J Gen Intern Med 2023 (Oct 19); 39 (4): 578– 586
Table 2.
Weighted Frequencies and Odds of Nonpharmacologic Treatment Use Among Adults with Low Back Pain in the United States, 2002 to 2018
Chiropractic use OT/PT use Chiropractic or OT/PT use Characteristic % (95% CI) OR (95% CI) % (95% CI) OR (95% CI) % (95% CI) OR (95% CI) Survey year 2002 16.5 (15.6–17.3) Ref 14.4 (13.5–15.3) Ref 27.3 (26.2–28.4) Ref 2003 16.0 (15.1–16.9) 0.96 (0.88–1.06) 15.3 (14.4–16.2) 1.07 (0.97–1.18) 27.5 (26.4–28.6) 1.01 (0.94–1.09) 2004 17.0 (16.1–17.9) 1.04 (0.95–1.14) 15.4 (14.6–16.3) 1.08 (0.98–1.20) 28.7 (27.6–29.7) 1.07 (0.99–1.15) 2005 16.9 (16.0–17.8) 1.03 (0.94–1.13) 15.6 (14.8–16.5) 1.10 (1.00–1.21) 28.5 (27.4–29.5) 1.06 (0.98–1.14) 2006 16.2 (15.1–17.3) 0.98 (0.89–1.09) 15.9 (14.9–16.8) 1.12 (1.01–1.24) 28.3 (27.1–29.6) 1.05 (0.97–1.14) 2007 17.1 (15.9–18.2) 1.05 (0.94–1.16) 15.2 (14.2–16.2) 1.07 (0.96–1.18) 28.8 (27.5–30.1) 1.08 (0.99–1.17) 2008 17.6 (16.5–18.7) 1.09 (0.98–1.20) 15.8 (14.7–16.9) 1.11 (0.99–1.24) 29.6 (28.2–31.0) 1.12 (1.03–1.22) 2009 16.9 (15.9–18.0) 1.03 (0.94–1.14) 15.5 (14.5–16.5) 1.09 (0.98–1.21) 28.6 (27.3–29.8) 1.06 (0.98–1.15) 2010 15.8 (14.9–16.7) 0.95 (0.87–1.05) 16.2 (15.3–17.1) 1.15 (1.04–1.27) 28.2 (27.1–29.2) 1.04 (0.97–1.13) 2011 16.6 (15.8–17.4) 1.01 (0.93–1.10) 15.9 (15.1–16.7) 1.12 (1.02–1.23) 28.7 (27.6–29.8) 1.07 (0.99–1.16) 2012 16.2 (15.4–17.0) 0.98 (0.90–1.07) 15.0 (14.1–15.8) 1.04 (0.95–1.15) 27.6 (26.6–28.7) 1.02 (0.94–1.10) 2013 16.3 (15.5–17.1) 0.99 (0.91–1.08) 16.7 (15.8–17.6) 1.19 (1.08–1.31) 29.2 (28.1–30.3) 1.10 (1.02–1.18) 2014 16.3 (15.4–17.2) 0.99 (0.90–1.09) 17.4 (16.4–18.4) 1.25 (1.13–1.38) 29.1 (28.0–30.3) 1.09 (1.01–1.18) 2015 16.3 (15.4–17.3) 0.99 (0.90–1.09) 17.5 (16.5–18.4) 1.26 (1.14–1.38) 29.4 (28.3–30.5) 1.11 (1.03–1.20) 2016 17.4 (16.5–18.2) 1.07 (0.98–1.16) 18.4 (17.5–19.4) 1.34 (1.22–1.48) 31.0 (29.9–32.1) 1.20 (1.11–1.29) 2017 17.3 (16.3–18.3) 1.06 (0.97–1.17) 18.8 (17.8–19.8) 1.37 (1.24–1.51) 31.5 (30.3–32.7) 1.23 (1.13–1.32) 2018 17.9 (16.9–19.0) 1.11 (1.01–1.22) 19.4 (18.4–20.4) 1.43 (1.30–1.57) 32.6 (31.4–33.8) 1.29 (1.19–1.39) Age groups 18–24 15.1 (14.2–16.0) 0.72 (0.67–0.78) 9.2 (8.5–9.9) 0.67 (0.61–0.73) 21.4 (20.4–22.4) 0.67 (0.63–0.71) 25–34 18.4 (17.8–19.1) 0.92 (0.87–0.97) 10.6 (10.1–11.1) 0.78 (0.73–0.83) 25.1 (24.4–25.9) 0.82 (0.78–0.87) 35–44 19.8 (19.1–20.4) Ref 13.2 (12.7–13.7) Ref 28.9 (28.2–29.6) Ref 45–54 18.0 (17.5–18.5) 0.89 (0.85–0.94) 16.3 (15.8–16.8) 1.28 (1.21–1.36) 30.1 (29.5–30.7) 1.06 (1.01–1.11) 55–64 16.4 (15.8–16.9) 0.79 (0.75–0.84) 19.1 (18.6–19.7) 1.56 (1.47–1.65) 31.0 (30.3–31.6) 1.10 (1.05–1.15) 65–74 15.3 (14.7–15.9) 0.73 (0.69–0.77) 21.8 (21.1–22.5) 1.83 (1.72–1.95) 32.5 (31.7–33.2) 1.18 (1.12–1.24) 75 + 11.3 (10.7–12.0) 0.52 (0.48–0.56) 23.4 (22.7–24.2) 2.01 (1.90–2.14) 31.4 (30.5–32.3) 1.12 (1.07–1.18) Sex Male 16.9 (16.6–17.3) Ref 15.0 (14.6–15.3) Ref 28.1 (27.6–28.5) Ref Female 16.6 (16.2–16.9) 0.98 (0.94–1.01) 17.6 (17.2–17.9) 1.21 (1.17–1.25) 30.0 (29.5–30.4) 1.10 (1.07–1.13) Race White 17.9 (17.6–18.2) Ref 16.6 (16.3–16.9) Ref 30.4 (30.1–30.8) Ref Black 9.9 (9.4–10.4) 0.50 (0.47–0.53) 16.4 (15.8–16.9) 0.98 (0.94–1.03) 22.4 (21.7–23.1) 0.66 (0.63–0.69) American Indian/Native Alaskan 13.7 (11.9–15.5) 0.73 (0.63–0.85) 15.2 (13.3–17.1) 0.90 (0.77–1.04) 25.4 (23.3–27.6) 0.78 (0.70–0.87) Asian/Pacific Islander 13.2 (12.0–14.3) 0.70 (0.63–0.77) 13.1 (12.0–14.2) 0.76 (0.69–0.84) 23.1 (21.7–24.5) 0.69 (0.64–0.74) Other 14.6 (12.1–17.1) 0.78 (0.64–0.96) 17.1 (14.2–19.9) 1.03 (0.85–1.26) 26.6 (23.4–29.7) 0.83 (0.70–0.97) Ethnicity Non-Hispanic 17.2 (16.9–17.5) Ref 17.0 (16.7–17.3) Ref 30.1 (29.8–30.5) Ref Hispanic 12.6 (12.0–13.1) 0.69 (0.65–0.73) 12.1 (11.6–12.6) 0.67 (0.64–0.71) 21.1 (20.4–21.8) 0.62 (0.59–0.65) Educational level No degree 10.4 (10.0–10.9) 0.66 (0.62–0.70) 13.3 (12.8–13.8) 0.86 (0.82–0.91) 21.0 (20.3–21.6) 0.73 (0.70–0.76) GED or high school diploma 15.0 (14.5–15.4) Ref 15.1 (14.6–15.5) Ref 26.7 (26.2–27.2) Ref Some college 18.3 (17.8–18.7) 1.27 (1.22–1.33) 17.3 (16.9–17.7) 1.18 (1.13–1.23) 31.2 (30.7–31.7) 1.24 (1.20–1.29) College degree or higher 21.4 (20.8–21.9) 1.54 (1.48–1.61) 19.3 (18.8–19.9) 1.35 (1.29–1.41) 35.4 (34.8–36.0) 1.50 (1.45–1.56) Income Below poverty threshold 10.5 (10.0–10.9) 0.52 (0.49–0.54) 15.4 (14.9–15.9) 0.93 (0.89–0.98) 22.7 (22.1–23.3) 0.66 (0.64–0.69) 1–2 times above threshold 12.8 (12.3–13.3) 0.65 (0.62–0.68) 15.5 (15.0–15.9) 0.94 (0.90–0.98) 25.0 (24.4–25.6) 0.75 (0.72–0.78) > 2 to 5 times above threshold 18.5 (18.1–18.9) Ref 16.3 (16.0–16.7) Ref 30.7 (30.2–31.2) Ref > 5 times above threshold 22.7 (22.1–23.3) 1.29 (1.25–1.34) 18.6 (18.1–19.2) 1.17 (1.12–1.23) 36.0 (35.4–36.6) 1.27 (1.23–1.31) Census region South 12.8 (12.4–13.2) Ref 14.6 (14.2–15.1) Ref 24.4 (23.9–25.0) Ref Northeast 17.0 (16.4–17.6) 1.39 (1.31–1.47) 18.3 (17.7–18.9) 1.31 (1.24–1.38) 30.8 (30.1–31.5) 1.38 (1.32–1.44) West 18.8 (18.3–19.3) 1.57 (1.50–1.65) 17.1 (16.6–17.7) 1.21 (1.15–1.27) 31.2 (30.6–31.8) 1.40 (1.35–1.46) Midwest 20.3 (19.6–21.1) 1.73 (1.64–1.84) 17.2 (16.8–17.7) 1.21 (1.16–1.27) 33.1 (32.3–33.9) 1.53 (1.46–1.60) Citizenship U.S. Citizen 17.0 (16.8–17.3) Ref 16.9 (16.6–17.1) Ref 29.8 (29.5–30.2) Ref Non-Citizen 10.7 (9.9–11.4) 0.58 (0.54–0.63) 8.8 (8.1–9.5) 0.48 (0.44–0.52) 16.3 (15.4–17.3) 0.46 (0.43–0.49) Nativity US native 17.3 (17.0–17.6) Ref 16.9 (16.6–17.1) Ref 30.1 (29.7–30.4) Ref Born outside of US 12.9 (12.4–13.4) 0.71 (0.68–0.75) 13.8 (13.2–14.4) 0.79 (0.75–0.83) 22.6 (21.9–23.3) 0.68 (0.65–0.71) Insurance coverage No insurance 12.1 (11.5–12.6) 0.49 (0.46–0.52) 6.8 (6.4–7.2) 0.43 (0.40–0.46) 16.8 (16.2–17.5) 0.43 (0.41–0.45) Public insurance only 11.5 (11.1–11.8) 0.46 (0.44–0.48) 20.0 (19.6–20.5) 1.47 (1.42–1.53) 27.7 (27.2–28.3) 0.82 (0.79–0.84) Private insurance only 22.0 (21.6–22.4) Ref 14.5 (14.2–14.9) Ref 31.9 (31.5–32.4) Ref Public and private insurance 15.4 (14.7–16.0) 0.64 (0.61–0.68) 24.8 (24.0–25.5) 1.94 (1.85–2.03) 35.4 (34.5–36.2) 1.17 (1.12–1.21) OR, odds ratio. All ORs are unadjusted. Ref, reference group. When reporting ORs, the reference group is 1.00