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Table 3 National estimates of diet or nutrition counseling during general and family medicine patient visits (in millions).*

From: A comparison of patient visits to osteopathic and allopathic general and family medicine physicians: results from the National Ambulatory Medical Care Survey, 2003–2004

  Counseling Provided     
  Yes No     
Patient or Visit Characteristic No. % No. % OR† 95% CI
Age, yr         
   ≤24 8.6 13.1 57.6 20.9 0.68 0.49 - 0.94
   25–44 13.8 21.1 69.5 25.2 0.92 0.73 - 1.17
   45–64 27.1 41.5 87.0 31.5 1.23 1.02 - 1.49
   ≥65 15.9 24.4 61.9 22.4 1‡   ...  
Sex         
   Female 36.5 55.8 163.1 59.1 1‡   ...  
   Male 28.9 44.2 112.9 40.9 1.14 0.99 - 1.31
Race         
   White 53.8 82.3 242.4 87.8 1‡   ...  
   Black 7.9 12.0 25.4 9.2 1.35 0.94 - 1.93
   Other 3.7 5.7 8.2 3.0 1.71 1.16 - 2.52
Ethnicity         
   Non-Hispanic 55.6 85.1 252.0 91.3 1‡   ...  
   Hispanic 9.8 14.9 24.0 8.7 1.79 1.15 - 2.80
Geographic region         
   Northeast 9.1 13.8 43.1 15.6 0.96 0.56 - 1.64
   Midwest 15.2 23.2 79.0 28.6 0.84 0.54 - 1.29
   South 25.0 38.2 95.5 34.6 1.10 0.68 - 1.78
   West 16.1 24.7 58.4 21.1 1‡   ...  
Residence in MSA         
   Yes 54.4 83.3 223.3 80.9 1‡   ...  
   No 10.9 16.7 52.6 19.1 0.92 0.70 - 1.19
Episode of care         
   Initial visit 13.5 20.6 118.1 42.8 1‡   ...  
   Follow-up visit 35.6 54.5 110.4 40.0 1.78 1.43   2.22
   Unknown 16.2 24.8 47.5 17.2 1.29 0.82   2.01
Major reason for visit         
   Acute problem 16.8 25.7 140.0 50.7 1‡    
   Chronic problem 32.1 49.1 93.1 33.7 1.94 1.53 - 2.47
   Preventive care 13.8 21.1 35.2 12.8 3.04 1.92 - 4.81
   Other/unknown 2.7 4.1 7.8 2.8 2.10 1.01 - 4.34
Provider type         
   Allopathic physician 55.0 84.2 221.4 80.2 1‡    
   Osteopathic physician 10.3 15.8 54.7 19.8 0.79 0.50 - 1.25
  1. *Derived from the 2003 and 2004 National Ambulatory Medical Care Survey using population estimates based on patient visit weights. CI denotes confidence interval; MSA, metropolitan statistical area; OR, odds ratio.
  2. †ORs are for provision of diet or nutrition counseling, and are adjusted for the other patient or visit characteristics in the table.
  3. ‡Reference category for OR.