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Chiropractic Research Review

Comorbidity Affects Where Patients Seek Treatment

This study uses data from the 1989 National Health Interview Survey to perform cross-sectional analysis of adults in the United States who reported at least one back-related visit to a health care professional during a two-week reference period.

The primary predictor variables included comorbidity and associated disability, sociodemographics, and back-related problems. Weighted logistic-regression modeling was performed to estimate odds ratios adjusted for the effects of co-variates.

Adults with disabling comorbidities and back-related restricted-activity days were less likely to use chiropractic care than primary medical care. Males (high-school educated, single, employed, and with more than nine doctor visits during the previous 12 months) were more likely to use chiropractic care than primary medical care. The presence of comorbidity-related or back-related disability, as well as other factors, affect the type of care sought for back conditions among adults in the United States.

Hurwitz EL, Morgenstern H. The effects of comorbidity and other factors on medical versus chiropractic care for back problems. Spine, Oct. 1997;22(19), pp2254-64.

Chiropractic Research Review

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