From: Generalized anxiety disorder in primary care: mental health services use and treatment adequacy
Pharmacotherapya | Psychotherapyb | Overallc | |||||||
---|---|---|---|---|---|---|---|---|---|
(N = 357) | (N = 345) | (N = 307) | |||||||
Multivariate Associations (Final Model) | Multivariate Associations (Final Model) | Multivariate Associations (Final Model) | |||||||
Bivariate Associations | OR (95 % CI) | P | Bivariate Associations | OR (95 % CI) | P | Bivariate Associations | OR (95 % CI) | P | |
P | P | P | |||||||
Predisposing factors | |||||||||
Gender (female) | .613 | 0.95 (0.52-1.76) | .873 | .086 | 2.16 (1.00-4.68) | .052 | .526 | 1.32 (0.77-2.31) | 0.311 |
Age group | |||||||||
25-44 (ref) | 1.00 | ||||||||
18-24 | .384 | .475 | 0.90 (0.32-2.50) | .836 | .581 | ||||
45-59 | .181 | .008 | 0.48 (0.25-0.92) | .026 | .938 | ||||
60+ | .806 | .083 | 0.45 (0.12-1.72) | .246 | .598 | ||||
Education | |||||||||
High school degree or less (ref) | 1.00 | 1.00 | |||||||
Collegial degree | .790 | 0.86 (0.46-1.60) | .638 | .705 | 0.75 (0.35-1.60) | .455 | .723 | ||
University degree | .091 | 0.56 (0.28-1.31) | .107 | .003 | 1.96 (0.98-3.94) | .057 | .337 | ||
Marital status | |||||||||
Single (ref) | 1.00 | ||||||||
Married/Living together | .853 | 0.91 (0.48-1.72) | .775 | .163 | .568 | ||||
Separated/Divorced/Widowed | .001 | 2.99 (1.40-6.39) | .005 | .114 | .160 | ||||
Enabling factors | |||||||||
Patient perception of income | |||||||||
Poor/Very poor (ref) | 1.00 | ||||||||
Sufficient | .810 | .437 | 1.18 (0.57-2.48) | .651 | .192 | ||||
Financially secure | .456 | .018 | 2.03 (0.80-5.14) | .134 | .813 | ||||
Private medication insurance coverage (Yes) | .302 | .252 | .483 | ||||||
Private insurance coverage for complementary health services (Yes) | .612 | .068 | 1.16 (0.61-2.21) | .658 | .712 | ||||
Has a family physician (Yes) | .026 | 3.11 (1.30-7.43) | .011 | .591 | .069 | 1.90 (1.01-3.71) | 0.051 | ||
GAD detected by health professional in the past 12 months (Yes) | <.001 | 3.89 (2.18-6.94) | <.001 | .006 | 2.94 (1.56-5.52) | .001 | <.001 | 3.14 (1.98-5.04) | <0.001 |
Needs factors | |||||||||
Comorbid major depression | .028 | 1.68 (0.90-3.16) | .106 | .201 | .009 | 1.82 (1.09-3.08) | 0.024 | ||
Comorbid anxiety disorder | .973 | .022 | 0.51 (0.28-0.94) | .031 | .135 | ||||
Comorbid chronic illnesses | |||||||||
0 | .154 | .805 | .161 | ||||||
1 | .121 | .683 | .104 | ||||||
2 | .359 | .602 | .743 | ||||||
3 or more (ref) | |||||||||
Random factor (Variance components) | |||||||||
Clinic ID (Intercept) | 0.11 | 0.00 | 0.00 |