Background
Methods
General practitioner n=5184 | Somatic specialist services n=4956 | Psychiatric specialist services n=4513 | ||||
---|---|---|---|---|---|---|
OR (95% CI) | OR for trend (95% CI) | OR (95% CI) | OR for trend (95% CI) | OR (95% CI) | OR for trend (95% CI) | |
Marital status
| ||||||
Married/cohabitant (1) | 0.91 (0.72-1.14) | 0.90 (0.72-1.12) | 0.77 (0.66-0.91) | 0.77 (0.66-0.90) | 0.74 (0.50-1.09) | 0.75 (0.52-1.10) |
Single (0) | 1.00 | 1.00 | 1.00 | |||
Household income
| ||||||
Low (1) | 0.97 (0.64-1.46) | 0.97 (0.85-1.09) | 0.66 (0.50-0.88) | 1.11 (1.01-1.21) | 3.82 (1.93-7.57) | 0.69 (0.56-0.86) |
Low middle (2) | 1.07 (0.81-1.43) | 0.88 (0.71-1.08) | 2.05 (1.18-3.56) | |||
High middle (3) | 0.98 (0.79-1.21) | 0.93 (0.79-1.10) | 1.68 (1.09-2.59) | |||
High (4) | 1.00 | 1.00 | 1.00 | |||
Education
| ||||||
Low (1) | 1.16 (0.90-1.49) | 0.93 (0.82-1.05) | 0.62 (0.51-0.74) | 1.27 (1.16-1.39) | 0.44 (0.27-0.71) | 1.57 (1.24-1.98) |
Middle (2) | 1.12 (0.92-1.37) | 0.88 (0.76-1.02) | 0.52 (0.36-0.75) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self-rated occupational status
| ||||||
Low (1) | 1.12 (0.80-1.55) | 0.95 (0.82-1.09) | 0.93 (0.74-1.17) | 1.04 (0.94-1.15) | 1.17 (0.69-1.99) | 0.96 (0.74-1.23) |
Middle (2) | 1.07 (0.90-1.28) | 0.93 (0.81-1.06) | 1.04 (0.74-1.47) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self -rated health
| ||||||
Bad (1) | 11.34 (5.49-23.41) | 0.48 (0.42-0.54) | 4.62 (3.40-6.28) | 0.60 (0.55-0.65) | 10.82 (5.83-20.08) | 0.49 (0.41-0.59) |
Fair (2) | 4.31 (3.30-5.62) | 2.69 (2.22-3.26) | 2.83 (1.63-4.94) | |||
Good (3) | 2.01 (1.67-2.42) | 1.55 (1.31-1.83) | 1.98 (1.19-3.31) | |||
Excellent (4) | 1.00 | 1.00 | 1.00 |
General practitioner | Somatic specialist services | Psychiatric specialist services | ||||
---|---|---|---|---|---|---|
OR (95% CI) n=4417 | OR for trend (95% CI) n=4417 | OR (95% CI) n=2211 | OR for trend (95% CI) n=2211 | OR (95% CI) n=195** | OR for trend (95% CI) n=197** | |
Marital status
| ||||||
Marrried/cohabitant (1) | 0.88 (0.74-1.05) | 0.85 (0.72-1.01) | 0.83 (0.65-1.05) | 0.88 (0.70-1.11) | 0.59 (0.23-1.49) | 0.39 (0.17-0.88) |
Single (0) | 1.00 | 1.00 | 1.00 | |||
Household income
| ||||||
Low (1) | 1.39 (1.03-1.89) | 0.89 (0.81-0.98) | 1.19 (0.77-1.84) | 0.96 (0.84-1.10) | 0.39 (0.08-1.84) | 1.38 (0.89-2.13) |
Low middle (2) | 1.47 (1.17-1.85) | 0.92 (0.67-1.26) | 0.56 (0.15-2.04) | |||
High middle (3) | 1.21 (1.01-1.44) | 1.07 (0.84-1.37) | 0.47 (0.16-1.34) | |||
High (4) | 1.00 | 1.00 | 1.00 | |||
Education
| ||||||
Low (1) | 1.10 (0.90-1.33) | 0.96 (0.87-1.06) | 0.95 (0.72-1.24) | 1.01 (0.88-1.15) | 0.49 (0.15-1.56) | 1.43 (0.86-2.37) |
Middle (2) | 0.97 (0.83-1.14) | 1.00 (0.80-1.25) | 0.75 (0.30-1.87) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self-rated occupational status
| ||||||
Low (1) | 0.97 (0.76-1.24) | 1.02 (0.91-1.14) | 1.06 (0.76-1.48) | 0.98 (0.84-1.14) | 1.69 (0.44-6.51) | 1.00 (0.58-1.73) |
Middle (2) | 0.95 (0.82-1.10) | 1.03 (0.84-1.25) | 0.72 (0.31-1.65) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self -rated health
| ||||||
Bad (1) | 13.82 (9.51-20.10) | 0.41 (0.37-0.45) | 2.35 (1.55-3.52) | 0.74 (0.66-0.83) | 4.66 (0.97-22.32) | 0.68 (0.46-1.00) |
Fair (2) | 6.36 (5.08-7.97) | 2.11 (1.57-2.83) | 1.84 (0.46-7.30) | |||
Good (3) | 2.67 (2.19-3.27) | 1.51 (1.15-1.98) | 1.48 (0.42-5.28) | |||
Excellent (4) | 1.00 | 1.00 | 1.00 |
General practitioner n=5123 | Somatic specialist services n=4959 | Psychiatric specialist services n=4560 | ||||
---|---|---|---|---|---|---|
OR (95% CI) | OR for trend (95% CI) | OR (95% CI) | OR for trend (95% CI) | OR (95% CI) | OR for trend (95% CI) | |
Marital status
| ||||||
Married/cohabitant (1) | 1.29 (1.05-1.60) | 1.31 (1.07-1.61) | 0.98 (0.82-1.17) | 0.99 (0.83-1.18) | 0.85 (0.53-1.37) | 0.82 (0.51-1.30) |
Single (0) | 1.00 | 1.00 | 1.00 | |||
Household income
| ||||||
Low (1) | 1.14 (0.76-1.72) | 0.85 (0.76-0.94) | 0.69 (0.50-0.95) | 1.08 (0.99-1.18) | 1.55 (0.70-3.43) | 0.89 (0.70-1.15) |
Low middle (2) | 1.40 (1.09-1.80) | 0.90 (0.73-1.11) | 1.05 (0.58-1.89) | |||
High middle (3) | 1.18 (1.00-1.41) | 0.96 (0.82-1.12) | 0.83 (0.52-1.33) | |||
High (4) | 1.00 | 1.00 | 1.00 | |||
Education
| ||||||
Low (1) | 1.00 (0.81-1.23) | 1.00 (0.90-1.11) | 0.77 (0.65-0.92) | 1.14 (1.05-1.25) | 0.80 (0.49-1.32) | 1.12 (0.88-1.44) |
Middle (2) | 1.17 (0.99-1.38) | 0.92 (0.80-1.06) | 0.74 (0.48-1.14) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self-rated occupational status
| ||||||
Low (1) | 1.06 (0.75-1.49) | 1.06 (0.93-1.20) | 0.91 (0.69-1.19) | 1.11 (0.99-1.23) | 1.25 (0.65-2.44) | 1.00 (0.74-1.35) |
Middle (2) | 0.88 (0.76-1.04) | 0.86 (0.76-0.98) | 0.92 (0.63-1.36) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self -rated health
| ||||||
Bad (1) | 11.95 (5.77-24.77) | 0.52 (0.47-0.58) | 5.52 (3.93-7.76) | 0.60 (0.55-0.66) | 11.72 (4.77-28.77) | 0.42 (0.33-0.53) |
Fair (2) | 3.40 (2.69-4.29) | 2.46 (2.00-3.03) | 5.37 (2.40-11.99) | |||
Good (3) | 1.49 (1.24-1.78) | 1.54 (1.27-1.86) | 2.05 (0.92-4.57) | |||
Excellent (4) | 1.00 | 1.00 | 1.00 |
General practitioner | Somatic specialist services | Psychiatric specialist services | ||||
---|---|---|---|---|---|---|
OR (95% CI) n=4005 | OR for trend (95% CI) n=4005 | OR (95% CI) n=1902 | OR for trend (95% CI) n=1902 | OR (95% CI) n=136** | OR for trend (95% CI) n=139** | |
Marital status
| ||||||
Married/cohabitant (1) | 0.95 (0.78-1.16) | 0.95 (0.78-1.15) | 0.79 (0.60-1.05) | 0.82 (0.62-1.09) | 0.07 (0.02-0.33) | 0.08 (0.02-0.31) |
Single (0) | 1.00 | 1.00 | 1.00 | |||
Household income
| ||||||
Low (1) | 1.74 (1.24-2.46) | 0.86 (0.78-0.95) | 0.80 (0.48-1.34) | 0.99 (0.86-1.14) | 0.37 (0.05-3.08) | 2.02 (1.12-3.63) |
Low middle (2) | 1.33 (1.06-1.67) | 1.05 (0.76-1.46) | 0.18 (0.04-0.81) | |||
High middle (3) | 1.20 (1.01-1.43) | 1.16 (0.91-1.48) | 0.45 (0.15-1.34) | |||
High (4) | 1.00 | 1.00 | 1.00 | |||
Education
| ||||||
Low (1) | 1.28 (1.05-1.55) | 0.87 (0.79-0.96) | 1.08 (0.82-1.44) | 0.96 (0.83-1.10) | 2.62 (0.75-9.18) | 0.60 (0.33-1.08) |
Middle (2) | 1.32 (1.13-1.55) | 1.11 (0.88-1.40) | 1.35 (0.45-4.04) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self-rated occupational status
| ||||||
Low (1) | 1.01 (0.75-1.36) | 1.00 (0.88-1.12) | 0.59 (0.39-0.91) | 1.18 (1.00-1.40) | 0.16 (0.03-1.00) | 2.01 (0.96-4.18) |
Middle (2) | 0.97 (0.84-1.13) | 0.90 (0.73-1.11) | 0.39 (0.14-1.10) | |||
High (3) | 1.00 | 1.00 | 1.00 | |||
Self -rated health
| ||||||
Bad (1) | 8.01 (5.46-11.77) | 0.48 (0.44-0.53) | 3.68 (2.24-6.05) | 0.63 (0.56-0.72) | 4.82 (0.65-35.90) | 0.69 (0.41-1.14) |
Fair (2) | 4.03 (3.13-5.19) | 2.00 (1.42-2.82) | 6.62 (0.97-44.92) | |||
Good (3) | 1.84 (1.45-2.34) | 1.15 (0.84-1.59) | 4.38 (0.65-29.44) | |||
Excellent (4) | 1.00 | 1.00 | 1.00 |
Results
Sample characteristics
Women | Men | |||||||
---|---|---|---|---|---|---|---|---|
Total sample n=6929 | GP n=5897 | Somatic specialist services n=2857 | Psychiatric specialist services n=278 | Total sample n=6053 | GP n=4727 | Somatic specialist services n=2194 | Psychiatric specialist services n=179 | |
Age
| n=6929 | n=5897 | n=2857 | n=278 | n=6053 | n=4727 | n=2194 | n=179 |
30-39 | 4.3 | 4.3 | 4.0 | 7.9 | 3.5 | 3.2 | 2.7 | 1.7 |
40–49 | 27.6 | 26.4 | 26.1 | 39.9 | 27.5 | 23.8 | 20.8 | 28.5 |
50–59 | 18.6 | 18.1 | 19.3 | 16.9 | 18.9 | 18.4 | 18.5 | 21.2 |
60–69 | 30.4 | 30.7 | 30.9 | 20.5 | 33.0 | 34.6 | 37.0 | 27.4 |
70–79 | 14.3 | 15.3 | 14.6 | 11.2 | 13.9 | 16.3 | 17.5 | 17.9 |
80-87 | 4.8 | 5.2 | 5.1 | 3.6 | 3.2 | 3.7 | 3.5 | 3.3 |
Marital status
| n=6627 | n=5649 | n=2745 | n=266 | n=5932 | n=4645 | n=2160 | n=170 |
Married/ cohabitant | 68.8 | 68.2 | 67.1 | 59.8 | 82.1 | 82.4 | 82.8 | 74.7 |
Single | 31.2 | 31.8 | 32.9 | 40.2 | 17.9 | 17.6 | 17.2 | 25.3 |
Household income
| n=6180 | n=5248 | n=2602 | n=245 | n=5788 | n=4509 | n=2118 | n=171 |
Low | 16.0 | 17.0 | 14.6 | 22.9 | 8.1 | 8.9 | 7.7 | 17.5 |
Low middle | 29.0 | 29.8 | 30.6 | 28.6 | 24.2 | 26.1 | 26.5 | 28.7 |
High middle | 31.9 | 31.5 | 32.3 | 31.0 | 38.8 | 38.7 | 38.7 | 29.8 |
High | 23.1 | 21.7 | 22.5 | 17.5 | 28.9 | 26.3 | 27.1 | 24.0 |
Education
| n=6824 | n=5807 | n=2825 | n=275 | n=5975 | n=4669 | n=2178 | n=175 |
Low | 31.9 | 33.1 | 27.8 | 28.7 | 25.0 | 26.3 | 23.7 | 29.7 |
Middle | 31.8 | 32.3 | 33.4 | 26.2 | 35.5 | 36.3 | 35.6 | 32.0 |
High | 36.3 | 34.6 | 38.8 | 45.1 | 39.5 | 37.4 | 40.7 | 38.3 |
Self-rated status of occupation
| n=5967 | n=5061 | n=2486 | n=226 | n=5498 | n=4280 | n=2008 | n=156 |
Low | 10.0 | 10.4 | 9.7 | 13.7 | 5.6 | 5.9 | 5.7 | 8.3 |
Middle | 59.1 | 59.5 | 58.5 | 55.3 | 52.2 | 52.5 | 50.1 | 50.7 |
High | 30.9 | 30.1 | 31.8 | 31.0 | 42.2 | 41.6 | 44.2 | 41.0 |
Self-rated health
| n=6855 | n=5839 | n=2834 | n=277 | n=6009 | n=4697 | n=2184 | n=178 |
Bad | 6.0 | 6.9 | 8.4 | 18.1 | 4.8 | 5.8 | 8.2 | 14.6 |
Fair | 29.3 | 31.6 | 33.9 | 33.2 | 28.2 | 31.6 | 33.6 | 43.3 |
Good | 49.4 | 48.7 | 45.8 | 39.7 | 53.3 | 51.4 | 48.9 | 37.6 |
Excellent | 15.3 | 12.8 | 11.9 | 9.0 | 13.7 | 11.2 | 9.3 | 4.5 |
Women | Men | |||||
---|---|---|---|---|---|---|
General practitioner n=6844 | Somatic specialist services n=6401 | Psychiatric specialist services n=5818 | General practitioner n=6006 | Somatic specialist services n=5753 | Psychiatric specialist services n=5304 | |
Rate/100 (95% CI) | Rate/100 (95% CI) | Rate/100 (95% CI) | Rate/100 (95% CI) | Rate/100 (95% CI) | Rate/100 (95% CI) | |
Total
| 86.2 (85.3-87.0) | 44.6 (43.4-45.9) | 4.8 (4.2-5.3) | 78.7 (77.7-79.7) | 38.1 (36.9-39.4) | 3.4 (2.9-3.9) |
Age
| n=6844 | n=6401 | n=5818 | n=6006 | n=5753 | n=5304 |
30-39 | 85.5 (81.4-89.5) | 40.6 (34.9-46.4) | 8.4 (5.0-11.7) | 72.4 (66.3-78.4) | 28.6 (22.5-34.8) | 1.5 (−0.2-3.2) |
40–49 | 82.3 (80.6-84.0) | 41.0 (38.7-43.2) | 6.5 (5.3-7.7) | 68.3 (66.0-70.5) | 28.3 (26.1-30.5) | 3.3 (2.4-4.2) |
50–59 | 83.5 (81.4-85.5) | 44.8 (42.1-47.6) | 4.2 (3.0-5.4) | 76.6 (74.1-79.0) | 36.8 (34.0-39.7) | 3.7 (2.5-4.8) |
60–69 | 86.9 (85.5-88.4) | 45.5 (43.3-47.8) | 3.3 (2.5-4.2) | 82.3 (80.7-84.0) | 42.7 (40.5-45.0) | 2.9 (2.1-3.7) |
70–79 | 93.2 (91.6-94.8) | 48.7 (45.3-52.0) | 4.1 (2.7-5.5) | 92.2 (90.4-94.0) | 49.5 (46.0-53.0) | 4.7 (3.1-6.3) |
80-87 | 93.9 (91.3-96.5) | 53.3 (47.4-59.2) | 4.1 (1.6-6.6) | 91.7 (87.8-95.6) | 48.7 (40.9-56.6) | 4.1 (0.9-7.2) |
Marital status
| n=6558 | n=6160 | n=5620 | n=5897 | n=5660 | n=5218 |
Married/cohabitant | 85.3 (84.3-86.3) | 43.1 (41.6-44.6) | 4.1 (3.5-4.7) | 79.1 (77.9-80.2) | 38.4 (37.0-39.8) | 3.0 (2.4-3.5) |
Single | 88.0 (86.6-89.4) | 47.8 (45.6-50.1) | 6.2 (5.1-7.4) | 77.5 (75.0-80.0) | 37.1 (34.1-40.1) | 4.7 (3.3-6.0) |
Self-rated health
| n=6781 | n=6349 | n=5776 | n=5969 | n=5723 | n=5275 |
Bad | 97.3 (95.8-98.9) | 63.9 (59.0-68.8) | 15.4 (11.5-19.3) | 96.1 (93.9-98.4) | 65.9 (60.3-71.6) | 11.1 (7.0-15.1) |
Fair | 93.3 (92.2-94.4) | 53.0 (50.7-55.3) | 5.8 (4.6-6.9) | 88.0 (86.4-89.5) | 46.1 (43.7-48.6) | 5.4 (4.2-6.6) |
Good | 85.0 (83.8-86.2) | 41.2 (39.5-42.9) | 3.8 (3.1-4.5) | 75.9 (74.4-77.4) | 35.0 (33.3-36.7) | 2.4 (1.8-2.9) |
Excellent | 71.7 (68.9-74.4) | 33.3 (30.4-36.2) | 2.6 (1.6-3.6) | 64.3 (61.1-67.6) | 25.2 (22.2-28.2) | 1.0 (0.3-1.8) |