Table 4.
Multi-level Logistic Regression of Past 12-month Specialists Mental Health Treatment Regressed Upon County-Level Supply Variables, Interactions between MH Provider Supply and Race/Ethnicity, Individual- and County-Level Characteristics
| Dependent Variable: Past 12-month Specialty Mental Health Treatment | Coeff. | SE | p(t>|T|) | Coeff. | SE | p(t>|T|) | ||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Race/Ethnicity | ||||||||
| Latinos | 0.03 | 0.70 | 0.97 | −1.44 | 0.92 | 0.12 | ||
| Asians | −1.62 | 2.72 | 0.55 | −2.24 | 3.21 | 0.49 | ||
| Blacks | −2.55 | 0.94 | 0.01 | ** | −2.31 | 0.98 | 0.02 | * |
| County-Level Supply Variables | ||||||||
| Density of Hospitals with Child Wellness Program Per 10k | −7.09 | 1.70 | 0.00 | *** | ||||
| interaction with Latino Ethnicity | −9.12 | 30.49 | 0.77 | |||||
| interaction with Asian Race | 11.98 | 82.94 | 0.89 | |||||
| interaction with Black Race | 13.07 | 4.45 | 0.00 | ** | ||||
| Density of Hospitals with Ling/Translation Services Per 10k | −5.06 | 1.49 | 0.00 | *** | ||||
| interaction with Latino Ethnicity | 13.69 | 4.38 | 0.00 | ** | ||||
| interaction with Asian Race | 17.84 | 52.67 | 0.73 | |||||
| interaction with Black Race | 5.37 | 11.79 | 0.65 | |||||
| Individual-Level Covariates | ||||||||
| Socio-demographic | ||||||||
| Age | −0.10 | 0.04 | 0.02 | * | −0.11 | 0.04 | 0.01 | ** |
| Female (referent: Male) | 0.74 | 0.24 | 0.00 | ** | 0.83 | 0.25 | 0.00 | *** |
| Marital Status (referent: Wid/Sep/Div) | ||||||||
| Married/Cohabitating | 0.39 | 0.43 | 0.37 | 0.40 | 0.44 | 0.37 | ||
| Never Married | −0.65 | 0.47 | 0.17 | −0.74 | 0.48 | 0.13 | ||
| Education Level (referent: College Graduate+) | ||||||||
| 0–11 years | −1.47 | 0.54 | 0.01 | ** | −1.56 | 0.55 | 0.00 | ** |
| High School Graduate | −1.73 | 0.39 | 0.00 | *** | −1.74 | 0.39 | 0.00 | *** |
| 13–15 years | 0.06 | 0.32 | 0.84 | 0.06 | 0.33 | 0.87 | ||
| Family Income < FPL | 0.76 | 0.46 | 0.10 | 0.83 | 0.44 | 0.06 | + | |
| Employment Status (referent: Perm Disabled/Other) | ||||||||
| Employed | 0.89 | 0.55 | 0.11 | 1.12 | 0.55 | 0.04 | * | |
| Student | 1.31 | 0.67 | 0.05 | + | 1.59 | 0.68 | 0.02 | * |
| Homemaker | 0.83 | 0.83 | 0.32 | 0.79 | 0.83 | 0.34 | ||
| Unemployed | 1.95 | 0.72 | 0.01 | ** | 2.03 | 0.71 | 0.00 | ** |
| Insurance Status (referent: Uninsured) | ||||||||
| Private | −1.71 | 0.32 | 0.00 | *** | −1.64 | 0.32 | 0.00 | *** |
| Public | 0.90 | 0.29 | 0.00 | ** | 1.02 | 0.29 | 0.00 | *** |
| Health Status | ||||||||
| Past 12-month MH Disorder (referent: None) | 2.73 | 0.24 | 0.00 | *** | 2.80 | 0.24 | 0.00 | *** |
| Chronic Conditions (referent: None) | ||||||||
| Any | 1.30 | 0.23 | 0.00 | *** | 1.31 | 0.24 | 0.00 | *** |
| WHO-DAS Disability Items | ||||||||
| Days Out of Role | 0.17 | 0.04 | 0.00 | *** | 0.16 | 0.05 | 0.00 | *** |
| County-level Covariates | ||||||||
| County Sociodemographics | ||||||||
| Urbanicity/Size of County (referent: <1 million) | ||||||||
| 1 million+ | 0.13 | 0.51 | 0.80 | 0.31 | 0.51 | 0.55 | ||
| Percent Persons with Family Income <FPL | −0.08 | 0.04 | 0.04 | * | −0.07 | 0.04 | 0.06 | + |
| Unemployment Rate, 16+ | 0.04 | 0.06 | 0.46 | 0.07 | 0.06 | 0.21 | ||
| Bayesian Mental Health Disorder Rate | 0.08 | 0.07 | 0.22 | 0.07 | 0.08 | 0.36 | ||
| Constant | −3.40 | 2.45 | 0.16 | −3.52 | 2.63 | 0.18 | ||
+
p<0.1
*
p<.05
**
p<.01
***
p<.001
Abbreviations: Coeff = coefficient; SE = standard error; MH = mental health; Tx = treatment; FPL = federal poverty level; WHO-DAS = World Health Organization Disability Assessment Schedule; HMO = health maintenance organization; 10k = 10,000 people