Table 3 Multivariable analyses of factors associated with patient–clinician discordance on unmet care needs with regard to mental health problems
Child multivariable model | Child and parent multivariable model | Child, parent and family/social context multivariable model | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | OR | 95% CI | P | N | OR | 95% CI | P | N | OR | 95% CI | P | |
Child level | ||||||||||||
Severity of psychiatric problems | 243 | 243 | 186 | |||||||||
Severity of internalizing problems | 1.072 | 1.011–1.137 | 0.020 | 0.992 | 0.938–1.048 | 0.769 | ||||||
Dangerous behavior | 1.041 | 0.905–1.199 | 0.572 | |||||||||
Dangerous behavior towards self (yes/no) | 4.187 | 2.187–8.015 | < 0.001 | 3.813 | 1.918-.7.579 | < 0.001 | 3.716 | 1.558–8.867 | 0.003 | |||
Rule-breaking behavior (yes/no) | 2.927 | 1.517–5.647 | 0.001 | 2.398 | 1.151–4.995 | 0.019 | 3.086 | 1.273–7.481 | 0.013 | |||
Age 4–11 12–18 | 243 90 153 | 1.304 | 0.662–2.567 | 0.443 | ||||||||
Parent level | ||||||||||||
Degree of parental stress | 1.311 | 1.110–1.549 | 0.001 | 1.233 | 1.021–1.490 | 0.030 | ||||||
Severity of parent’s psychiatric problems | 1.180 | 1.104–1.261 | 0.001 | 1.137 | 1.054–1.227 | 0.001 | ||||||
Family/social context level | ||||||||||||
Child growing up in a single-parent household | 3.022 | 1.300–7.025 | 0.010 | |||||||||
Degree of discordance between parent and child on the child’s mental health problems | 1.082 | 0.997–1.174 | 0.058 | |||||||||
Severity of problems with peers | 1.083 | 0.885–1.196 | 0.117 | |||||||||
Problems related to school | ||||||||||||
Severity of problems related to school | 1.013 | 0.908–1.130 | 0.816 | |||||||||