Table 2.
Associations between adolescent and young adult service use and demographics, insurance status and diagnostic status in mental health cases.
| Any Service Use | Specialty Behavioral | General medical | Informal | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 13–16 | 19–26 | INT | 13–16 | 19–26 | INT | 13–16 | 19–26 | INT | 13–16 | 19–26 | INT | |||||||||
| OR | 95% CI |
OR | 95% CI |
p | OR | 95% CI |
OR | 95% CI |
p | OR | 95% CI |
OR | 95% CI |
p | OR | 95% CI |
OR | 95% CI |
p | |
| Sex | ||||||||||||||||||||
| Male | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | ||||
| Female | 1.3 | .7–2.5 | 1.3 | .7–2.5 | 1.4 | .7–2.9 | 3.2 | 1.2–8.1 | * | 3.2 | 1.2–9.2 | 1.3 | .5–3.4 | 1.1 | .5–2.5 | 3.3 | 1.3–8.5 | * | ||
| Race | ||||||||||||||||||||
| White | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | ||||
| Indian | 1.5 | .9–2.5 | 1.3 | .8–2.2 | 1.1 | .6–2.1 | 1.0 | .5–2.2 | .7 | .3–1.7 | 1.8 | .9–3.7 | 1.1 | .6–2.1 | .6 | .2–1.7 | ||||
| Black | 2.1 | .6–7.5 | .3 | .1–.7 | ** | 1.1 | .4–3.2 | .1 | .0–.7 | ** | .2 | .0–.9 | .2 | .0–.8 | .5 | .2–1.7 | .2 | .0–0.8 | ||
| Poverty | ||||||||||||||||||||
| No | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | ||||
| Yes | 1.1 | .5–2.3 | 1.1 | .6–2.3 | 1.2 | .5–2.6 | .9 | .4–2.4 | .7 | .3–2.0 | .7 | .2–2.2 | 1.3 | .5–3.2 | 0.7 | .3–1.8 | ||||
| Insurance | ||||||||||||||||||||
| None | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | ||||
| Private | 1.0 | .4–2.2 | 1.8 | .9–3.8 | 2.3 | .5–9.7 | 1.3 | .5–3.3 | 2.7 | .5–13.4 | 1.2 | .3–4.4 | .4 | .2–1.0 | 1.9 | .7–5.5 | ** | |||
| Public | 1.6 | .6–4.4 | 1.8 | .8–4.1 | 5.4 | 1.2–24.0 | 2.3 | .8–6.8 | * | 2.3 | .3–20.4 | 1.5 | .5–4.9 | .5 | .2–1.2 | .8 | .2–2.3 | |||
| Diagnosis | ||||||||||||||||||||
| Other dx | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | ||||
| Depression | 1.4 | .7–2.7 | 0.7 | .4–1.2 | 2.1 | 1.0–4.5 | .5 | .2–1.2 | * | 2.7 | .9–8.1 | .9 | .3–2.3 | * | 1.1 | .5–2.4 | .7 | .3–1.7 | ||
| Anxiety | .8 | .3–1.7 | 1.7 | 1.0–3.2 | .5 | .3–1.0 | 2.3 | 1.0–5.5 | * | 1.1 | .3–3.8 | 2.7 | 1.1–6.8 | 1.1 | .5–2.4 | 2.2 | 0.8–6.0 | |||
| Substance | 1.8 | .7–4.7 | .5 | .3–.9 | * | 2.0 | .7–5.9 | .3 | .1–.8 | * | 1.4 | .4–5.5 | .4 | .2–1.2 | * | 0.8 | .3–2.2 | .6 | .2–1.6 | |
| Behavioral | 1.5 | .8–2.9 | 1.1 | .5–2.4 | 1.2 | .6–2.5 | .5 | .2–1.5 | .8 | .3–2.3 | .2 | .0–0.8 | 1.3 | .7–2.6 | .2 | .1–.7 | * | |||
INT refers to statistical interactions of predictor with developmental period. Under diagnosis, other dx refers to all disorders other than that being tested. Thus, depression status was compared to all other nondepression psychiatric cases.
A * indicates interaction is significant at p<.05.
A double check mark indicates interaction is significant at p<0.001.