Reference: CHP-parent agreement on the child having no psychosocial problems (n = 2,086) | ||||
---|---|---|---|---|
% children on which CHP and parent agree there are problems | Parents have concerns but CHP identifies no problems OR (95 % CI)# n = 1,107 | Parents have no concerns but CHP identifies problems OR (95 % CI)# n = 302 | Parents and CHP agree that child has problems OR (95 % CI)# n = 375 | |
Child: CBCL/ITSEA total problem score | ||||
No clinical score$ | 8.2 | 1 | 1 | 1 |
Clinical score | 40.0 | 8.57 (5.03–14.61) | 4.44 (2.10–9.37) | 22.38 (12.56–39.88) |
Child: history of problems | ||||
No$ | 5.6 | 1 | 1 | 1 |
Yes | 31.4 | 1.93 (1.51–2.46) | 5.78 (4.31–7.76) | 11.26 (8.53–14.87) |
Environmental: Stressful situations | ||||
No$ | 9.2 | 1 | 1 | 1 |
Yes | 13.7 | 1.77 (1.36–2.30) | 1.55 (1.05–2.27) | 1.50 (1.03–2.20) |
Parenting: Parenting efficacy | ||||
Higher efficacy$ | 7.5 | 1 | 1 | 1 |
Lower efficacy | 17.0 | 1.82 (1.52–2.19) | 1.11 (0.81–1.52) | 2.45 (1.87–3.20) |
Gender | ||||
Girl$ | 8.1 | 1 | 1 | 1 |
Boy | 11.4 | 0.96 (0.83–1.12) | 1.25 (0.97–1.61) | 1.20 (0.93–1.53) |
Ethnicity | ||||
Industrialized country$ | 9.4 | 1 | 1 | 1 |
Non-Industrialized country | 11.0 | 0.78 (0.62–0.98) | 0.86 (0.61–1.21) | 0.66 (0.47–0.93) |
Age | ||||
14 months$ | 5.6 | 1 | 1 | 1 |
3 years 9 months | 8.8 | 1.15 (0.91–1.44) | 1.66 (0.97–2.84) | 1.46 (0.92–2.31) |
5/6 years | 13.5 | 0.84 (0.68–1.04) | 3.25 (2.04–5.17) | 2.55 (1.71–3.82) |
8–12 years | 8.4 | 0.58 (0.46–0.73) | 1.83 (1.13–2.96) | 1.00 (0.65–1.55) |
Educational level | ||||
Low$ | 11.0 | 1 | 1 | 1 |
Average | 9.5 | 1.25 (1.04–1.51) | 0.85 (0.63–1.14) | 1.14 (0.85–1.53) |
High | 8.0 | 1.43 (1.17–1.74) | 0.76 (0.54–1.07) | 1.05 (0.74–1.47) |
Unknown | 7.7 | 1.24 (0.68–2.25) | 0.81 (0.32–2.05) | 0.60 (0.21–1.74) |
CHP’s use of screening instruments | ||||
Never$ | 9.2 | 1 | 1 | 1 |
When indicated | 11.5 | 0.93 (0.73–1.19) | 1.35 (0.90–2.02) | 1.61 (1.10–2.35) |
At each assessment | 13.5 | 0.91 ((0.64–1.30) | 1.27 (0.80–2.01) | 1.03 (0.64–1.67) |
Combination child, parent, environmental stressors | & | & | & | |
Not in child and parenting/context$ | 4.0 | 1 | 1 | 1 |
Not in child but in parenting/context | 7.3 | 2.08 (1.73–2.51) | 1.21 (0.85–1.73) | 2.51 (1.77–3.58) |
In child, but not in parenting/context | 25.8 | 2.76 (2.07–3.67) | 6.26 (4.39–8.91) | 15.39 (10.84–21.86) |
Both in child and parenting/context | 36.4 | 5.05 (3.61–7.07) | 6.67 (4.28–10.40) | 35.58 (24.11–52.48) |