{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:53:04Z","timestamp":1790632384088,"version":"4.1.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004663","name":"the Ministry of Science and Technology, Taiwan","doi-asserted-by":"crossref","award":["103-2314-B-010-033-MY2"],"award-info":[{"award-number":["103-2314-B-010-033-MY2"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Many women experience menstruation-related health issues during their child-bearing years. This study aimed to evaluate women\u2019s tendency to seek Traditional Chinese Medicine (TCM) and\/or Western Medicine (WM) when newly diagnosed with menstrual syndromes and to identify factors associated with their medical care-seeking behaviors.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The data of a total of 47,097 women aged between 15 and 50\u00a0years with newly diagnosed menstrual syndromes in 2005 were extracted from the Taiwan National Health Insurance Database. The follow-up period was divided equally into 6\u00a0month segments over 5\u00a0years starting with patients\u2019 first visit for obstetric\/gynecologic care. Outcomes were outpatient visits and number of TCM or WM visits during each period. Patients\u2019 tendency for medical care utilization was estimated using Poisson regression analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Number of outpatient visits using TCM was 0.62 (29187\/47097), and using WM was 1.67 (78697\/47097) within 6\u00a0months after the first menstrual syndrome diagnosis. The tendency for TCM utilization increased as follow-up time increased after controlling for potential confounders, while WM utilization decreased as follow-up time increased. Age, economic status, infertility, value of prevention, baby delivery, and obstetric\/gynecologic inpatient histories were significantly associated with patients\u2019 medical care-seeking behaviors.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>TCM and WM medical care-seeking patterns are significantly different among women with diagnoses associated with menstrual syndromes. Related factors affecting medical care-seeking behavior include age, economic status, infertility, value of prevention, childbirth and Ob\/Gyn inpatient histories.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-022-00871-0","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T05:09:57Z","timestamp":1668488997000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Medical care-seeking patterns among women with menstrual syndromes-related diagnoses: a longitudinal population-based study"],"prefix":"10.1186","volume":"27","author":[{"given":"Jong-Long","family":"Guo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-Chi","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fen-He","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiao-Pei","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiu-Mieh","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"issue":"7\u20138","key":"871_CR1","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.1111\/j.1365-2702.2010.03363.x","volume":"20","author":"HF Cheng","year":"2011","unstructured":"Cheng HF, Lin YH. Selection and efficacy of self-management strategies for dysmenorrhea in young Taiwanese women. J Clin Nurs. 2011;20(7\u20138):1018\u201325.","journal-title":"J Clin Nurs"},{"key":"871_CR2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.2147\/IJWH.S52429","volume":"6","author":"E Tanaka","year":"2013","unstructured":"Tanaka E, Momoeda M, Osuga Y, Rossi B, Nomoto K, Hayakawa M, et al. Burden of menstrual symptoms in Japanese women - an analysis of medical care-seeking behavior from a survey-based study. Int J Womens Health. 2013;6:11\u201323.","journal-title":"Int J Womens Health"},{"issue":"19\u201320","key":"871_CR3","doi-asserted-by":"publisher","first-page":"2915","DOI":"10.1111\/j.1365-2702.2011.03708.x","volume":"20","author":"FE Omu","year":"2011","unstructured":"Omu FE, Al-Marzouk R, Delles H, Oranye NO, Omu AE. Premenstrual dysphoric disorder: prevalence and effects on nursing students\u2019 academic performance and clinical training in Kuwait. J Clin Nurs. 2011;20(19\u201320):2915\u201323.","journal-title":"J Clin Nurs"},{"issue":"5","key":"871_CR4","first-page":"228","volume":"5","author":"D Taylor","year":"2005","unstructured":"Taylor D. Perimenstrual symptoms and syndromes: Guidelines for symptom management and self-care. Adv Stud Med. 2005;5(5):228\u201341.","journal-title":"Adv Stud Med"},{"issue":"6","key":"871_CR5","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1007\/s00737-010-0165-3","volume":"13","author":"S Tschudin","year":"2010","unstructured":"Tschudin S, Bertea PC, Zemp E. Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Arch Wom Ment Health. 2010;13(6):485\u201394.","journal-title":"Arch Wom Ment Health"},{"issue":"5","key":"871_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1477-7525-10-1","volume":"10","author":"M Delara","year":"2012","unstructured":"Delara M, Ghofranipour F, Azadfallah P, Tavafian SS, Kazemnejad A, Montazeri A. Health related quality of life among adolescents with premenstrual disorders: a cross sectional study. Health Qual Life Outcomes. 2012;10(5):1\u20135.","journal-title":"Health Qual Life Outcomes"},{"issue":"5","key":"871_CR7","doi-asserted-by":"publisher","first-page":"S93","DOI":"10.1016\/j.jval.2011.05.008","volume":"14","author":"A Schiola","year":"2011","unstructured":"Schiola A, Lowin J, Lindemann M, Patel R, Endicott J. The burden of moderate\/severe premenstrual syndrome and premenstrual dysphoric disorder in a cohort of latin American women. Value Health. 2011;14(5):S93\u20135.","journal-title":"Value Health"},{"issue":"16 Suppl","key":"871_CR8","first-page":"S473","volume":"11","author":"DR Mishell Jr","year":"2005","unstructured":"Mishell DR Jr. Premenstrual disorders: epidemiology and disease burden. Am J Manag Care. 2005;11(16 Suppl):S473\u20139.","journal-title":"Am J Manag Care"},{"issue":"2","key":"871_CR9","first-page":"61","volume":"80","author":"J Olenja","year":"2003","unstructured":"Olenja J. Health seeking behaviour in context. East Afr Med J. 2003;80(2):61\u20132.","journal-title":"East Afr Med J"},{"key":"871_CR10","volume-title":"Health behavior and health education: theory, research, and practice","author":"K Glanz","year":"2008","unstructured":"Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008.","edition":"4"},{"issue":"6","key":"871_CR11","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1080\/10410236.2013.873363","volume":"30","author":"CL Jones","year":"2015","unstructured":"Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 2015;30(6):566\u201376.","journal-title":"Health Commun"},{"issue":"2","key":"871_CR12","doi-asserted-by":"publisher","first-page":"463","DOI":"10.4103\/2249-4863.192376","volume":"5","author":"S Oberoi","year":"2016","unstructured":"Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health seeking behavior. J Family Med Prim Care. 2016;5(2):463\u20134.","journal-title":"J Family Med Prim Care"},{"key":"871_CR13","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/591391","volume":"2012","author":"RC Fang","year":"2012","unstructured":"Fang RC, Tsai YT, Lai JN, Yeh CH, Wu CT. The traditional chinese medicine prescription pattern of endometriosis patients in taiwan: a population-based study. Evid Based Complement Alternat Med. 2012;2012: 591391.","journal-title":"Evid Based Complement Alternat Med"},{"key":"871_CR14","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/1472-6963-7-26","volume":"7","author":"FP Chen","year":"2007","unstructured":"Chen FP, Chen TJ, Kung YY, Chen YC, Chou LF, Chen FJ, Hwang SJ. Use frequency of traditional Chinese medicine in Taiwan. BMC Health Serv Res. 2007;7:26.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"871_CR15","doi-asserted-by":"publisher","first-page":"33","DOI":"10.4103\/2278-960X.153524","volume":"4","author":"AA Farotimi","year":"2015","unstructured":"Farotimi AA, Esike J, Nwozichi CU, Ojediran TD, Ojewole FO. Knowledge, attitude, and healthcare-seeking behavior towards dysmenorrhea among female students of a private university in Ogun state, Nigeria. J Basic Clin Reprod Sci. 2015;4(1):33\u20138.","journal-title":"J Basic Clin Reprod Sci"},{"issue":"3","key":"871_CR16","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1016\/j.pmn.2013.07.006","volume":"15","author":"M Seven","year":"2014","unstructured":"Seven M, G\u00fcven\u00e7 G, Aky\u00fcz A, Eski F. Evaluating dysmenorrhea in a sample of Turkish nursing students. Pain Manag Nurs. 2014;15(3):664\u201371.","journal-title":"Pain Manag Nurs"},{"issue":"5","key":"871_CR17","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1016\/j.jpag.2011.03.009","volume":"24","author":"LP Wong","year":"2011","unstructured":"Wong LP. Premenstrual syndrome and dysmenorrhea: urban-rural and multiethnic differences in perception, impacts, and treatment seeking. J Pediatr Adolesc Gynecol. 2011;24(5):272\u20137.","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"871_CR18","unstructured":"Expanding Horizons of Healthcare: Five-Year Strategic Plan. https:\/\/nccih.nih.gov\/sites\/nccam.nih.gov\/files\/about\/plans\/fiveyear\/fiveyear.pdf"},{"issue":"2","key":"871_CR19","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.jep.2014.01.002","volume":"152","author":"JC Pan","year":"2014","unstructured":"Pan JC, Tsai YT, Lai JN, Fang RC, Yeh CH. The traditional Chinese medicine prescription pattern of patients with primary dysmenorrhea in Taiwan: a large-scale cross sectional survey. J Ethnopharmacol. 2014;152(2):314\u20139.","journal-title":"J Ethnopharmacol"},{"issue":"7","key":"871_CR20","doi-asserted-by":"publisher","first-page":"747.e741","DOI":"10.1016\/j.ejpain.2009.11.005","volume":"14","author":"ML Ferreira","year":"2010","unstructured":"Ferreira ML, Machado G, Latimer J, Maher C, Ferreira PH, Smeets RJ. Factors defining care-seeking in low back pain\u2013a meta-analysis of population based surveys. Eur J Pain. 2010;14(7):747.e741-7.","journal-title":"Eur J Pain"},{"key":"871_CR21","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1186\/1472-6963-12-27","volume":"12","author":"CC Shih","year":"2012","unstructured":"Shih CC, Liao CC, Su YC, Yeh TF, Lin JG. The association between socioeconomic status and traditional chinese medicine use among children in Taiwan. BMC Health Serv Res. 2012;12:27.","journal-title":"BMC Health Serv Res"},{"issue":"2","key":"871_CR22","first-page":"161","volume":"14","author":"S Kim","year":"2014","unstructured":"Kim S, Kwon S. The effect of extension of benefit coverage for cancer patients on health care utilization across different income groups in South Korea. Int J Health Care Fi. 2014;14(2):161\u201377.","journal-title":"Int J Health Care Fi"}],"container-title":["European Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-022-00871-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40001-022-00871-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-022-00871-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T17:08:55Z","timestamp":1668532135000},"score":1,"resource":{"primary":{"URL":"https:\/\/eurjmedres.biomedcentral.com\/articles\/10.1186\/s40001-022-00871-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,15]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["871"],"URL":"https:\/\/doi.org\/10.1186\/s40001-022-00871-0","relation":{},"ISSN":["2047-783X"],"issn-type":[{"value":"2047-783X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,15]]},"assertion":[{"value":"8 September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the Institutional Review Board of the Taipei City Hospital (TCHIRB1030905) and the requirement of informed consent was waived, because the data set is devoid of identifiable personal information. Ethical review board approval is mandatory when applying to use NHIRD data. The Ministry of Health and Welfare in Taiwan is responsible for reviewing applications.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"250"}}