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Table 3 Demographic, socioeconomic, health care utilization, conflict, and displacement related factors associated with mental health disorders, multivariable logistic regression models

From: Prevalence of mental disorders and epidemiological associations in post-conflict primary care attendees: a cross-sectional study in the Northern Province of Sri Lanka

Variablea,b

Level

Anxiety (N = 463)

Depression (N = 422)

PTSD (N = 143)

Somatoform (N = 278)d

Psychosis (N = 172)e

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

Age Group

18 to 34

0.4 (0.1–1.6)

0.0035

   

0.4 (0.2–0.9)

0.0035

35 to 49

1

1

50 to 64

0.9 (0.5–1.7)

0.7 (0.4–1.1)

65 +

0.6 (0.3–1.3)

0.5 (0.3–0.8)

Gender

Female

3.8 (1.7–8.5)

0.0011

  

2.2 (1.2–3.9)

0.0072

 

Male

1

1

Ethnicity

Muslim or Sinhala

 

0.1 (0.0–0.4)

0.0022

0.0 (0.0–0.6)

0.0231

  

Tamil

1

1

Religion

Hindu

 

1

0.0372

1

0.0272

  

Islam

6.7 (1.4–32.2)

8.3 (0.6–122.0)

Christian or other

1.1 (0.7–1.7)

0.6 (0.4–1.1)

Employment Status

Employed

1

< 0.0001

1

< 0.0001

1

0.068

1

0.0017

 

Unemployed/Off Sick/Disabled

3.3 (1.9–5.7)

4.2 (2.5–7.2)

0.8 (0.3–1.9)

2.8 (1.0–7.4)

Student, Retired, Other

0.7 (0.3–1.5)

0.6 (0.2–2.1)

1.9 (1.1–3.3)

1.0 (0.3–3.0)

Housewife / At Home

1.0 (0.5–2.0)

2.1 (1.4–3.2)

1.6 (0.6–4.0)

1.2 (0.6–2.2)

Education Level

No formal education, other education

2.4 (1.1–5.4)

0.0067

0.6 (0.2–2.1)

< 0.0001

1.9 (1.1–3.3)

0.0395

0.8 (0.3–1.8)

0.0123

 

Grades 1-Grade 5

3.0 (1.5–5.8)

2.2 (1.3–3.7)

4.0 (1.4–11.3)

1.5 (0.9–2.8)

Grades 6 through O/Ls (Grade 12)

1.9 (1.1–3.5)

2.6 (0.8–8.7)

2.3 (0.8–6.5)

1.9 (1.2–3.0)

University or Higher

1

1

1

1

Household Size

1 to 3

1

< 0.0001

    

4 to 5

0.9 (0.5–1.5)

6 to 10

2.1 (1.2–3.8)

Born in Region?

No

 

1

0.0049

1

0.0136

1

0.0185

 

Yes

0.4 (0.2–0.8)

0.4 (0.2–0.8)

0.5 (0.3–0.9)

Lived in Region for Conflict?

No

    

1

0.0451

Yes

3.8 (1.0–14.0)

Variablea,b

Level

Anxiety (N = 463)

Depression (N = 422)

PTSD (N = 143)

Somatoform (N = 278)d

Psychosis (N = 172)e

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

aORc (95% CI)

p-value

Number of Times Displaced

Once

  

1

0.0952

  

More Than Once

1.7 (0.9–3.1)

Did you return to your area of origin? If no, why not?

Home/Village Destroyed, Nowhere to go

 

1.6 (0.8–3.2)

0.0186

   

Did not want to return to old home

1.6 (0.8–3.3)

Government directed to a different location

2.7 (0.8–8.6)

Did return to area of origin

1

Loss of family during conflict

No

1

0.0026

1

0.0029

1

0.0737

1

0.0095

 

Yes

1.7 (1.1–2.7)

2.0 (1.3–3.0)

1.5 (1.0–2.4)

1.6 (1.1–2.2)

Injury to family during conflict

No

1

0.0001

1

0.0485

1

0.0824

1

0.0005

1

< 0.0001

Yes

2.0 (1.4–2.9)

1.9 (1.0–3.7)

2.1 (0.9–4.7)

2.3 (1.5–3.8)

1.7 (1.3–2.2)

Social Support Availability

Low

2.4 (1.2–4.8)

< 0.0001

   

1.8 (1.0–3.5)

0.0116

Medium

1.0 (0.5–2.0)

0.9 (0.4–2.4)

High

1

1

Social Support Adequacy

Low

2.1 (1.3–3.4)

< 0.0001

3.7 (2.6–5.2)

< 0.0001

8.9 (4.2–18.8)

< 0.0001

4.2 (2.3–7.4)

< 0.0001

1.9 (1.0–3.7)

0.0265

Medium

2.7 (1.8–4.2)

3.0 (1.3–6.9)

7.1 (3.3–15.2)

3.6 (2.0–6.5)

2.4 (1.2–4.8)

High

1

1

1

1

1

Social Network Adequacy

Inadequate

1.7 (1.3–2.3)

0.0007

1.9 (1.2–2.9)

0.0066

1.5 (1.0–2.4)

0.0796

1.9 (1.1–3.4)

0.0314

 

Adequate

1

 

1

 

1

 

1

Saw MH specialist within past 3 monthsf

No

1

0.0002

1

< 0.0001

 

1

< 0.0001

1

0.0145

Yes

0.2 (0.1–0.5)

 

0.2 (0.1–0.4)

  

0.2 (0.1–0.4)

 

0.5 (0.2–0.9)

 

The care I received was not good

Disagree

 

1

0.0141

   

Agree

 

1.8 (1.1–2.8)

    

Hospital Type

District Hospital

   

1

0.0159

 

Primary medical care unit

0.6 (0.4–0.9)

Days without food in the past month

 

1.2 (1.1–1.2)

< 0.0001

 

1.1 (1.1–1.2)

0.0002

 
  1. aEmpty cells in the table are due to lack of significance at the α = 0.1 level in the multivariable model for that disorder. b Bold face signifies significance at the α = 0.05 level
  2. caOR: adjusted Odds Ratio – the odds ratio obtained from the multivariable model. d Somatoform stands for somatoform symptoms.e Psychosis refers to psychosis with hypomania. fMH: Mental Health; Values of “1” in the table represent the reference category for that variable