title: Characteristics of US Adults Who Have Positive and Negative Perceptions of Doctors of Chiropractic and Chiropractic Care.
abstract: The purpose of this study was to compare characteristics, likelihood to use, and actual use of chiropractic care for US survey respondents with positive and negative perceptions of doctors of chiropractic (DCs) and chiropractic care.
  
  
  
  From a 2015 nationally representative survey of 5422 adults (response rate, 29%), we used respondents' answers to identify those with positive and negative perceptions of DCs or chiropractic care. We used the χ(2) test to compare other survey responses for these groups.
  
  
  
  Positive perceptions of DCs were more common than those for chiropractic care, whereas negative perceptions of chiropractic care were more common than those for DCs. Respondents with negative perceptions of DCs or chiropractic care were less likely to know whether chiropractic care was covered by their insurance, more likely to want to see a medical doctor first if they were experiencing neck or back pain, less likely to indicate that they would see a DC for neck or back pain, and less likely to have ever seen a DC as a patient, particularly in the recent past. Positive perceptions of chiropractic care and negative perceptions of DCs appear to have greater influence on DC utilization rates than their converses.
  
  
  
  We found that US adults generally perceive DCs in a positive manner but that a relatively high proportion has negative perceptions of chiropractic care, particularly the costs and number of visits required by such care. Characteristics of respondents with positive and negative perceptions were similar, but those with positive perceptions were more likely to plan to use-and to have already received-chiropractic care.
authors.affiliation: Chair, Clinical and Health Services Research Program, Palmer Center for Chiropractic Research, Davenport, IA; Professor, The Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH. Electronic address: wbw@dartmouth.edu.
authors.forename: William B
authors.initials: WB
authors.lastname: Weeks
authors.affiliation: Vice Chancellor, Research and Health Policy, Palmer College of Chiropractic, Palmer Center for Chiropractic Research, Davenport, IA.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Goertz
authors.affiliation: President, Palmer College of Chiropractic West Campus, San Jose, CA.
authors.forename: William C
authors.initials: WC
authors.lastname: Meeker
authors.affiliation: Chancellor, Palmer College of Chiropractic, Davenport, Iowa.
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Marchiori
mesh_terms: D000328:Adult; D002684:Chiropractic / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000706:statistics & numerical data*; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011639:Public Opinion; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States
keywords: Chiropractic; Health Services Research; Public Opinion; Social Perception