Table 3.
Random intercepts multi-level logistic regression models of past 12 Month any mental health treatment including different county-level supply variables.
| Coeff. | SE | Coeff. | SE | Coeff. | SE | |
|---|---|---|---|---|---|---|
| Race/Ethnicity | ||||||
| Latinos | −0.78 | 0.27** | −0.86 | 0.27** | −0.96 | 0.26*** |
| Asians | −0.95 | 0.61 | −0.84 | 0.60 | −0.48 | 0.65 |
| Blacks | −1.49 | 0.27*** | −1.35 | 0.27*** | −1.08 | 0.34** |
| County-Level Supply Variables | ||||||
| Community Mental Health Center in County | 0.32 | 0.25 | ||||
| interaction with Latino Ethnicity | 0.65 | 0.48 | ||||
| interaction with Asian Race | 0.56 | 1.05 | ||||
| interaction with Black Race | 0.84 | 0.47+ | ||||
| Density of MH Specialists per 10K | 0.01 | 0.01 | ||||
| interaction with Latino Ethnicity | 0.01 | 0.01 | ||||
| interaction with Asian Race | −0.01 | 0.04 | ||||
| interaction with Black Race | 0.03 | 0.01* | ||||
| HMO Penetration % | 0.68 | 0.84 | ||||
| interaction with Latino Ethnicity | −0.14 | 1.12 | ||||
| interaction with Asian Race | −3.48 | 3.54 | ||||
| interaction with Black Race | 2.76 | 1.31* | ||||
| Individual-Level Covariates | ||||||
| Socio-demographic | ||||||
| Age | −0.02 | 0.00*** | −0.02 | 0.00*** | −0.02 | 0.00*** |
| Female | 0.32 | 0.07*** | 0.32 | 0.07*** | 0.32 | 0.07*** |
| Marital Status (Married referent) | ||||||
| Wid/sep/div/Never marrid | 0.35 | 0.07*** | 0.35 | 0.07*** | 0.36 | 0.07*** |
| College Graduate | 0.18 | 0.08* | 0.18 | 0.08* | 0.18 | 0.08* |
| Family Income < FPL | 0.44 | 0.09*** | 0.44 | 0.09*** | 0.44 | 0.09*** |
| Unemployment | −0.48 | 0.17** | −0.49 | 0.17** | −0.50 | 0.17** |
| Insurance Status (Uninsured referent) | ||||||
| Non Insurance | −0.26 | 0.10** | −0.26 | 0.10* | −0.25 | 0.10* |
| Public | 0.75 | 0.09*** | 0.75 | 0.09*** | 0.76 | 0.09*** |
| Health Status | ||||||
| Past 12 month MH Disorder | 1.70 | 0.07*** | 1.70 | 0.07*** | 1.70 | 0.07*** |
| Number of Chronic Conditions (0 referent) Any | 0.49 | 0.07*** | 0.49 | 0.07*** | 0.49 | 0.07*** |
| WHO-DAS Disability Items | ||||||
| Days Out of Role | 0.05 | 0.02** | 0.04 | 0.02** | 0.05 | 0.02** |
| Cognitive Function | 0.04 | 0.01*** | 0.04 | 0.01*** | 0.04 | 0.01*** |
| Mobility Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Care Score | −0.03 | 0.01*** | −0.03 | 0.01*** | −0.03 | 0.01*** |
| Social Function | 0.00 | 0.01 | 0.00 | 0.01 | 0.00 | 0.01 |
| Out of Role Score | 0.004 | 0.002* | 0.00 | 0.00* | 0.00 | 0.00* |
| County-level Covariates | ||||||
| County Sociodemographics | ||||||
| Urbanicity/Size of County (1 million+ (ref))<1 million | −0.53 | 0.23* | −0.50 | 0.24* | −0.43 | 0.24+ |
| Percent Persons 25 + w/4 + Yrs College | 0.00 | 0.01 | 0.00 | 0.01 | 0.00 | 0.01 |
| Percent Persons with Family Income < FPL | 0.03 | 0.02 | 0.04 | 0.02+ | 0.04 | 0.02+ |
| Unemployment Rate, 16+ | 0.06 | 0.04 | 0.04 | 0.04 | 0.04 | 0.04 |
| Percent Hispanic/Latino Pop | −0.01 | 0.01 | −0.01 | 0.01 | −0.01 | 0.01 |
| Percent Asian Population | 0.02 | 0.02 | 0.02 | 0.02 | 0.01 | 0.02 |
| Percent Black/African Am Pop | −0.01 | 0.01 | −0.01 | 0.01 | −0.01 | 0.01 |
| Bayesian Mental Health Disorder Rate | 0.03 | 0.03 | 0.03 | 0.02 | 0.03 | 0.02 |
| Constant | −2.70 | 0.13*** | −2.66 | 0.13*** | −2.53 | 0.15*** |
+
p < .1,
*
p < .05
**
p < .01
***
p < .001.
Coefficient estimates and standard errors were calculated using MLWin software with level 1 and level 2 weights created and scaled to make sample nationally representative according to Kovacevic and Rai (2003). Data Source: 2002–3 Collaborative Psychiatric Epidemiological Survey (CPES).