美国的脊椎按摩疗法行业有着围绕意识形态和信仰的专业内部讨论的悠久历史。大规模的工作评估了美国脊椎按摩师的 3 个独特亚组，重点关注这些实践领域：脊柱/神经肌肉骨骼、初级保健和椎骨半脱位。据我们所知，之前还没有任何研究探索与这些亚群体的意识形态和信仰特征相关的因素。本研究的目的是探索、描述和描述美国脊椎按摩师的意识形态、信仰和实践模式与以下因素之间的关联：1) 脊椎按摩学位毕业课程，2) 脊椎按摩学位完成后的年数，以及 3) 美国地理这是对美国执业脊椎按摩师随机样本横断面调查（n = 8975）的二次分析。从 50 个州和哥伦比亚特区脊椎按摩疗法监管委员会名单中各抽取 10% 的随机样本。该调查于 2018 年 3 月至 2020 年 1 月期间进行。调查工具由 7 个项目组成，旨在引出这些不同的意识形态、信仰和实践模式：1）临床检查/评估，2）所治疗的健康状况，3）医疗保健系统中的脊椎按摩师，4) 脊椎按摩调整[脊柱手法]对治疗癌症患者的影响，5) 疫苗接种态度，6) X 射线半脱位的检测，以及 7) X 射线利用率。使用多项回归分析调查中的这 7 个意识形态和实践特征项目（因变量）与上面列出的 3 个人口统计项目（自变量）之间的关联。收集了 3538 名受访者（74.6% 男性）的数据以及总体响应率39.4%。根据脊椎按摩学位毕业课程、完成脊椎按摩学位的年数以及主要执业的地理区域，对意识形态、信仰和实践特征的 7 个调查项目的回答模式显着不同。完成脊椎按摩学位后的年数和主要实践的地理区域与临床意识形态、信仰和实践模式的变化有关。美国脊椎按摩师的广泛差异和不一致的信仰可能会导致公众混乱并阻碍跨专业融合。© 2023。这是美国政府的作品，在美国不受版权保护；外国版权保护可能适用。

The chiropractic profession in the United States (US) has a long history of intra-professional discourse surrounding ideology and beliefs. Large-scale efforts have evaluated 3 distinctive subgroups of US chiropractors focused on these areas of practice: spine/neuromusculoskeletal, primary care, and vertebral subluxation. To our knowledge, there have not been any prior studies exploring the factors associated with these ideology and belief characteristics of these subgroups. The purpose of this study was to explore, describe, and characterize the association of US chiropractors' ideology, beliefs, and practice patterns with: 1) chiropractic degree program of graduation, 2) years since completion of chiropractic degree, and 3) US geographic region of primary practice.This was a secondary analysis of a cross-sectional survey of a random sample of US licensed chiropractors (n = 8975). A 10% random sample was extracted from each of the 50 states and District of Columbia chiropractic regulatory board lists. The survey was conducted between March 2018-January 2020. The survey instrument consisted of 7 items that were developed to elicit these differentiating ideologies, beliefs, and practice patterns: 1) clinical examination/assessment, 2) health conditions treated, 3) role of chiropractors in the healthcare system, 4) the impact of chiropractic adjustments [spinal manipulation] in treating patients with cancer, 5) vaccination attitudes, 6) detection of subluxation on x-ray, and 7) x-ray utilization rates. Multinomial regression was used to analyze associations between these 7 ideology and practice characteristic items from the survey (dependent variables) and the 3 demographic items listed above (independent variables).Data from 3538 respondents (74.6% male) were collected with an overall response rate of 39.4%. Patterns of responses to the 7 survey items for ideologies, beliefs, and practice characteristics were significantly different based on chiropractic degree program of graduation, years since completion of chiropractic degree, and geographic region of primary practice.Among US chiropractors, chiropractic program of graduation, years since completion of chiropractic degree, and geographic region of primary practice are associated with variations in clinical ideology, beliefs, and practice patterns. The wide variation and inconsistent beliefs of US chiropractors could result in public confusion and impede interprofessional integration.© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.