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Table 1 Social and behavioural determinants of health items on the new patient form

From: Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic

ItemResponseExplanationReference/s
Social determinants
 In which country were you born?Free text response.Related to health literacy and understanding of the Australian health system.[22]
 Do you speak English at home?Yes/no.Linked with health literacy[8, 22]
 Do you live alone?Yes/no.Linked with health literacy and social support[22]
 Do you have private health insurance?Yes/no.Linked with health literacy and health system access[22]
 Do you have a healthcare card?Yes/no.Linked with health literacy and health system access[22]
 Are you confident completing medical forms?Not at all confident to Extremely confident.Health literacy screening item[23]
 What is the highest level of education you have completed?Primary school or less to University.Linked with health literacy[8, 22]
Behavioural determinants
 Do you smoke?Yes/no.Linked with health literacy and increased incidence of other non-communicable chronic diseases[22]
 How many hours of sleep do you get each night?Less than 6 h to 9 or more hours.Related to chronic musculoskeletal complaints 
 How many serves of fruit do you consume each day?0 to 7.Linked with health literacy and general health behaviours. Evaluated in Australian National Health Survey[24]
 How many serves of vegetables do you consume each day? Linked with health literacy and general health behaviours. Evaluated in Australian National Health Survey[24]
 Over the last week, how many days did you exercise for at least 30 min  per day?0 to 7.Establish health behaviours in relation to Australian guidelines 
 How long would each typical exercise session last?aLess than 30 min to Greater than 90 min.Establish health behaviours in relation to Australian guidelines 
 On average, rate the intensity of your exercise over the last week?aSedentary to High.Establish health behaviours in relation to Australian guidelines 
 On a usual week day, how much time do you spend sitting: - As part of work or volunteer activities? In other leisure time?0–3 h to 12 h or more.Linked with health literacy and general health behaviours. Evaluated in Australian National Health Survey[24]
 Have you had your blood pressure checked by a doctor or health professional in the past 12 months?Yes/no.Linked with health literacy and general health behaviours. 
 Have you had a skin cancer check in the past 12 months?Yes/no.Common issue in Australia and linked with general health behaviours. 
Chronic disease status
 Common chronic diseases: arthritis, back pain, asthma, heart problems, high cholesterol, high blood pressure, asthma, cancer, mental health disorder, stroke, diabetes, kidney diseaseCurrently suffering/Previously suffering/Both.Common chronic diseases evaluated in the Australian National Health Survey. The list on the form varied from 2016 to 2017 due to a change in the prevalence of some chronic diseases relative to others[2, 3]
Global health status
 Please rate your general healthPoor to Excellent.Evaluated in Australian National Health Survey.[24]
Quality of life
 Overall, how satisfied are you with your life?0 (not at all satisfied) to 5 (extremely satisfied).Potential screen for a range of mental health disorders and health literacy.[8]
  1. a Only completed by patients attending the clinic in 2016