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Table 2 Odds Ratios for Adolescent Reported Screening or Intervention Received by Medical Providers in Primary Care

From: Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings

 

Screening or Intervention (Dependent Variable)

 

Asked about AOD use

Suggested cutting down or stopping AOD use

Referred for specialty care

Counseled for > = 5 min

Asked and provided any treatment

Independent Variable

OR [95% CI]

OR [95% CI]

OR [95% CI]

OR [95% CI]

OR [95% CI]

MHI-5 Score (0–100)

1.01 [1.00–1.01]

1.01 [1.00–1.02]

0.97 [0.96–0.98]***

0.97 [0.97–0.98]***

0.98 [0.97–0.99]***

PESQ Risk Flags

 Red (vs. Green)

1.69 [1.19–2.40]**

8.89 [5.59–14.14]***

2.80 [1.73–4.54]***

3.48 [2.29–5.30]***

4.44 [3.11–6.36]***

 Yellow (vs. Green)

1.36 [0.96–1.92]

2.37 [1.37–4.09]**

1.14 [0.61–2.14]

2.15 [1.35–3.42]***

2.03 [1.37–3.01]***

Age

1.25 [1.17–1.34]***

0.98 [0.88–1.11]

0.96 [0.85–1.08]

0.88 [0.80–0.97]*

0.93 [0.85–1.01]

Gender

 Female (vs. Male)

1.19 [0.93–1.52]

0.61 [0.41–0.91]*

0.81 [0.53–1.25]

0.93 [0.65–1.33]

0.81 [0.60–1.08]

Race

 Black (vs. White)

0.42 [0.27–0.66]***

1.03 [0.51–2.08]

1.00 [0.50–1.99]

0.91 [0.50–1.68]

0.80 [0.48–1.33]

 Hispanic (vs. White)

0.40 [0.26–0.64]***

0.98 [0.49–1.97]

1.17 [0.58–2.33]

1.12 [0.62–2.01]

0.93 [0.57–1.54]

 Multi/Other (vs. White)

0.56 [0.31–0.99]*

1.05 [0.41–2.69]

0.88 [0.32–2.38]

1.46 [0.69–3.10]

1.12 [0.58–2.13]

Mother’s Education

 At least some college (vs. less than college)

1.07 [0.81–1.41]

0.93 [0.59–1.45]

1.10 [0.69–1.76]

1.31 [0.89–1.93]

1.22 [0.88–1.69]

Clinic

 Clinic A (vs. Clinic D)

0.80 [0.52–1.26]

1.53 [0.75–3.12]

1.45 [0.68–3.10]

1.25 [0.67–2.32]

1.36 [0.81–2.30]

 Clinic B (vs. Clinic D)

0.66 [0.43–1.02]

1.08 [0.53–2.20]

1.86 [0.92–3.76]

1.36 [0.76–2.44]

1.26 [0.76–2.08]

 Clinic C (vs. Clinic D)

0.87 [0.54–1.40]

0.98 [0.45–2.15]

1.79 [0.87–3.69]

0.79 [0.41–1.55]

0.98 [0.56–1.70]

  1. 228 cases were imputed for missing data on mother’s education. OR = odds ratio; CI = confidence interval; AOD = alcohol or drug use; PESQ = Personal Experience Screening Questionnaire; Analyses are adjusted for clustering within clinic; *p < .05; **p < .01; ***p < .001