Table 3.

Risk ratios* and 95% CIs for risks of (1) hospitalisation or emergency department visit, or (2) outpatient visit for any mental health condition (N=131 809)

	Unadjusted	Age, sex, cycle adjusted	Minimally adjusted†	Fully adjusted‡
Hospital or emergency department visit
Very satisfied or satisfied	Ref.	Ref.	Ref.	Ref.
Neither	2.12 (1.78 to 2.53)	2.23 (1.87 to 2.65)	2.02 (1.71 to 2.40)	1.58 (1.33 to 1.87)
Dissatisfied	3.73 (3.18 to 4.38)	3.99 (3.40 to 4.68)	3.16 (2.69 to 3.71)	2.15 (1.84 to 2.52)
Very dissatisfied	5.12 (3.84 to 6.83)	5.77 (4.31 to 7.72)	4.22 (3.14 to 5.67)	2.58 (1.92 to 3.47)
Outpatient visit
Very satisfied or satisfied	Ref.	Ref	Ref.	Ref.
Neither	1.40 (1.34 to 1.46)	1.38 (1.33 to 1.44)	1.37 (1.32 to 1.43)	1.18 (1.13 to 1.23)
Dissatisfied	1.76 (1.68 to 1.84)	1.76 (1.68 to 1.84)	1.70 (1.62 to 1.78)	1.33 (1.27 to 1.38)
Very dissatisfied	1.93 (1.80 to 2.07)	1.93 (1.79 to 2.08)	1.84 (1.70 to 1.98)	1.38 (1.28 to 1.50)

Source: pooled participants of the Canadian Community Health Survey surveyed from 2005 to 2014, linked to the Registered Persons Database, Canadian Institute for Health Information Discharge Abstract Database, the Ontario Mental Health Reporting System, the National Ambulatory Care Reporting System, and the Ontario Health Insurance Plan billings databases.

*Multivariable adjusted risk ratios from modified Poisson regressions (with balanced repeated replication to produce 95% CIs) comparing those who had at least one (1) hospitalisation or emergency department visit, or (2) outpatient visit for any mental health condition, per person-days of follow-up for up to 5 years following interview.

†Minimally adjusted model includes age, sex, survey cycle, immigrant status and household income.

‡Fully adjusted model includes age, sex, survey cycle, immigrant status, household income, having had any mental health visit in the 3 years prior to survey interview, smoking status, alcohol consumption, physical activity level and body mass index.