Abstract
We situate elderly Chinese immigrants’ utilization of traditional Chinese medicine (TCM) in social contexts (e.g., family and social networks), exploring how TCM is used as a tool, a resource, and a product of meaning-construction in their everyday life. We conducted in in-depth interviews with 20 elderly Chinese immigrants in the United State, exploring the complexity of their understanding and practice of TCM. We used grounded theory to identify the set of meanings that are particular to elderly Chinese immigrants’ use of TCM as a part of their health practice. For our participants, TCM is not just a resource for illness management. Instead, incorporating TCM in their health practice allows them to: (a) perform and reaffirm their cultural identity as Chinese, (b) maintain their moral status and fulfill their social roles, and (c) pass down health knowledge and cultural heritage. Clinical implications were discussed.
Similar content being viewed by others
References
Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Washington, DC: US Department of Health and Human Services; 2008.
National Center for Complementary and Alternative Medicine. What is complementary and alternative medicine? 2010. Available from: http://nccam.nih.gov/health/whatiscam/#1.
Baer HA. Medical pluralism in the United States: a review. Med Anthropol Q. 1995;9(4):493–502.
Wade C, Chao MT, Kronenberg F. Medical pluralism of Chinese women living in the United States. J Immigr Minor Health. 2007;9(4):255–67.
Xu K, Farrell TW. The complementarity and substitution between unconventional and mainstream medicine among racial and ethnic groups in the United States. Health Serv Res. 2007;42(2):811–26.
Mackenzie ER, Taylor L, Bloom BS, Hufford D, Johnson JC. Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Altern Ther Health Med. 2003;9(4):50–6.
Hsiao A-F, Wong MD, Goldstein MS, Becerra LS, Cheng EM, Wenger NS. Complementary and alternative medicine use among Asian-American subgroups: prevalence, predictors, and lack of relationship to acculturation and access to conventional health care. J Altern Complement Med. 2006;12(10):1003–10.
Lai DW, Chappell N. Use of traditional Chinese medicine by older Chinese immigrants in Canada. Fam Pract. 2007;24(1):56–64.
Su D, Li L, Pagan JA. Acculturation and the use of complementary and alternative medicine. Soc Sci Med. 2008;66(2):439–53.
Yang LH, Corsini-Munt S, Link BG, Phelan JC. Beliefs in traditional Chinese medicine efficacy among Chinese Americans: implications for mental health service utilization. J Nerv Ment Dis. 2009;197(3):207–10.
US Census Bureau. The American Community—Asians: 2004. 2007. Available from: http://www.census.gov/prod/2007pubs/acs-05.pdf.
Xie P-S, Leung AY. Understanding the traditional aspect of Chinese medicine in order to achieve meaningful quality control of Chinese materia medica. J Chromatogr A. 2009;1216(11):1933–40.
National Center for Complementary, Alternative Medicine. Traditional Chinese medicine: an introduction. Washington, DC: US Department of Health and Human Services; 2010.
Hsieh E. Health. In: Patterson O, Golson GJ, editors. Cultural sociology of the middle east, Asia, and Africa: an encyclopedia. Thousand Oaks, CA: Sage; in press.
Men J, Guo L, editors. A general introduction to traditional Chinese medicine. Boca Raton: CRC Press; 2010.
Wills BS, Morse JM. Responses of Chinese elderly to the threat of severe acute respiratory syndrome (SARS) in a Canadian community. Public Health Nurs. 2008;25(1):57–68.
Lai DW, Tsang KT, Chappell N, Lai DC, Chau SB. Relationships between culture and health status: a multi-site study of the older Chinese in Canada. Can J Aging. 2007;26(3):171–84.
Lai DW, Surood S. Chinese health beliefs of older Chinese in Canada. J Aging Health. 2009;21(1):38–62.
Goldsmith DJ, Brashers DE. Communication matters: developing and testing social support interventions. Commun Monogr. 2008;75(4):320–9.
White P, Smith SM, O’Dowd T. The role of the family in adult chronic illness: a review of the literature on type 2 diabetes. Ir J Psychol Med. 2005;26(1–2):9–15.
Voeten HA, de Zwart O, Veldhuijzen IK, Yuen C, Jiang X, Elam G, et al. Sources of information and health beliefs related to SARS and avian influenza among Chinese communities in the United Kingdom and the Netherlands, compared to the general population in these countries. Int J Behav Med. 2009;16(1):49–57.
Bowman KW, Singer PA. Chinese seniors’ perspectives on end-of-life decisions. Soc Sci Med. 2001;53(4):455–64.
Brashers DE, Goldsmith DJ, Hsieh E. Information seeking and avoiding in health contexts. Hum Commun Res. 2002;28(2):258–71.
Crandon-Malamud L. From the fat of our souls. Berkeley: University of California Press; 1991.
Lee E, Mock MR. Chinese families. In: McGoldrick M, Giordano J, Garcia-Preto N, editors. Ethnicity and family therapy. New York: Guilford; 2005. p. 302–18.
Goh ECL. Grandparents as childcare providers: an in-depth analysis of the case of Xiamen, China. J Aging Stud. 2009;23(1):60–8.
Kamo Y, Zhou M. Living arrangements of elderly Chinese and Japanese in the United States. J Marriage Fam. 1994;56(3):544–58.
Jingxiong J, Rosenqvist U, Huishan W, Greiner T, Guangli L, Sarkadi A. Influence of grandparents on eating behaviors of young children in Chinese three-generation families. Appetite. 2007;48(3):377–83.
Charmaz K. Good days, bad days: the self in chronic illness and time. New Brunswick: Rutgers University Press; 1991.
Charmaz K. Constructing a grounded theory: a practical guide through qualitative analysis. New York: Sage; 2006.
Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. Hawthorne: Aldine de Gruyter; 1967.
Strauss A, Corbin J. Grounded theory methodology: an overview. In: Denzin NK, Linfoln YS, editors. Handbook of qualitative research. Thousand Oaks: Sage; 1994. p. 273–85.
Ma GX. Between two worlds: the use of traditional and Western health services by Chinese immigrants. J Community Health. 1999;24(6):421–37.
Koo LC. The use of food to treat and prevent disease in Chinese culture. Soc Sci Med. 1984;18(9):757–66.
Goffman E. The presentation of self in everyday life. Garden City: Doubleday; 1959.
Alison Payne S, Seymour JE, Chapman A, Holloway M. Older Chinese people’s views on food: implications for supportive cancer care. Ethn Health. 2008;13(5):497–514.
Dressler WW. Ethnomedical beliefs and patient adherence to a treatment regimen: a St. Lucian example. In: Brown PJ, editor. Understanding and applying medical anthropology. London: Mayfield; 1998. p. 243–8.
Heurtin-Roberts S, Reisin E. Health beliefs and compliance with prescribed medication for hypertension among black women—New Orleans 1985–1986. In: Brown PJ, editor. Understanding and applying medical anthropology. London: Mayfield; 1998. p. 248–50.
Chang LK, Whitaker DC. The impact of herbal medicines on dermatologic surgery. Dermatol Surg. 2001;27(8):759–63.
Jayasekera N, Moghal A, Kashif F, Karalliedde L. Herbal medicines and postoperative haemorrhage. Anaesthesia. 2005;60(7):725–6.
Trotter RT II. A case of lead poisoning from folk remedies in Mexican American communities. In: Brown PJ, editor. Understanding and applying medical anthropology. London: Mayfield; 1998. p. 279–86.
Norred CL. A follow-up survey of the use of complementary and alternative medicines by surgical patients. AANA J. 2002;70(2):119–25.
Norred CL, Zamudio S, Palmer SK. Use of complementary and alternative medicines by surgical patients. AANA J. 2000;68(1):13–8.
Parker M. Two into one won’t go: conceptual, clinical, ethical and legal impedimenta to the convergence of CAM and Orthodox medicine: rejoinder. J Bioeth Inq. 2007;4(1):29–31.
Parker M. Two into one won’t go: conceptual, clinical, ethical and legal impedimenta to the convergence of CAM and Orthodox medicine. J Bioethical Inq. 2007;4(1):7–19.
Acknowledgments
The authors gratefully acknowledge Dr. Eric M. Kramer for his feedback throughout all phases of the study.
Author information
Authors and Affiliations
Corresponding author
Additional information
An earlier version of the manuscript has received a top paper award at the 2011 annual meeting of National Communication Association (Communication and Aging Division).
Rights and permissions
About this article
Cite this article
Kong, H., Hsieh, E. The Social Meanings of Traditional Chinese Medicine: Elderly Chinese Immigrants’ Health Practice in the United States. J Immigrant Minority Health 14, 841–849 (2012). https://doi.org/10.1007/s10903-011-9558-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-011-9558-2