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Table 2 Comparison between low or moderate service users and high service users of general practitioners and psychiatrists by individuals with substance use disorders (n = 4,407) between April 1, 2003 and March 31, 2005

From: Factors associated with high use of general practitioner and psychiatrist services among patients attending an addiction rehabilitation center

Variable

Low service usersa

Moderate service usersb

High service usersc

Low service users vs. High service users

Moderate service users vs. High service users

N = 1,175

N = 3,007

N = 225

pd

pe

Predisposing factors

     

Sex

   

0.065

0.119

 Female

360 (30.6 %)

1 269 (42.2 %)

83 (36.9 %)

  

 Male

815 (69.4 %)

1 738 (57.8 %)

142 (63.1 %)

  

Age group

   

0.002

0.424

 up to 30 years

353 (30.0 %)

621 (20.7 %)

51 (22.7 %)

  

 30 to 49 years

613 (52.2 %)

1 702 (56.6 %)

119 (52.9 %)

  

 50-64 years

187 (15.9 %)

578 (19.2 %)

43 (19.1 %)

  

 65 years and above

22 (1.9 %)

106 (3.5 %)

12 (5.3 %)

  

Enabling factors

     

Neighborhood characteristics

     

Population density (per km2)

7,218.6 ± 3,013.8

7,048.3 ± 2,877.3

6,494.9 ± 2,957.0

0.007

0.024

1st quintile of neighborhood material deprivation

23.07 ± 21.56

21.02 ± 20.63

22.02 ± 20.11

0.582

0.567

5th quintile of neighborhood material deprivation

23.54 ± 20.78

23.91 ± 20.30

23.54 ± 20.78

0.400

0.833

1st quintile of neighborhood social deprivation

5.63 ± 9.09

5.12 ± 8.08

6.12 ± 8.96

0.547

0.147

5th quintile of neighborhood social deprivation

50.60 ± 23.39

51.63 ± 23.35

50.40 ± 24.40

0.924

0.537

% of men

48.44 ± 1.69

48.40 ± 1.74

48.33 ± 1.65

0.462

0.650

% of persons aged up to 30

37.28 ± 2.76

37.16 ± 2.68

36.94 ± 2.65

0.163

0.347

% of persons aged 30-49

16.33 ± 2.69

16.21 ± 2.59

15.86 ± 2.42

0.048

0.117

% of persons aged 50-64

16.96 ± 1.61

17.06 ± 1.50

17.33 ± 1.50

0.010

0.033

% of persons 65 years and over

14.14 ± 3.33

14.26 ± 3.35

14.55 ± 3.20

0.158

0.305

% of recent immigrants

7.27 ± 3.41

7.02 ± 2.93

6.84 ± 2.88

0.149

0.472

Level of neighborhood social fragmentation

6.11 ± 4.43

6.07 ± 4.32

5.69 ± 4.28

0.282

0.295

Distance to the ARC (in km)

1.60 ± 0.87

1.65 ± 0.84

1.57 ± 0.93

0.624

0.212

Number of alcohol outlets with video lottery terminal

18.80 ± 8.13

18.80 ± 7.97

19.08 ± 8.21

0.699

0.675

Number of alcohol outlets without video lottery terminal

175.1 ± 83.41

171.4 ± 77.72

167.26 ± 83.02

0.295

0.528

Health services utilization

     

Consulted other medical professionals

838 (71.3 %)

2 721 (90.5 %)

221 (98.2 %)

<.001

<.001

Number of programs used in the ARC

   

<.001

0.002

 1

1 064 (90.6 %)

2 449 (81.4 %)

170 (75.6 %)

  

 2 to 3

110 (9.4 %)

531 (17.7 %)

48 (21.3 %)

  

 4 to 5

1 (0.0 %)

27 (0.9 %)

7 (3.1 %)

  

Duration of care episode at the ARC

   

0.074

0.125

 Less than one year

691 (60.9 %)

1 575 (55.7 %)

124 (58.5 %)

  

 One year

253 (22.3 %)

652 (23.0 %)

44 (20.8 %)

  

 Two years

93 (8.2 %)

305 (10.8 %)

19 (9.0 %)

  

 Three years

42 (3.7 %)

133 (4.7 %)

17 (8.0 %)

  

 Four years and more

55 (4.9 %)

165 (5.8 %)

8 (3.8 %)

  

Duration in the program in the ARC (in years)

   

0.310

0.214

 Less than one year

825 (70.2 %)

2 013 (66.9 %)

161 (71.6 %)

  

 One year

209 (17.8 %)

573 (19.1 %)

40 (17.8 %)

  

 Two years

70 (6.0 %)

199 (6.6 %)

14 (6.2 %)

  

 Three years

24 (2.0 %)

87 (2.9 %)

7 (3.1 %)

  

 Four years and more

47 (4.0 %)

135 (4.5 %)

3 (1.3 %)

  

Need factors

     

Diagnoses of substance abuse

221 (18.8 %)

1 528 (50.8 %)

190 (84.4 %)

<.001

<.001

Alcohol abuse

70 (6.0 %)

1 216 (40.4 %)

149 (66.2 %)

<.001

<.001

Drug abuse

156 (13.3 %)

868 (28.9 %)

171 (76.0 %)

<.001

<.001

Concomitant drug and alcohol abuse

17 (1.5 %)

493 (16.4 %)

122 (54.2 %)

<.001

<.001

Schizophrenia

8 (0.7 %)

334 (11.1 %)

113 (50.2 %)

<.001

<.001

Mood disorder

42 (3.6 %)

792 (26.3 %)

146 (64.9 %)

<.001

<.001

Anxiety disorder

199 (16.9 %)

1 965 (65.4 %)

212 (94.2 %)

<.001

<.001

Personality disorder

16 (1.4 %)

481 (16.0 %)

117 (52.0 %)

<.001

<.001

Number of mental disorders

   

<.001

<.001

 0

954 (81.2 %)

842 (28.0 %)

4 (1.8 %)

  

 1

179 (15.2 %)

1 123 (37.4 %)

33 (14.7 %)

  

 2

40 (3.4 %)

737 (24.5 %)

60 (26.7 %)

  

 3

2 (0.2 %)

245 (8.2 %)

77 (34.2 %)

  

 4

0 (0.0 %)

60 (2.0 %)

51 (22.7 %)

  

Number of physical comorbidity

   

<.001

<.001

 0

895 (76.2 %)

1 433 (47.7 %)

56 (24.9 %)

  

 1 to 2

262 (22.3 %)

1 266 (42.1 %)

107 (47.6 %)

  

 3 to 5

18 (1.5 %)

283 (9.4 %)

49 (21.8 %)

  

 6 and over

0 (0.0 %)

25 (0.8 %)

13 (5.8 %)

  

Concomitant substance and mental disorders

58 (4.9 %)

1 191 (39.6 %)

186 (82.7 %)

<.001

<.001

Concomitant substance and physical disorders

51 (4.3 %)

844 (28.1 %)

144 (64.0 %)

<.001

<.001

Concomitant mental and physical disorders

56 (4.8 %)

1 158 (38.5 %)

167 (74.2 %)

<.001

<.001

Concomitant substance, mental and physical disorders

11 (0.9 %)

660 (21.9 %)

142 (63.1 %)

<.001

<.001

  1. a 25th percentile or lower for all consultations to GPs or psychiatrists
  2. b 26–94th percentile for all consultations to GPs or psychiatrists
  3. c 95th percentile for all consultations to GPs or psychiatrists
  4. d After Benjamini-Hocheberg’s correction, the significance level is fixed at p = .027
  5. e After Benjamini-Hocheberg’s correction, the significance level is fixed at p = .021