Association between any household food insecurity and use of health services for a mental or substance use disorder, relative to food-secure households, among children and adolescents in Ontario, Canada
| Outcome | Prevalence ratio (95% CI) | ||
|---|---|---|---|
| Unadjusted model | Partially adjusted model* | Fully adjusted model† | |
| Mental or substance use disorder outpatient visit | 1.60 (1.47–1.74) | 1.55 (1.41–1.70) | 1.39 (1.26–1.53) |
| Mental or substance use disorder acute care visit | 1.71 (1.23–2.37) | 1.74 (1.24–2.45) | NA |
| Any visit for a mental disorder | 1.39 (1.23–1.58) | 1.43 (1.25–1.64) | 1.27 (1.11–1.46) |
| Any visit for a substance use disorder | 1.90 (1.05–3.43) | 2.26 (1.18–4.33) | NA |
| Any visit for a neurodevelopmental disorder | 1.87 (1.66–2.10) | 1.71 (1.50–1.95) | 1.55 (1.36–1.77) |
Note: CI = confidence interval, NA = model output not available given small number of events.
↵* Adjusted for age, sex, household income and rurality.
↵† Adjusted for age, sex, household income, rurality, racial group, maternal migrant status, maternal mental health visit in the previous year, maternal substance use visit in the previous year, single-parent household, number of children in household and survey cycle.