Outcome | Therapeutic dose of antidepressant drug at baseline | Therapeutic dose of antidepressant drug at follow-upa | Psychiatric referral between baseline and follow-up | Counselling between baseline and follow-up | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Explanatory variable | ORb | 95Â % CIb | P | OR | 95Â % CI | P | OR | 95Â % CI | P | OR | 95Â % CI | P | ||||
Patient characteristics | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Age (per year) | Â | Â | Â | Â | Â | Â | Â | Â | 0.97 | 0.95 | 0.98 | <0.001 | 0.97 | 0.96 | 0.98 | <0.001 |
Men vs. women | 0.31 | 0.19 | 0.49 | <0.001 | 0.34 | 0.22 | 0.53 | <0.001 | 0.67 | 0.43 | 1.03 | 0.069 | Â | Â | Â | Â |
Hypertension | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | 0.75 | 0.60 | 0.95 | 0.016 |
Diabetes | 0.72 | 0.49 | 1.06 | 0.094 | 0.71 | 0.48 | 1.04 | 0.079 | Â | Â | Â | Â | Â | Â | Â | Â |
Highest education | Â | Â | Â | 0.002c | Â | Â | Â | Â | Â | Â | Â | 0.006c | Â | Â | Â | 0.022c |
•None (reference) | 1.00 |  |  |  |  |  |  |  | 1.00 |  |  |  | 1.00 |  |  |  |
•Primary | 1.36 | 0.75 | 2.47 | 0.314 |  |  |  |  | 1.11 | 0.51 | 2.38 | 0.797 | 0.85 | 0.51 | 1.41 | 0.529 |
•Secondary | 1.98 | 1.10 | 3.55 | 0.022 |  |  |  |  | 1.37 | 0.62 | 2.99 | 0.435 | 0.81 | 0.49 | 1.33 | 0.401 |
•Tertiary | 2.06 | 0.91 | 4.66 | 0.082 |  |  |  |  | 4.00 | 1.57 | 10.15 | 0.004 | 1.99 | 1.08 | 3.68 | 0.028 |
Language | Â | Â | Â | <0.001c | Â | Â | Â | Â | Â | Â | Â | 0.003c | Â | Â | Â | Â |
•Afrikaans (reference) | 1.00 |  |  |  |  |  |  |  | 1.00 |  |  |  |  |  |  |  |
•Xhosa | 0.23 | 0.15 | 0.35 | <0.001 |  |  |  |  | 0.16 | 0.05 | 0.45 | 0.001 |  |  |  |  |
•English | 0.85 | 0.54 | 1.35 | 0.488 |  |  |  |  | 1.10 | 0.64 | 1.90 | 0.732 |  |  |  |  |
Income (per 1000 rand per month) | 1.31 | 1.18 | 1.44 | <0.001 | 1.21 | 1.03 | 1.43 | 0.023 | 1.19 | 1.05 | 1.34 | 0.005 | Â | Â | Â | Â |
Unemployed | 2.01 | 1.32 | 3.09 | 0.001 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Welfare grant | Â | Â | Â | Â | Â | Â | Â | Â | 1.35 | 0.96 | 1.90 | 0.082 | 1.36 | 1.13 | 1.64 | 0.001 |
Baseline CESD-10 score (per unit) | 1.15 | 1.12 | 1.19 | <0.001 | 1.06 | 1.00 | 1.11 | 0.033 | 1.11 | 1.06 | 1.15 | <0.001 | 1.06 | 1.03 | 1.10 | <0.001 |
Therapeutic dose of antidepressant at baselinea | NAb | Â | Â | Â | 136.90 | 77.25 | 242.61 | <0.001 | NA | Â | Â | Â | NA | Â | Â | Â |
Clinic characteristics | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Pharmacist in clinic | 1.86 | 1.25 | 2.78 | 0.002 | 1.58 | 0.99 | 2.51 | 0.053 | Â | Â | Â | Â | Â | Â | Â | Â |
Drug supply available away from clinic | Â | Â | Â | Â | 1.67 | 1.11 | 2.50 | 0.013 | Â | Â | Â | Â | 1.59 | 0.95 | 2.66 | 0.078 |
Psychiatric nurse at clinic | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | 0.32 | 0.13 | 0.80 | 0.015 |
Doctor at clinic every day | Â | Â | Â | Â | 1.48 | 0.95 | 2.30 | 0.084 | Â | Â | Â | Â | Â | Â | Â | Â |
Clinic location | Â | Â | Â | Â | Â | Â | Â | 0.038c | Â | Â | Â | Â | Â | Â | Â | Â |
•Urban (reference) |  |  |  |  | 1.00 |  |  |  |  |  |  |  |  |  |  |  |
•Peri-urban |  |  |  |  | 1.17 | 0.66 | 2.08 | 0.599 |  |  |  |  |  |  |  |  |
•Rural |  |  |  |  | 2.60 | 1.18 | 5.76 | 0.018 |  |  |  |  |  |  |  |  |
Clinic patients per year/10,000 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | 1.04 | 0.99 | 1.10 | 0.081 |
Clinic patients per nurse per year/1000 | Â | Â | Â | Â | 0.93 | 0.88 | 0.99 | 0.022 | Â | Â | Â | Â | Â | Â | Â | Â |
Intervention vs. control clinic | Â | Â | Â | Â | 1.39 | 0.97 | 1.98 | 0.073 | 0.57 | 0.35 | 0.91 | 0.020 | 0.54 | 0.33 | 0.88 | 0.013 |