{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:54:10Z","timestamp":1784202850590,"version":"3.55.0"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As an integral part of the \u201cHealthy China\u201d strategy, healthy aging emphasizes meeting the non-therapeutic health needs of middle-aged and older populations, which is highly consistent with Traditional Chinese Medicine (TCM) concepts. However, empirical studies focusing on the utilization patterns and determinants of such services among the middle-aged and older population remain limited. This study aims to assess the utilization and influencing factors of non-therapeutic TCM services among middle-aged and older people in Guangzhou.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted from June to October 2025 among 557 individuals aged \u226545\u202fyears old in Guangzhou using a structured questionnaire. Chi-square tests and binary logistic regression analyses were used to identify influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall utilization rate of non-therapeutic TCM services in the past month was 69.7%. Specifically, the utilization rates of health education, preventive health care, chronic disease management, and rehabilitation services were 25.10, 32.70, 28.00, and 30.90%, respectively. Key influencing factors varied by service type: understanding of TCM culture and chronic diseases affected health education utilization; TCM belief, income (\u22655,000 yuan\/month) and chronic diseases promoted preventive healthcare use; TCM promotion exposure and service satisfaction were associated with chronic disease management; age (\u226575\u202fyears), regular physical examinations and high-frequency TCM use were associated with rehabilitation service utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non-therapeutic TCM service utilization is relatively high among middle-aged and older populations in Guangzhou, with type-specific influencing factors. Targeted measures (expanding TCM culture promotion, strengthening chronic disease management, optimizing subsidy policies, and enhancing primary TCM service supply) are recommended to further improve service accessibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1772557","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:13:46Z","timestamp":1774422826000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The utilization, characteristics, and influencing factors of non-therapeutic traditional Chinese medicine services among middle-aged and older population in Guangzhou, China: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Jie","family":"Ren","sequence":"first","affiliation":[{"name":"School of Public Health and Management, Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]},{"name":"China Joint Graduate School of Traditional Chinese Medicine","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Hao","sequence":"additional","affiliation":[{"name":"School of Public Health and Management, Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziqi","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Marxism, Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenxu","family":"Zheng","sequence":"additional","affiliation":[{"name":"School of Marxism, Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaozong","family":"Zheng","sequence":"additional","affiliation":[{"name":"First Clinical Medical College, Guangzhou University of Chinese Medicine","place":["Guangzhou, 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochang","family":"Ma","sequence":"additional","affiliation":[{"name":"Xiyuan Hospital, China Academy of Chinese Medical Sciences","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Public Health and Management, Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lining","family":"Yang","sequence":"additional","affiliation":[{"name":"Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine","place":["Jinan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101265","DOI":"10.1016\/j.imr.2025.101265","article-title":"Exploring traditional Chinese 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