Table 3.
Mental Health Care Services, Mental Health Treatment, and Psychological Distress, by Epilepsy Status, California Health Interview Survey, 2005a
| Variable | All Respondents | |||
|---|---|---|---|---|
|
| ||||
| History of Epilepsy | No History of Epilepsy | |||
|
| ||||
| Psychologically Distressed (n = 83) | Not Distressed (n = 513) | Psychologically Distressed (n = 1,575) | Not Distressed (n = 40,708) | |
| During the past 12 months, did you think you needed mental health care? | ||||
| Yes | 84.2 (70.5-92.2) | 26.7 (20.6-33.8) | 77.1 (73.6-80.2) | 16.1 (15.5-16.8) |
| No | 15.8 (7.8-29.4) | 73.3 (66.2-79.4) | 23.0 (19.8-26.4) | 83.9 (83.2-84.5) |
| Odds ratiob | 27.3 (12.3-60.6)c | 1.8 (1.2-2.6)c | 17.9 (14.8-21.4)c | 1 [Reference] |
| Seen a mental health provider in the past 12 months? | ||||
| Yes | 56.7 (42.9-69.6) | 16.8 (13.6-20.6) | 32.3 (28.8-35.9) | 7.2 (6.9-7.6) |
| No | 43.3 (30.4-57.2) | 83.2 (79.4-86.4) | 67.7 (64.1-71.2) | 92.8 (92.4-93.2) |
| Odds ratiob | NA | 2.5 (1.9-3.2)c | 5.8 (4.8-6.9)c | 1 [Reference] |
| Been to an ER for mental health care in the past 12 months? | ||||
| Yes | 9.2 (3.6-21.7) | 1.5 (0.5-4.1) | 4.8 (3.5-6.6) | 0.3 (0.1-0.4) |
| No | 90.8 (78.3-96.4) | 98.5 (96.0-99.5) | 95.2 (93.4-96.5) | 99.7 (99.6-99.9) |
| Odds ratiob | 34.4 (10.9-107.6)c | 5.6 (1.5-19.9)c | 18.9 (12.6-28.5)c | 1 [Reference] |
| Health insurance in past 12 months? | ||||
| Insured all year | 81.5 (70.4-89.2) | 78.2 (71.1-84.0) | 68.5 (64.8-72.0) | 78.9 (78.2-79.6) |
| Uninsured all or part year | 18.5 (10.8-29.6) | 21.8 (16.0-28.9) | 31.5 (28.0-35.2) | 21.1 (20.4-21.8) |
| Odds ratiob | 0.89 (0.44-1.81) | 0.94 (0.6-1.4) | 0.5 (0.3-0.6)c | 1 [Reference] |
|
| ||||
| Variable | Respondents Reporting a Perceived Need or Receipt of Mental Health Care in the Past 12 Months | |||
|
| ||||
| History of Epilepsy | No History of Epilepsy | |||
|
| ||||
| Psychologically Distressed (n = 69) | Not Distressed (n = 172) | Psychologically Distressed (n = 1,279) | Not Distressed (n = 7,854) | |
|
| ||||
| Taken a psychotropic for mental health care in the past 12 months? | ||||
| Yes | 62.1 (43.4-78.0) | 41.9 (31.3-53.3) | 49.2 (45.1-53.2) | 29.2 (27.8-30.7) |
| No | 37.9 (22.1-56.6) | 58.1 (46.8-68.7) | 50.8 (46.8-54.9) | 70.8 (69.3-72.2) |
| Odds ratiob | 3.4 (1.5-7.5)c | 1.7 (1.1-2.7)c | 2.1 (1.8-2.6)c | 1 [Reference] |
| Did you have delays getting mental health treatment in past 12 months? | ||||
| Yes | 29.8 (16.8-47.0) | 5.3 (3.0-9.1) | 18.7 (15.6-22.3) | 4.4 (3.7-5.1) |
| No | 70.3 (53.0-83.2) | 94.7 (90.9-97.0) | 81.3 (77.8-84.4) | 95.7 (94.9-96.3) |
| Odds ratiob | 8.8 (4.0-19.3)c | 1.2 (0.6-2.2) | 5.0 (3.7-6.8)c | 1 [Reference] |
Abbreviations: NA, not available (sample size too small for reliable estimates); ER, emergency room.
Values presented are % (95% confidence interval) unless otherwise indicated.
Adjusted for age, sex, doctor-diagnosed asthma, diabetes, high blood pressure, heart disease, stroke, and cancer; the comparison looks at the response to the survey question across epilepsy status category. For example, with the first question, the adjusted odds ratio for a psychologically distressed person with epilepsy is the odds a respondent with history of epilepsy and psychological distress reported a perceived need for mental health care in the past 12 months compared to a person without a history of epilepsy or psychological distress.
Significant at P <.05; 95% confidence intervals calculated using logistic regression modeling.