Table 2.
Multi-Level Logistic Regression Models of Mental Health Care Reporting Coefficients of County-Level Supply Variables and their interactions with Race/Ethnicity
| Model 1 | Model 2 | Model 3 | Model 4 | |||||
|---|---|---|---|---|---|---|---|---|
| Past 12-month Any Formal Mental Health Treatment | ||||||||
|
| ||||||||
| Null Model between variance | 0.28 | |||||||
|
| ||||||||
| County with Community Mental Health Center | −0.65 | * | −0.27 | −0.92 | ** | −0.29 | ||
| interaction with Latino Ethnicity | 1.10 | 0.42 | 1.23 | 0.36 | ||||
| interaction with Asian Race | 1.85 | 1.06 | 2.00 | 0.88 | ||||
| interaction with Black Race | 3.05 | * | 2.48 | 3.25 | * | 2.08 | ||
| Between county Variance | 0.31 | 0.89 | 0.22 | 0.26 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.0718 | 0.5038 | 0.0436 | 0.6152 | ||||
|
| ||||||||
| Density of Specialty Mental Health Provider Per 10k | −0.01 | −0.02 | + | −0.02 | + | −0.02 | ||
| interaction with Latino Ethnicity | 0.01 | 0.00 | 0.01 | −0.01 | ||||
| interaction with Asian Race | 0.03 | 0.01 | 0.02 | −0.01 | ||||
| interaction with Black Race | 0.06 | * | 0.06 | 0.07 | * | 0.05 | ||
| Between county Variance | 0.34 | 0.95 | 0.26 | 0.25 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.1310 | 0.4342 | 0.1158 | 0.4950 | ||||
|
| ||||||||
| HMO Penetration % | −1.29 | −2.49 | * | −1.85 | * | −3.27 | * | |
| interaction with Latino Ethnicity | 0.89 | 0.36 | 0.69 | −0.48 | ||||
| interaction with Asian Race | 8.73 | 5.23 | 8.67 | 5.89 | ||||
| interaction with Black Race | 7.64 | ** | 8.49 | * | 7.76 | ** | 7.42 | + |
| Between county Variance | 0.28 | 0.77 | 0.19 | 0.07 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.0739 | 0.2327 | 0.0672 | 0.2859 | ||||
|
| ||||||||
| Density of Specialty MH Providers Less than 35 Per 10k | −1.75 | −1.50 | −1.96 | −1.21 | ||||
| interaction with Latino Ethnicity | 2.18 | 1.19 | 2.36 | 1.09 | ||||
| interaction with Asian Race | 2.54 | 1.82 | 2.70 | 1.57 | ||||
| interaction with Black Race | 2.86 | 2.52 | 3.10 | 2.26 | ||||
| Between county Variance | 0.36 | 0.94 | 0.29 | 0.27 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.6640 | 0.9015 | 0.6114 | 0.9065 | ||||
|
| ||||||||
| Density of Hospitals with Community and/or Teen Outreach Services Per 10k | −0.64 | −1.31 | * | −0.58 | −0.22 | |||
| interaction with Latino Ethnicity | 0.03 | 1.95 | 0.86 | 3.43 | ||||
| interaction with Asian Race | −26.72 | −21.17 | −27.74 | −23.12 | ||||
| interaction with Black Race | 3.84 | 4.74 | 3.94 | 3.32 | ||||
| Between county Variance | 0.34 | 0.86 | 0.28 | 0.25 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.5085 | 0.5829 | 0.4799 | 0.6981 | ||||
|
| ||||||||
| Density of Hospitals with Child Wellness Program Per 10k | −1.70 | *** | −0.38 | −1.73 | *** | 0.89 | ||
| interaction with Latino Ethnicity | −5.94 | −9.19 | −6.21 | −10.45 | ||||
| interaction with Asian Race | −12.06 | −4.64 | −11.42 | −7.08 | ||||
| interaction with Black Race | 5.52 | + | 5.20 | 5.22 | 3.95 | |||
| Between county Variance | 0.21 | 0.87 | 0.16 | 0.28 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.3671 | 0.6670 | 0.4078 | 0.7348 | ||||
|
| ||||||||
| Density of Hospitals with Alc/Drug Abuse Inpatient Care Per 10k | −7.02 | * | −9.14 | + | −7.52 | * | −5.88 | |
| interaction with Latino Ethnicity | 10.46 | * | 13.48 | * | 11.22 | * | 12.39 | * |
| interaction with Asian Race | 30.18 | 36.76 | 31.72 | 32.88 | ||||
| interaction with Black Race | 22.67 | 23.07 | 24.39 | 20.00 | ||||
| Between county Variance | 0.36 | 0.92 | 0.27 | 0.26 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.0957 | 0.1491 | 0.0678 | 0.1645 | ||||
|
| ||||||||
| Density of Hospitals with Alc/Drug Abuse Outpatient Care Per 10k | −3.00 | ** | −2.54 | −3.46 | ** | −0.84 | ||
| interaction with Latino Ethnicity | 7.04 | * | 8.27 | * | 7.98 | ** | 8.23 | + |
| interaction with Asian Race | 1.17 | 6.84 | 2.78 | 7.35 | ||||
| interaction with Black Race | 11.06 | 9.60 | 11.79 | 5.67 | ||||
| Between county Variance | 0.32 | 0.91 | 0.22 | 0.28 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.0704 | 0.1771 | 0.0334 | 0.2151 | ||||
|
| ||||||||
| Density of Hospitals with Emergency Department Per 10k | −1.75 | *** | −2.49 | *** | −1.77 | *** | −1.84 | * |
| interaction with Latino Ethnicity | 0.63 | 3.84 | 0.68 | 4.57 | ||||
| interaction with Asian Race | −33.04 | −18.28 | −33.26 | −18.46 | ||||
| interaction with Black Race | 0.89 | 2.45 | 0.90 | 2.07 | ||||
| Between county Variance | 0.06 | 0.07 | 0.08 | 0.07 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.9310 | 0.5618 | 0.9290 | 0.6082 | ||||
|
| ||||||||
| Density of Hospitals with Ling/Translation Services Per 10k | −2.16 | *** | −1.21 | −2.15 | *** | 0.40 | ||
| interaction with Latino Ethnicity | 4.05 | 5.72 | 4.51 | 5.62 | ||||
| interaction with Asian Race | −6.29 | 5.15 | −6.48 | 3.60 | ||||
| interaction with Black Race | 10.08 | 6.07 | 10.06 | 1.04 | ||||
| Between county Variance | 0.16 | 0.81 | 0.11 | 0.29 | ||||
| p-value of F-test (White=Latino=Asian=Black) | 0.3344 | 0.5011 | 0.2917 | 0.5634 | ||||
+
p<0.1
*
p<.05
**
p<.01
***
p<.001
Model 1 includes size of the county, and race/ethnicity and county-level supply variable main effects
Model 2 includes covariates from Model 1 plus individual-level covariates
Model 3 includes covariates from Model 1 plus county-level covariates
Model 4 includes covariates from Model 1 plus county- and individual-level covariates.
Race/ethnicity indicator variables, individual-level covariates and county-level covariates are centered around their sample mean.