Table 5.
Regression models of associations of mental health outcomes with negative healthcare experiences and support from doctors among participants in the 2018 Counting Ourselves survey with a primary care doctor or GP (N = 783).
| Variable | K10 | NSSI | Suicidal ideation | Suicide attempt | ||||
|---|---|---|---|---|---|---|---|---|
| Bivariate | Multivariate | Bivariate | Multivariate | Bivariate | Multivariate | Bivariate | Multivariate | |
| Unadjusted B | Adjusted B | Unadjusted OR | Adjusted OR | Unadjusted OR | Adjusted OR | Unadjusted OR | Adjusted OR | |
| Age | −0.31 [−0.35 to −0.27]∗∗ | −0.29 [−0.34 to −0.25]∗∗ | 0.92 [0.91 to 0.94]∗∗ | 0.93 [0.91 to 0.95]∗∗ | 0.96 [0.95 to 0.97]∗∗ | 0.97 [0.96 to 0.98]∗∗ | 0.95 [0.93 to 0.97]∗∗ | 0.97 [0.93 to 1.00]∗ |
| Gender groups | ||||||||
| Trans women | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference |
| Trans men | 3.76 [2.13 to 5.38]∗∗ | −0.47 [−2.07 to 1.14] | 2.45 [1.73 to 3.48]∗∗ | 1.16 [0.78 to 1.74] | 1.58 [1.13 to 2.19]∗ | 0.93 [0.64 to 1.36] | 1.84 [1.06 to 3.14]∗ | 1.13 [0.60 to 2.17] |
| Nonbinary AFAB | 4.72 [3.14 to 6.30]∗∗ | 0.53 [−1.13 to 2.19] | 1.98 [1.40 to 2.78]∗∗ | 0.98 [0.64 to 1.49] | 1.15 [0.84 to 1.58] | 0.79 [0.53 to 1.17]∗ | 1.04 [0.59 to 1.86] | 0.56 [0.28 to 1.13] |
| Nonbinary AMAB | −0.71 [−3.06 to 1.65] | −1.56 [−3.84 to 0.73] | 0.90 [0.52 to 1.57] | 1.04 [0.54 to 1.96] | 0.56 [0.34 to 0.92]∗ | 0.67 [0.38 to 1.16]∗ | 0.49 [0.14 to 1.32] | 0.50 [0.11 to 1.65] |
| Regions | ||||||||
| Auckland | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference |
| Wellington | −0.46 [−2.13 to 1.21] | −0.93 [−2.43 to 0.57] | 1.11 [0.78 to 1.58] | 1.04 [0.70 to 1.55] | 0.82 [0.59 to 1.14] | 0.72 [0.50 to 1.03] | 0.78 [0.44 to 1.41] | 0.94 [0.49 to 1.80] |
| Other North Island region | 1.58 [−0.35 to 3.51] | 1.26 [−0.45 to 2.97] | 1.36 [0.92 to 2.02] | 1.26 [0.82 to 1.95] | 0.92 [0.63 to 1.35] | 0.84 [0.56 to 1.26] | 0.80 [0.40 to 1.60] | 0.65 [0.29 to 1.38] |
| South Island | 2.39 [0.63 to 4.14]∗ | 1.76 [0.19 to 3.34]∗ | 1.67 [1.17 to 2.39]∗ | 1.56 [1.04 to 2.32]∗ | 1.20 [0.85 to 1.69] | 1.15 [0.79 to 1.66] | 1.30 [0.74 to 2.28] | 1.52 [0.81 to 2.88] |
| Income level | −3.93 [−4.62 to −3.25]∗∗ | −1.85 [−2.59 to −1.10]∗∗ | 0.49 [0.42 to 0.57]∗∗ | 0.79 [0.65 to 0.96]∗ | 0.60 [0.52 to 0.69]∗∗ | 0.76 [0.64 to 0.91]∗∗ | 0.47 [0.36 to 0.62]∗∗ | 0.61 [0.44 to 0.85]∗ |
| Negative Healthcare Experience Index | 0.54 [0.36 to 0.71]∗∗ | 0.48 [0.32 to 0.65]∗∗ | 1.08 [1.04 to 1.12]∗∗ | 1.08 [1.04 to 1.13]∗∗ | 1.11 [1.07 to 1.16]∗∗ | 1.09 [1.05 to 1.14]∗∗ | 1.18 [1.12 to 1.24]∗∗ | 1.20 [1.13 to 1.27]∗∗ |
| Supportive Doctor Index | −0.70 [−.94 to −0.46]∗∗ | −0.50 [−0.74 to −0.24]∗∗ | 0.93 [0.88 to 0.98]∗∗ | 0.96 [0.90 to 1.02] | 0.97 [0.93 to 1.02] | 0.97 [0.91 to 1.03] | 0.95 [0.87 to 1.03] | 0.89 [0.80 to 0.99]∗ |
Linear regressions were used for K10 (scale range = 0–40). Ordinal logistic regressions were used for NSSI (scale range = 0–4), suicidal ideation (scale range = 0–2), and suicide attempt (scale range = 0–2). Multivariate models included age (continuous), gender groups, regions, income (4 ordinal levels), and negative healthcare experience index (range = 0–18) or supportive doctor index (range = 0–7).
P < 0.05.
P < 0.001.