Table 4.
Health promotion across age groups among primary care models: A) ORs of having discussed lifestyle topics at the index visit; B) Estimated likelihood of discussing at least 1 topic.
| A) |
OR† OF HAVING DISCUSSED LIFESTYLE SUBJECTS (95% CI) |
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| LIFESTYLE TOPICS FOR DISCUSSION | AGE GROUP, Y* | CHC | FFS | FHN | HSO |
| At least 1 subject | 30–64 | 0.65 (0.45–0.94)‡ | 1.10 (0.76–1.59) | 0.97 (0.67–1.41) | 0.88 (0.60–1.29) |
| ≥ 65 | 0.60 (0.35–1.04) | 1.01 (0.60–1.69) | 0.96 (0.58–1.58) | 0.92 (0.54–1.57) | |
| Healthy foods | 30–64 | 0.59 (0.41–0.86)‡ | 0.68 (0.43–1.06) | 1.08 (0.69–1.71) | 0.89 (0.56–1.42) |
| ≥ 65 | 0.44 (0.25–0.77)‡ | 0.71 (0.36–1.40) | 1.10 (0.60–2.02) | 0.67 (0.34–1.31) | |
| Home safety | 30–64 | 0.71 (0.37–1.35) | 0.67 (0.24–1.91) | 0.48 (0.17–1.34) | 0.30 (0.11–0.82)‡ |
| ≥ 65 | 0.64 (0.24–1.72) | 1.86 (0.47–7.30) | 0.63 (0.14–2.74) | 0.97 (0.23–4.03) | |
| Family conflict | 30–64 | 0.75 (0.49–1.14) | 1.78 (0.93–3.40) | 0.91 (0.52–1.60) | 0.59 (0.34–1.04) |
| ≥ 65 | 0.26 (0.11–0.60)‡ | 0.66 (0.23–1.88) | 0.57 (0.24–1.34) | 0.75 (0.32–1.76) | |
| Exercise | 30–64 | 0.95 (0.66–1.35) | 1.14 (0.77–1.71) | 1.06 (0.72–1.58) | 1.09 (0.72–1.66) |
| ≥ 65 | 0.95 (0.56–1.62) | 0.88 (0.50–1.55) | 1.13 (0.67–1.93) | 0.96 (0.54–1.72) | |
| Smoking | 30–64 | 0.66 (0.43–1.00) | 0.78 (0.49–1.26) | 0.88 (0.56–1.37) | 0.80 (0.49–1.30) |
| ≥ 65 | 0.11 (0.04–0.29)‡ | 0.43 (0.20–0.91)‡ | 0.44 (0.22–0.87)‡ | 0.64 (0.28–1.42) | |
| Alcohol | 30–64 | 0.45 (0.28–0.71)‡ | 0.73 (0.41–1.31) | 1.10 (0.63–1.93) | 0.68 (0.38–1.22) |
| ≥ 65 | 0.16 (0.07–0.36)‡ | 0.48 (0.18–1.27) | 0.56 (0.25–1.26) | 0.38 (0.15–0.97)‡ | |
| B) |
ESTIMATED LIKELIHOOD OF DISCUSSING AT LEAST 1 TOPIC,§% |
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| LIFESTYLE TOPIC FOR DISCUSSION | AGE GROUP, Y | CHC | FFS | FHN | HSO |
| At least 1 subject | < 30 | 56 | 42 | 42 | 41 |
| 30–64 | 45 | 45 | 41 | 38 | |
| ≥ 65 | 43 | 43 | 41 | 39 | |
CHC—community health centre, FFS—fee-for-service, FHN—family health network, HSO—health service organization, OR—odds ratio.
Individuals younger than 30 years of age make up the reference category.
The ORs of having discussed at least 1 healthy lifestyle subject and having discussed each individual lifestyle subject at the index visit among age groups are shown. The estimate is adjusted for socioeconomic information and health status, using multilevel linear regressions. Results of the regression analyses in which health status variables are not included eliminate the statistical significance of the effect in CHCs: ORs for CHC, FFS, FHN, and HSO for ages 30 to 64 years are 0.73, 1.11, 0.97, and 0.89, respectively; for ages ≥ 65 years, 0.72, 0.99, 0.95, and 0.92, respectively.
Statistically significant (P < .05) results.
For the “typical” patient, the estimated likelihood of reporting at least 1 healthy lifestyle subject being discussed in each age group of the primary care models is derived from the multivariate logistic regression in which socioeconomic information and health status are included. The typical individual is an individual with the most common features: woman, without features of disadvantage (ie, low education, income below low cutoff, language barrier, aboriginal status, uninsured), travel distance less than 10 km, not rural, no limitations owing to physical or mental health or problems lasting more than 1 year, health good to excellent, and the presence of at least 1 chronic disease.