Disparities in chiropractic utilization by race,ethnicity and socioeconomic status:A scoping review of the literature  

作　　者：Jordan A.Gliedt Antoinette L.Spector Michael J.Schneider Joni Williams Staci Young 

机构地区：[1]Department of Neurosurgery,Medical College of Wisconsin,Milwaukee,WI 53226,USA [2]Department of Rehabilitation Sciences and Technology,University of Wisconsin-Milwaukee,Milwaukee,WI 53201,USA [3]Department of Physical Therapy,University of Pittsburgh,Pittsburgh,PA 15219,USA [4]Clinical and Translational Science Institute,University of Pittsburgh,Pittsburgh,PA 15213,USA [5]Department of Medicine,Division of Internal Medicine,Medical College of Wisconsin,Milwaukee,WI 53226,USA [6]Department of Family and Community Medicine,Medical College of Wisconsin,Milwaukee,WI 53226,USA

出　　处：《Journal of Integrative Medicine》2023年第2期159-167,共9页结合医学学报（英文版）

摘　　要：Background Chiropractic is the largest complementary and alternative medicine profession in the United States,with increasing global growth.A preliminary literature review suggests a lack of widespread diversity of chiropractic patient profiles.Objective There have been no prior studies to comprehensively integrate the literature on chiropractic utilization rates by race,ethnicity,and socioeconomic status.The purpose of this scoping review is to identify and describe the current state of knowledge of chiropractic utilization by race,ethnicity,education level,employment status,and income and poverty level.Search strategy Systematic searches were conducted in PubMed,Ovid MEDLINE,Cumulative Index of Nursing and Allied Health Literature(CINAHL),Cochrane Database of Systematic Reviews,and Index to Chiropractic Literature from inception to May 2021.Inclusion criteria Articles that reported race or ethnicity,education level,employment status,income or poverty level variables and chiropractic utilization rates for adults(≥18 years of age)were eligible for this review.Data extraction and analysis Data extracted from articles were citation information,patient characteristics,race and ethnicity,education level,employment status,income and poverty level,and chiropractic utilization rate.A descriptive numerical summary of included studies is provided.This study provides a qualitative thematic narrative of chiropractic utilization with attention to race and ethnicity,education level,income and poverty level,and employment status.Results A total of 69 articles were eligible for review.Most articles were published since 2003 and reported data from study populations in the United States.Of the race,ethnicity and socioeconomic categories that were most commonly reported,chiropractic utilization was the highest for individuals identifying as European American/White/non-Hispanic White/Caucasian(median 20.00%;interquartile range 2.70%-64.60%),those with employment as a main income source(median utilization 78.50%;interquartile rang

关 键 词：CHIROPRACTIC UTILIZATION Health inequities Health disparities Low-back pain Neck pain 

分 类 号：R493[医药卫生—康复医学]