Table 3 Unadjusted and adjusteda associations between studied variables and maintaining the link with Primary Care are provided with the use of Poisson regression models. Relative risks (RR) with 95% corresponding confidence intervals (CIs) are presented (n=330)
n | Prevalence (95%CI) | Unadjusted RR (95%CI) | Adjusteda RR (95%CI) | |
|---|---|---|---|---|
Sex | ||||
Female | 165 | 69.1 (61,8–75,6) | 1 | 1 |
Male | 176 | 45.4 (38.3–52.8) | 0.66 (0.53–0.82)*** | 0.82 (0.67–0.99)* |
Ethnicity | ||||
White | 190 | 59.5 (52.4–66.2) | 1 | 1 |
Mixed race | 119 | 58.8 (49.8–67.3) | 0.96 (0.77–1.19) | 0.95 (0.78–1.16) |
Black | 32 | 34.4 (20.4–51.6) | 0.69 (0.43–1.11) | 0.80 (0.50–1.29) |
Age | ||||
18–30 | 44 | 50.0 (34.8–64.2) | 1 | 1 |
31–45 | 113 | 53.1 (0.43–0.62) | 1.10 (0.78–1.55) | 1.00 (0.75–1.34) |
46–60 | 124 | 60.5 (51.7–68.6) | 1.22 (0.87–1.69) | 1.09 (0.83–1.44) |
61+ | 60 | 61.7 (49.0–72.9) | 1.23 (0.86–1.77) | 0.97 (0.71–1.33) |
Schooling | ||||
0 to 4 years | 65 | 60.0 (47.9–71.0) | 1 | 1 |
5 to 8 years | 144 | 58.3 (50.2–66.1) | 0.95 (0.72–1.24) | 1.05 (0.80–1.37) |
9+ years | 132 | 53.8 (45.3–62.1) | 0.94 (0.71–1.23) | 0.99 (0.76–1.30) |
Paid work status | ||||
Unemployed | 264 | 60.2 (54.2–65.9) | 1 | 1 |
Employed | 77 | 45.4 (34.8–56.5) | 0.74 (0.55–0.99)* | 0.78 (0.60–1.00)* |
Per capita incomeb | ||||
<0.5 minimum wage | 80 | 61.2 (50.3–71.2) | 1 | 1 |
0.5 to 1 minimum wage | 155 | 54.8 (47.0–62.5) | 0.89 (0.69–1.15) | 0.91 (0.73–1.14) |
>1 minimum wage | 88 | 61.4 (50.9–70.9) | 1.05 (0.80–1.37) | 1.09 (0.85–1.40) |
Diagnosis | ||||
Affective and neurotic disorders | 122 | 72.1 (63.6–79.3) | 1 | 1 |
Psychosis | 74 | 55.4 (44.1–66.2) | 0.66 (0.50–0.87)* | 0.69 (0.52–0.91)* |
Psychoactive substance misuse | 83 | 36.1 (26.6–46.9) | 0.47 (0.33–0.66)*** | 0.57 (0.41–0.80)** |
As yet undiagnosed | 62 | 56.4 (44.1–68.1) | 0.76 (0.58–0.98)* | 0.84 (0.66–1.07) |
Identification of the need for mental health care | ||||
In a crises situation | 127 | 59.1 (50.4–67.2) | 1 | 1 |
Self diagnosis followed by spontaneous demand | 95 | 55.8 (45.8–65.4) | 1.01 (0.78–1.30) | 0.92 (0.72–1.17) |
Indicated by family and friends | 74 | 45.9 (35.1–57.2) | 0.84 (0.61–1.15) | 0.86–0.65–1.15) |
In an appointment for general complaints | 45 | 71.1 (56.6–82.3) | 1.26 (0.97–1.65) | 1.09 (0.83–1.44) |
Delay until first appointmentc | ||||
Up to 7 days | 116 | 54.3 (45.2–63.1) | 1 | 1 |
Up to 30 days | 75 | 65.3 (54.0–75.1) | 1.19 (0.92–1.55) | 1.00 (0.78–1.27) |
Up to 90 days | 52 | 53.8 (40.5–66.7) | 1.02 (0.74–1.41) | 0.93 (0.69–1.25) |
Up to 1 year | 37 | 54.0 (38.4–69.0) | 1.04 (0.72–1.50) | 0.83 (0.59–1.17) |
>1 year | 42 | 54.8 (39.9–68.8) | 1.00 (0.70–1.41) | 1.07 (0.77–1.47) |
First appointment service | ||||
Primary Care | 45 | 71.1 (56.6–82.3) | 1 | 1 |
Emergency or Hospital services | 45 | 48.9 (35.0–63.0) | 0.62 (0.42–0.92)* | 1.09 (0.72–1.66) |
Outpatient Clinic | 99 | 66.7 (56.9–75.2) | 0.86 (0.67–1.09) | 1.19 (0.90–1.57) |
Psychosocial Care Centers | 78 | 43.6 (33.1–54.6) | 0.55 (0.39–0.78)** | 1.10 (0.75–1.61) |
Private Services | 74 | 54.0 (42.8–64.9) | 0.76 (0.57–1.01) | 1.19 (0.88–1.61) |
Referral source for the current service | ||||
Spontaneous demand | 116 | 43.1 (34.4–52.2) | 1 | 1 |
Primary Care | 75 | 73.3 (62.4–82.0) | 1.75 (1.32–2.30)*** | 1.38 (1.06–1.79)* |
Emergency or Hospital services | 38 | 55.3 (19.7–69.8) | 1.38 (0.95–2.02) | 1.17 (0.81–1.68) |
Outpatient Clinic | 77 | 59.7 (48.6–70.0) | 1.39 (1.01–1.90)* | 1.31 (0.98–1.75) |
Private Services | 35 | 62.9 (46.3–76.8) | 1.57 (1.11–2.23)* | 1.66 (1.19–2.32)* |
Delay to access the current serviced | ||||
Up to 7 days | 161 | 47.2 (39.6–54.9) | 1 | 1 |
Up to 30 days | 99 | 66.7 (56.9–75.2) | 1.50 (1.18–1.90)** | 1.04 (0.81–1.34) |
Up to 60 days | 37 | 64.9 (48.8–78.2) | 1.39 (1.00–1.93)* | 1.07 (0.79–1.45) |
>60 days | 33 | 69.7 (52.6–82.6) | 1.55 (1.14–2.11)* | 0.93 (0.67–1.29) |
Time attending the current service | ||||
Up to 1 year | 119 | 50.4 (41.6–59.2) | 1 | 1 |
Up to 3 years | 60 | 45.0 (33.1–57.5) | 0.84 (0.59–1.21) | 0.84 (0.62–1.15) |
Up to 5 years | 45 | 57.8 (43.3–71.0) | 1.13 (0.82–1.56) | 1.00 (0.72–1.38) |
>5 years | 117 | 69.2 (60.4–76.9) | 1.22 (0.96–1.55) | 1.11 (0.89–1.39) |
Previous mental health care in Primary Care | ||||
Did not receive | 212 | 48.6 (41.9–55.3) | 1 | 1 |
Received | 129 | 70.5 (62.2–77.7) | 1.47 (1.21–1.79)*** | 1.12 (0.92–1.38) |
CHA visits | ||||
Does not receive | 206 | 49.0 (42.3–55.8) | 1 | 1 |
Does receive | 135 | 68.9 (60.6–76.1) | 1.37 (1.12–1.67)* | 1.26 (1.04–1.53)* |
Social support perception | ||||
Weak | 59 | 76.3 (64.0–85.3) | 1 | 1 |
Regular | 137 | 56.9 (48.6–64.9) | 0.73 (0.58–0.91)* | 0.80 (0.65–0.99)* |
Strong | 145 | 49.0 (41.0–57.0) | 0.62 (0.49–0.89)*** | 0.73 (0.58–0.91)* |