美国成年人中脊椎按摩疗法的使用情况、模式和预测因素：2012 年全国健康访谈调查结果。
The Prevalence, Patterns, and Predictors of Chiropractic Use Among US Adults: Results From the 2012 National Health Interview Survey.
机构信息
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
出版信息
Spine (Phila Pa 1976). 2017 Dec 1;42(23):1810-1816. doi: 10.1097/BRS.0000000000002218.
STUDY DESIGN
Secondary analysis of a national survey.
OBJECTIVE
The aim of this study was to investigate the prevalence, patterns, and predictors of chiropractic utilization in the US general population.
SUMMARY OF BACKGROUND DATA
Chiropractic is one of the largest manual therapy professions in the United States and internationally. Very few details have been reported about the use of chiropractic care in the United States in recent years.
METHODS
Cross-sectional data from the 2012 National Health Interview Survey (n = 34,525) were analyzed to examine the lifetime and 12-month prevalence and utilization patterns of chiropractic use, profile of chiropractic users, and health-related predictors of chiropractic consultations.
RESULTS
Lifetime and 12-month prevalence of chiropractic use were 24.0% and 8.4%, respectively. There is a growing trend of chiropractic use among US adults from 2002 to 2012. Back pain (63.0%) and neck pain (30.2%) were the most prevalent health problems for chiropractic consultations and the majority of users reported chiropractic helping a great deal with their health problem and improving overall health or well-being. A substantial number of chiropractic users had received prescription (23.0%) and/or over-the-counter medications (35.0%) for the same health problem for which chiropractic was sought and 63.8% reported chiropractic care combined with medical treatment as helpful. Both adults older than 30 years (compared to younger adults), and those diagnosed with spinal pain (compared to those without spinal pain) were more likely to have consulted a chiropractor in the past 12 months.
CONCLUSION
A substantial proportion of US adults utilized chiropractic services during the past 12 months and reported associated positive outcomes for overall well-being and/or specific health problems for which concurrent conventional care was common. Studies on the current patient integration of chiropractic and conventional health services are warranted.
LEVEL OF EVIDENCE
研究设计
全国性调查的二次分析。
目的
本研究旨在调查美国普通人群中整脊治疗的流行率、模式和预测因素。
背景资料概要
整脊疗法是美国和国际上最大的手动疗法专业之一。近年来，关于美国整脊护理使用情况的详细信息很少有报道。
方法
对 2012 年全国健康访谈调查（n=34525）的横断面数据进行分析，以检查整脊治疗的终身和 12 个月的流行率和使用模式、整脊治疗使用者的特征以及与健康相关的整脊咨询预测因素。
结果
终身和 12 个月的整脊治疗使用率分别为 24.0%和 8.4%。从 2002 年到 2012 年，美国成年人使用整脊治疗的趋势呈上升趋势。背部疼痛（63.0%）和颈部疼痛（30.2%）是最常见的健康问题，大多数使用者表示整脊治疗对他们的健康问题有很大帮助，并改善了整体健康或幸福感。相当数量的整脊治疗使用者因同一健康问题同时接受处方药（23.0%）和/或非处方药（35.0%）治疗，63.8%的人报告称整脊治疗与医疗相结合是有帮助的。与年轻成年人相比，年龄在 30 岁以上的成年人（与年轻成年人相比），以及被诊断为脊柱疼痛的成年人（与没有脊柱疼痛的成年人相比），在过去 12 个月内更有可能咨询过整脊治疗师。
结论
相当一部分美国成年人在过去 12 个月内使用了整脊治疗服务，并报告了整体幸福感和/或特定健康问题的相关积极结果，这些健康问题与常规治疗同时存在。有必要对当前整脊治疗与常规健康服务的整合情况进行研究。
证据等级
3。
Zotero 插件