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Table 1 Adjusted Prevalence of Agreement with Statements about Overuse Among Older US Adults

From: Older Adults’ Perceptions of Overuse

CharacteristicMore medical treatment is usually better* (n = 1989)Clinicians often recommend services patients do not need† (n = 1990)My own clinician often recommends services I do not need‡ (n = 1988)
Adjusted prevalence (95% CI)§
Age
  50 to 64 (n = 1005)15.4 (13.0 to 17.7)53.5 (50.2 to 56.8)25.5 (22.6 to 28.3)
  65 to 80 (n = 1002)12.0 (9.7 to 14.2)**56.1 (52.7 to 59.5)23.7 (20.7 to 26.7)
Race/ethnicity
  White, non-Hispanic (n = 1529)‖11.7 (9.9 to 13.4)55.8 (53.1 to 58.5)25.0 (22.6 to 27.4)
  Minority (n = 478)20.3 (16.4 to 24.3)‡‡51.1 (46.2 to 56.1)24.3 (20.0 to 28.6)
US Census region
  Northeast (n = 402)‖17.2 (13.1 to 21.3)52.6 (47.3 to 57.8)27.1 (22.4 to 31.8)
  Midwest (n = 465)16.2 (12.4 to 19.9)54.0 (49.0 to 58.9)27.0 (22.7 to 31.3)
  South (n = 698)13.2 (10.5 to 15.9)57.6 (53.7 to 61.5)25.4 (21.9 to 28.9)
  West (n = 442)11.2 (8.0 to 14.3)**51.4 (46.2 to 56.6)19.9 (15.6 to 24.1)**
Chronic conditions
  0 or 1 (n = 470)‖12.7 (10.3 to 15.1)56.0 (52.6 to 59.4)25.7 (22.7 to 28.7)
  2 or 3 (n = 937)15.2 (12.2 to 18.2)55.1 (51.0 to 59.2)24.4 (20.8 to 28.0)
  4 or more (n = 600)16.0 (11.2 to 20.7)47.2 (40.4 to 54.1)**22.6 (16.9 to 28.3)
Number of different clinicians seen in last year
  0 or 1 (n = 660)‖11.6 (8.8 to 14.3)59.6 (55.5 to 63.6)28.1 (24.3 to 31.8)
  2 or 3 (n = 974)14.5 (12.0 to 17.0)52.3 (48.8 to 55.8)**22.9 (19.9 to 25.8)**
  4 or more (n = 370)18.3 (13.7 to 22.8)**49.2 (43.2 to 55.2)††22.8 (17.7 to 28.0)
  1. **P < 0.05; ††P < 0.01; ‡‡P < 0.001
  2. *Agreement (strongly or somewhat) that “when it comes to medical treatment, more is usually better.”
  3. †Agreement (strongly or somewhat) that “health care providers in general often recommend medications, tests, or procedures that patients do not really need.”
  4. ‡Agreement (strongly or somewhat) that “my own health care provider often recommends medications, tests or procedures that I do not really need.”
  5. §Marginal estimates of the weighted prevalence of agreement (strongly or somewhat) adjusted for all other variables listed in table in addition to gender, education, household income, and health status.
  6. Reference group for tests for statistical significance. P values < 0.05 (denoted by the **, ††, and ‡‡ symbols) indicate statistically significant differences between that respective group and the reference group.
  7. Chronic conditions included attention deficit hyperactivity disorder, asthma, chronic bronchitis or chronic obstructive pulmonary disease, cancer (excluding skin), diabetes, chronic pain, heart attack, heart disease, hepatitis C, hypertension, high cholesterol, human immunodeficiency virus or acquired immune deficiency syndrome, kidney disease, multiple sclerosis, osteoarthritis, joint pain or inflammation, osteoporosis or osteopenia, psoriasis, pulmonary arterial hypertension, rheumatoid arthritis, and stroke.