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Table 18.2. Use of mental health services among children 4–17 years
of age by level of emotional or behavioral difficulties
and selected sociodemographic variables: United States, 2001–2003
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Severe/definite difficulties
|
Minor difficulties
|
|
|
MH Professional
|
General Doctor
for MH
|
Special Ed
for MH
|
MH Professional
|
General Doctor
for MH
|
Special Ed
for MH
|
|
|
Percent
|
(SE)
|
P1
|
Percent
|
(SE)
|
P1
|
Percent
|
(SE)
|
P1
|
Percent
|
(SE)
|
P1
|
Percent
|
(SE)
|
P1
|
Percent
|
(SE)
|
P1
|
|
Total
|
45.0
|
(1.6)
|
|
38.7
|
(1.7)
|
|
22.8
|
(1.4)
|
|
15.6
|
(0.6)
|
|
11.3
|
(0.6)
|
|
4.7
|
(0.4)
|
|
|
Sex
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Boys
|
44.6
|
(2.0)
|
0.79
|
40.2
|
(2.1)
|
0.22
|
25.2
|
(1.7)
|
0.01
|
15.6
|
(0.8)
|
0.99
|
11.5
|
(0.7)
|
0.72
|
5.7
|
(0.5)
|
<0.001
|
|
Girls
|
45.6
|
(2.9)
|
|
35.8
|
(2.8)
|
|
18.1
|
(2.4)
|
|
15.6
|
(1.0)
|
|
11.1
|
(0.9)
|
|
3.3
|
(0.5)
|
|
|
Age (in years)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4–7
|
32.9
|
(3.8)
|
0.01
|
40.3
|
(3.8)
|
0.02
|
12.9
|
(2.8)
|
0.004
|
9.9
|
(1.0)
|
<0.001
|
11.3
|
(1.2)
|
1.00
|
3.7
|
(0.7)
|
0.08
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|
8–10
|
47.9
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(3.3)
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|
43.2
|
(3.4)
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|
26.4
|
(3.0)
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|
16.9
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(1.4)
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|
11.2
|
(1.1)
|
|
3.8
|
(0.7)
|
|
|
11–14
|
47.1
|
(2.8)
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|
41.2
|
(2.9)
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|
24.1
|
(2.4)
|
|
16.2
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(1.2)
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|
11.3
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(1.0)
|
|
6.1
|
(0.8)
|
|
|
15–17
|
48.0
|
(3.3)
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|
29.7
|
(3.1)
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|
24.8
|
(2.8)
|
|
19.8
|
(1.4)
|
|
11.3
|
(1.1)
|
|
4.7
|
(0.7)
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Race/ethnicity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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White, non-Hispanic
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50.7
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(2.1)
|
<0.001
|
44.4
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(2.2)
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<0.001
|
22.3
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(1.8)
|
0.28
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17.6
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(0.9)
|
<0.001
|
12.5
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(0.7)
|
<0.001
|
4.7
|
(0.5)
|
0.04
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|
Black, non-Hispanic
|
30.0
|
(3.7)
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|
25 .0
|
(3.4)
|
|
25.5
|
(3.4)
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|
12.2
|
(1.4)
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|
10.9
|
(1.3)
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|
6.3
|
(1.1)
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|
|
Hispanic
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38.6
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(3.6)
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|
28.8
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(3.3)
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|
18.4
|
(2.8)
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|
10.2
|
(1.2)
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|
6.8
|
(0.9)
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|
3.3
|
(0.7)
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|
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Family Structure
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Mother only
|
42.0
|
(2.7)
|
0.19
|
35.4
|
(2.6)
|
0.07
|
24.7
|
(2.3)
|
0.16
|
18 .0
|
(1.2)
|
0.001
|
12.8
|
(1.0)
|
0.04
|
6.5
|
(0.8)
|
0.001
|
|
Two parent
|
46.5
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(2.2)
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|
41.4
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(2.2)
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20.5
|
(1.9)
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13.4
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(0.8)
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10.3
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(1.7)
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3.6
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(0.4)
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Poverty2
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Poor
|
38.6
|
(3.6)
|
0.02
|
33.3
|
(3.3)
|
0.06
|
26.5
|
(3.0)
|
0.22
|
.15
|
(1.5)
|
0.20
|
11.3
|
(1.3)
|
0.88
|
5.8
|
(1.1)
|
0.15
|
|
Near poor
|
42.4
|
(3.2)
|
|
36.7
|
(3.2)
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|
24.7
|
(3.1)
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|
13.9
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(1.3)
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|
10.8
|
(1.2)
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|
5.6
|
(0.9)
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Nonpoor
|
49.6
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(2.3)
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|
42.5
|
(2.2)
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|
19.9
|
(2.1)
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|
16.6
|
(0.8)
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|
11.5
|
(0.7)
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|
4.0
|
(0.4)
|
|
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Health insurance
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Uninsured
|
31.5
|
(4.8)
|
0.02
|
20 .0
|
(3.8)
|
<0.001
|
17.6
|
(4.1)
|
0.001
|
10.7
|
(1.7)
|
0.01
|
7.6
|
(1.4)
|
0.02
|
3.9
|
(1.1)
|
0.004
|
|
Medicaid3
|
44.8
|
(2.7)
|
|
39.3
|
(2.8)
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|
30 .0
|
(2.4)
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|
17.7
|
(1.3)
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|
13.1
|
(1.2)
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|
7.1
|
(0.9)
|
|
|
Private4
|
47.8
|
(2.3)
|
|
42 .0
|
(2.2)
|
|
18.6
|
(1.8)
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|
15.5
|
(0.8)
|
|
11.1
|
(0.7)
|
|
3.7
|
(0.4)
|
|
|
MSA
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MSA/CC
|
45.1
|
(2.9)
|
0.19
|
34.6
|
(2.7)
|
0.25
|
22.04
|
(2.4)
|
0.93
|
15.9
|
(1.3)
|
0.23
|
10.7
|
(1.1)
|
0.27
|
5.1
|
(0.7)
|
0.43
|
|
MSA/not CC
|
47.4
|
(2.4)
|
|
39.9
|
(2.3)
|
|
23.05
|
(2.0)
|
|
16.4
|
(0.9)
|
|
12.1
|
(0.8)
|
|
4.2
|
(0.5)
|
|
|
Not MSA
|
39.8
|
(3.4)
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|
41.2
|
(3.9)
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23.25
|
(3.2)
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|
13.5
|
(1.4)
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|
10.1
|
(1.2)
|
|
5.3
|
(1.0)
|
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MH Mental health
SE Standard error
MSA Metropolitan statistical area
CC Central city
1 P value for a chi square test.
2 Poor includes family incomes less than 100 percent of the poverty
level, near poor includes family incomes 100–199 percent of the poverty
level, nonpoor includes family incomes 200 percent or more of the poverty
level.
3 Medicaid includes children insured only by Medicaid.
4 Private includes children covered by private insurance, those with
non-Medicaid public insurance, and those with both private and public insurance.
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