دورية أكاديمية
أعرض في EDS

Social inequity in chiropractic utilisation - a cross-sectional study in Denmark, 2010 and 2017.

التفاصيل البيبلوغرافية
العنوان: Social inequity in chiropractic utilisation - a cross-sectional study in Denmark, 2010 and 2017.
المؤلفون: Bihrmann K; National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark. akri@sdu.dk., Pedersen MT; National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark., Hartvigsen J; Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Chiropractic Knowledge Hub, University of Southern Denmark, Odense, Denmark., Wodschow K; National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark., Ersbøll AK; National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark.
المصدر: Chiropractic & manual therapies [Chiropr Man Therap] 2024 Jul 15; Vol. 32 (1), pp. 27. Date of Electronic Publication: 2024 Jul 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101551481 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-709X (Electronic) Linking ISSN: 2045709X NLM ISO Abbreviation: Chiropr Man Therap Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Patient Acceptance of Health Care*/statistics & numerical data, Humans ; Cross-Sectional Studies ; Denmark ; Male ; Female ; Middle Aged ; Adult ; Aged ; Socioeconomic Factors ; Healthcare Disparities/statistics & numerical data ; Social Class ; Chiropractic/statistics & numerical data ; Health Status ; Manipulation, Chiropractic/statistics & numerical data
مستخلص: Background: Inequity in healthcare utilisation refers to differences between groups that remain after adjustment for need for health care. To our knowledge, no previous studies have aimed to assess social inequity in chiropractic utilisation in a general population. Therefore, the objective of this study was to evaluate social inequity in chiropractic utilisation in the general Danish population adjusted for health status as a proxy of need for chiropractic care.
Methods: A population-based repeated cross-sectional study design was used based on the Danish National Health Survey in 2010 and 2017. Overall, we included 288,099 individuals aged 30 years or older in 2010 or 2017. For each individual, information on chiropractic utilisation, socioeconomic status, and health status as a proxy of need for chiropractic care was retrieved from nationwide registers using the unique personal identification number. Measures of health status included demographics, poor self-rated physical health, activity limitations, musculoskeletal pain, number of musculoskeletal conditions, and number of chronic diseases. We investigated social inequity in chiropractic utilisation (yes, no) using logistic regression adjusted for health status, stratified by sex and year. Three characteristics of socioeconomic status (educational level, employment status and income) were investigated. To further quantify the degree of social inequity in chiropractic utilisation, we estimated the concentration index of inequity for each of the three characteristics of socioeconomic status.
Results: We found significantly higher odds of chiropractic utilisation among individuals with short or medium/long education compared with individuals with elementary education, and among employed individuals compared with individuals who were unemployed, receiving disability pension or retired. Furthermore, the odds of chiropractic utilisation increased with higher income. The concentration index indicated social inequity in chiropractic utilisation in favour of individuals with higher socioeconomic status, with income and employment status contributing more to inequity than educational level.
Conclusion: The study demonstrated social inequity in chiropractic utilisation in Denmark beyond differences in health status as a proxy of need for chiropractic care in the general population. The results suggest that new strategies are required if equal treatment for equal need is the goal.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Chiropractic utilisation; Education; Employment; Health disparities; Income; Inequity
تواريخ الأحداث: Date Created: 20240715 Date Completed: 20240716 Latest Revision: 20240718
رمز التحديث: 20240718
مُعرف محوري في PubMed: PMC11251339
DOI: 10.1186/s12998-024-00548-x
PMID: 39010107
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-709X
DOI:10.1186/s12998-024-00548-x