Median delay to care for assessed sociodemographic, military and clinical characteristics and their unadjusted association with delay to care
| Sample N/weighted N | Delay (days) to care (median (IQR)) | Wald χ2 P value | Unadjusted HR (95% CI) | HR P value | |
| Age category* | |||||
| 19–24 | 114/573 | 642 (401 to 1397) | 0.0741 | 0.82 (0.56 to 1.19) | 0.2901 |
| 25–34 | 456/1758 | 783 (381 to 1490) | 0.66 (0.47 to 0.92) | 0.015 | |
| 35–44 | 411/1277 | 815 (333 to 1654) | 0.70 (0.50 to 0.99) | 0.0429 | |
| 45–60 | 176/579 | 709 (261 to 959) | Reference | ||
| Sex† | |||||
| Female | 123/388 | 437 (190 to 1027) | 0.0118 | 1.41 (1.08 to 1.85) | 0.0118 |
| Male | 1034/3799 | 829 (369 to 1521) | Reference | ||
| First official language | |||||
| English | 797/2934 | 739 (328 to 1475) | 0.539 | Reference | |
| French | 360/1253 | 852 (406 to 1511) | 0.93 (0.75 to 1.17) | 0.539 | |
| Marital status | |||||
| Married/common law | 809/2805 | 908 (342 to 1624) | 0.1103 | Reference | |
| Divorces/separated/widowed | 130/351 | 642 (302 to 1268) | 1.24 (0.90 to 1.70) | 0.1995 | |
| Single | 218/1032 | 636 (376 to 1220) | 1.32 (1.00 to 1.74) | 0.0518 | |
| Rank category | |||||
| JNCM | 742/2814 | 773 (379 to 1497) | 0.8911 | Reference | |
| SNCM | 284/910 | 830 (340 to 1427) | 1.07 (0.79 to 1.45) | 0.658 | |
| Officer | 131/463 | 630 (224 to 1269) | 1.06 (0.68 to 1.64) | 0.7995 | |
| Years of military service | |||||
| <5 years | 177/1010 | 849 (406 to 1425) | 0.4003 | 0.81 (0.56 to 1.16) | 0.2463 |
| 5 to 9 years | 359/1210 | 754 (384 to 1568) | 0.76 (0.54 to 1.07) | 0.1216 | |
| 10 to 19 years | 392/1234 | 843 (326 to 1554) | 0.76 (0.53 to 1.09) | 0.1348 | |
| ≥20 years | 229/733 | 540 (262 to 1248) | Reference | ||
| Component | |||||
| Regular Force | 1095/3815 | 816 (368 to 1497) | 0.6939 | Reference | 0.6939 |
| Reserve Force | 62/372 | 406 (190 to 891) | 1.16 (0.55 to 2.45) | ||
| Service | |||||
| Army | 890/3502 | 782 (362 to 1476) | 0.9669 | Reference | |
| Air Force | 183/506 | 727 (349 to 1521) | 1.01 (0.77 to 1.31) | 0.9599 | |
| Navy | 84/179 | 489 (203 to 1074) | 1.09 (0.56 to 2.11) | 0.7957 | |
| Combat arms occupation | |||||
| No | 801/2764 | 743 (320 to 1459) | 0.7807 | Reference | |
| Yes | 356/1423 | 805 (404 to 1546) | 0.96 (0.75 to 1.25) | 0.7807 | |
| Deployment location† | |||||
| Other | 87/232 | 719 (341 to 1160) | 0.0497 | Reference | |
| Afghanistan | 1070/3955 | 769 (345 to 1476) | 0.80 (0.64 to 1.00) | 0.0497 | |
| Deployment length | |||||
| ≤180 days | 286/1005 | 847 (442 to 1476) | 0.4996 | Reference | |
| >180 days | 871/3182 | 741 (329 to 1447) | 0.92 (0.73 to 1.16) | 0.4996 | |
| Post-deployment era†‡ | |||||
| 2009–2011 | 0.0002 | Reference | |||
| 2012–2014 | 0.87 (0.67 to 1.14) | 0.3131 | |||
| 2015–2017 | 1.65 (1.08 to 2.53) | 0.0211 | |||
| A past mental health problem | |||||
| No | 1023/3778 | 796 (368 to 1476) | 0.1329 | Reference | |
| Yes | 134/409 | 589 (202 to 1347) | 1.30 (0.92 to 1.84) | 0.1329 | |
| Disorder case-mix†§ | |||||
| Depressive disorder only | 66/267 | 669 (276 to 1182) | 0.0016 | 1.66 (1.10 to 2.52) | 0.0172 |
| ‘Other’ mix-no PTSD | 118/487 | 635 (352 to 1181) | 1.47 (0.83 to 2.59) | 0.1898 | |
| PTSD only | 188/838 | 1127 (603 to 2018) | Reference | ||
| PTSD and depressive disorder | 241/668 | 825 (312 to 1289) | 1.62 (1.29 to 2.02) | <0.0001 | |
| PTSD and ‘other’ mix | 419/1411 | 652 (341 to 1392) | 1.45 (1.09 to 1.92) | 0.0099 | |
| Single ‘other’ | 125/515 | 563 (317 to 1219) | 1.29 (0.82 to 2.03) | 0.2761 | |
| Any PTSD | |||||
| No | 309/1270 | 636 (327 to 1188) | 0.5961 | Reference | |
| Yes | 848/2917 | 860 (370 to 1536) | 0.92 (0.68 to 1.24) | 0.5961 | |
| Relevant general medical condition indicated† | |||||
| No | 636/2673 | 959 (449 to 1829) | <0.0001 | Reference | |
| Yes | 521/1514 | 456 (260 to 947) | 2.44 (2.03 to 2.95) | <0.0001 | |
| Post-deployment screening status†‡ | |||||
| Not screened | 482/1070 | 928¶ (465 to 1547) | 0.0345 | Reference | |
| Screened | 675/3117 | 578¶ (209 to 1300) | 1.33 (1.02 to 1.73) | 0.0345 | |
*Significant at 0.05<p≤0.10.
†Significant at p≤0.05.
‡Handled as a time-dependent covariate.
§Depressive disorder includes either major depression or dysthymic disorder. The ‘other’ single disorders included non-PTSD anxiety disorders, mood disorders other than major depression and dysthymic disorder, adjustment disorder, somatoform disorder, substance-related disorders and substance-induced disorders; however, the ‘other’ mix disorders could also include major depression or dysthymic disorder.
¶The median delay to care for post-deployment screening was taken from the Kaplan-Meier event probabilities that were generated taking into account this covariate’s time-dependent nature.
**
IQR, interquartile range; JNCM, Junior Non-Commissioned Member; PTSD, post-traumatic stress disorder; SNCM, Senior NCM.