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Table 5 Adjusted odds ratios for association of UMHCN type with symptom severity, health care variables and social support, World Trade Center Health Registry 2011–2012 (N = 8,142) a

From: Unmet mental health care need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry

 

Attitudinal UMHCNb

Cost UMHCN

Access UMHCN

 

OR

95% CI

OR

95% CI

OR

95% CI

Symptom severity

      

Low

b

 

Ref

 

Ref

 

Medium

b

 

2.0

(1.6, 2.5)

1.9

(1.5, 2.5)

High

b

 

2.7

(2.2, 3.5)

2.6

(2.0, 3.3)

Very high

b

 

4.2

(3.3, 5.4)

4.1

(3.2, 5.2)

Used any mental health services in past year

      

Yes

b

 

Ref

 

Ref

 

No

b

 

1.0

(.9, 1.1)

1.3

(1.1, 1.5)

Lacked insurance at any point in past year

      

Yes

1.1

(.9, 1.3)

8.2

(7.0, 9.7)

1.4

(1.1, 1.7)

No

Ref

 

Ref

 

Ref

 

Social support index

      

0 to 6

1.7

(1.4, 2.0)

2.9

(2.3, 3.6)

2.6

(2.1, 3.3)

7 to 11

1.5

(1.2, 1.7)

1.9

(1.5, 2.4)

1.8

(1.5, 2.3)

12 to 15

1.3

(1.1, 1.5)

1.6

(1.2, 2.0)

1.4

(1.1, 1.8)

16 to 20

Ref

 

Ref

 

Ref

 

Association of symptom severity by mental health service use

      

Low severity, not using services

Ref

     

Medium severity, not using services

2.7

(2.2, 3.3)

    

High severity, not using services

3.6

(2.9, 4.5)

    

Very high severity, not using services

5.8

(4.5, 7.5)

    

Low severity, using services

1.2

(.9, 1.6)

    

Medium severity, using services

1.6

(1.2, 2.0)

    

High severity, using services

2.0

(1.5, 2.5)

    

Very high severity, using services

2.1

(1.7, 2.6)

    
  1. UMHCN, unmet mental health care need. aAdjusted for eligibility group, gender, age on September 11, 2011, race, education, and household income in 2002. bCoefficients are shown below.