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Featured researches published by Chih-Yin Lew-Ting.


Social Science & Medicine | 2008

Insurance covered and non-covered complementary and alternative medicine utilisation among adults in Taiwan

Shu-Fang Shih; Chih-Yin Lew-Ting; Hsing-Yi Chang; Ken N. Kuo

Complementary and alternative medicine (CAM) has been characterized by prevalence, cost, and patterns of use. Factors determining its utilization have also been analyzed, either generally or for specific diseases, but few studies have considered the determinants of its frequency of use. Taiwans pluralistic health care system and comprehensive insurance program covering Western medicine and traditional Chinese medicine (TCM) provide an interesting case to explore what forms of CAM people use, why and how often they use them. By using Taiwans 2001 National Health Interview Survey and linking it with National Health Insurance (NHI) claims data, this study aims to investigate the socio-demographic, economic, behavioral and health determinants of use and frequency of use for both non-covered and covered CAM in Taiwan. The former consists of services practiced by non-regulated or non-NHI contracted practitioners and the latter includes those TCM covered by NHI. Our study showed that the determinants of using non-covered and covered CAM differ with respect to socio-demographic and behavioral factors, and health needs. Our evidence suggests that future CAM research must delineate between use and frequency of use to better understand the underlying factors contributing to initiation and continuity of CAM use.


Journal of Microbiology Immunology and Infection | 2014

Associated factors with syphilis among human immunodeficiency virus-infected men who have sex with men in Taiwan in the era of combination antiretroviral therapy

Yi-Hsin Chang; Wen-Chun Liu; Sui-Yuan Chang; Bing-Ru Wu; Pei-Ying Wu; Mao-Song Tsai; Chien-Ching Hung; Chih-Yin Lew-Ting

BACKGROUND/PURPOSE Little is known about the factors associated with syphilis among human immunodeficiency virus (HIV)-infected men who have sex with men (MSM) with access to combination antiretroviral therapy (cART) in Taiwan, where MSM has re-emerged as the leading risk group for HIV transmission. METHODS From March to October 2011, MSM who regularly attended HIV clinics at a university hospital were invited to participate in the study. A structured questionnaire interview was conducted to collect information on sociodemographic characteristics, immunologic and virologic status, sexual partners and patterns of sexual behavior, and use of recreational drugs. RESULTS During the study period, 310 HIV-infected MSM with a mean age of 35.5 years were enrolled, of which 82.3% (n = 255) were sexually active and 37.4% (n = 116) used recreational drugs in the past 6 months. Syphilis was self-reported in 46.5% (n = 144) of the participants after HIV infection was diagnosed and 37.5% (112/299) had serologic evidence of syphilis within 1 year before enrollment. Multivariate logistic regression analysis limited to those who were receiving cART showed that higher CD4 counts [adjusted odds ratio (AOR): 1.17; 95% confidence interval (CI): 1.02-1.34], lower educational achievement (AOR: 1.95; 95% CI: 1.05-3.63), serosorting (AOR: 3.32; 95% CI: 1.04-10.63), and use of recreational drugs (AOR: 2.55; 95% CI: 1.26-5.13) were associated with syphilis. CONCLUSION Improved immune status, lower educational achievement, serosorting, and use of recreational drugs were associated with syphilis among HIV-infected MSM who were receiving cART. These findings suggest that strengthening client-specific counseling is needed to reduce risks for syphilis among HIV-infected MSM in Taiwan.


Social Science & Medicine | 1998

Personal constitution and health status among Chinese elderly in Taipei and Los Angeles

Chih-Yin Lew-Ting; Margo-Lea Hurwicz; Emil Berkanovic

This paper reports ethnographic and statistical data on the indigenous Chinese concept of constitution (ti-zhi) and its association with health status. The data were obtained through in-depth interviews with 203 Chinese elderly residing in Taipei and Los Angeles. The informants used several dimensions to characterize their constitutions. They also described how their constitutions originated and were expressed over the lifecourse. The association between these characterizations of constitution and reported number of symptoms/diseases, self-rated health status and satisfaction with health were examined statistically. These analyses indicate that characterizations of constitution as strong/weak or as hot/cold, have significant but moderate associations with the indicators of health status.


BMC Public Health | 2010

Running away experience and psychoactive substance use among adolescents in Taiwan: multi-city street outreach survey

Shi-Heng Wang; Wen-Chun Chen; Chih-Yin Lew-Ting; Chuan-Yu Chen; Wei J. Chen

BackgroundThis study aimed to examine: 1) the relationship between being a runaway and the time since the first absconding event and adolescent substance use; 2) whether different kinds of psychoactive substances have a different temporal relationship to the first absconding event; and 3) whether the various reasons for the first absconding event are associated with different risks of substance use.MethodsParticipants were drawn from the 2004-2006 nationwide outreach programs across 26 cities/towns in Taiwan. A total of 17,133 participants, age 12-18 years, who completed an anonymous questionnaire on their experience of running away and substances use and who were now living with their families, were included in the analysis.ResultsThe lifetime risk of tobacco, alcohol, betel nut, and illegal drug/inhalant use increased steadily from adolescents who had experienced a trial runaway episode (one time lasting ≤ 1 day), to those with extended runaway experience (≥ 2 times or lasting > 1 day), when compared to those who had never ran away. Adolescents who had their first running away experience > 6 months previously had a greater risk of betel nut or illegal drug/inhalant use over the past 6-months than those with a similar experience within the last 6 months. Both alcohol and tobacco use were most frequently initiated before the first running away, whereas both betel nut and illegal drug/inhalant use were most frequently initiated after this event. When adolescents who were fleeing an unsatisfactory home life were compared to those who ran away for excitement, the risk of alcohol use was similar but the former tended to have a higher risk of tobacco, betel nut, and illegal drug/inhalant use.ConclusionsMore significant running away and a longer time since the first absconding experience were associated with more advanced substance involvement among adolescents now living in a family setting. Once adolescents had left home, they developed additional psychoactive substance problems, regardless of their reasons for running away. These findings have implications for caregivers, teachers, and healthcare workers when trying to prevent and/or intervening in adolescent substance use.


Culture, Medicine and Psychiatry | 1997

EGG PHOBIA IN RETIREMENT HOMES: HEALTH RISK PERCEPTIONS AMONG ELDERLY CHINESE

Chih-Yin Lew-Ting

Studies pertaining to health promoting behavior indaily life have received scant attention among medicalanthropologists. The present study addresses thisissue by means of an empirical analysis of perceptionsand behaviors concerning a daily food item – eggs. Data were collected via in-depth interviews as well asparticipant observation in four retirement homes –two in Los Angeles and two in Taipei, Taiwan. Theresults reveal that practices of egg-restriction arepervasive throughout the four homes. Cholesterol hasbecome a commonly-discussed issue in the dailylives of the 203 residents interviewed, and many ofthem were found to be preoccupied with the riskinvolved in excess consumption (especially of egg yolks)and increased serum cholesterol levels. Four forces:health professionals, family members, peer groups andmass media play important roles in constructingegg-consumption behaviors among the elderly subjects. Thecognitive, psychological and behavioral impact ofhealth information on elderly subjects has beendiscussed herein. It may be argued that the “eggissue” reflects a shift in previous health paradigmthinking due to the biomedicalization of healthpromotion among Chinese elderly.


Journal of Adolescent Health | 2005

Survey of substance use among high school students in Taipei: Web-based questionnaire versus paper-and-pencil questionnaire

Yi-Ching Wang; Ching-Mei Lee; Chih-Yin Lew-Ting; Chuhsing Kate Hsiao; Duan-Rung Chen; Wei J. Chen


The Journals of Gerontology | 1994

Structural Barriers to the Use of Formal In-Home Services by Elderly Latinos

Steven P. Wallace; Kevin Campbell; Chih-Yin Lew-Ting


Journal of Occupational Health | 2007

Workplace violence on workers caring for long-term institutionalized schizophrenic patients in Taiwan.

Wen-Ching Chen; Jung-Der Wang; Chih-Yin Lew-Ting; Hsien-Jane Chiu; Yi-Ping Lin


Social Science & Medicine | 2005

Antibiomedicine belief and integrative health seeking in Taiwan

Chih-Yin Lew-Ting


Drug and Alcohol Dependence | 2006

Employment experience in relation to alcohol, tobacco, and betel nut use among youth in Taiwan

Chuan-Yu Chen; Wen-Chun Chen; Chih-Yin Lew-Ting; Ching-Mei Lee; Cheng-Fang Yen; Duan-Rung Chen; Chuhsing Kate Hsiao; Chaucer C. H. Lin; Ming-Jen Yang; Te-Jen Lai; Wei J. Chen

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Wei J. Chen

National Taiwan University

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Duan-Rung Chen

National Taiwan University

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Ching-Mei Lee

National Taiwan Normal University

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Chuan-Yu Chen

National Health Research Institutes

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Wen-Chun Chen

National Taiwan University

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Bing-Ru Wu

National Taiwan University

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Cheng-Fang Yen

Kaohsiung Medical University

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Chien-Ching Hung

National Taiwan University

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Gung-Mong Tang

National Taiwan University

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