Table 2.
Logistic regressions of reasonsa for unmet need on sociodemographic characteristics, health status, and insurance
| Cost/Insurance | Stigma | Minimization | Low effectiveness | Accessibility barriers | |
|---|---|---|---|---|---|
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Age (18‐25) | |||||
| 26‐34 | 1.20 (0.83‐1.74) | 0.39* (0.17‐0.93) | 1.19 (0.78‐1.82) | 0.92 (0.45‐1.86) | 0.78 (0.29‐2.03) |
| 35‐49 | 1.52* (1.03‐2.25) | 0.21** (0.07‐0.58) | 0.82 (0.51‐1.34) | 0.49 (0.19‐1.23) | 0.26** (0.07‐0.98) |
| 50‐64 | 3.33*** (2.10‐5.31) | 0.10** (0.02‐0.57) | 0.20** (0.07‐0.55) | 0.48 (0.12‐1.87) | 1.08 (0.28‐4.09) |
| 65 and older | 2.45 (0.78‐4.63) | 1.02 (0.94‐1.21) | 0.92 (067‐1.33) | 2.39 (0.39‐9.44) | 1.11 (0.98‐1.28) |
| Men (ref: women) | 1.05 (0.78‐1.41) | 0.51 (0.22‐1.18) | 0.55*** (0.36‐0.84) | 1.23 (0.68‐2.25) | 0.55 (0.21‐1.42) |
| Marital status (ref: single) | |||||
| Sep/Div./Wid. | 0.68 (0.43‐1.06) | 3.30** (1.30‐5.38) | 1.09 (0.63‐1.91) | 1.2 (0.47‐3.04) | 2.45** (1.85‐6.03) |
| Married | 0.59* (0.38‐0.94) | 1.24 (0.43‐3.59) | 1.27 (0.75‐2.17) | 0.46 (0.15‐1.43) | 0.63 (0.12‐2.18) |
| Education (ref: <H.S.) | |||||
| Completed H.S. | 0.97 (0.67‐1.40) | 0.44 (0.34‐2.35) | 1.6* (1.09‐2.55) | 1.31 (0.54‐3.14) | 0.47 (0.19‐1.14) |
| Some college | 1.16 (0.77‐1.74) | 0.77 (0.60‐3.13) | 1.42* (1.02‐2.45) | 2.91** (1.20‐6.05) | 0.79 (0.31‐2.02) |
| College degree and higher | 1.07 (0.64‐1.78) | 1.93* (1.13‐5.34) | 2.14** (1.13‐3.98) | 3.79** (1.35‐9.64) | 0.35* (0.09‐0.96) |
| Residence (ref: big metro) | |||||
| Small metro | 1.04 (0.76‐1.43) | 0.41 (0.55‐2.31) | 0.93 (0.63‐1.38) | 1.13 (0.59‐2.16) | 1.03 (0.46‐2.31) |
| Non‐metro | 1.11 (0.71‐1.75) | 0.75 (0.51‐4.01) | 0.87 (0.47‐1.60) | 2.19* (1.15‐5.01) | 1.30* (0.44‐3.67) |
| Poverty (ref: <100% of FPL) | |||||
| 100%‐199% | 1.22 (0.86‐1.75) | 0.21 (0.18‐1.16) | 1.2 (0.77‐1.86) | 1.49 (0.73‐3.06) | 0.66 (0.35‐2.10) |
| 200% + FPL | 0.89 (0.60‐1.31) | 0.42 (0.43‐2.30) | 1.1 (0.68‐1.79) | 1.37 (0.64‐2.92) | 0.49 (0.14‐1.75) |
| Work (ref: unemployed) | |||||
| Not in labor force | 1.72 (1.13‐2.61) | 0.40 (0.27‐2.16) | 0.85 (0.49‐1.45) | 0.82 (0.36‐1.86) | 0.59 (0.21‐1.65) |
| Employed | 1.34 (0.94‐1.91) | 0.40 (0.48‐2.23) | 1.02 (0.66‐1.58) | 0.55 (0.26‐1.13) | 0.37** (0.15‐0.90) |
| Excellent/V. good/Good health | 0.91 (0.65‐1.27) | 0.41** (0.19‐0.85) | 1.16 (0.74‐1.78) | 1.29 (0.61‐2.71) | 1.34 (0.58‐3.06) |
| Substance abuse or dependence | 0.83 (0.55‐1.28) | 1.16 (0.48‐2.75) | 1.06 (0.63‐1.78) | 2.5** (1.31‐4.81) | 1.87** (1.23‐4.66) |
| K6 scores | 1.03 (0.98‐1.16) | 0.96 (0.90‐1.07) | 0.94 (0.90‐1.88) | 1.03 (0.98‐1.10) | 1.02 (0.95‐1.10) |
| Mean WHODAS | 0.99 (0.91‐1.19) | 1.04 (0.99‐1.10) | 1.02 (0.99‐1.09) | 1.01 (0.96‐1.10) | 1.05 (0.99‐1.11) |
| Insurance (ref: uninsured) | |||||
| Public | 0.21*** (0.15‐0.31) | 2.45 (0.93‐5.45) | 2.32** (1.42‐3.79) | 1.73 (0.77‐3.88) | 1.16 (0.47‐2.84) |
| Private | 0.47*** (0.32‐0.70) | 2.3** (1.09‐6.55) | 2.14* (1.28‐3.58) | 2.13 (0.95‐4.77) | 1.24 (0.41‐3.78) |
aBecause reasons are not mutually exclusive, the odds of reporting each reason for unmet need are in comparison to odds of not reporting that reason at all. The estimates are not comparable across reasons.
*P < 0.05, **P < 0.01, ***P < 0.001.