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Table 4 Associations between patient factors and doctor detection

From: Detection and management of depression in adult primary care patients in Hong Kong: a cross-sectional survey conducted by a primary care practice-based research network

Patient factor

Detected, n (%)

Not detected, n (%)

χ2 (df)

Multiple logistic regression (n = 7346)a

 

Wald χ2 (df) b/Adj. OR (95% CI)

 

Gender

  

70.80 (1)**

23.70 (1)**

4.38 (1)*

Male

155 (25.5)

3795 (42.9)

 

1.00

1.00

Female

453 (74.5)

5053 (57.1)

 

1.89 (1.46 - 2.44)

1.35 (1.02 - 1.78)

Age group

  

34.76 (2)**

10.08 (2)**

7.94 (2)*

18-34 yrs

102 (17.1)

2351 (27.0)

 

1.00

1.00

35-54 yrs

216 (36.2)

3120 (35.9)

 

1.71 (1.23 - 2.39)

1.65 (1.14 - 2.39)

55+ yrs

279 (46.7)

3225 (37.1)

 

1.61 (1.05 - 2.49)

1.86 (1.14 - 3.01)

Education

  

23.68 (1)**

0.17 (1)

0.03 (1)

Secondary or above

407 (67.5)

6721 (76.3)

 

1.00

1.00

Primary or no formal education

196 (32.5)

2090 (23.7)

 

0.94 (0.71 - 1.25)

1.03 (0.75 - 1.41)

Marital status

  

1.73 (1)

0.80 (1)

0.40 (1)

Married

355 (59.1)

5422 (61.5)

 

1.00

1.00

Single/Separated/Divorced/Widowed

246 (40.9)

3391 (38.5)

 

1.11 (0.88 - 1.41)

0.92 (0.70 - 1.20)

Working Status

  

117.95 (4)**

38.85 (4)**

20.62 (4)**

Employed

260 (44.4)

5578 (64.0)

 

1.00

1.00

Unemployed

26 (4.4)

135 (1.5)

 

3.53 (2.06 - 6.05)

1.56 (0.78 - 3.13)

Retired

167 (28.5)

1827 (21.0)

 

2.00 (1.40 - 2.84)

2.16 (1.45 - 3.21)

House-maker

115 (19.6)

902 (10.3)

 

2.02 (1.46 - 2.80)

2.05 (1.41 - 2.97)

Student

18 (3.1)

275 (3.2)

 

1.62 (0.83 - 3.17)

1.18 (0.56 - 2.46)

Household monthly income

  

19.86 (1)**

3.56 (1)

0.07 (1)

More than HK$30,000

146 (28.5)

2947 (38.3)

 

1.00

1.00

HK30,000 or below

367 (71.5)

4746 (61.7)

 

1.27 (0.99 - 1.63)

1.04 (0.79 - 1.37)

Ethnicity

  

1.82 (1)

12.53 (1)**

 

Chinese

603 (95.3)

8703 (96.3)

 

1.00

1.00

Non-Chinese

30 (4.7)

333 (3.7)

 

2.52 (1.51 - 4.20)

2.01 (1.11 - 3.63)

Smoking habit

  

1.16 (1)

0.86 (1)

0.10 (1)

Non- or ex-smoker

537 (88.5)

7656 (87.0)

 

1.00

1.00

Current smoker

70 (11.5)

1149 (13.0)

 

1.18 (0.83 - 1.67)

0.94 (0.64 - 1.39)

Alcohol use

  

4.99 (1)*

0.13 (1)

0.00 (1)

Less than once a week or never

548 (90.3)

7681 (87.2)

 

1.00

1.00

More than once a week

59 (9.7)

1131 (12.8)

 

1.07 (0.74 - 1.54)

1.00 (0.67 - 1.50)

Regular exercise pattern

  

20.92 (1)**

18.66 (1)**

10.58 (1)**

Yes

394 (65.1)

6465 (73.7)

 

1.00

1.00

No exercise at all

211 (34.9)

2313 (26.3)

 

1.62 (1.30 - 2.02)

1.51 (1.18 - 1.93)

Seen a doctor in past 4 weeks

  

65.72 (1)**

35.67 (1)**

 

No

196 (31.0)

4302 (47.7)

 

1.00

1.00

More than once

436 (69.0)

4726 (52.3)

 

1.96 (1.57 - 2.44)

1.43 (1.12 - 1.83)

Seen a TCM practitioner in past 4 weeks

  

14.86 (1)**

2.04 (1)

0.17 (1)

No

469 (74.2)

7275 (80.5)

 

1.00

1.00

More than once

163 (25.8)

1758 (19.5)

 

1.20 (0.93 - 1.54)

0.94 (0.70 - 1.26)

Disease co-morbidity

  

65.21 (2)**

17.64 (2)**

0.97 (2)

None

221 (36.4)

4413 (50.1)

 

1.00

1.00

One

150 (24.7)

2216 (25.1)

 

1.29 (0.97 - 1.72)

1.05 (0.76 - 1.44)

Two or more

236 (38.9)

2188 (24.8)

 

1.88 (1.40 - 2.53)

1.18 (0.84 - 1.65)

Family history mental illness

  

70.56 (1)**

48.24 (1)**

9.53 (1)**

No

483 (81.5)

7919 (91.7)

 

1.00

1.00

Yes

110 (18.5)

721 (8.3)

 

2.61 (1.99 - 3.43)

2.61 (1.99 - 3.43)

Service sector

  

2042 (1)

1.89 (1)

4.34 (1)*

Public

183 (28.8)

2355 (26.0)

 

1.00

1.00

Private

453 (71.2)

6714 (74.0)

 

1.20 (0.93 - 1.55)

1.36 (1.02 - 1.83)

Symptom severity/PHQ-9 score c

  

779.72 (4)**

 

147.03 (4)**

Minimal/score 0-4

175 (29.1)

5725 (65.0)

  

1.00

Mild/score 5-9

178 (29.6)

2260 (25.6)

  

2.16 (1.63 - 2.86)

Moderate/score 10-14

135 (22.4)

622 (7.1)

  

4.67 (3.34 - 6.53)

Mod-severe/score 15-19

72 (12.0)

162 (1.8)

  

8.53 (5.41 - 13.46)

Severe/score 20-27

42 (7.0)

43 (0.5)

  

10.42 (5.20 - 20.89)

Self-reported depression history c

  

1564.17 (1)**

 

85.05 (1)**

No

314 (52.8)

8369 (95.7)

  

1.00

Yes

281 (42.6)

378 (4.3)

  

10.16 (7.73 - 13.34)

Self-reported other mental illness history c

  

330.67 (1)**

 

43.68 (1)**

No

450 (83.2)

8425 (97.6)

  

1.00

Yes

91 (16.8)

211 (2.4)

  

2.89 (1.93 - 4.31)

  1. *p < .05; **p < .01.
  2. aModel Chi-square = 872.43, df = 26, p < 0.001; Nagelkerke R-square = 0.320; Hosmer & Lemeshow Test, Chi-square = 17.79, df = 8, p = 0.023.
  3. bWald test statistics are shown in italic.
  4. cFactors entered in second block of the regression model; Block Chi-sqaure = 591.50, df = 6, p < .001.