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Table 3 Agreement with statements about access to mental health services, stigma of mental illness and perceived barriers to care, by whether the respondent had a depressive/anxiety disorder, alcohol abuse or PTSD symptoms, weighted percentage (%), odds ratio and 95% confidence interval (CI).

From: The stigma of mental health problems and other barriers to care in the UK Armed Forces

  

Depressive/anxiety disorder

(n ranges from 142 to 187)

Alcohol abuse

(n ranges from 146 to 191)

PTSD symptoms

(n ranges from 84 to 106)

 

% agree among those without any diagnosis (n ranges from 357 to 453)

% agree among those with diagnosis

Odds ratioa (95% CI)

% agree among those with diagnosis

Odds ratioc (95% CI)

% agree among those with symptoms

Odds ratioe (95% CI)

   

Unadjusted

Adjustedb

 

Unadjusted

Adjustedd

 

Unadjusted

Adjustedf

Access

          

I don't know where to get help

13.0

29.7

2.83

(1.40-5.74)

2.44

(1.04-5.72)

19.9

1.66

(0.85-3.27)

1.02

(0.47-2.19)

33.5

3.38

(1.26-9.04)

3.77

(1.13-12.6)

I don't have adequate transport

2.1

14.1

7.57

(2.25-25.4)

5.45

(1.69-17.6)

11.2

5.80

(1.79-18.8)

1.75

(0.68-4.51)

2.5

1.20

(0.31-4.58)

2.23

(0.44-11.4)

It's difficult to schedule an appointment

26.6

37.1

1.62

(0.85-3.10)

2.03

(1.02-4.05)

37.4

1.65

(0.89-3.03)

2.13

(1.08-4.20)

38.0

1.69

(0.69-4.15)

1.99

(0.69-5.78)

It would be difficult to get time off work for treatment

15.3

38.4

3.45

(1.79-6.66)

3.06

(1.51-6.21)

20.1

1.39

(0.72-2.69)

1.26

(0.58-2.74)

33.3

2.77

(1.17-6.57)

2.74

(1.08-6.92)

Stigma

          

It would be too embarrassing

33.6

54.6

2.37

(1.27-4.43)

1.73

(0.88-3.42)

40.6

1.35

(0.76-2.41)

1.06

(0.57-1.98)

70.5

4.72

(2.15-10.4)

4.21

(1.73-10.2)

It would harm my career

45.3

50.8

1.25

(0.67-2.34)

1.25

(0.63-2.49)

53.1

1.36

(0.75-2.48)

1.49

(0.76-2.91)

57.5

1.63

(0.62-4.27)

2.31

(0.76-7.06)

Members of my unit might have less confidence in me

71.9

68.5

0.85

(0.43-1.67)

0.73

(0.34-1.57)

83.5

1.98

(0.90-4.35)

3.14

(1.36-7.25)

77.9

1.38

(0.47-4.09)

1.47

(0.46-4.68)

My unit bosses might treat me differently

69.7

76.1

1.38

(0.68-2.82)

1.01

(0.45-2.26)

81.5

1.92

(0.91-4.02)

2.01

(0.92-4.40)

76.8

1.44

(0.48-4.29)

1.75

(0.58-5.33)

My bosses would blame me for the problem

11.2

35.3

4.31

(2.05-9.04)

3.41

(1.56-7.42)

24.9

2.62

(1.25-5.52)

2.06

(0.95-4.46)

45.7

6.66

(2.71-16.4)

6.47

(2.63-15.9)

I would be seen as weak by those who are important to me

36.1

57.6

2.41

(1.27-4.55)

2.36

(1.19-4.68)

51.7

1.90

(1.04-3.45)

1.94

(1.00-3.75)

57.3

2.38

(0.95-5.95)

2.34

(0.92-5.96)

Attitudes to mental health care/providers

          

Mental health care doesn't work

2.9

6.3

2.25

(0.43-11.7)

2.18

(0.35-13.5)

5.0

1.79

(0.43-7.40)

2.26

(0.32-16.1)

1.4

0.48

(0.09-2.42)

0.85

(0.14-5.13)

I don't trust mental health professionals

3.7

13.6

4.09

(1.38-12.2)

3.25

(0.81-13.1)

10.8

3.15

(1.06-9.34)

3.30

(0.94-11.6)

11.0

3.24

(1.16-9.05)

2.22

(0.49-9.95)

My visit would not remain confidential

11.4

19.2

1.84

(0.86-3.94)

1.93

(0.86-4.33)

22.2

2.21

(1.05-9.34)

2.41

(1.16-5.03)

21.8

2.15

(0.98-4.74)

2.12

(0.83-5.45)

I would think less of a team member or colleague if I knew they were receiving mental health counselling

7.8

15.9

2.25

(0.89-5.73)

1.81

(0.69-4.75)

22.6

3.47

(1.60-7.51)

2.87

(1.23-6.71)

8.4

1.08

(0.43-2.72)

1.00

(0.26-3.76)

My bosses discourage the use of mental health services

4.6

11.9

2.79

(1.05-7.43)

2.71

(0.99-7.42)

6.0

1.32

(0.49-3.55)

1.09

(0.28-4.22)

19.4

4.95

(1.46-16.7)

2.36

(0.59-9.53)

I've had bad experiences with mental health professionals

7.1

12.7

2.21

(0.89-5.48)

2.27

(0.89-5.83)

19.3

3.61

(1.47-8.84)

4.95

(1.92-12.8)

27.1

5.63

(1.88-16.8)

3.94

(1.18-13.2)

  1. Those responding 'neither agree or disagree' are excluded (number excluded ranges from 26 to 188).
  2. a For the odds of agreeing among those with a depressive/anxiety disorder relative to the odds of agreeing among those without a depressive/anxiety disorder
  3. b Adjusted for age, Service and childhood vulnerability
  4. c For the odds of agreeing among those with alcohol abuse relative to the odds of agreeing among those without alcohol abuse
  5. d Adjusted for age, Service, childhood vulnerability, marital status, medical downgrading status and sex
  6. e For the odds of agreeing among those with PTSD symptoms relative to the odds of agreeing among those without PTSD symptoms
  7. f Adjusted for deployment status, Service, childhood vulnerability and educational status
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BMC Health Services Research

ISSN: 1472-6963

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