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Table 4 Baseline health, socioeconomic and clinic characteristics independently associated with mental health treatments at baseline and at follow-upa, in patients with CESD-10 score of ten or more: logistic regression models

From: Socioeconomic predictors and consequences of depression among primary care attenders with non-communicable diseases in the Western Cape, South Africa: cohort study within a randomised trial

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

95 % CIb

P

OR

95 % CI

P

OR

95 % CI

P

OR

95 % CI

P

Patient characteristics

                

Age (per year)

        

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

    

Hypertension

            

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

        

Highest education

   

0.002c

       

0.006c

   

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

   

<0.001c

       

0.003c

    

•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

    

Unemployed

2.01

1.32

3.09

0.001

            

Welfare grant

        

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

   

136.90

77.25

242.61

<0.001

NA

   

NA

   

Clinic characteristics

                

Pharmacist in clinic

1.86

1.25

2.78

0.002

1.58

0.99

2.51

0.053

        

Drug supply available away from clinic

    

1.67

1.11

2.50

0.013

    

1.59

0.95

2.66

0.078

Psychiatric nurse at clinic

            

0.32

0.13

0.80

0.015

Doctor at clinic every day

    

1.48

0.95

2.30

0.084

        

Clinic location

       

0.038c

        

•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

            

1.04

0.99

1.10

0.081

Clinic patients per nurse per year/1000

    

0.93

0.88

0.99

0.022

        

Intervention vs. control clinic

    

1.39

0.97

1.98

0.073

0.57

0.35

0.91

0.020

0.54

0.33

0.88

0.013

  1. a Change modelled with analysis of covariance, that is, with baseline value as covariate
  2. b OR odds ratio, CI confidence interval, NA not applicable
  3. c Wald test for all categories of variable