title: Negotiating biomedical and traditional Chinese medicine treatments among elderly Chinese Singaporean women.
abstract: In this article we examine how elderly Chinese Singaporean women navigated between biomedicine and traditional Chinese medicine in their practices of maintaining well-being. We interviewed 36 elderly women to understand their negotiation of medical choices in the interplay of structure, culture, and personal agency. Our findings show that participants made situational decisions under structural and cultural influences, such as family members' changing expectations and interpretations of medical practices, institutional preferences for biomedicine, and the patients' negotiating position between biomedicine and traditional Chinese medicine. Participants demonstrated their capacity to enact agency through their examination of the effects and side effects of each medical system and through their integrative use of different medical treatments, depending on the purpose. Through our findings, we unveil contextual meanings of health among elderly women and the unique coexistence of traditional and modern medical practices within the context of Singapore.
authors.affiliation: National University of Singapore, Singapore lchang@nus.edu.sg.
authors.forename: Leanne
authors.initials: L
authors.lastname: Chang
authors.affiliation: National University of Singapore, Singapore.
authors.forename: Iccha
authors.initials: I
authors.lastname: Basnyat
mesh_terms: D000368:Aged; D002681:China / Q000208:ethnology; D003469:Culture; D005190:Family / Q000208:ethnology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008511:Medicine / Q000379:methods*; D008516:Medicine, Chinese Traditional / Q000523:psychology*; D008875:Middle Aged; D028723:Personhood; D012846:Singapore / Q000453:epidemiology; D012959:Socioeconomic Factors
keywords: Asia, South/Southeast; culture/cultural competence; decision making; health and well-being; older people; women’s health