Table 3.
Unadjusted Weighted Percentages, Unadjusted and Adjusted Odds Ratios for Inquiring, Treating, and Referring for Child Mental Health Problems: Physicians in 2013 vs. 2004 for Physicians Exclusively Practicing General Pediatrics (n=452 in 2004; n=311 in 2013)*
| Unadjusted Weighted % | Unadjusted Odds Ratio, 95% CI | Adjusted‡ Odds Ratio, 95% CI | ||||||
|---|---|---|---|---|---|---|---|---|
| 2004 | 2013 | OR | 95% CI | p-val | OR | 95% CI | p-val | |
| ADHD | ||||||||
| Inquire or Screen | 67.4% | 76.2% | 1.47 | 1.05, 2.06 | .0253 | 1.39 | 0.96, 2.02 | .0851 |
| Treat/Manage/Co-manage | 65.1% | 75.0% | 1.59 | 1.14, 2.21 | .0059 | 1.77 | 1.23, 2.55 | .0023 |
| Refer | 28.6% | 18.7% | 0.58 | 0.40, 0.83 | .0033 | 0.58 | 0.39, 0.89 | .0113 |
| Child/Adolescent Depression† | ||||||||
| Inquire or Screen | 55.5% | 67.7% | 1.69 | 1.24, 2.31 | .0010 | 1.67 | 1.17, 2.36 | .0042 |
| Treat/Manage/Co-manage | 14.0% | 27.2% | 2.47 | 1.70, 3.60 | <.0001 | 3.11 | 2.02, 4.79 | <.0001 |
| Refer | 72.8% | 72.8% | 0.98 | 0.69, 1.37 | .8882 | 0.86 | 0.59, 1.26 | .4478 |
| Anxiety Disorders | ||||||||
| Inquire or Screen | 47.5% | 47.8% | 0.99 | 0.73, 1.33 | .9242 | 0.96 | 0.69, 1.33 | .8020 |
| Treat/Manage/Co-manage | 13.3% | 21.5% | 1.98 | 1.33, 2.94 | .0008 | 2.26 | 1.44, 3.56 | .0004 |
| Refer | 66.8% | 58.1% | 0.68 | 0.50, 0.93 | .0170 | 0.70 | 0.50, 0.98 | .0362 |
| Behavior Management Problems | ||||||||
| Inquire or Screen | 61.0% | 58.0% | 0.90 | 0.66, 1.21 | .4771 | 0.89 | 0.63, 1.24 | .4803 |
| Treat/Manage/Co-manage | 11.8% | 21.1% | 2.09 | 1.38, 3.15 | .0004 | 2.73 | 1.72, 4.33 | <.0001 |
| Refer | 67.8% | 68.4% | 1.02 | 0.74, 1.41 | .9042 | 0.99 | 0.69, 1.41 | .9459 |
| Learning Disabilities | ||||||||
| Inquire or Screen | 65.4% | 61.3% | 0.81 | 0.60, 1.11 | .1931 | 0.75 | 0.53, 1.05 | .0971 |
| Treat/Manage/Co-manage** | 4.9% | 20.4% | 5.79 | 3.35, 10.02 | <.0001 | 6.38 | 3.57, 11.42 | <.0001 |
| Refer | 85.2% | 67.7% | 0.37 | 0.26, 0.53 | <.0001 | 0.36 | 0.24, 0.54 | <.0001 |
Odds ratio: 2013 vs. 2004
Inquire asked in both years, and screening was added in 2013. Treat/Manage asked in both years, and co-manage was added in 2013.
Child/adolescent depression asked in one question in 2004 and in two separate questions in 2013
Models adjusted for physician age, sex, race/ethnicity, region, practice location, type of practice, ambulatory visits per week, patient race/ethnicity and patient insurance.
Due to small event size, the learning disabilities treat/manage outcome was adjusted for fewer physician/patient characteristics (physician age, race/ethnicity, type of practice; and patient race/ethnicity).