Cultural and Behavioural Perspectives on Traditional Medicine Use in Cardiovascular Health

Authors

  • Hazirah Watikah Abdah Cardiovascular Advancement & Research Excellence Institute, Universiti Teknologi MARA https://orcid.org/0009-0006-2271-3599
  • Noorul Izzati Hanafi Cardiovascular Advancement & Research Excellence Institute, Universiti Teknologi MARA https://orcid.org/0000-0003-4540-3367
  • Nany Hairunisa Department of Occupational Medicine, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia https://orcid.org/0000-0003-2414-9224
  • Noor Alicezah Mohd Kasim Universiti Teknologi MARA

Keywords:

Traditional medicine, Cardiovascular disease, Cultural perspectives, Bibliometric analysis

Abstract

The growing burden of cardiovascular diseases and interest in complementary approaches have stimulated research on cultural and behavioural determinants of traditional medicine (TM). This study examines 689 Scopus-indexed documents (2016–2026) using ScientoPy, Scopus Analyser, and VOSviewer. Publications show fluctuating but increasing trends, peaking in 2025, with the highest citations in 2019 and 2024. The USA and China are the leading contributors, supported by major funding agencies. Keyword analysis reveals strong behavioural-cultural clustering linked to hypertension, cardiovascular disease, and diabetes, highlighting patient attitudes and adherence. Findings emphasise the need to integrate cultural competence and behavioural insights into cardiovascular healthcare to improve TM use and outcomes.

References

Adams, J. D., & Clemmons, J. R. (2013). How Rapidly Does Science Leak Out? A Study of the Diffusion of Fundamental Ideas. Journal of Human Capital, 7(3), 191–229. https://doi.org/10.1086/673466

Al-Hazmi, A. H., et al. (2025). Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers. Frontiers in Public Health, 12.

Bachri, M. S., et al. (2026). Global Research Trends on Herbal Medicine for Hypertension: A Bibliometric and Visual Analysis from 1979 to 2025. Scripta Medica, 57(1), 173–182.

Dang, H., Wang, Q., Wang, H., Yan, M., & Liu, X. (2016). The Integration of Chinese Material Medica into the Chinese Health Care Delivery System, an Update. Phytotherapy Research, 30(2), 292–297. https://doi.org/10.1002/ptr.5530

Galbraith, N., Moss, T., Galbraith, V., & Purewal, S. (2018). A systematic review of the traits and cognitions associated with use of and belief in complementary and alternative medicine (CAM). Psychology, Health & Medicine, 23(7), 854–869. https://doi.org/10.1080/13548506.2018.1442010

Hadi, V., Pahlavani, N., Malekahmadi, M., Nattagh-Eshtivani, E., Navashenaq, J. G., Hadi, S., Ferns, G. A., Ghayour-Mobarhan, M., Askari, G., & Norouzy, A. (2021). Nigella sativa in controlling Type 2 diabetes, cardiovascular, and rheumatoid arthritis diseases. Journal of Research in Medical Sciences, 26(1), 20. https://doi.org/10.4103/jrms.JRMS_236_20

Husnawati, H., Dewi, R. S., Ningsih, Y. F., & Fitriani, D. (2023). Knowledge and Attitude of Hypertension Patients towards Traditional Medicines: A Cross-sectional Study at Public Health Center, Siak, Riau. Jurnal Sains Farmasi & Klinis, 10(3), 280. https://doi.org/10.25077/jsfk.10.3.280-285.2023

Jamil, A., Jonkman, L. J., Miller, M., Jennings, L., & Connor, S. E. (2022). Medication adherence and health beliefs among South Asian immigrants with diabetes in the United States: A qualitative study. JACCP: JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY, 5(8), 829–836. https://doi.org/10.1002/jac5.1668

Kadier, A., Ablimit, M., Tursun, H., & Ablat, N. (2025). The western transmission of traditional Chinese medicine: an investigation of the cultural elements of traditional Chinese medicine in biomedical systems of cross-Asia countries. Frontiers in Pharmacology, 16. https://doi.org/10.3389/fphar.2025.1589275

Khosla, N., Hahn, L., & Tran, C. (2024). US South Asian Youths’ Perspectives on the Use of Complementary and Alternative Medicine (CAM). Journal of Racial and Ethnic Health Disparities, 11(4), 2044–2054. https://doi.org/10.1007/s40615-023-01672-9

Kobon Sissoko, G., Paganotti, L., & Scalzitti, D. A. (2025). Perspectives of Health Care Providers in Rural Côte d’Ivoire on the Influence of Traditional Beliefs on the Management of Rheumatic Heart Disease: A Qualitative Study. Journal of Transcultural Nursing, 36(5), 603–614. https://doi.org/10.1177/10436596251331578

Lan, Q., Wu, H., Chen, M.-T., Xue, J.-Y., Mazhar, M., Deng, Z.-W., Zou, Y., Liu, P., Luo, G., Dong, L., & Liu, M.-N. (2026). Bibliometric Analysis of Research on Traditional Chinese Medicine Treatment of Myocardial Infarction from 2007 to 2024 Based on the Web of Science Database. Current Medicinal Chemistry, 33(2), 438–460. https://doi.org/10.2174/0109298673362741250128065027

Lyubarova, R., Itagaki, B. K., & Itagaki, M. W. (2009). The Impact of National Institutes of Health Funding on U.S. Cardiovascular Disease Research. PLoS ONE, 4(7), e6425. https://doi.org/10.1371/journal.pone.0006425

Mahomoodally, M. F., & Mooroteea, K. (2021). A comparative ethno-religious study of traditionally used medicinal plants employed in the management of cardiovascular diseases. Journal of Herbal Medicine, 25, 100417. https://doi.org/10.1016/j.hermed.2020.100417

Ng, J. Y. (2021). Insight into the characteristics of research published in traditional, complementary, alternative, and integrative medicine journals: a bibliometric analysis. BMC Complementary Medicine and Therapies, 21(1), 185. https://doi.org/10.1186/s12906-021-03354-7

Nichol, J., Thompson, E. A., & Shaw, A. (2011). Beliefs, Decision-Making, and Dialogue About Complementary and Alternative Medicine (CAM) Within Families Using CAM: A Qualitative Study. The Journal of Alternative and Complementary Medicine, 17(2), 117–125. https://doi.org/10.1089/acm.2010.0171

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Rizvi, S. A. A., et al. (2022). Introduction to Traditional Medicine and Their Role in Prevention and Treatment of Emerging and Re-Emerging Diseases. Biomolecules, 12(10), 1442. https://doi.org/10.3390/biom12101442

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Published

2026-05-13

How to Cite

Abdah, H. W., Hanafi, N. I., Nany Hairunisa, & Mohd Kasim, N. A. (2026). Cultural and Behavioural Perspectives on Traditional Medicine Use in Cardiovascular Health . Environment-Behaviour Proceedings Journal, 11(37). Retrieved from https://ebpj.e-iph.co.uk/index.php/EBProceedings/article/view/7911