Adjusted HRs for onset of mental health utilisation for the physical illness and control cohorts adjusting for sociodemographic characteristics and health indicators (n=17 050)
| Onset of mental health utilisation (%, N) | Model 1 | ||||
|---|---|---|---|---|---|
| Physical Illness Cohort (3075) | Control Cohort (n=4507) | HR | 95% CI | p Value | |
| Gender | |||||
| Female | 55.6 (1771) | 48.1 (2549) | 1.28 | (1.19 to 1.37) | 0.001 |
| Male | 44.7 (1304) | 36.7 (1958) | 1.00 | ||
| Physical illness cohort | |||||
| Yes | – | – | 1.14 | (1.05 to 1.23) | 0.001 |
| No | – | – | 1.00 | ||
| Age group – years | |||||
| 18–29 | 52.4 (365) | 42.2 (1089) | 1.16 | (1.00 to 1.33) | 0.039 |
| 30–39 | 52.9 (404) | 43.4 (1231) | 1.23 | (1.07 to 1.39) | 0.001 |
| 40–49 | 51.9 (548) | 40.7 (1032) | 1.15 | (1.01 to 1.29) | 0.023 |
| 50–59 | 48.0 (620) | 42.3 (641) | 1.10 | (0.96 to 1.22) | 0.152 |
| 60–74 | 48.4 (1138) | 39.9 (514) | 1.00 | ||
| Educational attainment | |||||
| No high school diploma | 48.5 (932) | 41.1 (742) | 0.97 | (0.86 to 1.07) | 0.518 |
| High school diploma | 51.1 (837) | 41.6 (1433) | 0.98 | (0.90 to 1.05) | 0.550 |
| Postsecondary education | 50.4 (1306) | 42.3 (2332) | 1.00 | ||
| Annual household income – CAN$ | |||||
| Under $20 000 | 49.6 (390) | 43.0 (313) | 1.04 | (0.88 to 1.21) | 0.594 |
| $20 000 to $39 000 | 49.9 (622) | 38.7 (705) | 0.98 | (0.87 to 1.10) | 0.783 |
| $40 000 to $59 000 | 54.0 (529) | 42.1 (770) | 1.09 | (0.97 to 1.21) | 0.118 |
| $60 000 to $79 000 | 52.8 (401) | 42.6 (800) | 1.08 | (0.96 to 1.20) | 0.185 |
| Missing | 50.7 (620) | 43.8 (749) | 1.06 | (0.93 to 1.20) | 0.323 |
| $80 000 + | 45.8 (513) | 41.4 (1170) | 1.00 | ||
| Marital status | |||||
| Separated/divorced/widowed | 49.4 (582) | 43.8 (549) | 0.98 | (0.88 to 1.08) | 0.672 |
| Single | 48.2 (474) | 41.4 (1120) | 1.02 | (0.90 to 1.14) | 0.741 |
| Married/common-law | 50.7 (2019) | 42.0 (2838) | 1.00 | ||
| Ethnoracial origin | |||||
| White | 50.4 (2862) | 42.3 (4138) | 1.17 | (1.02 to 1.33) | 0.019 |
| Others | 48.7 (213) | 39.9 (369) | 1.00 | ||
| Self-perceived stress | |||||
| Moderate/high | 56.8 (791) | 44.4 (1016) | 1.15 | (1.06 to 1.25) | 0.001 |
| Low/none | 48.1 (2284) | 41.3 (3491) | 1.00 | ||
| Current smoker | |||||
| Yes | 49.7 (795) | 43.2 (1310) | 1.12 | (1.03 to 1.21) | 0.008 |
| No | 50.2 (2280) | 41.5 (3197) | 1.00 | ||
| Heavy drinker | |||||
| Yes | 45.5 (84) | 37.0 (169) | 0.97 | (0.79 to 1.14) | 0.704 |
| No | 50.2 (2991) | 42.1 (4338) | 1.00 | ||
| Physical activity | |||||
| Active | 48.0 (668) | 42.1 (1128) | 0.99 | (0.92 to 1.08) | 0.977 |
| Non-active | 50.6 (2407) | 41.9 (3379) | 1.00 | ||
| Disability | |||||
| Often | 57.0 (578) | 50.8 (332) | 1.25 | (1.11 to 1.39) | 0.001 |
| Some | 52.3 (689) | 42.7 (557) | 1.06 | (0.95 to 1.17) | 0.240 |
| Never | 48.0 (1808) | 41.3 (3618) | 1.00 | ||
| Rural | |||||
| Yes | 49.4 (653) | 37.9 (927) | 0.90 | (0.83 to 0.97) | 0.012 |
| No | 50.3 (2422) | 42.7 (3580) | 1.00 | ||
| Aggregated diagnosis groups | |||||
| High (6 to 34) | 59.4 (1448) | 56.1 (1155) | 2.05 | (1.68 to 2.42) | 0.000 |
| Medium (2 to 5) | 45.4 (1408) | 44.0 (2528) | 1.47 | (1.25 to 1.70) | 0.000 |
| Low (0 to 1) | 36.0 (219) | 27.0 (824) | 1.00 | ||
| Resource Utilization Bands | |||||
| Very high (4 to 5) | 60.1 (694) | 55.5 (485) | 1.45 | (1.16 to 1.74) | 0.000 |
| High (3) | 50.4 (1859) | 47.4 (2124) | 1.25 | (1.03 to 1.46) | 0.015 |
| Medium (2) | 43.7 (379) | 41.7 (1203) | 1.25 | (1.05 to 1.46) | 0.008 |
| Low (0 to 1) | 36.0 (143) | 27.3 (695) | 1.00 | ||