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Research ArticleOriginal Research

Primary Care Physicians’ Assessments of Older Patients’ Health and Psychological Status and Recommendation of Mammography

Marsha N. Wittink and Hillary R. Bogner
The Journal of the American Board of Family Medicine January 2008, 21 (1) 17-23; DOI: https://doi.org/10.3122/jabfm.2008.01.070015
Marsha N. Wittink
MD, MBE
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Hillary R. Bogner
MD, MSCE
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    Table 1.

    Characteristics of Women Aged 65 to 80 Years According to Patient-Reported Physician Recommendation of Mammography (N = 209)

    CharacteristicsPhysician Recommended Mammogram in Last 2 Years (n = 145)Physician Did Not Recommend Mammogram in Last 2 Years (n = 64)P*
    Demographics
        Age (mean [SD])73.0 (4.5)73.5 (4.4).511
        Married or living with partner (% [n])35.9% (52)35.9% (23).992
        Less than high school education (% [n])38.6% (56)39.1% (25).952
        African-American ethnicity (% [n])35.9% (52)46.9% (30).133
    Health and behavior and use of medical care
        Self-Rated Health (5 = excellent, 1 = poor) (mean [SD])2.50 (0.8)2.53 (0.9).830
        Number of office visits within the past 6 months (mean [SD])3.05 (2.9)3.0 (3.1).914
    Functional status (mean [SD])
        Physical functioning56.5 (28.4)63.4 (30.6).120
        Role Physical40.1 (40.0)50.4 (40.2).108
        Role Emotional72.4 (39.7)81.8 (34.6).105
        Social functioning72.5 (26.6)74.0 (28.8).710
        Bodily pain52.6 (25.1)54.9 (26.9).551
        General health52.0 (20.2)50.5 (20.8).617
    Cognitive status (mean [SD])
        MMSE27.4 (2.7)26.7 (3.4).124
    Psychological status (mean [SD])
        Anxiety (Beck Anxiety Index)9.1 (7.7)8.2 (8.4).455
        Depression (CESD)16.1 (11.1)13.8 (11.1).578
    • Data were gathered from the Spectrum Survey, 2001 to 2003.

    • MMSE, Mini-Mental State Examination; CESD, Center for Epidemiologic Studies Depression Scale.

    • * All P values are based on χ2.

    • View popup
    Table 2.

    Physician Ratings of Women Aged 65 to 80 Years According to Patient-Reported Physician Recommendation of Mammography (N = 209)

    Physician RatingsPhysician Recommended Mammogram in Last 2 Years (n = 145)Physician Did Not Recommend Mammogram in Last 2 Years (n = 64)P*
    Physician knows patient very well77.2 (112)65.6 (42).079
    Rating of patient's overall health excellent or very good10.3 (15)7.9 (5).588
    Identification of patient depression at this visit61.8 (89)50.8 (32).139
    Identification of patient anxiety at this visit74.5 (105)58.3 (35).023†
    • Data were gathered from the Spectrum Survey, 2001 to 2003. All data presented as % (n).

    • * All P values are based on χ2.

    • † P < .05.

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The Journal of the American Board of Family Medicine: 21 (1)
The Journal of the American Board of Family Medicine
Vol. 21, Issue 1
January-February 2008
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Primary Care Physicians’ Assessments of Older Patients’ Health and Psychological Status and Recommendation of Mammography
Marsha N. Wittink, Hillary R. Bogner
The Journal of the American Board of Family Medicine Jan 2008, 21 (1) 17-23; DOI: 10.3122/jabfm.2008.01.070015

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Primary Care Physicians’ Assessments of Older Patients’ Health and Psychological Status and Recommendation of Mammography
Marsha N. Wittink, Hillary R. Bogner
The Journal of the American Board of Family Medicine Jan 2008, 21 (1) 17-23; DOI: 10.3122/jabfm.2008.01.070015
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