Table 2 Unadjusted and adjusteda associations between studied variables and timely access to care in Specialized Mental Health Services are provided with the use of Poisson regression models
n | Prevalence (95% CI) | Unadjusted RR (95% CI) | Adjusteda RR (95% CI) | |
|---|---|---|---|---|
Sex | ||||
Female | 160 | 47.5 (39.9–55.2) | 1 | 1 |
Male | 170 | 71.8 (64.6–78.0) | 1.49 (1.21–1.83)*** | 1.13 (0.91–1.39) |
Ethnicity | ||||
White | 184 | 54.9 (47.7–61.9) | 1 | 1 |
Mixed race | 115 | 67.8 (58.8–75.7) | 1.31 (1.07–1.59)* | 1.13 (0.95–1.36) |
Black | 31 | 61.3 (43.8–76.3) | 1.08 (0.75–1.55) | 0.82 (0.63–1.08) |
Age | ||||
18–30 | 43 | 69.8 (54.9–81.4) | 1 | 1 |
31–45 | 110 | 65.4 (56.2–73.7) | 0.91 (0.71–1.16) | 0.98 (0.78–1.23) |
46–60 | 119 | 59.7 (50.7–68.0) | 0.84 (0.66–1.08) | 0.95 (0.73–1.23) |
61+ | 58 | 43.1 (31.2–55.9) | 0.61 (0.43–0.88)* | 0.87 (0.60–1.26) |
Schooling | ||||
0 to 4 years | 64 | 78.1 (66.6–86.5) | 1 | 1 |
5 to 8 years | 138 | 60.9 (52.5–68.6) | 0.86 (0.69–1.07) | 0.89 (0.70–1.13) |
9+ years | 128 | 50.0 (41.5–58.5) | 0.66 (0.51–0.86)* | 0.79 (0.60–1.03) |
Paid work status | ||||
Unemployed | 253 | 60.5 (54.3–66.3) | 1 | 1 |
Employed | 77 | 58.4 (47.3–68.8) | 1.05 (0.84–1.31) | 1.15 (0.93–1.41) |
Per capita incomeb | ||||
< 0.5 minimum wage | 78 | 66.7 (55.6–76.1) | 1 | 1 |
0.5 to 1 minimum wage | 151 | 61.6 (53.6–68.9) | 0.96 (0.77–1.19) | 0.82 (0.66–1.03) |
> 1 minimum wage | 86 | 51.2 (40.8–61.4) | 0.72 (0.54–0.98)* | 0.74 (0.55–0.99)* |
Diagnosis | ||||
Affective and neurotic disorders | 119 | 37.8 (29.6–46.8) | 1 | 1 |
Psychosis | 69 | 68.1 (56.4–77.9) | 1.77 (1.30–2.40)*** | 1.47 (1.06–2.04)* |
Psychoactive substance misuse | 80 | 82.5 (72.7–89.3) | 2.18 (1.67–2.84)*** | 1.70 (1.24–2.32)** |
As yet undiagnosed | 40 | 64.5 (52.1–75.3) | 1.62 (1.17–2.24)* | 1.31 (0.93–1.83) |
Identification of the need for mental health care | ||||
In a crises situation | 124 | 66.1 (57.4–73.9) | 1 | 1 |
Self diagnosis followed by spontaneous demand | 93 | 55.9 (45.8–65.6) | 0.77 (0.60–0.99)* | 0.86 (0.68–1.08) |
Indicated by family and friends | 70 | 71.4 (59.9–80.7) | 1.07 (0.87–1.32) | 1.08 (0.85–1.36) |
In an appointment for general complaints | 43 | 32.6 (20.5–47.5) | 0.44 (0.27–0.74)* | 0.53 (0.32–0.87)* |
Delay until first appointmentc | ||||
Up to 7 days | 114 | 80.7 (72.5–86.9) | 1 | 1 |
Up to 30 days | 74 | 50.0 (38.9–61.1) | 0.56 (0.42–0.74)*** | 0.70 (0.53–0.93)* |
Up to 90 days | 51 | 39.2 (27.0–52.9) | 0.46 90.31–0.68)*** | 0.46 (0.31–0.68)*** |
Up to 1 year | 34 | 29.4 (16.8–46.2) | 0.42 (0.24–0.73)* | 0.43 (0.25–0.74)* |
> 1 year | 40 | 75.0 (59.8–85.8) | 0.93 (0.75–1.15) | 0.79 (0.61–1.01) |
First appointment service | ||||
Primary Care | 45 | 40.0 (27.0–54.5) | 1 | 1 |
Emergency or Hospital services | 44 | 59.1 (44.4–72.3) | 1.34 (0.83–2.16) | 1.00 (0.62–1.59) |
Outpatient Clinic | 94 | 50.0 (40.1–59.9) | 1.16 (0.75–1.80) | 1.42 (0.94–2.13) |
Psychosocial Care Centers | 76 | 84.2 (74.4–90.7) | 2.13 (1.45–3.13)*** | 1.33 (0.89–1.97) |
Private Services | 71 | 60.6 (48.9–71.1) | 1.39 (0.90–2.15) | 1.13 (0.73–1.76) |
Referral source for the current service | ||||
Spontaneous demand | 110 | 72.7 (63.7–80.2) | 1 | 1 |
Primary Care | 74 | 35.1 (25.2–46.5) | 0.51 (0.36–0.72)*** | 0.61 (0.40–0.93)* |
Emergency or Hospital services | 37 | 48.6 (33.4–64.1) | 0.52 (0.41–0.94)* | 0.86 (0.57–1.29) |
Outpatient Clinic | 74 | 68.9 (57.7–78.3) | 0.99 (0.82–1.21) | 1.01 (0.79–1.28) |
Private Services | 35 | 65.7 (49.1–79.1) | 0.85 (0.63–1.17) | 0.84 (0.63–1.13) |
Time attending the current service | ||||
Up to 1 year | 114 | 69.3 (60.3–77.0) | 1 | 1 |
Up to 3 years | 59 | 50.8 (38.4–63.2) | 0.71 (0.52–0.98)* | 0.75 (0.58–0.98)* |
Up to 5 years | 43 | 48.8 (34.6–63.2) | 0.66 (0.45–0.97)* | 0.80 (0.54–1.19) |
>5 years | 114 | 59.6 (50.5–68.2) | 0.87 (0.71–1.08) | 1.06 (0.82–1.38) |