Table 4.
Treatment sector | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overall | Psychiatrist | Other Mental Health Professions2 |
General Medical |
Human Services |
Significance of between-sector differences |
|||||||||||
OR | CI | χ2 | OR | CI | χ2 | OR | CI | χ2 | OR | CI | χ2 | OR | CI | χ2 | χ2 | |
Age | ||||||||||||||||
18–29 | .6 | .2–2.2 | .2 | .0–4.8 | 1204.9–8930.0 | 1.2 | .2–8.4 | .7 | .0–25.0 | |||||||
30–44 | .5 | .2–1.3 | .1 | .0–1.8 | 3280.2* | 2.1 | .4–10.8 | 3.0 | .1–100.6 | |||||||
45–59 | .2 | .1–1.0 | .1 | .0–4.6 | 1.7 | .4–7.3 | .0* | .0–.0 | ||||||||
60+ | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
χ23 | 4.2 | 3.9 | 266.1* | 1.0 | 157.6* | 284.8* | ||||||||||
Gender | ||||||||||||||||
Male | .5 | .2–1.6 | 2.0 | .5–8.1 | .9 | .3–2.6 | 1.1 | .2–5.0 | .6 | .2–1.8 | ||||||
Female | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
χ21 | 1.3 | 1.1 | .0 | .0 | .8 | 2.7 | ||||||||||
Ethnicity | ||||||||||||||||
Black | .4 | .1–1.6 | 4.0* | 1.0–15.0 | .5 | .1–2.0 | .0* | .0–.0 | .0* | .0-.0 | ||||||
Hispanic | 3.3* | 1.3–8.5 | 2.7 | .2–29.7 | 1.3 | .5–3.5 | 1.6 | .2–11.4 | 8.9* | 1.1–73.5 | ||||||
Other | 1.6 | .4–6.5 | .0* | .0–.0 | .0* | .0–.0 | 5.6 | .2–140.8 | 7.3 | .8–62.9 | ||||||
Whites | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
χ23 | 8.8* | 75.5* | 499.6* | 98.2* | 450.6* | 1.9 | ||||||||||
Marital status | ||||||||||||||||
Married/Cohibitated | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
Sep/Div/Wid | .6 | .2–1.6 | .0* | .0–.7 | 1* | .0–.5 | 2.0 | .5–8.4 | .6 | .1–4.3 | ||||||
Never Married | .8 | .3–2.0 | 2.8 | .6–14.4 | .7 | .3–1.5 | .8 | .2–4.3 | .6 | .1–4.0 | ||||||
χ22 | 1.2 | 5.3 | 9.5* | 1.8 | .7 | 7.4 | ||||||||||
Education | ||||||||||||||||
0–15 | 1.0 | .3–3.1 | 3.5 | .5–23.4 | 2.5 | .9–6.9 | .3 | .0–2.9 | 1.1 | .2–6.8 | ||||||
16+ | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
χ21 | .0 | 1.8 | 3.1 | 1.1 | .0 | 4.8 | ||||||||||
Income | ||||||||||||||||
Low | 1.9 | .7–5.4 | 1.0 | .2–5.8 | 2.8 | .8–9.6 | .7 | .0–14.5 | .5 | .1–2.9 | ||||||
average-low | 4.6* | 1.4–14.9 | 54.4* | 8.1–366.1 | 2.9 | .9–8.6 | 3.6 | .4–29.8 | .7 | .2–3.1 | ||||||
average-high | 1.8 | .5–6.1 | 5.0* | 1.0–23.7 | 2.0 | .6–6.3 | .1 | .0–3.2 | .8 | .1–5.3 | ||||||
High | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
χ23 | 9.8* | 20.0* | 4.1 | 11.0* | .9 | 5.8 | ||||||||||
Insurance (Yes/No) | .3* | .1–.7 | .1* | .0–.7 | .5* | .2–1.0 | 2.7 | .2–47.1 | .8 | .2–3.5 | ||||||
χ21 | 8.0* | 6.2* | 4.6* | .5 | .1 | 4.0 | ||||||||||
LT mental health treatment | .4* | .2–.8 | .3 | .1–1.7 | .5 | .2–1.1 | 2.2 | .6–8.6 | 1.2 | .3–4.7 | ||||||
χ21 | 6.4* | 2.0 | 3.2 | 1.5 | .1 | 1.2 | ||||||||||
Mental Disorders | ||||||||||||||||
Any Mood | 1.0 | .4–2.4 | 2.0 | .3–11.3 | 1.0 | .3–3.1 | .4 | .0–5.9 | .7 | .1–5.3 | 1.3 | |||||
Any Anxiety | 1.4 | .7–2.7 | .9 | .3–3.4 | 1.0 | .4–2.7 | 4.3 | .4–47.7 | 1.0 | .2–4.8 | 2.2 | |||||
Any Substance | 4.5* | 1.9–10.7 | 3.0 | .8–11.8 | 2.3* | 1.0–5.2 | 4.5 | .7–27.5 | .7 | .2–2.9 | 8.9* | |||||
Any Impulse | 1.4 | .4–5.1 | 10.8* | 1.7–67.9 | 1.1 | .4–2.9 | .9 | .1–13.5 | 3.6 | .6–20.7 | 1.5 | |||||
χ24 | 14.1* | 9.0 | 7.8 | 9.2 | 2.7 | 15.0 | ||||||||||
# of disorders | ||||||||||||||||
Only 1 | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
2 or more | .1* | .0–.6 | .1* | .0–.8 | .4 | .1–2.0 | .5 | .0–12.2 | .3 | .0–3.5 | ||||||
χ21 | 8.4* | 5.0* | 1.5 | .2 | .9 | 5.0 | ||||||||||
Number of Providers | ||||||||||||||||
1 or 2 | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | 1.0 | -- | ||||||
3 or 4 | 4* | .2–1.0 | 2.1 | .8–6.0 | 1.4 | .6–3.0 | 6.5* | 1.2–36.8 | 1.1 | .2–6.7 | ||||||
χ21 | 3.8* | 2.2 | .7 | 4.8* | .0 | 129.9* | ||||||||||
Types of provider | ||||||||||||||||
Complementary-alternative medicine (Y/N) | .4* | .1–1.0 | .8 | .2–3.7 | .7 | .3–1.7 | .0* | .0–.4 | 2.1 | .3–16.4 | ||||||
χ21 | 4.0* | .1 | .6 | 7.5* | .6 | |||||||||||
Psychiatrist | .4 | .1–1.4 | ||||||||||||||
Other Mental Health Profession | .3* | .2–.6 | ||||||||||||||
General Medical | 1.8 | .8–4.5 | ||||||||||||||
Human Services | 1.0 | -- | ||||||||||||||
χ23 | 16.6* | .9 | ||||||||||||||
(n)5 | (842) | (259) | (435) | (208) | (151) | |||||||||||
Models are multivariate (all predictors in each column entered at once) and based on a survival framework (with person-visit file); each column represents a separate multivariate model. No extra controls (aside from the predictors specified in the table) were used for the models.
For other mental health professions, the age categories are 18–59 vs 60 and # of providers with 1 vs 2–4 instead due to scarce data
For interactions across providers, the categories used for age is 18–59 vs 60, for # of providers is 1 vs 2–4. Other categories are as specified in the rows. Interactions are done separately for each predictor instead of all interaction terms in the same model. Each interaction model controls for all predictors
Three df interaction tests done for types of disorders and # of disorders
Number of cases that received treatment from the provider