Table 3.
Education and income. Incidence rate ratio for health care visits within 4 months index date and total 16 months
| Education | ||||||
|---|---|---|---|---|---|---|
| ≤ 4 months before | 16 months total | |||||
| ny | Exposure | Exposure | ||||
| Total N | 14,182,120 days (N = 29,327 pts.) | Mean; var | aIRR (CI) | 14,182,120 days (N = 29,327 pts.) | Mean; var | aIRR (CI) |
| GP | ||||||
| < 10 years | 23607/7696 (3.1) | 3.1;6.7 | Ref | 98890/9786 (10.1) | 10.1;72.2 | Ref |
| 10–12 years | 28286/9681 (2.9) | 2.9;5.6 | 1.0 (0.9–1.0) | 119939/12560 (9.5) | 9.5;54.0 | 0.9 (0.9–0.9) |
| 12+ years | 13509/4875 (2.8) | 2.8;4.6 | 0.9 (0.9–0.9) | 56141/6393 (8.8) | 8.8;44.8 | 0.8 (0.8–0.8) |
| GP-MHC | ||||||
| < 10 years | 1499/940 (1.6) | 1.6;0.9 | Ref | 10711/3253 (3.3) | 3.3;4.3 | Ref |
| 10–12 years | 2654/1541 (1.7) | 1.7;1.1 | 1.1 (1.0–1.1) | 17951/5009 (3.6) | 3.6;4.7 | 1.1 (1.0–1.1) |
| 12+ years | 1871/1066 (1.8) | 1.8;1.1 | 1.1 (1.0–1.1) | 10570/2813 (3.8) | 3.8;4.8 | 1.1 (1.1–1.1) |
| Psychologist | ||||||
| < 10 years | 1319/409 (3.2) | 3.2;4.2 | Ref | 7782/1215 (6.4) | 6.4;25.3 | Ref |
| 10–12 years | 3277/897 (3.7) | 3.7;5.9 | 1.1 (1.1–1.2) | 20969/2697 (7.8) | 7.8;32.5 | 1.2 (1.2–1.2) |
| 12+ years | 2513/668 (3.8) | 3.8;6.4 | 1.2 (1.1–1.3) | 16005/1858 (8.6) | 8.6;33.8 | 1.3 (1.3–1.4) |
| Private psychiatrist | ||||||
| < 10 years | 979/391 (2.5) | 2.5;4.8 | Ref | 6906/1003 (6.9) | 6.9;35.9 | Ref |
| 10–12 years | 1016/385 (2.6) | 2.6;4.9 | 1.1 (1.0–1.2) | 8100/1086 (7.5) | 7.4;40.1 | 1.1 (1.0–1.1) |
| 12+ years | 637/241 (2.6) | 2.6;4.0 | 1.1 (1.0–1.2) | 5941/710 (8.4) | 8.4;50.9 | 1.2 (1.2–1.3) |
| Outpatient psychiatry | ||||||
| < 10 years | 2037/582 (3.5) | 3.5;12.3 | Ref | 19807/2037 (9.7) | 9.7;136.2 | Ref |
| 10–12 years | 1830/514 (3.6) | 3.5;15.1 | 1.0 (1.0–1.1) | 23508/2026 (11.6) | 11.6;166.3 | 1.3 (1.2–1.3) |
| 12+ years | 838/214 (3.9) | 3.9;19.9 | 1.2 (1.1–1.3) | 11040/871 (12.7) | 12.7;173.7 | 1.4 (1.4–1.5) |
| Emergency, short admission | ||||||
| < 10 years | 479/368 (1.3) | 1.3;1.0 | Ref | 1002/635 (1.6) | 1.6;2.5 | Ref |
| 10–12 years | 477/395 (1.2) | 1.2;0.4 | 1.0 (0.8–1.1) | 970/702 (1.4) | 1.4;0.8 | 0.9 (0.8–1.0) |
| 12+ years | 245/184 (1.3) | 1.3;1.0 | 1.1 (0.9–1.2) | 485/319 (1.5) | 1.5;3.0 | 1.0 (0.9–1.1) |
| Hospital admission | ||||||
| < 10 years | 345/281 (1.2) | 1.2;0.4 | Ref | 989/602 (1.6) | 1.6;1.8 | Ref |
| 10–12 years | 287/250 (1.1) | 1.1;0.2 | 0.9 (0.8–1.1) | 960/644 (1.5) | 1.5;1.6 | 1.0 (0.9–1.0) |
| 12+ years | 143/125 (1.1) | 1.1;0.2 | 0.9 (0.8–1.2) | 453/308 (1.5) | 1.5;1.1 | 0.9 (0.8–1.0) |
| Income | ||||||
|---|---|---|---|---|---|---|
| ≤ 4 months before | 16 months total | |||||
| Exposure/Total N | 14,744,394 days (N = 30,593 pts.) | Mean; var | aIRR (CI) | 14,744,394 days (N = 30,593 pts.) | Mean; var | aIRR (CI) |
| GP | ||||||
| Lower 33% | 22785/7632 (3.0) | 3.0;5.9 | Ref | 93807/9852 (9.5) | 9.5;60.6 | Ref |
| Middle quantile | 24578/8009 (3.1) | 3.0;6.1 | 1.0 (1.0–1.0) | 103029/10207 (10.1) | 10.0;59.9 | 1.0 (1.0–1.0) |
| Upper 33% | 21079/7483 (2.8) | 2.8;5.2 | 0.9 (0.9–0.9) | 89973/9808 (9.2) | 9.1;54.2 | 0.9 (0.9–0.9) |
| GP-MHC | ||||||
| Lower 33% | 1777/1103 (1.6) | 1.6;0.9 | Ref | 11435/3499 (3.3) | 3.3;4.5 | Ref |
| Middle quantile | 2099/1210 (1.7) | 1.7;1.1 | 1.0 (1.0–1.1) | 13961/3877 (3.6) | 3.6;4.7 | 1.1 (1.1–1.1) |
| Upper 33% | 2332/1338 (1.7) | 1.7;1.1 | 1.0 (1.0–1.1) | 14994/4059 (3.7) | 3.7;4.6 | 1.1 (1.1–1.1) |
| Psychologist | ||||||
| Lower 33% | 1813/506 (3.6) | 3.6;5.7 | Ref | 10564/1432 (7.4) | 7.4;33.4 | Ref |
| Middle quantile | 2547/698 (3.6) | 3.6;6.2 | 1.1 (1.0–1.1) | 15434/2010 (7.7) | 7.7;32.4 | 1.1 (1.0–1.1) |
| Upper 33% | 2862/801 (3.6) | 3.6;5.6 | 1.1 (1.0–1.2) | 19429/2429 (8.0) | 8.0;30.6 | 1.1 (1.1–1.2) |
| Private psychiatrist | ||||||
| Lower 33% | 1289/532 (2.4) | 2.4;4.4 | Ref | 9303/1307 (7.1) | 7.1;38.9 | Ref |
| Middle quantile | 848/307 (2.8) | 2.8;4.8 | 1.2 (1.1–1.3) | 6493/849 (7.6) | 7.6;43.4 | 1.1 (1.0–1.1) |
| Upper 33% | 610/227 (2.7) | 2.7;4.3 | 1.2 (1.1–1.3) | 5901/754 (7.8) | 7.8;41.1 | 1.1 (1.1–1.2) |
| Outpatient psychiatry | ||||||
| Lower 33% | 2605/687 (3.8) | 3.8;15.2 | Ref | 25132/2256 (11.1) | 11.1;163.6 | Ref |
| Middle quantile | 1579/453 (3.5) | 3.5;14.5 | 1.0 (0.9–1.0) | 18172/1702 (10.7) | 10.7;139.5 | 1.0 (1.0–1.1) |
| Upper 33% | 748/234 (3.2) | 3.2;11.6 | 0.9 (0.8–1.0) | 13124/1169 (11.2) | 11.2;166.6 | 1.1 (1.1–1.2) |
| Emergency, short admission | ||||||
| Lower 33% | 527/412 (1.3) | 1.3;0.6 | Ref | 1050/696 (1.5) | 1.5;1.9 | Ref |
| Middle quantile | 418/321 (1.3) | 1.3;0.9 | 1.0 (0.9–1.2) | 872/561 (1.6) | 1.5;2.4 | 1.0 (0.9–1.1) |
| Upper 33% | 314/256 (1.2) | 1.2;0.7 | 1.0 (0.9–1.2) | 630/463 (1.4) | 1.4;1.1 | 1.0 (0.8–1.1) |
| Hospital admission | ||||||
| Lower 33% | 343/289 (1.2) | 1.2;0.3 | Ref | 1001/642 (1.6) | 1.6;1.6 | Ref |
| Middle quantile | 289/236 (1.2) | 1.2;0.4 | 1.0 (0.9–1.2) | 906/546 (1.7) | 1.7;2.1 | 1.1 (1.0–1.2) |
| Upper 33% | 183/163 (1.1) | 1.1;0.2 | 1.0 (0.8–1.2) | 586/426 (1.4) | 1.4;0.7 | 1.0 (0.9–1.1) |
Adjusted for: gender, age group, cohabitation, previous mental health problem or substance abuse
IRR Incidence rate ratio, CI 95% confidence interval, aIRR adjusted IRR, var. variance, GP-MHC general practitioner-mental health counseling (talk therapy)