Table 4 Multivariable analyses of factors associated with patient–clinician discordance on unmet care needs with regard to information regarding diagnosis and/or treatment
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 | 243 | 243 | 186 | |||||||||
Severity of psychiatric problems | 1.060 | 1.010–1.112 | 0.018 | 1.034 | 0.985–1.085 | 0.179 | ||||||
Severity of externalizing problems | 1.120 | 0.971–1291 | 0.120 | |||||||||
Dangerous behavior towards self (yes/no) | 4.194 | 2.295–7.664 | < 0.001 | 2.997 | 1.621-.5.540 | < 0.001 | 3.334 | 1.478–7.517 | 0.004 | |||
Rule-breaking behavior (yes/no) | 2.288 | 1.249–4.192 | 0.007 | 2.002 | 1.063–3.769 | 0.032 | 1.920 | 0.858–4.300 | 0.113 | |||
Parent level | ||||||||||||
Degree of parental stress | 1.069 | 0.929–1.229 | 0.352 | |||||||||
Severity of parent’s psychiatric problems | 1.107 | 1.047–1.170 | < 0.001 | 1.125 | 1.054–1.200 | < 0.001 | ||||||
Family/social context level | ||||||||||||
Child growing up in a single-parent household | 2.336 | 1.076–5.072 | 0.032 | |||||||||
Degree of discordance between parent and child on the severity of the child’s mental health problems | 1.085 | 0.964–1.151 | 0.037 | |||||||||
Severity of problems with peers | 1.053 | 0.975–1.070 | 0.155 | |||||||||
Problems related to school | ||||||||||||
Severity of problems related to school | 1.015 | 0.926–1.113 | 0.746 | |||||||||