This study was designed to identity factors associated with service use for child psychopa-thology in three settings : mental health, general health, and schooi.
Subjects were 2519 children.
6 to 11 years of age. assessed in two cross-sectional Con-necticut surveys in the late 1980s.
Three groups of variables (socio-demographics, child's illness profile, and parental attitudes) were examined through multivariate logistic repression.
Most sociodemograph-ics showed moderate associations with all settings, although some previousiy reported effects (e.g., birth order, sibship size) were not ob-served.
Only Child Behavior Checklist total scores predicted use in the final model (odds ratio [OR]=1.6,95% confidence interval [CI]=1.1. 2.3).
Health problems were associated with increased use in all settings (OR=1.5.95% CI=1.3,1.9), while acadenuc problems were associated only with increased school service use (OR=5.2. 95% CI=3.9. 7.0).
Parental beiiet that the child needed help was most strongly associated with service use (common OR for all settings=5.3. 95% CI - 4.1. 6.8).
Sociodemograph-ics. parental attitudes, and children's illness profiles independently influence service use for psychopathology in school-aged children.
Mots-clés Pascal : Psychopathologie, Service santé, Santé mentale, Utilisation, Attitude parentale, Statut socioéconomique, Evaluation, Enfant, Homme, Analyse multivariable, Régression logistique, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Psychopathology, Health service, Mental health, Use, Parental attitude, Socioeconomic status, Evaluation, Child, Human, Multivariate analysis, Logistic regression, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0515300
Code Inist : 002B30A01C. Création : 13/02/1998.