Is provider type associated with cancer screening and prevention: advanced practice registered nurses, physician assistants, and physicians

Table 2 Adjusted proportions of receipt of a Pap test, HPV vaccination, and mammogram by provider type, 2010 National Health Interview Survey

	Received a Pap test within past 3 years, females age 21–80 years^a		Ever Received HPV shot or vaccine, females age 18–30 years		Received a mammogram within past 2 years, females age 40–80 years^b
	Unadjusted (N = 9,997)	Adjusted (N = 9,933)	Unadjusted (N = 2,891)	Adjusted (N = 2,868)	Unadjusted (N = 7,601)	Adjusted (N = 7,543)
Wald F test p-value	p < .0001	p < .0001	p < .001	p = .30	p < .0001	p < .0001
Seen or talked with in past 12 months:	% (95% CI)	% (95% CI)	% (95% CI)	% (95% CI)	% (95% CI)	% (95% CI)
Primary care physician^d & APRN/PA^c	92.4 (91.0-93.5)	90.0 (88.2–91.6)	19.9 (16.1–24.3)	18.4 (14.9–22.4)	78.2 (75.8-80.4)	74.0 (71.5-76.4)
Primary care physician^d and no APRN/PA^c	86.3 (85.1-87.5)	85.6 (84.4–86.8)	19.9 (17.6–22.6)	19.3 (16.9-21.9)	76.2 (74.6-77.7)	74.6 (73.0-76.2)
Other healthcare provider^e and no APRN/PA^c	61.2 (56.1-66.1)	67.7 (63.1–72.1)	12.1 (7.1-19.8)	13.7 (8.0-22.4)	47.5 (41.4-53.6)	53.5 (47.4-59.5)
No healthcare provider	53.5 (50.3-56.7)	66.68 (63.3–70.1)	9.2 (6.1–13.6)	12.8 (8.1-19.6)	30.9 (27.2-34.8)	49.3 (44.5-54.2)

Note: Adjusted proportions or predicted marginals were calculated using multivariate logistic regression models that adjust for age, level of education, insurance status, number of chronic conditions, and number of healthcare provider visits in the past year.
^aExcludes women with a past diagnosis of cervical cancer and women who have undergone a hysterectomy.
^bExcludes women with a past diagnosis of breast cancer.
^cAPRN indicates Advanced Practice Registered Nurse which includes certified nurse midwives (CNM) and nurse practitioners (NP); PA indicates physician assistant.
^dPrimary care physician includes physicians in general practice, family medicine, internal medicine, and obstetrics/gynecology.
^eOther healthcare providers include mental health professionals such as a psychiatrists, psychologists, psychiatric nurses, or clinical social workers. It also includes foot doctors, chiropractors, physical therapists, speech therapists, respiratory therapists, audiologists, and/or occupational therapists.

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