Factors associated with reported service use for mental health problems by residents of rural and remote communities: cross-sectional findings from a baseline survey

Table 4 Relationships between current health status characteristics and reported professional and non-professional contacts for mental health problems (N = 2101)

Health status characteristic	Sub-group n	Professional service utilisation		Non-professional service utilisation
		n (%)	OR (99% CI)	n (%)	OR (99% CI)
Overall mental health:
Good to excellent [0]	1825	223 (12)		145 (7.9)
Poor/fair [3]	273	140 (51)	6.49 (4.47, 9.43)**	95 (35)	5.55 (3.64, 8.45)**
Overall physical health:
Good to excellent [0]	1671	242 (14)		161 (9.6)
Poor/fair [1]	426	121 (28)	2.25 (1.59, 3.18)**	79 (19)	2.33 (1.54, 3.52)**
Kessler K-10 (current distress) score:
10-15 [0]	1481	145 (9.8)		89 (6.0)
16-24 [1]	478	139 (29)	3.43 (2.41, 4.88)**	98 (21)	3.61 (2.37, 5.49)**
25-50 [3]	131	77 (59)	11.5 (6.80, 19.5)**	54 (41)	10.4 (5.87, 18.5)**
AUDIT:
0-7 [0]	1785	294 (16)		191 (11)
8+ [1]	294	65 (22)	1.40 (0.91, 2.14)	47 (16)	1.70 (1.03, 2.78)*
PHQ-9 symptomatology:
No symptoms [0]	1686	213 (13)		137 (8.1)
Depressive symptoms [2]	400	147 (37)	3.62 (2.58, 5.07)**	104 (26)	3.77 (2.54, 5.58)**
Recent adverse life events:
0-2 [0]	1644	223 (14)		131 (8.0)
3-5 [1]	359	96 (27)	2.12 (1.47, 3.06)**	80 (22)	3.06 (2.02, 4.64)**
>5 [3]	46	29 (63)	7.74 (3.36, 17.8)**	19 (41)	5.63 (2.40, 13.2)**
Smoking status:
No [0]	1820	283 (16)		191 (10)
Yes [1]	265	78 (29)	1.95 (1.31, 2.91)**	47 (18)	1.53 (0.95, 2.48)

Note: Based on a series of hierarchical logistic regressions, in which socio-demographic characteristics were entered simultaneously at step 1 (Table 3), followed by each of the current health status variables separately at step 2 (Table 4): * p < 0.01; ** p < 0.001. Only participants with the full set of socio-demographic characteristics were included. OR: Odds Ratio; CI: Confidence Interval. Values in square brackets in the left-hand column reflect the weight given to each response category in calculating a Provisional Service Need Index.

ISSN: 1472-6963