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Table 3 Child/family characteristics associated with CHP-identified psychosocial problems or parental concerns in children aged 0–12 years

From: When do parents and child health professionals agree on child’s psychosocial problems? Cross-sectional study on parent–child health professional dyads

 

CHP identifies problems

Parents have concerns

 

% CHP identified problems

Unadjusted OR (95 % CI) n = 3,870

Adjusted OR# (95 % CI) n = 3,870

% parental concern

Unadjusted OR (95 % CI) n = 3,870

Adjusted OR# (95 % CI) n = 3,870

Child: CBCL/ITSEA problem score

      

 No clinical score$

16.0

1

1

36.0

1

1

 Clinical score

47.2

4.66 (3.37–6.44)

3.43 (2.41–4.89)

82.8

8.63 (6.17–12.07)

7.69 (5.39–10.97)

Child: history of problems

      

 No$

11.7

1

1

34.9

1

1

 Yes

48.6

6.56 (5.29–8.14)

5.85 (4.75–7.21)

56.7

2.47 (2.05–2.98)

2.28 (1.91–2.73)

Environmental: life events

      

 No$

16.6

1

1

37.2

1

1

 Yes

24.8

1.60 (1.25–2.05)

1.20 (0.92–1.59)

47.3

1.54 (1.23–1.93)

1.55 (1.21–1.99)

Parenting: Parenting efficacy

      

 Higher efficacy$

15.4

1

1

34.0

1

1

 Lower efficacy

24.4

1.73 (1.43–2.09)

1.28 (1.05–1.56)

52.7

2.17 (1.88–2.51)

1.92 (1.65–2.23)

Gender

      

 Girl$

15.1

1

1

37.2

1

1

 Boy

20.0

1.38 (1.18–1.61)

1.21 (1.02–1.43)

39.5

1.10 (0.96–1.25)

0.98 (0.85–1.12)

Ethnicity

      

 Industrialized country$

16.8

1

1

38.4

1

1

 Non-Industrialized country

20.6

1.27 (1.18–1.61)

0.87 (0.66–1.14)

37.8

0.99 (0.83–1.18)

0.78 (0.64–0.94)

Age

      

 14 months$

9.0

1

1

40.4

1

1

 3 years 9 months

14,1

1.67 (1.04–2.68)

1.39 (0.89–2.16)

44.7

1.20 (0.97–1.48)

1.14 (0.91–1.42)

 5/6 years

24.6

3.20 (2.03–5.04)

2.49 (1.55–4.00)

39.6

0.96 (0.77–1.21)

0.90 (0.71–1.14)

 8–12 years

16.8

2.40 (1.53–3.77)

1.61 (1.00–2.58)

31.4

0.67 (0.53–0.85)

0.60 (0.47–0.76)

Educational level

      

 Low$

20.8

1

1

36.1

1

1

 Average

16.2

0.72 (0.59–0.88)

0.85 (0.69–1.05)

39.5

1.04 (0.66–1.64)

1.25 (1.05–1.50)

 High

14.3

0.56 (0.44–0.72)

0.70 (0.53–0.91)

40.0

1.16 (0.96–1.40)

1.39 (1.13–1.71)

 Unknown

16.9

0.74 (0.41–1.34)

0.62 (0.35–1.08)

36.9

1.14 (0.98–1.34)

1.10 (0,66–1.82)

CHP’s use of screening instruments

      

 Never$

16.6

1

1

38.3

1

1

 When indicated

19.3

1.16 (0.81–1.66)

1.53 (1.10–2.14)

39.2

1.06 (0.75–1.50)

1.00 (0.73–1.37)

 At each assessment

26.6

1.85 (1.27–2.70)

1.38 (0.86–2.22)

36.5

0.93 (0.71–1.22)

0.90 (0.72–1.14)

Combination child, parenting, environmental stressors

  

&

  

&

 Not in child and parenting/context$

10.0

1

1

29.6

1

1

 Not in child but in parenting/context

13.4

1.33 (1.01–1.76)

1.28 (0.96–1.71)

43.8

1.88 (1.59–2.22)

2.11 (1.77–2.51)

 In child, but not in parenting/context

43.9

6.40 (4.90–8.38)

6.20 (4.72–8.13)

53.3

2.78 (2.21–3.48)

3.11 (2.47–3.91)

 Both in child and parenting/context

49.1

8.16 (6.22–10.70)

7.84 (5.85–10.51)

68.1

5.20 (4.26–6.36)

6.24 (5.04–7.73)

  1. # Adjusted for other parent, child, environmental stressors and child, family, and CHP background characteristics. $ = Reference group
  2. Bold: significant ORs, p < 0.05
  3. & adjusted for child, family, CHP background characteristics