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Table 3 Priority status for care within the network by socio-demographic and clinical characteristics, Belgium, Mental Health Network Reform 2013: results of the logistic regressions (n = 2490)

From: Assessment of the priority target group of mental health service networks within a nation-wide reform of adult psychiatry in Belgium

Covariates Model 1(2) Model 2(2) Model 3(2)
  OR 95 % CI OR 95 % CI OR 95 % CI
Sex (Ref. male)       
 Female 0.74*** (0.68–0.81) 0.97 (0.79–1.19) 0.92 (0.74–1.14)
Age 0.99*** (0.98–0.99) 0.99** (0.98–1.00) 0.98*** (0.98–0.99)
Nationality (Ref. Foreign)       
 Belgian 0.61** (0.45–0.83) 0.76 (0.51–1.12) 0.74 (0.49–1.13)
Education Group (Ref. > Upper secondary school)       
 Low (<=Lower secondary school) 0.91 (0.76–1.09) 1.24* (1.01–1.52) 1.35** (1.09–1.68)
Social integration Score (SIX) (Ref. > =4–6)       
  < 1 0.53*** (0.47–0.59) 0.63** (0.47–0.83) 0.62** (0.44–0.85)
 2–3 1.57*** (1.39–1.77) 1.25 (0.97–1.62) 1.26* (0.96–1.65)
Diagnosis (Ref. Drug-related disorders)       
 Mental disability 0.60* (0.39–0.93) 0.68 (0.38–1.19) 0.56 (0.30–1.04)
 Schizophrenia and psychotic disorders 1.54*** (1.28–1.85) 1.86*** (1.38–2.50) 1.58** (1.15–2.17)
 Anxiety disorders 0.61* (0.41–0.90) 0.64 (0.38–1.08) 0.84 (0.48–1.46)
 Mood disorders 0.94 (0.76–1.16) 1.07 (0.77–1.49) 1.02 (0.73–1.45)
 Personality disorders 1.53** (1.16–2.00) 1.67* (1.13–2.46) 1.65* (1.08–2.50)
 Other 1.41* (1.07–1.86) 1.68** (1.14–2.48) 1.51 (1.00–2.27)
HoNOS Score (Ref. = <4/48)       
 5–11 1.89*** (1.52–2.36) 1.05 (0.81–1.36) 1.02 (0.76–1.36)
 12–17 2.31*** (1.83–2.92) 1.26 (0.96–1.66) 1.30 (0.96–1.77)
  > 17 3.15*** (2.48–4.01) 1.67*** (1.27–2.21) 1.73*** (1.28–2.35)
Type of service (Ref. Psychiatric wards and hospitals)       
 Sheltered accommodation services 1.17 (0.84–1.63)    1.28 (0.86–1.90)
 Primary care and community mental health services 0.79* (0.62–1.00)    0.75* (0.56–1.00)
 Rehabilitation and social care services 0.25*** (0.20–0.32)    1.05 (0.65–1.70)
 Crisis resolution and assertive outreach teams 3.40*** (2.34–4.95)    2.85*** (1.90–4.28)
Network orientation (Ref. Hospital-centred care)       
 Primary care centred 0.79 (0.59–1.05)    0.88 (0.53–1.45)
 Social care centred 0.80* (0.65–0.98)    0.71* (0.54–0.93)
Number of services in the network (Ref. Medium)(1)       
 Small 1.11 (0.91–1.35)     
 Large 1.53*** (1.24–1.88)     
  1. (1)We did not include network size in Model 3 because of its high association with network orientation (Cramer’s V: 0.599 and 0.869; p < 0.0001)
  2. (2)Model 1 presents bivariate association; Model 2 includes all clinical and socio-demographic variables; Model 3 adds services and network features to Model 2
  3. *p < 0.05; **p < 0.01; ***p < 0.001