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Research

Factors associated with the consultation of GPs among adults aged ≥16 years: an analysis of data from the Health Survey for England 2019

Fujian Song, Max Bachmann and Amanda Howe
BJGP Open 2023; 7 (3): BJGPO.2022.0177. DOI: https://doi.org/10.3399/BJGPO.2022.0177
Fujian Song
1 Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK
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  • For correspondence: fujian.song@uea.ac.uk
Max Bachmann
1 Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK
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Amanda Howe
1 Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK
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    Figure 1. Distribution of reasons for GP consultations by participant characteristics. EQVHI = quintile equivalised household income.
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    Figure 2. Factors associated with GP consultations for physical or mental health problems: results of multivariable ordered logistic regression analyses. The number of participants was 5320 and 2195, respectively, in the analysis of GP consultations for physical only and any mental health problems, including 1419 non-users in both analyses. BMI = body mass index. EQVHI = equivalised household income quintile.

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    Table 1. The main characteristics of study participants
    Variable n %
    Total 8086100
    Sex   
    Male359644.5
    Female449055.5
    Age groups, years   
    16–247028.7
    25–34103712.8
    35–44137917.1
    45–54140617.4
    55–64134116.6
    65–74123615.3
    ≥7598512.2
    Ethnic group   
    White692885.7
    Black2403.0
    Asian6978.6
    Other2212.7
    Quintile Index of Multiple Deprivation
    1 (least deprived)167120.7
    2155619.2
    3157519.5
    4160719.9
    5 (most deprived)167720.7
    Quintile equivalised household income
    Highest121515.0
    Second143917.8
    Third133416.5
    Fourth132516.4
    Lowest119614.8
    Unknown157719.5
    Highest educational qualification  
    Degree or equivalent232928.8
    Below degree407550.4
    None163820.3
    Unknown440.5
    Rurality   
    Urban655581.1
    Rural153118.9
    Lasting illnesses (>12 months)  
    No438254.2
    Yes369845.7
    Unknown60.1
    Smoking status   
    Never475058.7
    Former206625.6
    Current122115.1
    Unknown490.6
    Weekly alcohol consumption  
    Non-drinker154019.0
    Lower risk455056.3
    Increasing risk147318.2
    Higher risk3334.1
    Unknown1902.3
    Body mass index  
    Normal245530.4
    Overweight272333.7
    Obesity223027.6
    Underweight961.2
    Unknown5827.2
    Times consulted a GP in the last 12 months  
    0184622.8
    1 or 2300437.2
    3–5188723.3
    6–107979.9
    >105526.8
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    Table 2. Association between number of times a GP was consulted for all reasons and related factors using multivariable ordered logistic regression models
    Variable OR (95% CI)  P-valuea
    Sex  <0.001
    Male1.00 
    Female1.81 (1.64 to 2.01) 
    Age, years  0.057
    16–241.00 
    25–341.13 (0.89 to 1.44) 
    35–441.09 (0.87 to 1.36) 
    45–541.13 (0.90 to 1.41) 
    55–641.21 (0.96 to 1.52) 
    65–741.25 (0.99 to 1.58) 
    ≥751.48 (1.15 to 1.92) 
    Ethnic group  <0.001
    White1.00 
    Black1.42 (1.09 to 1.84) 
    Asian1.53 (1.25 to 1.87) 
    Other1.40 (1.02 to 1.92) 
    Quintile equivalised household income <0.001
    Highest1.00 
    Second1.14 (0.98 to 1.32) 
    Third1.13 (0.97 to 1.33) 
    Fourth1.33 (1.13 to 1.57) 
    Lowest1.53 (1.29 to 1.83) 
    Rurality  0.291
    Urban1.00 
    Rural0.94 (0.83 to 1.06) 
    Lasting illnesses (>12 months)  <0.001
    No1.00 
    Yes3.78 (3.38 to 4.22) 
    Smoking status  0.029
    Never regular1.00 
    Former1.17 (1.04 to 1.32) 
    Current1.04 (0.88 to 1.22) 
    Body mass index  <0.001
    Normal1.00 
    Overweight1.14 (1.01 to 1.29) 
    Obesity1.32 (1.16 to 1.50) 
    Underweight0.72 (0.42 to 1.23) 
    • The number of observations was 6096 in the analysis. Analysis was weighted using the interview weights for Health Survey England 2019. OR >1 indicates more frequent GP consultations in the higher ranked categories, and vice versa. a P-values were testing of the joint null hypotheses that OR = 1 for all categories of an explanatory variable. OR = odds ratio.

Supplementary Data

  • FS_10.3399BJGPO.2022.0177_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Factors associated with the consultation of GPs among adults aged ≥16 years: an analysis of data from the Health Survey for England 2019
Fujian Song, Max Bachmann, Amanda Howe
BJGP Open 2023; 7 (3): BJGPO.2022.0177. DOI: 10.3399/BJGPO.2022.0177

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Factors associated with the consultation of GPs among adults aged ≥16 years: an analysis of data from the Health Survey for England 2019
Fujian Song, Max Bachmann, Amanda Howe
BJGP Open 2023; 7 (3): BJGPO.2022.0177. DOI: 10.3399/BJGPO.2022.0177
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Keywords

  • general practice
  • General practitioners
  • consultation frequency
  • sociodemographic factors

More in this TOC Section

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