Table 3.
Determinants of mental health care service utilization (reference category dependent variable: early treatment users)
Delayed treatment users a | ||||
---|---|---|---|---|
Univariate analyses | Multivariate analyses | |||
Unadjusted OR d (95% CI e) | p | Adjusted OR d (95% CI e) | p | |
Socio-demographic factors b | ||||
Male | 1.17 (0.65–2.12) | 0.60 | 1.09 (0.58–2.04) | 0.80 |
Younger age (18–44 years old) | 1.37 (0.77–2.43) | 0.28 | 1.26 (0.69–2.32) | 0.45 |
Education (ref. higher professional education, university) | ||||
primary/lower secondary education | 0.97 (0.47–2.02) | 0.94 | 1.11 (0.50–2.46) | 0.80 |
higher secondary education | 1.03 (0.52–2.06) | 0.93 | 1.13 (0.54–2.34) | 0.75 |
Partner | 0.83 (0.47–1.49) | 0.54 | 0.78 (0.42–1.46) | 0.43 |
Job | 1.73 (0.91–3.28) | 0.09 | 1.61 (0.80–3.25) | 0.18 |
Need factors b | ||||
No comorbid anxiety disorder | 1.38 (0.76–2.52) | 0.29 | 1.13 (0.58–2.20) | 0.71 |
Shorter duration episode past 12 months (<3 months) | 1.16 (0.63–2.13) | 0.64 | 0.92 (0.48–1.77) | 0.82 |
Disability days on work and/or normal daily activities (<2 weeks) | 2.37 (1.22–4.60) | 0.01 | 1.85 (0.91–3.75) | 0.09 |
Major depressive disorder between baseline and follow-up c | 1.69 (0.97–3.21) | 0.06 | 2.19 (1.16–4.13) | 0.02 |
Severity depressive symptoms (ref. (very) severe) | ||||
none/mild | 3.33 (1.57–7.10) | 0.002 | 3.23 (1.41–7.38) | 0.005 |
moderate | 1.35 (0.65–2.77) | 0.41 | 1.21 (0.57–2.59) | 0.62 |
P for trend | 0.003 | 0.02 |
In order to adjust for possible differences between the different cohorts, we added an identification variable for these cohorts in the regression models
aReference category dependent variable: early treatment users
bDeterminants recorded at baseline
cDeterminant recorded between baseline and first measurement for the first cohort (T0-T1) and between T1-T2 for the second cohort
d OR Odds ratio
e CI Confidence Interval