Table 5 Logistic regression models predicting perceived need and service use.

From: The gap between perceived mental health needs and actual service utilization in Australian adolescents

Variables

Model I

Model II

Model III

Model IV

Perceived the need

Service use

Service use among those who perceived the need

Service use among those who did not perceive the need

aOR (95% CI)

VIF

aOR (95% CI)

VIF

aOR (95% CI)

VIF

aOR (95% CI)

VIF

Age (ref. 13 to ≤ 15)

 

1.08

 

1.12

 

1.12

 

1.22

 > 15 to 17

1.28** (1.06, 1.54)

 

1.02 (0.83, 1.26)

 

0.99 (0.76, 1.28)

 

0.52* (0.29, 0.90)

 

Gender (ref. Boys)

 

1.05

 

1.08

 

1.09

 

1.24

Girls

1.27** (1.06, 1.52)

 

1.47*** (1.20, 1.80)

 

1.42** (1.11, 1.83)

 

1.39 (0.80, 2.41)

 

Country of Birth (ref. Overseas)

 

1.06

 

1.05

 

1.05

 

1.23

Australia

1.37* (1.05, 1.79)

 

1.47* (1.07, 2.01)

 

1.54* (1.04, 2.28)

 

0.65 (0.33, 1.29)

 

Place of residence (ref. Rural/Remote)

 

1.05

 

1.03

 

1.03

 

1.14

Major cities

1.17 (0.97, 1.42)

 

1.04 (0.85, 1.28)

 

0.92 (0.71, 1.20)

 

1.00 (0.56, 1.81)

 

Schooling (ref. No)

 

1.07

 

1.08

 

1.07

 

1.42

Yes

1.08 (0.85, 1.36)

 

1.07 (0.83, 1.39)

 

0.99 (0.72, 1.36)

 

2.06 (0.85, 5.00)

 

Family type (ref. Original)

 

1.18

 

1.16

 

1.17

 

1.35

Others (Blended/Step)

1.37** (1.13, 1.67)

 

1.51*** (1.22, 1.87)

 

1.29 (0.99, 1.68)

 

1.81* (1.00, 3.26)

 

Family functioning (ref. Fair/Poor)

 

1.03

 

1.05

 

1.06

 

1.08

Good/Very good

0.85 (0.67, 1.07)

 

1.00 (0.77, 1.28)

 

1.13 (0.84, 1.53)

 

0.91 (0.44, 1.86)

 

Parents' Education (ref. Diploma and below)

 

1.15

 

1.16

 

1.16

 

1.40

Bachelor and above

1.23* (1.01, 1.51)

 

1.13 (0.90, 1.42)

 

0.96 (0.74, 1.28)

 

1.23 (0.66, 2.28)

 

Parents' Employment (ref. Employed)

 

1.15

 

1.15

 

1.18

 

1.11

Unemployed

1.14 (0.91, 1.43)

 

1.38** (1.08, 1.76)

 

1.27 (0.93, 1.72)

 

2.18* (1.17, 4.06)

 

Household income quintile (ref. Low)

 

1.35

 

1.38

 

1.41

 

1.55

Medium

1.02 (0.80, 1.31)

 

0.85 (0.65, 1.11)

 

0.78 (0.55, 1.09)

 

0.82 (0.40, 1.68)

 

High

0.95 (0.72, 1.27)

 

0.76 (0.56, 1.05)

 

0.70 (0.48, 1.03)

 

0.91 (0.40, 2.09)

 

Professionally assessed with mental disorders only (ref. No)

 

1.16

 

1.23

 

1.28

 

1.15

Yes

6.22*** (4.76, 8.12)

 

5.96*** (4.65, 7.64)

 

3.27*** (2.39, 4.47)

 

1.75 (0.71, 4.33)

 

Self-reported self-harm/suicidality only (ref. No)

 

1.07

 

1.09

 

1.11

 

1.11

Yes

6.65*** (4.20, 10.52)

 

3.47*** (2.32, 5.17)

 

1.40 (0.89, 2.20)

 

4.49* (1.43, 14.03)

 

Both (ref. No)

 

1.16

 

1.25

 

1.29

 

1.19

Yes

37.35*** (18.21, 76.58)

 

9.31*** (6.62, 13.09)

 

3.15*** (2.18, 4.57)

 

3.28 (0.36, 29.52)

 

Model performance tests

McKelvey & Zavoina's R2

0.311

 

0.228

 

0.136

 

0.146

 

Hosmer–Lemeshow statistic (p-value)

9.81 (0.831)

 

5.09 (0.991)

 

12.37 (0.650)

 

544.51 (0.311)

 

Mean VIF (Max)

1.12 (1.35)

 

1.14 (1.38)

 

1.16 (1.41)

 

1.25 (1.55)

 
  1. Level of significance: ***p < 0.001, **p < 0.01, *p < 0.05.
  2. aOR  Adjusted odds ratio, CI  Confidence interval; VIF  Variance inflation factor.