn were divided into quartiles. Children and adolescents who visited TCM in the past month were defined as TCM users.
  
  
  RESULTS
  Compared to children in the second SES quartile, children in the fourth SES quartile had a higher average number of TCM visits (0.12 vs. 0.06 visits, p = 0.027) and higher TCM use prevalence (5.0% vs. 3.6%, p = 0.024) within the past month. The adjusted odds ratio (OR) for TCM use was higher for children in the fourth SES quartile than for those in the first SES quartile (OR 1.49; 95% confidence interval [CI] 1.02-2.17). The corresponding OR was 2.17 for girls (95% CI 1.24-3.78). The highest-SES girls (aged 10-18 years) were most likely to visit TCM practices (OR 2.47; 95% CI 1.25-4.90).
  
  
  CONCLUSIONS
  Children and adolescents with high SES were more likely to use TCM and especially girls aged 10-18 years. Our findings point to the high use of complementary and alternative medicine among children and adolescents.
authors.affiliation: 1The School of Chinese Medicine for Post-Baccalaureate, I-Shou University,Kaohsiung County 82445, Taiwan.
authors.forename: Chun-Chuan
authors.initials: CC
authors.lastname: Shih
authors.forename: Chien-Chang
authors.initials: CC
authors.lastname: Liao
authors.forename: Yi-Chang
authors.initials: YC
authors.lastname: Su
authors.forename: Tsu F
authors.initials: TF
authors.lastname: Yeh
authors.forename: Jaung-Geng
authors.initials: JG
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008516:Medicine, Chinese Traditional / Q000706:statistics & numerical data*; D012923:Social Class; D013624:Taiwan