Table 3.
Factors associated with not using Mental Health Services in adults 55 years and older with prevalent DSM-IV/WMH-CIDI mood and anxiety disorders a
| Characteristic | OR | 95% CI | Wald χ2 | df | p |
|---|---|---|---|---|---|
| Predisposing Factors | |||||
| Black/Hispanic/other (reference: Non-Hispanic white) |
2.14 | 1.21–3.77 | 6.8 |
1 | .009 |
| Not comfortable (reference: comfortable) |
2.50 | 1.15–5.41 | 5.4 | 1 | .02 |
| Enabling Factors | |||||
| Married/cohabitating (reference: Divorced/separated/ widowed/never married) |
2.28 | 1.41–3.67 | 11.4 |
1 | <.001 |
| Income (reference: high) | 4.9 | 2 | .09 | ||
| Low | 1.98 | .61–6.40 | 1.3 | 1 | .25 |
| Middle | 2.25 | 1.07–4.72 | 4.6 | 1 | .03 |
| Need Factors | |||||
| Severity (reference: serious) | 22.4 | 2 | <.001 | ||
| Mild Mood/Anxiety | 4.78 | 2.37–9.61 | 19.2 | 1 | <.001 |
| Moderate Mood/Anxiety | 1.27 | .61–2.67 | .4 | 1 | .52 |
| No chronic pain (reference: chronic pain) |
1.84 | .97–3.47 | 3.5 |
1 | .06 |
| Perceived cognitive Impairmentb | .74 | .62–0.88 | 11.8 | 1 | <.001 |
a
Data were from the National Comorbidity Survey Replication (NCS-R) and included older adults diagnosed with 12-month DSM-IV disorders based on the World Mental Health Composite International Diagnostic Interview (WMH-CIDI). Estimates are based on a multivariable logistic regression model, where individual characteristics are adjusted for variables presented in the Table.
b
OR for WHO-DAS score refers to change in odds per standard deviation. Perceived cognitive impairment or ‘cognition’ was defined as perceived difficulties in concentration, memory, understanding, or ability to think clearly.