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

Table 3 Adjusted proportions of compliance with colorectal cancer screening recommendations by provider type, 2010 National Health Interview Survey ^a

	Females age 50-80		Males age 50-80
	Unadjusted (N = 5,449)	Adjusted (N = 5,397)	Unadjusted (N = 4,193)	Adjusted (N = 4,162)
Wald F test p-value	p < .0001	p < .0001	p < .0001	p < .0001
Seen or talked with in past 12 months:	% (95% CI)	% (95% CI)	% (95% CI)	% (95% CI)
Primary care physician^c & APRN/PA^b	69.2 (65.9–72.3)	64.2 (60.8-67.4)	71.3 (67.4-75.0)	63.9 (60.0-67.6)
Primary care physician^c and no APRN/PA^b	63.3 (61.3–65.3)	61.9 (59.9-63.9)	65.8 (63.6-67.9)	62.8 (60.6-64.9)
Other healthcare provider^d and no APRN/PA^b	36.1 (29.8-43.0)	42.5 (35.7-49.7)	48.4 (42.0-54.7)	54.2 (48.3-59.9)
No healthcare provider	24.9 (20.3-30.2)	43.8 (37.1-50.8)	22.9 (19.1-27.3)	44.7 (39.4-50.1)

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 and participants with a past diagnosis of colon and/or rectal cancer were excluded.
^aCompliance with colorectal screening guidelines was defined as a colonoscopy in the past 10 years, a sigmoidoscopy in the past 5 years, and/or a home FOBT in the past year according to the US Preventive Services Task Force Guidelines (2008).
^bAPRN indicates Advanced Practice Registered Nurse which includes certified nurse midwives (CNM) and nurse practitioners (NP); PA indicates physician assistant.
^cPrimary care physician includes physicians in general practice, family medicine, internal medicine, and obstetrics/gynecology.
^dOther 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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