Table 3.
Among Patients with Perceived Mental Health Need, Association of Individual Characteristics with Unmet Mental Health Need (No Mental Health Service Use in the Prior Year; N = 380)
| Unmet mental health need in the prior year | ||
|---|---|---|
| OR | 95% CI | |
| Age* | 1.22 | 1.004, 1.50 |
| Education† | -- | -- |
| Health literacy† | -- | -- |
| Patient in clinic ≥ 1 year† | -- | -- |
| Number of visits in past year† | 0.92 | 0.85, 0.99 |
| Comorbidities (count)‡ | -- | -- |
| Health insurance† | -- | -- |
| Ethnicity | ||
| Chinese | 1.17 | 0.67, 2.02 |
| Latino | Ref | -- |
| English proficiency-by-gender interaction§ | ||
| Women with LEP vs. EP‖ | 0.74 | 0.39, 1.38 |
| Men with LEP vs. EP‖ | 2.53 | 1.06, 6.04 |
*Per 10-year increase in age
†Variable dropped though backward elimination (p value > 0.20 for main effects)
‡Diagnoses were included from the Elixhauser comorbidities count (in alphabetical order): AIDS, alcohol abuse, anemia, cardiac arrhythmias, chronic kidney disease, chronic pulmonary disease, coagulopathy, congestive heart failure, coronary artery disease, diabetes, drug abuse, hypertension, hypothyroidism, liver disease diagnosis, lymphoma, metastatic cancer, fluid or electrolyte disorder, neurological disorder, non-metastatic cancer, obesity, paralysis, peptic ulcer disease, peripheral vascular disorder, pulmonary circulation disorder, renal failure diagnosis, rheumatoid arthritis, valvular disease, and weight loss
§Main effects not reported due to significant interaction of language and ethnicity (OR 3.98, 95% CI 2.19, 7.23; p < 0.001)
‖EP English proficiency, LEP limited English proficiency