Univariate and multivariate relationships between somatisation and service use and self-rated health in the 1997 (n=10 641) and 2007 (n=8841) Australian National Surveys of Mental Health and Well-Being
| 1997 National Survey of Mental Health and Well-Being | 2007 National Survey of Mental Health and Well-Being | |||||||
|---|---|---|---|---|---|---|---|---|
| Univariate | Multivariate | Univariate | Multivariate | |||||
| Negative self-rated health Weighted prevalence, per cent (SE) | Positive self-rated health Weighted prevalence, per cent (SE) | Poor self-rated health vs good self-rated health (ref) OR (95% CI) | Poor self-rated health vs good self-rated health (ref) Adjusted OR (95% CI) | Negative self-rated health Weighted prevalence, per cent (SE) | Positive self-rated health Weighted prevalence, per cent (SE) | Poor self-rated health vs good self-rated health (ref) OR (95% CI) | Poor self-rated health vs good self-rated health (ref) Adjusted OR (95% CI) | |
| Somatisation | ||||||||
| Neurasthenia | 5.4 (0.6) | 0.8 (0.1) | 7.1 (4.8 to 10.6)* | 3.4 (2.2 to 5.2)** | – | – | – | – |
| Health anxiety | – | – | – | – | 14.8 (1.4) | 2.4 (0.2) | 7.1 (5.3 to 9.6)* | 4.1 (2.9 to 5.9)** |
| Service use in past 12 months | ||||||||
| Mental health service | 10.5 (0.9) | 4.1 (0.3) | 2.7 (2.1 to 3.6)* | 2.5 (1.8 to 3.4)** | 13.1 (1.5) | 6.3 (0.4) | 2.3 (1.7 to 3.0)* | 1.3 (0.9 to 1.8) |
| General health service | 93.5 (0.5) | 84.2 (0.5) | 2.7 (2.3 to 3.2)* | 1.9 (1.6 to 2.4)** | 90.9 (1.4) | 81.5 (0.9) | 2.3 (1.6 to 3.2)* | 1.5 (1.0 to 2.2) |
| Mental or general health service | 93.8 (0.5) | 84.5 (0.5) | 2.8 (2.3 to 3.4)* | 2.0 (1.6 to 2.4)** | 91.3 (1.3) | 82.0 (0.9) | 2.3 (1.6 to 3.3)* | 1.5 (1.0 to 2.2) |
| Hospitalisations | 25.4 (1.1) | 10.6 (0.3) | 2.9 (2.5 to 3.3)* | 2.2 (1.9 to 2.7)** | 18.5 (1.4) | 9.0 (0.5) | 2.3 (1.9 to 2.8)* | 1.5 (1.2 to 1.9)** |
| Medications | 38.5 (1.5) | 13.5 (0.5) | 4.0 (3.5 to 4.7)* | 2.7 (2.3 to 3.2)** | 24.1 (1.4) | 9.5 (0.6) | 3.0 (2.5 to 3.7)* | 1.7 (1.3 to 2.1)** |
Multivariate analysis adjusting for demographics, any physical condition and ICD-10 psychiatric disorders.
*Statistically significant at p<0.05.
**Statistically significant at p<0.01.
ICD-10, International Classification of Diseases, 10th Revision.