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Table 3 Socio-demographic predictors of barriers among respondents with any 12-month mental disorder and perceived need (multivariable Poisson regression models with dichotomous outcome)

From: Treatment rates and barriers to mental health service utilisation among university students in South Africa

 

Perceived need for treatment

Any psychological/attitudinal barrier

Any practical barrier

Prefer to talk to family/friends

Want to handle on own

Unsure of effectiveness of treatments

IRR

95% CI

IRR

95% CI

IRR

95% CI

IRR

95% CI

IRR

95% CI

IRR

95% CI

Age X2(4) p

63.97

p<0.001*

46.2

p<0.001*

51.61

p<0.001*

6.53

p=0.16

42.68

p=0.16

5.35

p=0.25

17–19

20–22

1.10

1.05, 1.15

0.99

0.90, 1.09

0.94

0.88, 1.01

0.9

0.79, 1.03

0.9

0.79, 1.03

1.12

0.96, 1.31

23–25

1.11

1.06, 1.17

0.91

0.82, 1.02

0.91

0.84, 0.99

0.97

0.84, 1.12

0.97

0.84, 1.12

1.16

0.97, 1.38

26–30

1.03

0.97, 1.09

0.88

0.78, 0.98

0.84

0.77, 0.92

1.02

0.87, 1.19

1.02

0.87, 1.19

1.22

1.01, 1.47

31

0.90

0.84, 0.96

0.70

0.61, 0.80

0.71

0.64, 0.78

0.93

0.78, 1.10

0.93

0.78, 1.10

1.13

0.91, 1.39

Gender X2(2) p

171.1

p<0.001*

9.88

p=0.007*

0.36

p=0.83

4.92

p=0.09

31.99

p=0.09

7.24

p=0.027*

Male

Female

1.29

1.25, 1.34

0.92

0.85, 0.98

1

0.95, 1.05

0.98

0.89, 1.08

0.98

0.89, 1.08

0.96

0.86, 1.07

Gender non-conforming

1.32

1.19, 1.46

0.62

0.40, 0.98

0.9

0.67, 1.20

0.48

0.23, 0.97

0.48

0.23, 0.97

0.34

0.13, 0.89

Population group X2(2) p

3.6

p=0.17

74.4

p<0.001*

112.6

p<0.001*

52.82

p<0.001*

68.01

p<0.001*

130.5

p<0.001*

White

Black—other

0.95

0.90, 1.00

1.44

1.26, 1.65

1.55

1.40, 1.71

1.39

1.17, 1.65

1.39

1.17, 1.65

1.65

1.29, 2.10

Black-African

0.95

0.91, 0.99

1.6

1.44, 1.79

1.62

1.49, 1.77

1.59

1.39, 1.82

1.59

1.39, 1.82

2.44

2.01, 2.96

Student Status X2(1) p

8.25

p=0.004*

0.89

p=0.35

0.193

p=0.66

0.965

p=0.33

0.136

p=0.33

0.96,

p=0.33

Full-time degree

Part-time degree

0.93

0.90, 0.97

0.96

0.89, 1.05

0.99

0.93, 1.04

1.05

0.94, 1.17

1.05

0.94, 1.17

0.95

0.84, 1.08

Year in school X2(1) p

6.12

p=0.013*

5.93

p=0.015*

3.067

p=0.08

0.394

p=0.53

0.136,

p= 0.194,

0.96

p=0.06

1st year

All other

1.06

1.03, 1.10

0.9

0.85, 0.96

0.94

0.90, 0.98

1.03

0.95, 1.12

1.03

0.95, 1.12

0.9

0.82, 0.98

Parent Education X2(4) p

2.94

p=0.40

55.4

p<0.001*

44.02

p<0.001*

14.93

p=0.002*

9.798,

p=0.002*

31.46

p<0.001*

University Graduate

Less than secondary

0.97

0.92, 1.02

1.36

1.24, 1.50

1.19

1.11, 1.28

1.11

0.97, 1.26

1.11

0.97, 1.26

1.37

1.18, 1.58

Secondary Graduate

0.98

0.94, 1.02

1.28

1.18, 1.39

1.23

1.16, 1.31

1.2

1.08, 1.33

1.2

1.08, 1.33

1.3

1.15, 1.48

Some post-secondary education

1.01

0.97, 1.05

1.14

1.04, 1.24

1.17

1.10, 1.25

1.1

0.98, 1.23

1.1

0.98, 1.23

1.21

1.06, 1.39

Sexual orientation X2(1) p

66.32

p<0.001*

0.87

p=0.35

5.703

p=0.017*

12.7

p<0.001*

14.656

p<0.001*

0

p=0.99

Heterosexual

All other

1.21

1.17, 1.25

0.96

0.89, 1.04

0.92

0.87, 0.98

0.84

0.75, 0.94

0.84

0.75, 0.94

1

0.89, 1.13

Institution type X2(4) p

67.79

p<0.001*

24.3

p<0.001*

35.78

p<0.001*

5.221

p=0.16

19.388,

p=0.16

5.45

p=0.14

HWI

DLU

0.82

0.78, 0.85

1.24

1.13, 1.35

1.26

1.18, 1.34

1.12

1.00, 1.27

1.12

1.00, 1.27

1.11

0.96, 1.29

HDI

0.81

0.77, 0.85

1.13

1.02, 1.25

1.17

1.09, 1.26

1.12

0.98, 1.29

1.12

0.98, 1.29

1.19

1.01, 1.39

UT

0.88

0.82, 0.95

1.3

1.14, 1.48

1.17

1.06, 1.30

1.03

0.83, 1.26

1.03

0.83, 1.26

1.08

0.85, 1.35

  1. The term “White” refers to individuals who self-report that they are of European descent, while the term “Black-African” refers to those who self-report that they are of African descent and the term “Black-other” refers to those who self-identify being of ancestry other than European or Black-African
  2. Bold text indiciates a significant association (i.e p < 0.05)
  3. Bolditalics text indiciates significant associations
  4. *P < 0/05