补充与整合医疗保健专业的工作条件。
Working Conditions in Complementary and Integrative Healthcare Professions.
作者信息
Whitley Margaret D, Faydenko Jocelyn, Madigan Dana, Finnell John S
机构信息
From the Behavioral and Policy Sciences, RAND, Santa Monica, California (M.D.W.); Research Department, National University of Health Sciences, Lombard, Illinois (J.F., D.M.); School of Public Health, Environmental and Occupational Health Sciences, University of Illinois Chicago, Chicago, Illinois (D.M.); Whole Health, Central Texas Veterans Health Care System, Austin, Texas (J.S,F.); and Research Institute, Bastyr University, Kenmore, Washington State (J.S.F.).
出版信息
J Occup Environ Med. 2025 Jan 1;67(1):27-35. doi: 10.1097/JOM.0000000000003251.
OBJECTIVE
The study aimed to describe working conditions among complementary and integrative healthcare (CIH) providers, specifically acupuncturists, chiropractors, massage therapists, midwives, and naturopathic doctors.
METHODS
We used cross-sectional Occupational Information Network data (2013-2021) for five CIH occupations. We examined means and 95% confidence intervals (CIs) for 10 variables that represented positive conditions, ergonomic demands, psychosocial demands, and schedule demands. We compared CIH to conventional healthcare and non-healthcare occupations.
RESULTS
CIH occupations had relatively high degrees of positive conditions, moderate degrees of psychosocial demands, and moderate hours/scheduling. Massage therapists, chiropractors, and acupuncturists reported more ergonomic hazards (eg, 1-5 scale where 5 is the highest, mean bending/twisting frequency for chiropractors is 3.43 [95% CI, 3.80-4.05] compared to 2.17 for midwives [95% CI, 1.97-2.36] and 1.96 for managers [95% CI, 1.42-2.51]).
CONCLUSIONS
CIH occupations generally had healthy working conditions, although ergonomic hazards were prominent.
目的
本研究旨在描述补充与整合医疗保健（CIH）提供者的工作条件，特别是针灸师、整脊师、按摩治疗师、助产士和自然疗法医生。
方法
我们使用了2013 - 2021年五个CIH职业的横断面职业信息网络数据。我们检查了代表积极条件、人体工程学需求、社会心理需求和工作安排需求的10个变量的均值和95%置信区间（CI）。我们将CIH职业与传统医疗保健和非医疗保健职业进行了比较。
结果
CIH职业具有相对较高程度的积极条件、中等程度的社会心理需求和适中的工作时长/工作安排。按摩治疗师、整脊师和针灸师报告的人体工程学危害更多（例如，1 - 5级量表，5为最高，整脊师的平均弯腰/扭转频率为3.43 [95% CI，3.80 - 4.05]，而助产士为2.17 [95% CI，1.97 - 2.36]，经理为1.96 [95% CI，1.42 - 2.51]）。
结论
CIH职业总体上具有健康的工作条件，尽管人体工程学危害较为突出。
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