Table 3 Logistic analysis of the utilization of mental health services in various health care institutions
Variable | Community health centre VS Specialty hospital | Secondary hospital VS Specialty hospital | Tertiary hospital VS Specialty hospital | ||||||
|---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | |
Sex | |||||||||
 Male | 1.000 | Reference |  | 1.000 | Reference |  | 1.000 | Reference |  |
 Female | 0.545 | 0.331–0.898 | 0.017 | 0.345 | 0.259–0.459 | <.0001 | 0.196 | 0.146–0.264 | <.0001 |
Age | |||||||||
 ≤30 | 1.000 | Reference |  | 1.000 | Reference |  | 1.000 | Reference |  |
 31–50 | 20.133 | 2.194–184.729 | 0.008 | 2.637 | 1.573–4.422 | 0.0002 | 0.883 | 0.587–1.329 | 0.550 |
 51–70 | – | – | – | 7.967 | 4.643–13.670 | < 0.001 | 1.340 | 0.836–2.147 | 0.224 |
 > 70 | – | – | – | 86.600 | 44.542–168.370 | < 0.001 | 7.654 | 4.116–14.235 | <.0001 |
Residence status | |||||||||
 Non-registered resident | 1.000 | Reference |  | 1.000 | Reference |  | 1.000 | Reference |  |
 Registered resident | – | – | – | 0.487 | 0.329–0.720 | 0.0003 | 0.332 | 0.237–0.467 | <.0001 |
Marital status (missing = 20) | |||||||||
 Unmarried | 1.000 | Reference |  | 1.000 | Reference |  | 1.000 | Reference |  |
 Married | 0.899 | 0.409–1.977 | 0.791 | 8.302 | 5.276–13.063 | <.0001 | 14.945 | 10.031–22.266 | <.0001 |
 Widowed | 1.478 | 0.496–4.406 | 0.484 | 2.681 | 1.112–6.464 | 0.028 | 1.346 | 0.320–5.664 | 0.685 |
 Divorced | 0.885 | 0.145–5.421 | 0.895 | 0.629 | 0.188–2.105 | 0.452 | 0.459 | 0.122–1.726 | 0.249 |
 Other | 0.335 | 0.058–1.923 | 0.220 | 0.362 | 0.115–1.146 | 0.084 | 0.093 | 0.019–0.455 | 0.003 |
Health insurance | |||||||||
 Urban social insurance for workers | 1.000 | Reference |  | 1.000 | Reference |  | 1.000 | Reference |  |
 Urban social insurance for citizens | 4.013 | 1.995–8.072 | <.0001 | 0.997 | 0.593–1.679 | 0.992 | 3.136 | 1.833–5.366 | <.0001 |
 New rural cooperative medical insurance | 1.743 | 0.468–6.493 | 0.408 | 0.419 | 0.154–1.141 | 0.089 | 0.160 | 0.049–0.527 | 0.003 |
 Self-pay | 29.489 | 16.161–53.810 | <.0001 | 3.486 | 2.457–4.945 | <.0001 | 9.822 | 7.037–13.709 | <.0001 |
 Other | 4.355 | 0.757–25.039 | 0.099 | 4.807 | 1.196–19.309 | 0.027 | 1.538 | 0.314–7.548 | 0.596 |
Hospital resource use | |||||||||
 Hospitalizations per bed, % | 0.353 | 0.323–0.386 | <.0001 | 0.390 | 0.360–0.423 | <.0001 | 0.437 | 0.403–0.475 | <.0001 |
 Length of stay, days | 1.001 | 1.000–1.001 | <.0001 | 0.947 | 0.941–0.952 | <.0001 | 0.883 | 0.873–0.893 | <.0001 |
 Total cost, thousand RMB | 0.910 | 0.879–0.941 | <.0001 | 1.181 | 1.154–1.209 | <.0001 | 1.198 | 1.169–1.228 | <.0001 |
 Out-of-pocket cost, thousand RMB | 1.025 | 1.016–1.035 | <.0001 | 0.988 | 0.975–1.001 | 0.064 | 0.843 | 0.818–0.870 | <.0001 |