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Table 2 Individual variables conditional logistic regression with the child entering public care

From: Health service use in families where children enter public care: a nested case control study using the General Practice Research Database

Exposure of interest

Cases

n = 147

Controls

n = 538

Odds Ratio (95% Confidence interval)

P value

Maternal mental illness

75 (51%)

132 (25%)

3.42 (2.29-5.11)

< 0.001

Maternal depression

52 (35%)

92 (17%)

2.76 (1.81-4.21)

< 0.001

Maternal referral to psychiatry

43 (28%)

58 (11%)

3.71 (2.29-6.01)

< 0.001

Maternal prescription of anxiolytic

29 (20%)

24 (4%)

5.49 (3.00-10.1)

< 0.001

Maternal psychosis

12 (8%)

6 (1%)

7.41 (2.78-19.8)

< 0.001

Concern about maternal psychological health

31 (21%)

55 (10%)

2.43 (1.46-4.04)

0.001

Maternal drug misuse

7 (5%)

1 (0.2%)

27.1 (3.33-220)

0.002

Maternal over dose referral

4 (3%)

0 (0%)

-

0.002*

Maternal alcohol misuse

6 (4%)

1 (0.2%)

23.1 (2.78-192)

0.004

Maternal visit to A + E

17 (12%)

29 (5%)

2.39 (1.27-4.52)

0.007

Maternal smoking

33 (22%)

76 (14%)

1.88 (1.17-3.03)

0.009

Maternal admission to hospital

6 (4%)

4 (0.7%)

6.42 (1.59-25.9)

0.009

Relationship issues in maternal file

5 (3%)

4 (0.7%)

4.69 (1.26-17.5)

0.021

Maternal contraception

41 (28%)

198 (37%)

0.64 (0.43-0.97)

0.035

Child mental illness

34 (23%)

43 (8%)

3.87 (2.29-6.53)

< 0.001

Child behavioural issues

19 (13%)

18 (3%)

4.80 (2.35-9.82)

< 0.001

Child maltreatment

20 (14%)

0 (0%)

-

< 0.001*

Child admission to hospital

12 (8%)

12 (2%)

3.83 (1.68-8.72)

0.001

Child referral to A + E

16 (11%)

25 (5%)

2.74 (1.37-5.52)

0.005

Any non attendance at primary or secondary care

57 (39%)

101 (19%)

2.95 (1.93-4.52)

< 0.001

Any social service input

31 (21%)

4 (0.6%)

55.8 (13.3-233)

< 0.001

Maternal age 15-19 years old

13 (9%)

28 (5%)

2.63 (1.24-5.59)

0.012

Maternal age 20-24 years old

41 (28%)

117 (22%)

2.34 (1.39-3.94)

0.001

Maternal age 25-29 years old

30 (20%)

197 (37%)

1.00

-

Maternal age 30-34 years old

30 (20%)

142 (26%)

1.35 (0.78-2.34)

0.282

Maternal age 35-39 years old

15 (10%)

39 (7%)

2.74 (1.33-5.67)

0.007

Maternal age 40-44 years old

14 (10%)

13 (2%)

6.97 (2.92-16.6)

< 0.001

Maternal age 45-49 years old

4 (3%)

2 (0.4%)

18.8 (1.64-158)

0.017

SES quintile 1

15 (10%)

131 (23%)

1.00

 

SES quintile 2

18 (12%)

104 (19%)

1.71 (0.80-3.67)

0.163

SES quintile 3

32 (22%)

94 (17%)

3.38 (1.69-6.77)

0.001

SES quintile 4

41 (28%)

119 (22%)

3.92 (1.98-7.73)

< 0.001

SES quintile 5

41 (28%)

90 (17%)

6.51 (3.09-13.7)

< 0.001

Maternal smoking cessation

3 (2%)

8 (1%)

1.29 (0.34-4.89)

0.71

Maternal sexually transmitted infection

1 (0.7%)

19 (4%)

0.19 (0.03-1.47)

0.11

Maternal termination of pregnancy

2 (1%)

6 (1%)

1.28 (0.26-6.37)

0.760

Maternal referral to Orthopaedics

17 (11%)

38 (7%)

1.74 (0.95-3.20)

0.075

Sentinel conditions for maternal trauma

5 (3%)

14 (3%)

1.37 (0.49-3.88)

0.55

Domestic abuse

7 (5%)

18 (3%)

1.53 (0.62-3.75)

0.354

Maternal learning difficulties

1 (0.7%)

0 (0%)

-

0.2*

Maternal bipolar disorder

2 (1%)

1 (0.2%)

8.00 (0.73-88.2)

0.09

Sentinel conditions for maternal drug misuse

1 (0.7%)

1 (0.2%)

4.00 (0.25-64.0)

0.33

Sentinel conditions for alcohol misuse

1 (0.7%)

0 (0%)

-

0.2*

Child with scabies

0 (0%)

4 (0.7%)

-

0.409*

Child with head lice

9 (6%)

28 (5%)

1.35 (0.58-3.11)

0.485

Child health surveillance codes

13 (9%)

55 (10%)

0.79 (0.33-1.92)

0.604

Ethnicity in maternal file

0 (0%)

5 (1%)

-

0.328*

Child developmental delay

4 (3%)

12 (2%)

1.29 (0.39-4.21)

0.678

Child immunisation data incomplete

1 (0.7%)

2 (0.4%)

2.45 (0.14-42.6)

0.539

Immunisation refused

2 (1%)

1 (0.2%)

7.29 (0.66-80.8)

0.105

Child referrals to orthopaedics

1 (0.7%)

7 (1%)

0.52 (0.06-4.31)

0.551

Other child referrals to secondary care

18 (12%)

54 (10%)

1.27 (0.70-2.29)

0.428

Sentinel conditions for child trauma

3 (2%)

8 (1%)

1.26 (0.33-4.77)

0.738

Sentinel conditions for child head injury

2 (1%)

11 (2%)

0.68 (0.15-3.16)

0.627

Sentinel codes for child burn

3 (2%)

2 (0.4%)

5.36 (0.89-32.2)

0.067

Child smoking

2 (1%)

4 (0.7%)

2.93 (0.35-10.4)

0.458

Child contraception

4 (3%)

7 (1%)

2.93 (0.62-13.9)

0.174

Child pregnancy

2 (1%)

4 (0.7%)

4.45 (0.32-62.7)

0.269

Relationship issues in child file

1 (0.7%)

1 (0.2%)

4.00 (0.25-64.0)

0.333

Antidepressant prescribed to child

3 (2%)

3 (0.6%)

5.04 (0.82-31.0)

0.081

Hypnotic prescribed to child

8 (5%)

19 (4%)

1.63 (0.68-3.91)

0.271

Child ADHD treatment

3 (2%)

3 (0.6%)

3.40 (0.68-17.1)

0.137

Child alcohol concern

1 (0.7%)

2 (0.4%)

2.00 (0.18-22.1)

0.571

Child drug misuse

1 (0.7%)

0 (0%)

-

0.2*

Health Visitor involvement

4 (3%)

5 (1%)

8.64 (0.90-83.0)

0.062

Any nursing input

4 (3%)

8 (1%)

2.36 (0.56-10.0)

0.243

Financial issues

3 (2%)

5(1%)

2.23 (0.53-9.35)

0.273

  1. The variables with no odds ratio have a zero score on one of the 2 by 2 table fields and cannot be computed by this method, we assigned a p value for these variables using an exact form of McNemar's Test