Working Conditions in Complementary and Integrative Healthcare Professions

Margaret D. Whitley, Jocelyn Faydenko, Dana Madigan, John S. Finnell

ResearchPosted on rand.org Jan 10, 2025Published in: Journal of Occupational and Environmental Medicine, Volume 67, No. 1, pages 27-35 (January 2025). DOI: 10.1097/JOM.0000000000003251

Objective

The study aimed to describe working conditions among complementary and integrative healthcare (CIH) providers, specifically acupuncturists, chiropractors, massage therapists, midwives, and naturopathic doctors.

Methods

We used cross-sectional Occupational Information Network data (2013-2021) for five CIH occupations. We examined means and 95% confidence intervals (CIs) for 10 variables that represented positive conditions, ergonomic demands, psychosocial demands, and schedule demands. We compared CIH to conventional healthcare and non-healthcare occupations.

Results

CIH occupations had relatively high degrees of positive conditions, moderate degrees of psychosocial demands, and moderate hours/scheduling. Massage therapists, chiropractors, and acupuncturists reported more ergonomic hazards (eg, 1-5 scale where 5 is the highest, mean bending/twisting frequency for chiropractors is 3.43 [95% CI, 3.80-4.05] compared to 2.17 for midwives [95% CI, 1.97-2.36] and 1.96 for managers [95% CI, 1.42-2.51]).

Conclusions

CIH occupations generally had healthy working conditions, although ergonomic hazards were prominent.

Document Details

  • Publisher: Journal of Occupational and Environmental Medicine
  • Availability: Non-RAND
  • Year: 2025
  • Pages: 9
  • Document Number: EP-70786

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