TABLE 2.

Odds Ratios for Seeking Mental Health Care Between Six- and Twelve-Month Postinjury (N = 391)

Predictors	Bivariate		Block 1: Need		Block 2: Predisposing		Block 3: Enabling
	OR	95% CI	OR	95% CI	OR	95% CI	OR	95% CI
Need factors
PTSD symptom severity	2.04*	1.55–2.70	1.23	0.68–2.19	1.89†	1.03–3.46	2.03†	1.02–4.05
Depression symptom severity	2.02*	1.54–2.65	1.22	0.70–2.13	0.87	0.50–1.51	0.74	0.39–1.40
Alcohol consumption	0.63‡	0.45–0.88	0.63‡	0.47–0.85	0.67†	0.47–0.97	0.68	0.45–1.02
Subjective distress	2.26*	1.50–2.35	1.89‡	1.29–2.78	1.83‡	1.25–2.67	1.39	0.91–2.13
Predisposing factors
Age (decades)	1.44‡	1.17–1.78	—	—	1.32	0.97–1.79	1.38†	1.00–1.90
Female	0.91	0.47–1.74	—	—	0.65	0.28–1.50	0.68	0.28–1.65
Ethnicity
Non-Hispanic White	1.00	—	—	—	1.00	—	1.00	—
African American	0.50	0.21–1.19	—	—	0.53	0.21–1.36	0.62	0.21–1.80
Hispanic American	0.37†	0.17–0.79	—	—	0.46	0.19–1.08	0.47	0.19–1.16
Other	0.26	0.07–1.07	—	—	0.23	0.04–1.20	0.43	0.07–2.60
Injury severity	1.31	0.97–1.76	—	—	1.32	0.89–1.96	1.19	0.76–1.85
Assault	0.95	0.48–1.89	—	—	1.04	0.45–2.42	0.79	0.32–1.95
Previous mental health treatment	3.98*	2.12–7.44	—	—	3.81*	1.82–8.00	3.84*	1.92–7.66
Enabling factors
Monthly income (per $1000)	1.17†	1.03–1.34	—	—	—	—	1.14	0.98–1.33
Employment status
Employed	1.00	—	—	—	—	—	1.00	—
Disabled	3.15‡	1.61–6.18	—	—	—	—	1.93	0.79–4.75
Unemployed	1.39	0.58–3.33	—	—	—	—	1.53	0.53–4.47
Insurance with mental health coverage	2.06*	1.08–3.95	—	—	—	—	1.20	0.57–2.50
Physician referral	10.13*	5.32–19.30	—	—	—	—	7.67*	3.39–17.38

^*P < 0.001.

^†P < 0.05.

^‡P < 0.01.

^§Predisposing factors were assessed at the baseline interview; need and enabling factors were assessed at the 6-month interview. Analyses have been adjusted for trauma center site effects.

^¶C-statistic values for block 1, 2, and 3 were 0.76, 0.82, and 0.87, respectively.