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Table 2 Adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for associations between individual and neighbourhood-level characteristics and risk of healthcare use for a mood or anxiety disorder among adults with diabetes

From: Neighbourhood characteristics related to mental health service use among adults with diabetes: a population-based cohort study in New Brunswick, Canada

Characteristic

(1) All adults with diabetes (N = 66,275)

(2) Newly diagnosed diabetes (N = 4410)

HR

95% CI

p-value

HR

95% CI

p-value

Sex (ref: Male)

 Female

1.71*

1.66–1.77

 < 0.01

1.60*

1.39–1.83

 < 0.01

Age group (ref: 35–49 years)

 19–34 years

1.00

0.91–1.10

0.99

1.17

0.80–1.71

0.41

 50–64 years

0.80*

0.77–0.84

 < 0.01

0.74*

0.61–0.90

 < 0.01

 65–79 years

0.60*

0.57–0.63

 < 0.01

0.63*

0.52–0.77

 < 0.01

 80 years and over

0.42*

0.39–0.44

 < 0.01

0.54*

0.41–0.71

 < 0.01

Neighbourhood material deprivation (ref: Quintile 1)

 Quintile 2

1.03

0.96–1.11

0.37

0.94

0.68–1.30

0.71

 Quintile 3

1.06

0.99–1.13

0.10

1.12

0.84–1.51

0.44

 Quintile 4

1.06

0.99–1.13

0.09

1.01

0.75–1.36

0.93

 Quintile 5

1.07*

1.01–1.14

0.03

1.13

0.85–1.50

0.39

Neighbourhood residential instability (ref: Quintile 1)

 Quintile 2

1.00

0.94–1.06

0.87

0.86

0.67–1.10

0.23

 Quintile 3

0.99

0.93–1.05

0.69

0.89

0.69–1.15

0.38

 Quintile 4

1.06

0.99–1.13

0.09

0.83

0.63–1.11

0.21

 Quintile 5

1.13*

1.05–1.22

 < 0.01

0.93

0.66–1.31

0.68

Neighbourhood ethnic concentration (ref: Quintile 1)

 Quintile 2

1.05*

1.01–1.09

0.01

1.17

1.00–1.38

0.06

 Quintile 3

1.05*

1.00–1.10

0.05

0.81

0.65–1.01

0.07

 Quintile 4

0.98

0.91–1.05

0.57

0.96

0.68–1.35

0.81

 Quintile 5

1.00

0.90–1.12

0.93

0.85

0.50–1.44

0.54

Neighbourhood population dependency (ref: Quintile 1)

 Quintile 2

1.07

0.99–1.16

0.07

1.19

0.84–1.68

0.34

 Quintile 3

0.99

0.99–1.07

0.85

1.01

0.72–1.42

0.95

 Quintile 4

1.04

1.00–1.11

0.34

0.95

0.67–1.34

0.75

 Quintile 5

1.05

1.00–1.13

0.24

1.18

0.82–1.68

0.37

Neighbourhood active living friendliness (ref: Low)

 Medium

1.01

0.96–1.06

0.67

1.04

0.83–1.30

0.76

 High

1.04

0.97–1.13

0.27

1.30

0.91–1.84

0.15

  1. *p < 0.05; ref = reference category. Data refer to any use of medical or hospital services for mood and anxiety disorders over a six-year follow-up period
  2. Source: Linked provincial administrative health and geospatial datasets
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BMC Research Notes

ISSN: 1756-0500

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