Table 1. Characteristics of Primary Care Providers (N = 1,209), Overall and by Level of Preparedness for Discussing Physical Activity With Their Adult Patients With Disabilities, 2014 DocStyles.
Characteristic | Overall | Prepared to Discuss Physical Activitya, % (95% Confidence Intervals) |
P Valueb | ||
---|---|---|---|---|---|
Strongly Agree | Somewhat Agree | Neutral or Disagree | |||
Overall | 100 (0) | 36.3 (33.6–39.0) | 43.3 (40.6–46.1) | 20.4 (18.1–22.6) | NA |
Type of provider | |||||
Family/general practitioner | 44.1 (41.3–46.9) | 44.4 (39.8–49.1) | 43.9 (39.6–48.1) | 43.9 (37.7–50.1) | .79 |
Internist | 37.1 (34.3–39.8) | 35.3 (30.8–39.8) | 38.7 (34.6–42.9) | 36.6 (30.6–42.6) | |
Nurse practitioner | 18.9 (16.7–21.2) | 20.3 (16.5–24.0) | 17.4 (14.1–20.6) | 19.5 (14.6–24.5) | |
Sex | |||||
Male | 61.5 (58.8–64.3) | 62.0 (57.4–66.5) | 62.4 (58.3–66.6) | 58.9 (52.8–65.1) | .52 |
Female | 38.5 (35.7–41.2) | 38.0 (33.5–42.6) | 37.6 (33.5–41.7) | 41.1 (34.9–47.2) | |
Age group, y | |||||
25–35 | 18.0 (15.9–20.2) | 17.5 (14.0–21.1) | 16.2 (13.1–19.4) | 22.8 (17.5–28.0) | .001 |
36–45 | 35.4 (32.7–38.1) | 29.6 (25.3–33.9) | 39.5 (35.3–43.7) | 37.0 (31.0–43.0) | |
46–55 | 25.4 (22.9–27.9) | 28.5 (24.3–32.7) | 23.1 (19.5–26.7) | 24.8 (19.4–30.2) | |
≥56 | 21.2 (18.9–23.5) | 24.4 (20.4–28.4) | 21.2 (17.7–24.7) | 15.5 (10.9–20.0) | |
Race/ethnicity | |||||
Non-Hispanic white | 62.5 (59.7–65.2) | 65.4 (60.9–69.8) | 60.9 (56.7–65.1) | 60.6 (54.5–66.7) | .20 |
Non-Hispanic black | 2.3 (1.5–3.2) | 3.2 (1.6–4.8) | 1.9 (0.7–3.1) | 1.6 (0.1–3.2) | |
Non-Hispanic Asian | 23.3 (20.9–25.7) | 19.6 (15.9–23.3) | 25.8 (22.0–29.5) | 24.8 (19.4–30.2) | |
Hispanic | 5.0 (3.7–6.2) | 5.0 (3.0–7.1) | 4.6 (2.8–6.4) | 5.7 (2.8–8.6) | |
Non-Hispanic otherc | 7.0 (5.5–8.4) | 6.8 (4.5–9.2) | 6.9 (4.7–9.0) | 7.3 (4.1–10.6) | |
Financial situation of most patients | |||||
<Lower middle class | 18.8 (16.6–21.0) | 18.2 (14.6–21.8) | 19.1 (15.7–22.5) | 19.1 (14.2–24.0) | .82 |
Lower middle class or middle class | 39.5 (36.7–42.2) | 41.5 (36.9–46.1) | 37.8 (33.6–41.9) | 39.4 (33.3–45.5) | |
>Middle class | 41.8 (39.0–44.6) | 40.3 (35.7–44.9) | 43.1 (38.9–47.4) | 41.5 (35.3–47.6) | |
Main work setting | |||||
Individual outpatient | 19.0 (16.8–21.2) | 20.5 (16.7–24.3) | 17.9 (14.7–21.2) | 18.7 (13.8–23.6) | .11 |
Group outpatient | 67.2 (64.5–69.8) | 67.7 (63.3–72.0) | 68.5 (64.5–72.5) | 63.4 (57.4–69.4) | |
Inpatient | 13.8 (11.9–15.8) | 11.9 (8.8–14.9) | 13.6 (10.6–16.5) | 17.9 (13.1–22.7) | |
Privileges at teaching hospital | |||||
Yes | 48.1 (45.3–51.0) | 49.2 (44.5–53.9) | 47.1 (42.9–51.4) | 48.4 (42.1–54.6) | .75 |
No | 51.9 (49.0–54.7) | 50.8 (46.1–55.5) | 52.9 (48.6–57.1) | 51.6 (45.4–57.9) | |
Years in practice | |||||
3–8 | 28.3 (25.8–30.8) | 27.6 (23.4–31.7) | 26.7 (22.9–30.5) | 32.9 (27.1–38.8) | .009 |
9–14 | 26.6 (24.1–29.0) | 22.1 (18.2–26.0) | 30.9 (27.0–34.9) | 25.2 (19.8–30.6) | |
15–22 | 23.1 (20.7–25.5) | 24.8 (20.8–28.9) | 19.9 (16.4–23.3) | 26.8 (21.3–32.4) | |
23–50 | 22.1 (19.8–24.4) | 25.5 (21.4–29.6) | 22.5 (18.9–26.1) | 15.0 (10.6–19.5) | |
Average no. of patients with disabilities seen weekly | |||||
<1 | 16.3 (14.2–18.4) | 12.8 (9.6–15.9) | 16.6 (13.4–19.8) | 22.0 (16.8–27.1) | <.001 |
1–5 | 38.2 (35.5–41.0) | 34.2 (29.7–38.6) | 40.1 (35.9–44.3) | 41.5 (35.3–47.6) | |
6–10 | 22.2 (19.8–24.5) | 24.6 (20.6–28.6) | 21.0 (17.5–24.5) | 20.3 (15.3–25.4) | |
≥11 | 23.3 (20.9–25.7) | 28.5 (24.3–32.7) | 22.3 (18.8–25.9) | 16.3 (11.7–20.9) | |
Type of disability most frequently seen | |||||
Mobility limitation | 54.6 (51.8–57.4) | 58.8 (54.2–63.4) | 51.9 (47.6–56.2) | 52.9 (46.6–59.1) | .13 |
Emotional or mental health disorder | 21.3 (19.0–23.6) | 20.7 (16.9–24.5) | 22.3 (18.8–25.9) | 19.9 (14.9–24.9) | |
Cognitive limitation | 10.8 (9.1–12.6) | 10.3 (7.4–13.1) | 10.1 (7.5–12.7) | 13.4 (9.2–17.7) | |
Hearing limitation | 7.8 (6.3–9.3) | 5.9 (3.7–8.1) | 9.4 (6.9–11.8) | 7.7 (4.4–11.1) | |
Vision limitation | 4.7 (3.5–5.9) | 4.3 (2.4–6.2) | 5.0 (3.1–6.8) | 4.9 (2.2–7.6) | |
None of these | 0.8 (0.3–1.3) | 0 (0) | 1.3 (0.4–2.3) | 1.2 (0.0–2.6) |
Categories are based on responses to following statement: “I feel prepared to recommend physical activity to my adult patients with disabilities.” Respondents were categorized into 3 groups: 1) strongly agreed, 2) somewhat agreed, and 3) neither agreed nor disagreed (neutral), somewhat disagreed, or strongly disagreed. Because we were interested in primary care providers who agreed they felt prepared and because the number of respondents who were neutral or disagreed was small, we combined these responses into a single category.
Based on the appropriate test for trend on the distribution of the characteristic across the levels preparedness, including Cochran–Armitage test, Kruskal–Wallis test, and Spearman correlation.
Other includes Native Hawaiian or Other Pacific Islander, American Indian or Alaska Native, ≥ 2 races, and other race.