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Table 7 National estimates of mental health or stress reduction 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 3.1 15.7 63.1 19.6 1.88 1.21 - 2.92
   25–44 6.9 35.4 76.3 23.7 3.16 2.26 - 4.43
   45–64 6.9 35.1 107.2 33.3 1.95 1.38 - 2.75
   ≥65 2.7 13.8 75.2 23.4 1‡   ...  
Sex         
   Female 12.4 63.4 187.3 58.2 1‡   ...  
   Male 7.1 36.6 134.5 41.8 0.81 0.64 - 1.04
Race         
   White 16.8 85.9 279.4 86.8 1‡   ...  
   Black 2.0 10.0 31.3 9.7 0.98 0.59 - 1.62
   Other 0.8 4.1 11.1 3.4 1.23 0.65 - 2.33
Ethnicity         
   Non-Hispanic 17.9 91.5 289.7 90.0 1‡   ...  
   Hispanic 1.7 8.5 32.1 10.0 0.83 0.46 - 1.52
Geographic region         
   Northeast 4.4 22.3 47.8 14.9 1.61 0.83 - 3.13
   Midwest 4.8 24.6 89.4 27.8 0.91 0.46 - 1.78
   South 6.3 32.2 114.3 35.5 0.98 0.55 - 1.74
   West 4.1 20.9 70.4 21.9 1‡   ...  
Residence in MSA         
   Yes 16.2 82.8 261.7 81.3 1‡   ...  
   No 3.4 17.2 60.2 18.7 0.95 0.64 - 1.39
Episode of care         
   Initial visit 5.0 25.7 126.5 39.3 1‡   ...  
   Follow-up visit 10.7 54.8 135.5 42.1 2.11 1.33 - 3.34
   Unknown 3.8 19.5 59.9 18.6 2.68 1.73 - 4.16
Major reason for visit         
   Acute problem 7.6 39.1 149.0 46.3 1‡   ...  
   Chronic problem 9.1 46.3 116.2 36.1 1.17 0.76 - 1.78
   Preventive care 2.5 12.8 46.5 14.4 0.53 0.31 - 0.92
   Other/unknown 0.3 1.8 10.2 3.2 0.51 0.16 - 1.62
Provider type         
   Allopathic physician 16.2 83.1 260.4 80.9 1‡   ...  
   Osteopathic physician 3.3 16.9 61.6 19.1 0.77 0.43 - 1.36
  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 mental health or stress reduction counseling, and are adjusted for the other patient or visit characteristics in the table.
  3. ‡Reference category for OR.