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Chiropractic Research Review

Trends in Chiropractic Utilization

Approximately 10% of the U.S. population uses chiropractic services, although the specific predictors for its use remain somewhat undefined. Previous studies have suggested that chiropractic users differ from nonusers in a number of sociodemographic characteristics, which prompted this study of chiropractic utilization in seven midwestern states (IL, IA, MN, MO, ND, SD, WI).

A telephone survey that included 1,511 respondents assessed sociodemographic factors associated with use of chiropractic services and reasons for seeking chiropractic care, particularly for the management of low back pain.

* Overall, 15.1% of respondents reported using chiropractic care within the last year, most often for low back pain.

* Chiropractic was used most frequently by Caucasians, rural residents, and Protestants.

* 42.7% of workers with low back pain had used chiropractic.

* South Dakota and Iowa reported the highest use (24.6% and 23.1%, respectively).

Conclusion: These findings suggest that the characteristics of race, residence (rural or nonrural), state of residence and religious preference affect use of chiropractic services, independent of back pain, in these seven states.

Hawk C, Long CR. Factors affecting use of chiropractic services in seven midwestern states of the United States. The Journal of Rural Health, Spring 1999:15(2), pp233-239.

Chiropractic Research Review

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