Table 2 Patient characteristics of validation sample
|  | Standard Form (N = 2037) | Acute Form (N = 2061) | ||
|---|---|---|---|---|
n | % | n | % | |
Gender | ||||
 Male | 1019 | 50 | 1011 | 49 |
 Female | 1018 | 50 | 1050 | 51 |
Age | ||||
 18–24 | 167 | 8 | 163 | 8 |
 25–34 | 250 | 12 | 286 | 14 |
 35–44 | 337 | 17 | 354 | 17 |
 45–54 | 346 | 17 | 337 | 16 |
 55–64 | 396 | 19 | 378 | 18 |
 65–74 | 396 | 19 | 378 | 18 |
 75+ | 145 | 7 | 165 | 8 |
Employment Status | ||||
 Working | 1076 | 53 | 1096 | 53 |
 Retired/disabled | 683 | 34 | 666 | 32 |
 Temporarily laid off/looking for work | 144 | 7 | 155 | 8 |
 Not working/other | 134 | 7 | 144 | 7 |
Ethnicity/Race | ||||
 White | 1647 | 84 | 1638 | 82 |
 Black or African American | 187 | 10 | 202 | 10 |
 American Indian or Alaska Native | 18 | 1 | 21 | 1 |
 Asian | 29 | 2 | 43 | 2 |
 Native Hawaiian/Pacific Islander | 3 | 0 | 5 | 0 |
 Multiracial | 82 | 4 | 91 | 5 |
Education | ||||
 Less than high school | 168 | 8 | 174 | 8 |
 High school | 613 | 30 | 634 | 31 |
 Some college/other training | 641 | 32 | 611 | 30 |
 Bachelor’s degree or higher | 615 | 30 | 642 | 31 |