The Influencing Role of Cultural Values on Attitudes of the Chinese Public Towards Traditional Chinese Medicine (TCM) for the Control of COVID-19

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Abstract

Purpose

The use of traditional Chinese medicine (TCM) for disease prevention and healthcare has been strongly supported by the Chinese government in recent years, but public perception of TCM remains controversial or resistant, especially in preventing and treating COVID-19. It is therefore crucial to understand the factors that influence public attitudes.

Methods

By applying a measure of attitudes towards TCM in epidemic prevention, this study conducted a nationwide survey (n=1192) on the relationships between attitudes towards TCM for the control of COVID-19 and trust, perceptions of risk, scientific literacy, policy endorsement, and cultural values.

Results

The results of the study showed surprisingly that scientific literacy and risk perception did not dominate the Chinese public’s attitudes towards TCM for the control of COVID-19. Meanwhile, egalitarianism, policy endorsement, trust in scientist and healthcare personnel played a positive role. Moreover, egalitarianism positively regulates the relationship between trust in scientist and attitudes towards TCM epidemic prevention and control, while collectivism negatively regulates the relationship of the preceding variables.

Conclusion

All these findings suggest that attitudes towards the use of TCM are not based on rational cognition and logical reasoning, but are mainly influenced by emotional and cultural factors. This study will help researchers and practitioners understand the importance of cultural values, trust, policy endorsement, and attitudes towards TCM epidemic prevention and control to TCM’s use in healthcare.

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Most cited references 44

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Cultural cognition of scientific consensus

Dan M Kahan, Hank Jenkins-Smith, Donald Braman (2011)

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Traditional Chinese Medicine (TCM) in the treatment of viral infections: Efficacies and mechanisms

Kai Huang, Pan Zhang, Zhenghao Zhang … (2021)

COVID-19 has remained an uncontained, worldwide pandemic. While battling for the disease in China, six Traditional Chinese Medicine (TCM) recipes have been shown to be remarkably effective for treating patients with COVID-19. The present review discusses principles of TCM in curing infectious disease, and clinical evidence and mechanisms of the 6 most effective TCM recipes used in treating COVID-19 in 92% of all of the confirmed cases in China. Applications of TCM and specific recipes in the treatment of other viral infections, such as those caused by SARS-CoV, MERS-CoV, hepatitis B virus, hepatitis C virus, influenza A virus (including H1N1 and H7N9), influenza B, dengue virus as well as Ebola virus, are also discussed. Among the 6 TCM recipes, Jinhua Qinggan (JHQG) granules and Lianhua Qingwen (LHQW) capsules are recommended during medical observation; Lung Cleansing and Detoxifying Decoction (LCDD) is recommended for the treatment of both severe and non-severe patients; Xuanfeibaidu (XFBD) granules are recommended for treating moderate cases; while Huashibaidu (HSBD) and Xuebijing (XBJ) have been used in managing severe cases effectively. The common components and the active ingredients of the six TCM recipes have been summarized to reveal most promising drug candidates. The potential molecular mechanisms of the active ingredients in the six TCM recipes that target ACE2, 3CLpro and IL-6, revealed by molecular biological studies and/or network pharmacology prediction/molecular docking analysis/visualization analysis, are fully discussed. Therefore, further investigation of these TCM recipes may be of high translational value in revealing novel targeted therapies for COVID-19, potentially via purification and characterization of the active ingredients in the effective TCM recipes.

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Trust and the Coronavirus Pandemic: What are the Consequences of and for Trust? An Early Review of the Literature

Daniel J Devine, Jennifer Gaskell, Will Jennings … (2020)

Trust between governors and the governed is seen as essential to facilitating good governance. This claim has become a prominent contention during the coronavirus pandemic. The crisis also presents a unique test of key hypotheses in the trust literature. Moreover, understanding the dynamics of trust, how it facilitates and hinders policy responses, and also the likely effects of these responses on trust are going to be fundamental questions in policy and trust research in the future. In this article, we review the early literature on the coronavirus pandemic and political and social trust, summarise their findings and highlight key challenges for future research. We show how the studies shed light on trust’s association with implementation of government measures, public compliance with them, mortality rates and the effect of government action on levels of trust. We also urge caution given the varying ways of measuring trust and operationalising the impact of the pandemic, the existence of common issues with quantitative studies and the relatively limited geographical scope of studies to date. We argue that it is going to be important to have a holistic understanding of these dynamics, using mixed-methods research as well as the quantitative studies we review here.

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Author and article information

Journal

Journal ID (nlm-ta): Patient Prefer Adherence

Journal ID (iso-abbrev): Patient Prefer Adherence

Journal ID (publisher-id): ppa

Title: Patient preference and adherence

Publisher: Dove

ISSN (Electronic): 1177-889X

Publication date (Electronic): 29 December 2023

Publication date Collection: 2023

Volume: 17

Pages: 3589-3605

Affiliations

[1 ]School of Communication, Soochow University , Suzhou, Jiangsu Province, 215127, People’s Republic of China

[2 ]School of Public Health, Soochow University , Suzhou, Jiangsu Province, 215127, People’s Republic of China

Author notes

Correspondence: Yi Chen, School of Communication, Soochow University , Suzhou, Jiangsu Province, 215127, People’s Republic of China, Email chenyisuda@suda.edu.cn

Article

Publisher ID: 443713

DOI: 10.2147/PPA.S443713

PMC ID: 10759415

PubMed ID: 38169962

SO-VID: f4055363-2caf-4632-aa55-7723e642c46a

License:

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

History

Date received : 21 October 2023

Date accepted : 18 December 2023

Page count

Figures: 2, Tables: 5, References: 44, Pages: 17

Funding

Funded by: National Social Science Foundation of China;

This research was funded by National Social Science Foundation of China (Grant No. 22BC048).

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The Influencing Role of Cultural Values on Attitudes of the Chinese Public Towards Traditional Chinese Medicine (TCM) for the Control of COVID-19

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Abstract

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Novel Coronavirus Disease COVID-19

Most cited references 44

Cultural cognition of scientific consensus

Traditional Chinese Medicine (TCM) in the treatment of viral infections: Efficacies and mechanisms

Trust and the Coronavirus Pandemic: What are the Consequences of and for Trust? An Early Review of the Literature

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