Table 4.
Coefficient estimates from logistic regression models of episodes of mental health care among those with probable mental health care need
Initiation (N=1658) | Adequacy (N=1658) | # Visits (n=650) | Episode Length (n=650) | $ Expenditures (n=650) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Race/Ethnicity | Coef | se | Coef | se | Coef | se | Coef | se | Coef | se | ||||||
(Referent=white) | Black | −1 | ** | [0.25] | −1 | ** | [0.27] | −0.1 | [0.22] | 0.1 | [0.21] | 0.23 | [0.30] | |||
Latino | −0.5 | [0.22] | −0.4 | [0.24] | 0.4 | [0.23] | 0.2 | [0.21] | 0.52 | [0.29] | ||||||
MH Status | MH Component of SF-12 | −0 | [0.01] | −0 | [0.01] | −0 | [0.01] | 0 | [0.01] | −0 | [0.01] | |||||
K6 score | 0 | [0.02] | 0 | [0.02] | 0 | [0.02] | 0 | [0.02] | 0.06 | [0.03] | ||||||
PHQ-2 score | 0.01 | [0.07] | 0 | [0.07] | 0.1 | [0.06] | 0.1 | [0.06] | 0.05 | [0.08] | ||||||
Self-rated mental health | Very Good | 0.17 | [0.37] | 0.3 | [0.48] | 0.3 | [0.34] | 0.2 | [0.43] | 0.39 | [0.58] | |||||
Good | 0.17 | [0.33] | 0.5 | [0.46] | 0.6 | [0.32] | 0.4 | [0.39] | 1.25 | [0.58] | ||||||
Fair | 0.49 | [0.35] | 0.7 | [0.47] | 0.5 | [0.32] | 0.2 | [0.38] | 0.87 | [0.56] | ||||||
Poor | 0.21 | [0.40] | 0.6 | [0.52] | 0.7 | [0.38] | 0.3 | [0.42] | 0.96 | [0.65] | ||||||
Health Status | 1 PH comorbidity | 0.23 | [0.52] | 0.3 | [0.66] | 0.2 | [0.32] | −0.1 | [0.37] | 0 | [0.58] | |||||
2+ PH comorbidities | 0.5 | [0.40] | 0.7 | [0.57] | 0.4 | [0.49] | 0.2 | [0.52] | 0.43 | [0.78] | ||||||
PH Component of SF-12 | 0.01 | [0.01] | 0 | [0.01] | 0 | [0.01] | 0 | [0.01] | 0 | [0.01] | ||||||
Any work limitation | −0 | [0.18] | −0.2 | [0.23] | 0.1 | [0.16] | 0 | [0.15] | 0 | [0.23] | ||||||
Other Covariates | Female | 0.47 | * | [0.16] | 0.5 | * | [0.18] | 0.2 | [0.14] | 0.1 | [0.14] | 0.07 | [0.22] | |||
Age | 65–80 | −0.2 | [0.22] | −0.6 | * | [0.24] | −0.3 | [0.19] | −0.2 | [0.17] | −0.3 | [0.24] | ||||
80+ | −0.4 | [0.25] | −1.1 | ** | [0.31] | −0.5 | [0.23] | −0.4 | [0.22] | −0.7 | * | [0.29] | ||||
Marital Status | Married | 0.13 | [0.16] | −0.1 | [0.20] | −0.3 | * | [0.14] | −0.2 | [0.14] | −0.3 | [0.19] | ||||
% Federal Poverty Level | 100–124% FPL | 0.52 | [0.27] | 0.5 | [0.30] | 0.2 | [0.26] | 0.3 | [0.21] | 0.2 | [0.32] | |||||
125–199% FPL | −0.1 | [0.24] | 0.2 | [0.31] | 0.3 | [0.22] | 0.3 | [0.20] | 0.63 | [0.31] | ||||||
200–399% FPL | 0.17 | [0.23] | 0.3 | [0.28] | 0.1 | [0.21] | 0.1 | [0.20] | 0.18 | [0.25] | ||||||
400%+ FPL | 0.5 | [0.25] | 0.7 | [0.32] | 0.3 | [0.23] | 0.2 | [0.22] | 0.29 | [0.28] | ||||||
Education | HS Grad | 0.02 | [0.19] | −0 | [0.23] | −0.3 | [0.18] | −0.2 | [0.17] | −0.3 | [0.22] | |||||
Any College | 0.26 | [0.24] | 0.2 | [0.27] | −0.1 | [0.26] | −0.1 | [0.23] | 0.1 | [0.31] | ||||||
College Grad | 0 | [0.28] | 0 | [0.33] | −0.3 | [0.30] | −0.1 | [0.26] | −0.1 | [0.37] | ||||||
Health Insurance | Any Public Insurance | 0.07 | [0.18] | 0.4 | [0.22] | 0.2 | [0.16] | 0.2 | [0.14] | 0.07 | [0.22] | |||||
Uninsured | −0.1 | [0.32] | −0.3 | [0.36] | −0.5 | [0.26] | −0.4 | [0.27] | −0.6 | [0.40] | ||||||
Managed Care | HMO | −0.2 | [0.21] | 0.2 | [0.24] | 0.2 | [0.18] | 0.2 | [0.17] | 0.01 | [0.22] | |||||
Employed | Employed | −0.1 | [0.26] | −0.4 | [0.36] | −0 | [0.25] | 0.3 | [0.27] | 0.29 | [0.31] | |||||
Region | Midwest | −0.4 | [0.24] | −0.7 | * | [0.29] | −0.1 | [0.22] | −0.2 | [0.24] | −0.2 | [0.30] | ||||
South | −0.4 | [0.21] | −0.4 | [0.25] | −0 | [0.17] | 0 | [0.17] | 0.03 | [0.22] | ||||||
West | −0 | [0.25] | −0.4 | [0.28] | −0.1 | [0.21] | −0.1 | [0.21] | −0.1 | [0.27] | ||||||
Urbanicity | Live in MSA | −0.2 | [0.19] | −0.4 | [0.22] | 0 | [0.17] | −0 | [0.15] | 0.05 | [0.22] | |||||
Panel | 0.02 | [0.05] | 0 | [0.06] | 0 | [0.05] | −0 | [0.05] | 0.07 | [0.07] | ||||||
Constant | −1.5 | [1.16] | −1.9 | [1.40] | 1 | [1.28] | 3.9 | * | [1.19] | 4.89 | * | [1.58] |
Data: Panels 9–13 (2004–2009) Medical Expenditure Panel Survey
p<.05;
p<.01;
p<.001