Table 3 Factors associated with receipt of adequate antidepressant treatment among older adults consulting in general medical settings
From: Determinants of follow-up care associated with incident antidepressant use in older adults
| Â | Dose adequacy | Duration adequacy | F/UP visit adequacy | All criteria of ads treatment adequacy | ||||
|---|---|---|---|---|---|---|---|---|
AOR | C I95% | AOR | CI 95% | AOR | CI 95% | AOR | CI 95% | |
Gender: Male vs. female | 0.45 | (0.23–0.88) | 1.43 | (0.80–2.58) | 1.23 | (0.64–2.38) | 1.34 | (0.69–2.65) |
Age: 65–74 years vs. ≥ 75 years | 0.81 | (0.40–1.65) | 1.13 | (0.63–2.04) | 1.03 | (0.51–2.06) | 0.56 | (0.58–2.21) |
Education: less than Secondary vs. ≥ secondary and more | 0.48 | (0.20–1.15) | 0.82 | (0.43–1.59) | 1.21 | (0.58–2.51) | 1..22 | (0.95–2.46) |
Region of residence: metropolitan/urban vs. rural | 0.11 | (0.14–0.81) | 0.78 | (0.25–2.48) | 0.97 | (0.25–3.73) | 0.85 | (0.22–3.19) |
Income: < 15,000$ vs. ≥ 10,000$ | 1.43 | (0.43–4.74) | 1.49 | (0.56–3.98) | 2.02 | (0.64–6.38) | 1.14 | (0.39–3.37) |
Marital status: Married/c-law vs. single/div/sep//widowed | 0.85 | (0.40–1.80) | 0.85 | (0.45–1.57) | 1.43 | (0.71–2.87) | 0.89 | (0.45–1.17) |
Number of chronic illness: 0–3 vs. ≥ 4 | 1.56 | (0.69–3.50) | 0.83 | (0.43–1.61) | 0.91 | (0.43–1.93) | 0.96 | (0.44–2.08) |
Kessler-10 scale: < 19 vs. ≥ 20 | 0.75 | (0.38–1.46) | 1.12 | (0.64–1.98) | 0.45 | (0.23–0.89) | 0.83 | (0.43–1.57) |
MD gender: female vs. male | 0.78 | (0.35–1.74) | 1.43 | (0.72–2.85) | 1.32 | (0.62–2.82) | 1.26 | (0.58–2.73) |
Primary clinic types: <3 physicians vs. FMG | 0.52 | (0.19–1.42) | 1.48 | (0.75–2.91) | 0.80 | (0.38–1.69) | 0.96 | (0.43–2.12) |
Primary clinic types: ≥3 physicians vs. FMG | 0.78 | (0.27–2.31) | 0.86 | (0.42–1.75) | 1.73 | (0.72–4.17) | 1.24 | (0.54–2.84) |
Primary clinic types: CLSC vs. FMG | 0.55 | (0.04–7.51) | 5.43 | (0.58–51.08) | 0.34 | (0.6–2.07) | 1.12 | (0.08–15.06) |
Number of full time* equivalent GPs | 1.01 | (0.99–1.02) | 0.97 | (0.98–1.01) | 0.99 | (0.98–1.01) | 1.01 | (0.57–0.99) |
Retention index | 0.35 | (0.01–12.20) | 1.05 | (0.56–19.84) | 0.26 | (0.01–14.12) | 0.99 | (0.98–1.01) |
Accessibility index | 0.12 | (0.00–4.73) | 0.84 | (0.04–19.08) | 5.02 | (0.09–37.83) | 1.88 | (0.54–64.79) |
Usual Provider of Care index | 1.01 | (0.96–1.03) | 0.99 | (0.98–1.01) | 1.01 | (0.98–1.03) | 0.99 | (0.97–1.01) |
Continuity of Care Depression and Anxiety index | 1.11 | (0.8–1.43) | 1.05 | (0.84–1.31) | 0.83 | (0.64–1.09) | 0.97 | (0.75–1.25) |