Table 3. Bivariate analysis: Mean HT prescribing frequency by provider characteristic a.
Question | Mean HT Prescribing Frequency b (number of providers) | P-Value |
---|---|---|
Provider Practice | ||
Site | ||
Northwest site | 11.8 (177) | <0.001 |
Northeast site | 3.7 (72) | |
Field of practice | ||
Primary Care | 7.5 (203) | <0.001 |
OB/GYN | 18.1 (46) | |
Type of practice | ||
Physician | 9.4 (216) | 0.64 |
Other (nurse, physician assistant) | 8.6 (32) | |
Years at health care organization | ||
<3 | 6.3 (29) | 0.001 |
3-10 | 7.0 (55) | |
11-37 | 11.5 (143) | |
Years of practice | ||
<5 | 5.5 (17) | 0.06 |
5-10 | 7.3 (27) | |
11-25 | 10.0 (119) | |
26-50 | 11.5 (64) | |
Provider Characteristic | ||
Provider gender | ||
Female | 10.0 (97) | 0.19 |
Male | 8.4 (79) | |
Provider age | ||
<40 years | 5.7 (38) | 0.04 |
40- 49 years | 9.4 (65) | |
50-59 years | 10.1 (116) | |
60-78 years | 11.8 (24) | |
Female provider menopausal status | ||
Premenopausal | 8.6 (64) | 0.13 |
Menopausal transition | 10.5 (22) | |
Postmenopausal | 13.2 (41) | |
Is female provider taking HT | ||
Yes | 18.4 (20) | 0.001 |
No | 9.0 (107) | |
How likely is it that female provider will herself use HT in the future | ||
1-4:Average to Likely | 12.7 (22) | 0.02 |
5-7:Unlikely | 7.7 (82) | |
Patients visiting provider | ||
Average age of women being seen by provider | ||
≤ 56 years | 18.0 (31) | <0.001 |
> 56years | 8.2 (218) | |
Average RX Risk score of women being seen by provider (NW only) | ||
upper tertile | 9.3 (58) | 0.02 |
lower tertile | 13.0 (119) | |
Provider perception of patient | ||
For perimenopausal women in my practice the WHI results are | ||
1-4: Irrelevant to average | 12.5 (52) | 0.03 |
5-7:Relevant | 9.0 (174) | |
Most women on HT want to come off | ||
1-2:Disagree | 12.8 (81) | 0.001 |
3-5:Neutral to agree | 8.4 (144) | |
Women want HT for libido, sleep, mood, or energy | ||
1-3:Disagree to neutral | 7.7 (33) | 0.16 |
4-5:Agree | 10.3 (193) | |
Providers perception of science and preparedness for HT counseling | ||
The risk of estrogen w/progestogen have been exaggerated | ||
1-3:Exaggerated | 14.5 (56) | <0.001 |
4-7:Appropriately described to average | 8.3 (130) | |
Knowledge level of recent trials | ||
1-4:Limited to average | 6.4 (85) | <0.001 |
5-7:Expert | 12.0 (141) | |
How prepared do you feel to counsel a woman about HT | ||
1-3:Somewhat to adequately | 8.7 (185) | <0.001 |
4:Very well | 14.9 (43) |
All provider characteristics and other covariates were assessed. Only variables significant at and α ≤ 0.20 are included in this table.
HT prescribing frequency: For the 12 month period prior to the survey, we divided the total days supply of estrogen fills for women age 45-80 written by a particular provider by the total number of visits made by women in the same age group to the provider.