Table 1.
Issue | A healthy-appearing, 38-y-old male [28-y-old female] patient comes to your office for a physical. This is his [her] first appointment with you. He [She] does not have any known prior chronic medical issues. During the patient interview, the patient... | How serious of a problem, on a 1–10 scale? |
Alcohol | ...acknowledges consuming about 20 alcoholic beverages in a typical week but denies any related physical concerns. | 7.8 (1.6) |
Marijuana | ...acknowledges using recreational marijuana approximately three times per week but denies any related physical concerns. | 5.7 (2.3) |
Tobacco | ...acknowledges engaging in social smoking, consuming ∼15–20 cigarettes per week (2–3 per day), a habit that began at age 18. The patient denies any related physical concerns. | 8.2 (1.7) |
Sex worker | ...acknowledges having had sexual intercourse with sex workers several times in the last year. The patient denies any physical symptoms related to sexual behavior. | 8.4 (1.8) |
Depression | ...acknowledges having intermittent bouts of depression. He completed a PHQ-9 screening tool in your office and scored a 10. He denies suicidal thoughts. | 8.2 (1.5) |
Firearms | ..., who is a parent with two small children at home, acknowledges having several firearms at home. | 7.4 (2.5) |
Obesity | ..., who has a BMI of 31, acknowledges having no regular exercise. The patient denies any physical complaints related to his weight. | 7.8 (1.5) |
Abortion* | ...acknowledges having had two elective abortions in the last 5 y. She denies any physical complaints or complications associated with these procedures. She is not currently pregnant. | 5.7 (2.5) |
Helmets | ...acknowledges commuting to work by motorcycle. He acknowledges rarely wearing a helmet but that he is a safe driver and has never been in a serious collision. | 8.4 (1.9) |
Italics identify more politicized issues. The rightmost column shows unweighted overall means and SDs on a 10-point scale on which respondents indicated the seriousness of the problem presented in the vignette. Number of observations range from 231 to 233 per item. BMI, body mass index; PHQ-9, Patient Health Questionnaire 9.
Indicates a vignette with a female patient rather than a male patient.