Working Conditions in Complementary and Integrative Healthcare Professions
Margaret D Whitley1, Jocelyn Faydenko, Dana Madigan
1From the Behavioral and Policy Sciences, RAND, Santa Monica, California (M.D.W.); Research Department, National University of Health Sciences, Lombard, Illinois (J.F., D.M.); School of Public Health, Environmental and Occupational Health Sciences, University of Illinois Chicago, Chicago, Illinois (D.M.); Whole Health, Central Texas Veterans Health Care System, Austin, Texas (J.S,F.); and Research Institute, Bastyr University, Kenmore, Washington State (J.S.F.).
Complementary and integrative healthcare providers generally experience positive working conditions. However, massage therapists, chiropractors, and acupuncturists face significant ergonomic hazards in their practice.
Area of Science:
- Occupational Health
- Integrative Healthcare
- Workplace Safety
Background:
- Complementary and integrative healthcare (CIH) is a growing sector.
- Understanding the working conditions of CIH providers is crucial for workforce well-being.
Purpose of the Study:
- To describe the working conditions of acupuncturists, chiropractors, massage therapists, midwives, and naturopathic doctors.
- To compare these conditions to conventional healthcare and non-healthcare occupations.
Main Methods:
- Utilized cross-sectional Occupational Information Network data from 2013-2021.
- Analyzed 10 variables representing positive, ergonomic, psychosocial, and schedule demands.
- Calculated means and 95% confidence intervals for five CIH occupations.
Main Results:
- CIH providers reported favorable conditions, moderate psychosocial demands, and moderate work hours.
- Massage therapists, chiropractors, and acupuncturists exhibited higher ergonomic hazards compared to midwives and managers.
- Chiropractors reported a mean bending/twisting frequency of 3.43, significantly higher than midwives (2.17).
Conclusions:
- CIH occupations generally offer healthy work environments.
- Ergonomic hazards represent a notable concern for specific CIH practitioners.
- Further research into mitigating ergonomic risks in CIH is warranted.
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