Table 4

Impact of SES and psychosocial burden on child mental health problems

Variables
Model 1Model 2Model 3
All children (N=427)CSHCN total score=0 (N=187)CSHCN total score ≥3 (N=194)
Block 1OR95% CIP valueOR95% CIP valueOR95% CIP value
 Disease complexity
  No special healthcare needs (reference)
  Chronic condition1.630.73 to 3.630.234
  Complex chronic condition2.981.73 to 5.14<0.001
 SES-Index
  Low0.620.28 to 1.380.2380.580.17 to 1.960.3810.280.06 to 1.210.087
  Middle1.090.59 to 2.030.7801.330.59 to 3.010.4900.450.12 to 1.780.257
  High (reference)
 Age of child1.151.05 to 1.250.0021.211.06 to 1.390.0061.060.95 to 1.190.301
 Gender of child
  Male (reference)
  Female0.950.59 to 1.530.8191.030.54 to 2.020.9410.730.33 to 1.620.432
 Age of respondent0.930.89 to 0.980.0050.910.83 to 0.970.0120.970.91 to 1.050.457
 Gender of respondent
  Male (reference)
  Female0.550.23 to 1.300.1750.420.14 to 1.240.1161.160.26 to 5.110.85
  Diverse<0.001<0.001; -1.0<0.001<0.001; -1.0
Model fit after block 1
 Nagekerke’s R20.0960.0680.047
Block 2OR95% CIP valueOR95% CIP valueOR95% CIP value
 WHO-5 Score ≤502.851.70 to 4.80<0.0013.071.42 to 7.010.0052.220.95 to 4.960.066
Model fit after block 2
 Nagekerke’s R20.2300.1970.118
 ∆ R20.1340.1290.071
Block 3OR95% CIP valueOR95% CIP valueOR95% CIP value
 Increase in family conflict3.552.13 to 5.92<0.0013.531.70 to 7.330.0012.200.99 to 4.900.053
 Financial difficulties1.050.51 to 2.180.8942.540.62 to 10.470.1980.610.24 to 1.530.289
 Inadequate social support2.381.46 to 3.890.0011.970.98 to 3.940.0572.941.31 to 6.580.009
 Area of residence
  City or suburb (reference)
  Outside a city1.450.89 to 2.360.1351.410.69 to 2.880.3471.400.65 to 2.980.389
Model fit after block 3
 Nagelkerke’s R20.3290.3250.202
 ∆ R20.0990.1280.088
 % correct prediction of SDQ Score ≥1388.179.095.4
  • Hierarchical logistic regression modelling of the outcome SDQ total score ≥13 in children older than 2 years of age. Adjusted OR and the corresponding 95% CI are reported for associations of the outcome and the respective exposure variable.

  • CSHCN, Children with Special Healthcare Needs Screener; SDQ, Strengths and Difficulties Questionnaire; SES, socioeconomic status.