METHODS: The NHIS uses face-to-face interviews on a representative sample of the civilian, noninstitutionalized U.S. population drawn using a systematic, stratified, single-stage probability design. The analyses consist of logistically modeling the determinants of three outcome (dependent) measures: past year utilization of a practitioner of massage, past year utilization of massage for pain, and past-year utilization of massage to restore overall health. Exposure (independent) variables include numerous sociodemographic, health services, health-related, mental health and well-being, and behavioral indicators.
RESULTS: The past-year prevalence rate for visiting a massage therapist in the U.S. is 11.1 %. The past-year rate for massage visits for pain is 6.0 %, and for restoring overall health is 8.5 %. Significantly higher rates are found among females and socioeconomically advantaged individuals, among other categories, and the strongest net determinant of massage therapy utilization is use of complementary or integrative practitioners.
CONCLUSIONS: It is apparent that massage therapy is a commonly utilized therapeutic modality in the U.S. While use of complementary or integrative therapies is a significant determinant of massage utilization, it may not be fitting to consider massage therapy itself as an \"alternative\" therapy, but rather a widely used and increasingly mainstream therapeutic modality meriting wider integration into the community of healthcare professions.
方法:NHIS对平民的代表性样本进行面对面访谈,使用系统的非制度化的美国人口,分层,单阶段概率设计。分析包括对三个结果(依赖)指标的决定因素进行逻辑建模:过去一年对按摩从业者的利用,过去一年利用按摩治疗疼痛,以及过去一年利用按摩来恢复整体健康。暴露(独立)变量包括许多社会人口统计学,卫生服务,健康相关,心理健康和幸福,和行为指标。
结果:在美国,过去一年拜访按摩治疗师的患病率为11.1%。过去一年因疼痛而接受按摩的比率为6.0%,恢复整体健康的比例为8.5%。在女性和具有社会经济优势的个人中发现了更高的比率,在其他类别中,按摩疗法利用的最强净决定因素是使用补充或综合从业者。
结论:很明显,按摩疗法是美国常用的治疗方式,而使用补充或综合疗法是按摩利用的重要决定因素,将按摩疗法本身视为“替代疗法”可能不合适,而是一种广泛使用且日益主流的治疗方式,值得更广泛地融入医疗保健行业社区。