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. 2026 May 20;26:979. doi: 10.1186/s12913-026-14644-6

Table 2.

IRR [95% CI] for pre-pandemic trend, level-change, and post-pandemic trend for depression and anxiety encounters

Characteristics Depression Anxiety Disorders
Pre-pandemic trenda, IRR (95% CI) Level-changeb, IRR (95% CI) Post-pandemic trendc, IRR (95% CI) Pre-pandemic trenda, IRR (95% CI) Level-changeb, IRR (95% CI) Post-pandemic trendc, IRR (95% CI)
Overall 1.006 [0.991, 1.019] 0.969 [0.822, 1.142] 0.971 [0.947, 0.996] 1.008 [0.996, 1.019] 1.034 [0.893, 1.198] 0.962 [0.942, 0.982]

Overall,

in-person

0.999 [0.984, 1.015] 0.406 [0.342, 0.482] 1.019 [0.984, 1.056] 0.997 [0.980, 1.013] 0.327 [0.273, 0.393] 1.027 [0.987, 1.070]
Overall, telehealth 1.151 [1.083, 1.225] 8.871 [4.210, 19.615] 0.822 [0.692, 0.979] 1.212 [1.129, 1.302] 9.570 [3.993, 24.684] 0.776 [0.642, 0.942]
CHIP Standard 0.989 [0.974, 1.005] 0.834 [0.711, 0.978] 1.056 [1.026, 1.087] 1.002 [0.986, 1.018] 1.041 [0.880, 1.232] 0.996 [0.965, 1.027]
TANF Foster Care 1.002 [0.991, 1.013] 1.056 [0.927, 1.204] 0.953 [0.934, 0.972] 1.005 [0.994, 1.015] 1.135 [0.998, 1.291] 0.953 [0.936, 0.972]
TANF Standard 1.011 [0.993, 1.028] 0.906 [0.737, 1.113] 0.977 [0.946, 1.008] 1.012 [0.998, 1.026] 0.945 [0.796, 1.121] 0.967 [0.941, 0.993]
Age 3–11 0.993 [0.977, 1.010] 0.819 [0.681, 0.986] 0.974 [0.942, 1.007] 1.006 [0.995, 1.018] 1.019 [0.872, 1.192] 0.959 [0.938, 0.981]
Age 12–17 1.008 [0.993, 1.023] 0.992 [0.829, 1.185] 0.971 [0.946, 0.996] 1.009 [0.997, 1.020] 1.050 [0.911, 1.210] 0.965 [0.945, 0.986]
Males 1.016 [1.002, 1.031] 0.958 [0.798, 1.150] 0.936 [0.910, 0.964] 1.005 [0.993, 1.017] 1.002 [0.858, 1.170] 0.963 [0.942, 0.983]
Females 0.999 [0.985, 1.013] 0.976 [0.836, 1.139] 0.991 [0.967, 1.015] 1.010 [0.999, 1.022] 1.054 [0.913, 1.216] 0.962 [0.942, 0.982]

Coefficients estimated from negative binomial regression; IRR: Incidence rate ratio; a Estimates of changes in service utilization for time period from Jan 1, 2019 to March 31, 2020; b Estimates of changes in service utilization rates during the first month following the announcement of public schools closure on April 1, 2020; c Estimates of changes in service utilization rates for time period from April 1, 2020 to December 31, 2020