Table 3.
Multivariate predictors of reasons for not seeking mental health treatment among soldiers with a 30-day DSM-IV disorder who did not seek treatment at any time in the past 12 months (n=744)
| Reason for not seeking treatment | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Predictors | No perceived need1 (n=744) |
Low perceived need2 (n=208) |
Any structural barrier2 (n=208) |
Any attitudinal barrier2 (n=208) |
|||||
| OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | ||
| I. Socio-demographic characteristics | |||||||||
| a. Gender | |||||||||
| Male | 3.9* | (1.9–7.9) | 0.9 | (0.3–2.7) | 1.3 | (0.6–3.1) | 1.1 | (0.6–2.2) | |
| Female | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| χ21 | 14.2* | 0.1 | 0.6 | 0.1 | |||||
| b. Race/ethnicity | |||||||||
| Non-Hispanic White | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| Non-Hispanic Black | 1.0 | (0.5–1.7) | 0.9 | (0.4–2.3) | 1.1 | (0.4–2.6) | 0.7 | (0.4–1.3) | |
| Hispanic | 0.4* | (0.2–0.7) | 0.9 | (0.3–2.3) | 1.9* | (1.1–3.3) | 3.0* | (1.4–6.3) | |
| Other | 0.9 | (0.3–2.3) | 1.3 | (0.3–6.0) | 2.9 | (0.5–16.4) | 1.8 | (0.7–4.8) | |
| χ23 | 10.6* | 0.4 | 6.0 | 13.1* | |||||
| c. Marital status | |||||||||
| Currently married | 1.1 | (0.6–2.1) | 0.8 | (0.4–1.8) | 1.7* | (1.0–3.0) | 0.9 | (0.5–1.7) | |
| Previously married | 1.5 | (0.3–6.8) | 2.7 | (0.5–15.4) | 1.4 | (0.5–4.2) | 0.1* | (0.0–0.4) | |
| Never married | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| χ22 | 0.4 | 2.7 | 4.4 | 17.0* | |||||
| II. Army career characteristics | |||||||||
| a. Rank | |||||||||
| Lower-ranking enlisted (E1–E4) | 1.0 | (0.4–2.4) | 1.0 | (0.2–5.6) | 0.7 | (0.3–1.4) | 0.1* | (0.1–0.3) | |
| Higher-ranking enlisted (E5–E9) | 0.6 | (0.3–1.4) | 3.2 | (0.8–11.7) | 0.6 | (0.3–1.3) | 0.3* | (0.1–0.5) | |
| Officer (W1–5/O1–9) | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| χ22 | 2.6 | 9.2* | 1.8 | 19.9* | |||||
| b. Number of deployments | |||||||||
| 0 | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| 1 | 0.8 | (0.4–1.6) | 0.8 | (0.5–1.5) | 1.3 | (0.8–2.3) | 1.0 | (0.6–1.7) | |
| 2 | 0.7 | (0.3–1.4) | 0.5 | (0.2–1.3) | 0.2* | (0.1–0.5) | 0.5 | (0.2–1.3) | |
| 3+ | 1.5 | (0.7–3.6) | 0.1* | (0.0–0.4) | 0.7 | (0.3–1.6) | 1.8 | (0.7–4.4) | |
| χ23 | 3.8 | 12.4* | 24.7* | 14.5* | |||||
| c. Command | |||||||||
| Forces Command (FORSCOM) | 1.2 | (0.7–2.2) | 1.9 | (0.8–4.8) | 0.9 | (0.6–1.5) | 0.5 | (0.2–1.3) | |
| Area Commands3 | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| Special Operations Command (USASOC) | 1.0 | (0.4–2.1) | 5.4 | (0.6–48.5) | 0.3 | (0.1–1.5) | 0.5 | (0.2–1.6) | |
| Medical Command (MEDCOM) | 1.4 | (0.4–4.6) | 1.1 | (0.1–12.4) | 0.2 | (0.0–1.1) | 0.4 | (0.1–1.3) | |
| Training and Doctrine Command (TRADOC) | 1.4 | (0.4–4.2) | 0.7 | (0.0–13.2) | 0.5 | (0.1–4.3) | 0.7 | (0.2–3.2) | |
| All other Commands4 | 0.7 | (0.4–1.1) | 16.8* | (6.0–46.9) | 0.6 | (0.3–1.3) | 0.8 | (0.2–2.9) | |
| χ25 | 16.1* | 51.7* | 10.0 | 4.1 | |||||
| III. Mental disorder characteristics | |||||||||
| a. Internalizing disorders | |||||||||
| Major depressive disorder (MDD) | 0.4* | (0.2–0.8) | 0.2* | (0.1–0.4) | 0.7 | (0.4–1.3) | 1.1 | (0.7–2.0) | |
| Bipolar disorder (BPD) | 0.2* | (0.1–0.6) | 0.8 | (0.2–2.3) | 1.4 | (0.6–3.0) | 1.7 | (0.6–4.9) | |
| Generalized anxiety disorder (GAD) | 1.3 | (0.6–2.8) | 1.4 | (0.5–3.6) | 0.8 | (0.4–1.4) | 0.8 | (0.3–1.9) | |
| Panic disorder (PD) | 1.3 | (0.4–4.5) | 2.2 | (0.6–8.5) | 2.3* | (1.2–4.4) | 7.8* | (2.9–20.8) | |
| Post-traumatic stress disorder (PTSD) | 0.4* | (0.2–0.7) | 1.6 | (0.7–3.6) | 1.0 | (0.5–1.9) | 0.7 | (0.5–1.2) | |
| χ25 | 31.5* | 25.6* | 9.3 | 31.1* | |||||
| b. Externalizing disorders | |||||||||
| Attention-deficit/hyperactivity disorder (ADHD) | 1.0 | (0.5–2.1) | 0.7 | (0.3–1.9) | 1.1 | (0.7–1.9) | 0.8 | (0.4–1.6) | |
| Intermittent explosive disorder (IED) | 0.8 | (0.5–1.2) | 0.8 | (0.3–2.0) | 0.9 | (0.5–1.6) | 0.8 | (0.5–1.3) | |
| Substance use disorder | 1.0 | (0.4–2.2) | 0.7 | (0.2–2.4) | 1.2 | (0.7–2.0) | 1.9* | (1.0–3.3) | |
| χ23 | 1.2 | 1.0 | 1.3 | 5.3 | |||||
| c. Duration of disorder | |||||||||
| 8–12 months | 0.7 | (0.3–1.5) | 1.5 | (0.5–4.1) | 2.0* | (1.0v4.0) | 2.3* | (1.0–5.1) | |
| 5–7 months | 0.5 | (0.2–1.1) | 0.8 | (0.3–2.7) | 1.5 | (0.6–3.6) | 0.9 | (0.5–1.9) | |
| 1–4 months | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| χ22 | 2.8 | 1.2 | 4.1 | 5.1 | |||||
| d. Severity of impairment | |||||||||
| Severe role impairment | 1.3 | (0.7–2.3) | 0.7 | (0.4–1.3) | 1.8* | (1.1–3.0) | 1.5 | (0.6–3.5) | |
| Not severe | 1.0 | – | 1.0 | – | 1.0 | – | 1.0 | – | |
| χ21 | 0.7 | 1.4 | 4.9* | 0.7 | |||||
Among all AAS respondents with a 30-day DSM-IV disorder who did not seek treatment (n=744).
Among the subset of AAS respondents with a 30-day DSM-IV disorder who did not seek treatment and had perceived need (n=208).
Area Commands include Africa (USARAF), Central (USARCENT), North (USARNORTH), South (USARSO), Europe (USAREUR), and Pacific (USARPAC).
Other Commands include Materials Command (AMC), all other Service Component Commands (ASCC), and all other Direct Reporting Units (DRU).
See http://www.army.mil/info/organization/ for a complete description of the U.S. Army Command Structure.
p<0.05, two-sided test.