Table 3.
Factors Associated With the Odds of Having Mental Health Disorder (MHD) Diagnoses Among Dual Eligible Elders
| Any MHD | Anxiety | Bipolar | Major Depression | Mild Depression | Schizophrenia | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR | CI | OR | CI | OR | CI | OR | CI | OR | CI | OR | CI | |
| Community LTC | 2.1 | 2.1–2.2 | 1.8 | 1.8–1.9 | 2.2 | 2.0–2.4 | 2.2 | 2.1–2.4 | 2.0 | 2.0–2.1 | 2.9 | 2.7–3.1 |
| Institutional LTC | 7.2 | 7.1–7.2 | 3.1 | 3.0–3.2 | 8.6 | 8.0–9.2 | 7.9 | 7.5–8.3 | 7.5 | 7.3–7.6 | 11.9 | 11.3–12.5 |
| No LTC | ||||||||||||
| Male | 0.7 | 0.7–0.7 | 0.6 | 0.6–0.6 | 0.7 | 0.6–0.7 | 0.9 | 0.8–0.9 | 0.7 | 0.7–0.7 | 0.8 | 0.8–0.9 |
| Female | ||||||||||||
| White | 1.4 | 1.4–1.5 | 1.5 | 1.5–1.6 | 2.3 | 2.2–2.5 | 1.1 | 1.0–1.1 | 1.4 | 1.4–1.5 | 1.1 | 1.0–1.1 |
| Non-white | ||||||||||||
| Non-metro | 1.1 | 1.2–1.1 | 1.2 | 1.2–1.2 | 0.8 | 0.8–0.9 | 1.4 | 1.3–1.5 | 1.0 | 0.9–1.0 | 1.2 | 1.2–1.3 |
| Metropolitan area | ||||||||||||
| FL | 1.0* | 1.0–1.0 | 1.0* | 0.9–1.0 | 1.1* | 1.0–1.3 | 2.2 | 2.0–2.4 | 0.9 | 0.9–0.9 | 1.0* | 1.0–1.1 |
| MN | 2.1 | 2.0–2.2 | 1.5 | 1.4–1.6 | 1.4 | 1.2–1.7 | 1.7 | 1.5–2.0 | 2.4 | 2.3–2.5 | 1.3 | 1.2–1.4 |
| NM | 1.2 | 1.2–1.3 | 1.1 | 1.1–1.2 | 1.7 | 1.4–2.1 | 1.1* | 0.9–1.3 | 1.3 | 1.2–1.4 | 0.8 | 0.7–0.9 |
| TX | 0.9 | 0.9–1.0 | 0.9 | 0.9–1.0 | 1.1 | 1.0–1.3 | 1.6 | 1.5–1.8 | 1.0 | 0.9–1.0 | 0.8 | 0.7–0.8 |
| VT | 1.4 | 1.3–1.4 | 1.0* | 0.9–1.1 | 1.5 | 1.2–1.9 | 1.2* | 0.9–1.4 | 1.6 | 1.5–1.7 | 1.0* | 0.9–1.2 |
| WA | 0.4 | 0.4–0.4 | 0.3 | 0.3–0.3 | 0.8 | 0.7–1.0 | 0.4 | 0.3–0.4 | 0.4 | 0.4–0.4 | 0.7 | 0.6–0.7 |
| AR | ||||||||||||
| Aged 75–84 y | 0.8 | 0.8–0.9 | 0.8 | 0.8–0.8 | 0.4 | 0.4–0.4 | 0.8 | 0.7–0.8 | 0.9 | 0.9–0.9 | 0.4 | 0.4–0.4 |
| Aged 85 and older | 0.5 | 0.5–0.6 | 0.6 | 0.6–0.7 | 0.1 | 0.1–0.2 | 0.5 | 0.5–0.6 | 0.7 | 0.7–0.7 | 0.1 | 0.1–0.1 |
| Aged 65–74 | ||||||||||||
| Wald χ2 (13) | 66,656.04 | 13,866.77 | 6,537.98 | 9,296.93 | 55,699.84 | 12,392.86 | ||||||
| Pseudo R 2 | 0.11 | 0.05 | 0.10 | 0.08 | 0.12 | 0.10 | ||||||
| Log likelihood | −271,803.86 | −130,898.79 | −28,039.452 | −51,465.102 | −199,758.86 | −51,918.77 | ||||||
Notes: LTC = long-term care; OR = odds ratio; CI = confidence intervals; OR; FL = Florida; MN = Minnesota; NM = New Mexico; TX = Texas; VT = Vermont; WA = Washington; AR = Arkansas.
Results calculated from logistic regressions. Each mental illness is coded as a binary response. All values are significant at p < .001 level, except *p > .05.