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Table 4 Baseline predictors of Veterans delaying* treatment for depression by 1 month to more than 1 year relative to those starting treatment within the first week of a depression diagnosis (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)

0.007

34.754

1.007

1.005–1.010

Gender (Male)

0.064

5.369

1.066

1.010–1.125

Race/Ethnicity

    

White non-Hispanic

0

-

1

-

Black non-Hispanic

− 0.054

4.114

0.948

0.900-0.998

Hispanic

− 0.012

0.146

0.988

0.931 − 1.050

Other a

− 0.040

1.114

0.961

0.892-1.035

Marital Status

    

Married

0

-

1

-

Divorced/Separated/Widowed

0.012

0.230

1.012

0.965-1.061

Never married

− 0.034

1.712

0.966

0.918-1.017

Driving distance to SC b

− 0.001

6.029

0.999

0.999-1.000

Rural (Yes)

− 0.080

8.554

0.923

0.876-0.974

Service connected (No)

0.335

72.651

1.397

1.294–1.509

NOSOS Score (year)

− 0.052

3.092

0.949

0.896-1.006

Health care cost (year)

< 0.001

3.403

1.000

1.000–1.000

Total health care visits (year)

< 0.001

1.009

1.000

0.999-1.000

History of MH treatment type c

    

None

0

-

1

-

Psychotherapy

0.596

85.265

1.815

1.599–2.059

Antidepressants

0.239

40.270

1.270

1.180–1.368

Both

0.719

122.326

2.052

1.806–2.331

Comorbid disorders

    

Adjustment

− 0.165

10.392

0.848

0.767-0.937

Anxiety

0.252

21.486

1.286

1.156–1.430

Alcohol

0.016

0.096

1.016

0.920-1.122

Substance

− 0.068

0.662

0.934

0.792-1.101

PTSD

− 0.170

12.123

0.843

0.766-0.928

None

− 0.184

12.015

0.832

0.750-0.923

Depression screen

    

Negative PHQ-9 screen

0

-

1

-

Positive PHQ-9 screen

0.258

5.664

1.294

1.047–1.601

PHQ-9 score

0.033

15.873

1.033

1.017–1.050

Anhedonia item

− 0.002

0.001

0.998

0.913-1.092

Suicide item

0.009

0.043

1.009

0.930-1.094

First depression diagnosis

    

Mild depression episode

− 0.326

101.093

0.722

0.677-0.769

Single depression episode

− 0.201

47.528

0.818

0.773-0.866

  1. *Treatment delay was coded as 1 = > 1 year, 2 = < 1 year−6 months, 3 = 6−3 months, 4 = 3−1 month, 5 = 1 month−1 week, 6 = < 1 week (reference group). Therefore, ORs < 0.90 reflect odds of higher delay and ORs > 1.1 reflect odds of lower delay
  2. a Other = American Indian/Alaska Native, Asian, Native Hawaiian/Other Pacific Islander, Unknown
  3. b SC = secondary care center
  4. c Psychotherapy or antidepressants received for other disorders than depression
  5. d Bold ORs represent significant ORs (< 0.90 or > 1.1 and OR 95%CI ~ = 0)
  6. PHQ-9 = Patient Health Questionnaire-9