Variables | Model 1 | Model 2 | Model 3 | ||||||
All children (N=427) | CSHCN total score=0 (N=187) | CSHCN total score ≥3 (N=194) | |||||||
Block 1 | OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value |
Disease complexity | |||||||||
No special healthcare needs (reference) | |||||||||
Chronic condition | 1.63 | 0.73 to 3.63 | 0.234 | ||||||
Complex chronic condition | 2.98 | 1.73 to 5.14 | <0.001 | ||||||
SES-Index | |||||||||
Low | 0.62 | 0.28 to 1.38 | 0.238 | 0.58 | 0.17 to 1.96 | 0.381 | 0.28 | 0.06 to 1.21 | 0.087 |
Middle | 1.09 | 0.59 to 2.03 | 0.780 | 1.33 | 0.59 to 3.01 | 0.490 | 0.45 | 0.12 to 1.78 | 0.257 |
High (reference) | |||||||||
Age of child | 1.15 | 1.05 to 1.25 | 0.002 | 1.21 | 1.06 to 1.39 | 0.006 | 1.06 | 0.95 to 1.19 | 0.301 |
Gender of child | |||||||||
Male (reference) | |||||||||
Female | 0.95 | 0.59 to 1.53 | 0.819 | 1.03 | 0.54 to 2.02 | 0.941 | 0.73 | 0.33 to 1.62 | 0.432 |
Age of respondent | 0.93 | 0.89 to 0.98 | 0.005 | 0.91 | 0.83 to 0.97 | 0.012 | 0.97 | 0.91 to 1.05 | 0.457 |
Gender of respondent | |||||||||
Male (reference) | |||||||||
Female | 0.55 | 0.23 to 1.30 | 0.175 | 0.42 | 0.14 to 1.24 | 0.116 | 1.16 | 0.26 to 5.11 | 0.85 |
Diverse | <0.001 | <0.001; - | 1.0 | <0.001 | <0.001; - | 1.0 | – | – | – |
Model fit after block 1 | |||||||||
Nagekerke’s R2 | 0.096 | 0.068 | 0.047 |
Block 2 | OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value |
WHO-5 Score ≤50 | 2.85 | 1.70 to 4.80 | <0.001 | 3.07 | 1.42 to 7.01 | 0.005 | 2.22 | 0.95 to 4.96 | 0.066 |
Model fit after block 2 | |||||||||
Nagekerke’s R2 | 0.230 | 0.197 | 0.118 | ||||||
∆ R2 | 0.134 | 0.129 | 0.071 |
Block 3 | OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value |
Increase in family conflict | 3.55 | 2.13 to 5.92 | <0.001 | 3.53 | 1.70 to 7.33 | 0.001 | 2.20 | 0.99 to 4.90 | 0.053 |
Financial difficulties | 1.05 | 0.51 to 2.18 | 0.894 | 2.54 | 0.62 to 10.47 | 0.198 | 0.61 | 0.24 to 1.53 | 0.289 |
Inadequate social support | 2.38 | 1.46 to 3.89 | 0.001 | 1.97 | 0.98 to 3.94 | 0.057 | 2.94 | 1.31 to 6.58 | 0.009 |
Area of residence | |||||||||
City or suburb (reference) | |||||||||
Outside a city | 1.45 | 0.89 to 2.36 | 0.135 | 1.41 | 0.69 to 2.88 | 0.347 | 1.40 | 0.65 to 2.98 | 0.389 |
Model fit after block 3 | |||||||||
Nagelkerke’s R2 | 0.329 | 0.325 | 0.202 | ||||||
∆ R2 | 0.099 | 0.128 | 0.088 | ||||||
% correct prediction of SDQ Score ≥13 | 88.1 | 79.0 | 95.4 |
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.