{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:11:37Z","timestamp":1784797897507,"version":"3.55.0"},"reference-count":37,"publisher":"National University of Health Sciences","issue":"9","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100010318","name":"University of Manitoba","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010318","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmptonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Manipulative and Physiological Therapeutics"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.jmpt.2023.04.001","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T09:47:12Z","timestamp":1686390432000},"page":"633-640","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient Characteristics and Clinical Outcomes Associated With Conservative Treatment for Spine Pain in Women Experiencing Socioeconomic Challenges"],"prefix":"10.67400","volume":"45","author":[{"given":"Sophie","family":"Morham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7489-8154","authenticated-orcid":false,"given":"Amber","family":"Reichardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0934-7329","authenticated-orcid":false,"given":"Audrey","family":"Toth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Olin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Pohlman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9506-1687","authenticated-orcid":false,"given":"Steven R.","family":"Passmore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"issue":"10137","key":"10.1016\/j.jmpt.2023.04.001_bib0001","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.jmpt.2023.04.001_bib0002","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.37371","article-title":"Risk factors associated with the transition from acute to chronic low back pain in US patients seeking primary care","volume":"4","author":"Stevans","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"10","key":"10.1016\/j.jmpt.2023.04.001_bib0003","doi-asserted-by":"crossref","first-page":"3148","DOI":"10.1007\/s11606-021-06732-6","article-title":"Association of back pain with mortality: a systematic review and meta-analysis of cohort studies","volume":"36","author":"Roseen","year":"2021","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0004","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.sbspro.2010.07.090","article-title":"Pain sensitivity among women with low estrogen levels","volume":"5","author":"Nikolov","year":"2010","journal-title":"Procedia Soc Behav Sci"},{"issue":"1","key":"10.1016\/j.jmpt.2023.04.001_bib0005","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/gme.0b013e31817e5ce0","article-title":"Low back pain and disability in community-based women: prevalence and associated factors","volume":"16","author":"Urquhart","year":"2009","journal-title":"Menopause"},{"issue":"6","key":"10.1016\/j.jmpt.2023.04.001_bib0006","doi-asserted-by":"crossref","first-page":"599","DOI":"10.7205\/MILMED.173.6.599","article-title":"Consultation request patterns, patient characteristics, consultation request patterns and utilization of services within a Veterans Affairs medical center chiropractic clinic","volume":"173","author":"Dunn","year":"2008","journal-title":"Mil Med"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0007","doi-asserted-by":"crossref","first-page":"578","DOI":"10.7205\/MILMED-D-02-3508","article-title":"A cross-sectional analysis of clinical outcomes following chiropractic care in veterans with and without post-traumatic stress disorder","volume":"174","author":"Dunn","year":"2009","journal-title":"Mil Med"},{"issue":"4","key":"10.1016\/j.jmpt.2023.04.001_bib0008","first-page":"363","article-title":"Initial integration of chiropractic services into a provincially funded inner city community health centre: a program description","volume":"59","author":"Passmore","year":"2015","journal-title":"J Can Chiropr Assoc"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0009","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.ctcp.2019.03.013","article-title":"Change in young peoples\u2019 spine pain following chiropractic care at a publicly funded healthcare facility in Canada","volume":"35","author":"Manansala","year":"2019","journal-title":"Complement Ther Clin Pract"},{"issue":"5","key":"10.1016\/j.jmpt.2023.04.001_bib0010","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.3233\/BMR-210192","article-title":"Utilization of chiropractic services in patients with osteoarthritis and spine pain at a publicly funded healthcare facility in Canada: a retrospective study","volume":"35","author":"Reichardt","year":"2022","journal-title":"J Back Musculoskelet Rehabil"},{"issue":"2","key":"10.1016\/j.jmpt.2023.04.001_bib0011","first-page":"107","article-title":"A retrospective analysis of pain changes and opioid usage associated with chiropractic care in a publicly funded inner-city facility","volume":"66","author":"Passmore","year":"2022","journal-title":"J Can Chiropr Assoc"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0012","article-title":"Factors associated with non- pharmacological, non-operative treatment utilization prior to thoracolumbar spine surgery in Manitoba: a Canadian Spine Outcomes Research Network (CSORN) study","volume":"63","author":"Manansala","year":"2023","journal-title":"Musculoskelet Sci Pract"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0013","doi-asserted-by":"crossref","unstructured":"Ward KL, Smith M. Association between chiropractic utilization and opioid prescriptions among people with back or neck pain: evaluation of the Medical Expenditure Panel Survey [e-pub ahead of print]. J Manipulative Physiol Ther. https:\/\/doi.org\/10.1016\/j.jmpt.2022.08.003. Accessed May 24, 2023.","DOI":"10.1016\/j.jmpt.2022.08.003"},{"issue":"7","key":"10.1016\/j.jmpt.2023.04.001_bib0014","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.jmpt.2021.09.001","article-title":"Long-term Medicare costs associated with opioid analgesic therapy vs spinal manipulative therapy for chronic low back pain in a cohort of older adults","volume":"44","author":"Whedon","year":"2021","journal-title":"J Manipulative Physiol Ther"},{"issue":"4","key":"10.1016\/j.jmpt.2023.04.001_bib0015","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jmpt.2022.06.009","article-title":"Association of chiropractic care with receiving an opioid prescription for noncancer spinal pain within a Canadian community health center: a mixed methods analysis","volume":"45","author":"Emary","year":"2022","journal-title":"J Manipulative Physiol Ther"},{"issue":"4","key":"10.1016\/j.jmpt.2023.04.001_bib0016","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1590\/1516-3180.2014.9490902","article-title":"Main reasons for medical consultations in family healthcare units in the city of Recife, Brazil: a cross-sectional study","volume":"133","author":"Torres Rde","year":"2015","journal-title":"Sao Paulo Med J"},{"issue":"7","key":"10.1016\/j.jmpt.2023.04.001_bib0017","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"issue":"2","key":"10.1016\/j.jmpt.2023.04.001_bib0018","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/S0095-4543(01)00005-7","article-title":"Chiropractic","volume":"29","author":"Dagenais","year":"2002","journal-title":"Prim Care"},{"issue":"3","key":"10.1016\/j.jmpt.2023.04.001_bib0019","first-page":"351","article-title":"Patient evaluations of low back pain care from family physicians and chiropractors","volume":"150","author":"Cherkin","year":"1989","journal-title":"West J Med"},{"issue":"suppl 6","key":"10.1016\/j.jmpt.2023.04.001_bib0020","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1007\/s00586-018-5721-y","article-title":"The Global Spine Care Initiative: care pathway for people with spine-related concerns","volume":"27","author":"Haldeman","year":"2018","journal-title":"Eur Spine J"},{"issue":"1","key":"10.1016\/j.jmpt.2023.04.001_bib0021","first-page":"6","article-title":"Why not everyone with low back pain chooses chiropractic care","volume":"57","author":"Dagenais","year":"2013","journal-title":"J Can Chiropr Assoc"},{"issue":"18","key":"10.1016\/j.jmpt.2023.04.001_bib0022","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.1001\/archinte.164.18.1985","article-title":"Comparative analysis of individuals with and without chiropractic coverage: patient characteristics, utilization, and costs","volume":"164","author":"Legorreta","year":"2004","journal-title":"Arch Intern Med"},{"issue":"6","key":"10.1016\/j.jmpt.2023.04.001_bib0023","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0217831","article-title":"The use of complementary and integrative health approaches for chronic musculoskeletal pain in younger US Veterans: an economic evaluation","volume":"14","author":"Herman","year":"2019","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.jmpt.2023.04.001_bib0024","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jmpt.2018.01.004","article-title":"Association between utilization of chiropractic services for treatment of low back pain and risk of adverse drug events","volume":"41","author":"Whedon","year":"2018","journal-title":"J Manipulative Physiol Ther"},{"issue":"1","key":"10.1016\/j.jmpt.2023.04.001_bib0025","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13293-020-00308-5","article-title":"Sex differences in pharmacokinetics predict adverse drug reactions in women","volume":"11","author":"Zucker","year":"2020","journal-title":"Biol Sex Differ"},{"issue":"2","key":"10.1016\/j.jmpt.2023.04.001_bib0026","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1080\/03630242.2013.876488","article-title":"Determinants of women consulting with a complementary and alternative medicine practitioner for pregnancy-related health conditions","volume":"54","author":"Steel","year":"2014","journal-title":"Women Health"},{"issue":"7","key":"10.1016\/j.jmpt.2023.04.001_bib0027","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.jmpt.2020.05.005","article-title":"Chiropractic care for adults with pregnancy-related low back, pelvic girdle pain, or combination pain: a systematic review","volume":"43","author":"Weis","year":"2020","journal-title":"J Manipulative Physiol Ther"},{"issue":"7","key":"10.1016\/j.jmpt.2023.04.001_bib0028","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.jmpt.2021.03.002","article-title":"Best-practice recommendations for chiropractic care for pregnant and postpartum patients: results of a consensus process","volume":"45","author":"Weis","year":"2022","journal-title":"J Manipulative Physiol Ther"},{"issue":"7","key":"10.1016\/j.jmpt.2023.04.001_bib0029","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.jmpt.2020.05.006","article-title":"Chiropractic care of adults with postpartum-related low back, pelvic girdle, or combination pain: a systematic review","volume":"43","author":"Weis","year":"2020","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0033","unstructured":"Centers for Disease Control and Prevention. Healthy weight. Available at: https:\/\/www.cdc.gov\/healthyweight\/assessing\/bmi\/adult_bmi\/index.html. Accessed May 24, 2023."},{"issue":"4","key":"10.1016\/j.jmpt.2023.04.001_bib0030","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1136\/ard.37.4.378","article-title":"Studies with pain rating scales","volume":"37","author":"Downie","year":"1978","journal-title":"Ann Rheum Dis"},{"issue":"4","key":"10.1016\/j.jmpt.2023.04.001_bib0031","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.ajem.2018.01.008","article-title":"A systematic review of the pain scales in adults: which to use?","volume":"36","author":"Karcioglu","year":"2018","journal-title":"Am J Emerg Med"},{"issue":"11","key":"10.1016\/j.jmpt.2023.04.001_bib0032","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1097\/01.brs.0000164099.92112.29","article-title":"Responsiveness of the numeric pain rating scale in patients with low back pain","volume":"30","author":"Childs","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jmpt.2023.04.001_bib0034","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.echu.2020.10.002","article-title":"Full-coverage chiropractic in Medicare: a proposal to eliminate inequalities, improve outcomes, and reduce health disparities without increasing overall program costs","volume":"27","author":"Leach","year":"2020","journal-title":"J Chiropr Humanit"},{"issue":"8","key":"10.1016\/j.jmpt.2023.04.001_bib0035","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.jmpt.2007.07.016","article-title":"Demographic and referral analysis of a free chiropractic clinic servicing ethnic minorities in the Buffalo, NY area","volume":"30","author":"Stevens","year":"2007","journal-title":"J Manipulative Physiol Ther"},{"issue":"1","key":"10.1016\/j.jmpt.2023.04.001_bib0036","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/01.AOG.0000129403.54061.0e","article-title":"Low back pain during pregnancy: prevalence, risk factors, and outcomes","volume":"104","author":"Wang","year":"2004","journal-title":"Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.jmpt.2023.04.001_bib0037","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/joim.12471","article-title":"The evolution of healthcare quality measurement in the United States","volume":"279","author":"Burstin","year":"2016","journal-title":"J Intern Med"}],"container-title":["Journal of Manipulative and Physiological Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475423000131?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475423000131?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:58:22Z","timestamp":1784797102000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmpt.kglmeridian.com\/doi\/10.1016\/j.jmpt.2023.04.001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":37,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S0161475423000131"],"URL":"https:\/\/doi.org\/10.1016\/j.jmpt.2023.04.001","relation":{},"ISSN":["0161-4754"],"issn-type":[{"value":"0161-4754","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Patient Characteristics and Clinical Outcomes Associated With Conservative Treatment for Spine Pain in Women Experiencing Socioeconomic Challenges","name":"articletitle","label":"Article Title"},{"value":"Journal of Manipulative and Physiological Therapeutics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmpt.2023.04.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by National University of Health Sciences.","name":"copyright","label":"Copyright"}]}}