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Table 3 Baseline predictors of lack of treatment initiation for depression among Veterans (validation n = 38,281)

From: Predictive modeling of initiation and delayed mental health contact for depression

 

Estimate

Wald Chi-Square

OR d

OR 95%CI

Age (years)

0.003

5.252

1.003

1.000-1.006

Gender (Male)

0.378

86.839

1.460

1.348–1.581

Race/Ethnicity

    

White non-Hispanic

0

-

1

-

Black non-Hispanic

− 0.086

6.507

0.917

0.859-0.980

Hispanic

− 0.048

1.572

0.953

0.884-1.028

Other a

0.077

3.038

1.080

0.991-1.177

Marital Status

    

Married

0

-

1

-

Divorced/Separated/Widowed

− 0.034

1.196

0.967

0.910-1.027

Never married

0.106

11.626

1.112

1.046–1.182

Driving distance to SC b

< 0.001

0.985

1.000

1.000-1.001

Rural (Yes)

− 0.048

2.040

0.953

0.892-1.018

Service connected (No)

0.515

208.448

1.673

1.560–1.795

NOSOS Score (year)

− 0.048

1.448

0.953

0.881-1.031

Health care cost (year)

< 0.001

0.907

1.000

1.000–1.000

Total health care visits (year)

0.002

91.355

1.002

1.001–1.002

History of MH treatment type c

    

None

0

-

1

-

Psychotherapy

0.218

12.856

1.244

1.104–1.402

Antidepressants

0.004

0.009

1.004

0.922-1.094

Both

0.003

0.002

1.003

0.876-1.149

Comorbid MH disorders

    

Adjustment

− 0.113

2.917

0.893

0.784-1.017

Anxiety

− 0.121

2.991

0.886

0.773-1.016

Alcohol

− 0.043

0.453

0.958

0.845-1.086

Substance

− 0.523

16.850

0.593

0.462-0.761

PTSD

− 0.077

1.507

0.926

0.819-1.047

None

− 0.009

0.018

0.991

0.868-1.131

Depression screen

    

Negative PHQ-9 screen

0

-

1

-

Positive PHQ-9 screen

− 0.159

2.469

0.853

0.699 − 1.040

PHQ-9 score

− 0.034

17.254

0.967

0.951-0.982

Anhedonia item

0.048

1.071

1.049

0.958-1.148

Suicide item

− 0.033

0.517

0.968

0.884-1.059

First depression diagnosis

    

Mild episode

0.269

35.612

1.309

1.198–1.430

Single episode

0.064

2.910

1.066

0.990-1.148

  1. a Other = American Indian/Alaska Native, Asian, Native Hawaiian/Other Pacific Islander, Unknown
  2. b SC = secondary care center
  3. c Psychotherapy or antidepressants received for other disorders than depression
  4. d Bold ORs represent significant ORs (< 0.90 or > 1.1 and OR 95%CI ~ = 0)
  5. PHQ-9 = Patient Health Questionnaire-9