Mental Health Services Use Predicted by Number of Mental Health Problems and Gender in a Total Population Study
Table 5
Logistic regression analyses showing odds ratios (OR) for services with number of symptoms and gender as predictors, for identified and unidentified children separately.
Predictor
Identified children
Unidentified children
Not ref.
Ref.
OR (95% CI)
Not ref.
Ref.
OR (95% CI)
Child and adolescent mental health
0 symptoms
3592
5
1 (ref)
1885
9
1 (ref)
1 symptom
1180
10
6.0 (2.0–17.5)
402
3
1.5 (0.4–5.4) n.s.
2 symptoms
516
12
15.6 (5.5–44.5)
199
6
5.4 (1.9–15.5)
3 symptoms
281
14
32.6 (11.6–91.2)
103
8
14.3 (5.4–38.2)
≥4 symptoms
494
112
147.2 (59.7–363.0)
199
38
30.0 (14.1–64.2)
Girls
3117
42
1 (ref)
1291
10
1 (ref)
Boys
3023
115
1.8 (1.2–2.6)*
1435
52
2.4 (1.2–4.9)**
School psychology service
0 symptoms
3537
61
1 (ref)
1856
38
1 (ref)
1 symptom
1132
59
3.0 (2.0–4.2)
372
33
4.0 (2.5–6.6)
2 symptoms
466
62
7.1 (4.9–10.3)
172
33
8.8 (5.4–14.6)
3 symptoms
230
65
14.8 (10.1–21.5)
83
28
13.9 (8.0–24.3)
≥4 symptoms
322
286
47.2 (34.9–63.8)
102
135
57.4 (37.7–87.6)
Girls
3010
147
1 (ref)
1237
64
1 (ref.)
Boys
2745
393
2.2 (1.8–2.7)
1293
194
1.6 (1.1–2.2)*
Health visiting nurse/physician
0 symptoms
3484
114
1 (ref)
1851
43
1 (ref)
1 symptom
1056
134
3.9 (3.0–5.0)
368
37
4.3 (2.8–6.8)
2 symptoms
423
105
7.4 (5.6–9.9)
170
35
8.8 (5.5–14.2)
3 symptoms
205
90
13.0 (9.5–17.8)
78
33
18.2 (11.0–30.2)
≥4 symptoms
289
317
32.4 (25.3–41.5)
138
99
30.9 (20.8–46.0)
Girls
2858
299
1 (ref)
1229
72
1 (ref)
Boys
2664
474
1.2 (1.0–1.4)**
1318
169
1.3 (0.9–1.7) n.s.
School support
0 symptoms
3438
159
1 (ref)
1749
145
1 (ref)
1 symptom
1059
131
2.6 (2.1–3.3)
310
95
3.6 (2.7–4.7)
2 symptoms
410
118
5.9 (4.5–7.6)
135
70
5.9 (4.2–8.3)
3 symptoms
205
90
8.8 (6.5–11.8)
61
50
8.6 (5.6–13.1)
≥4 symptoms
275
331
24.0 (19.2–30.2)
69
168
26.2 (18.7–36.6)
Girls
2885
272
1 (ref)
1142
159
1 (ref)
Boys
2569
569
1.8 (1.5–2.2)
1133
354
1.5 (1.2–1.9)
, ; nonsignificant values are marked with n.s. and shown in bold. All other values are statistically significant at .
