Mind the Gap: A Retrospective Study of Discrepancies in Self-Reported and Administrative Database-Identified Mental Health Issues in Slovenia

Figure 1.

Figure 1.

Socio-demographic characteristics of the study group in the study of discrepancies in self-reported and administrative database-identified mental health issues in Slovenia_

Variable	Mean±SD/N (%)
Age	50.6±19.1
Gender
Male	4479 (45.2%)
Female	5421 (54.8%)
Education status
Primary school or lower	1737 (17.5%)
Secondary school	5257 (53.1%)
Tertiary or higher	2906 (29.4%)
Employment status
Employed, self-employed	4813 (48.9%)
Unemployed	667 (6.8%)
Student	913 (9.3%)
Retired	3332 (33.8%)
Other	127 (1.3%)

Identification or self-identification of mental health issues in three administrative databases of the National Institute of Public Health in the study of discrepancies in self-reported and administrative database-identified mental health issues in Slovenia_

At least 1 record in any database	Self-reporting of mental health issues (survey)
	Present	Absent	Total
Present	613 (45.9%)	1062 (12.4%)	1675 (16.9%)
Absent	723 (54.1%)	7502 (87.6%)	8225 (83.1%)
Total	1336 (100.0%)	8564 (100.0%)	9900 (100.0%)

Socio-demographic characteristics of the case groups identified with mental health issues in three administrative databases of the National Institute of Public Health in the study of discrepancies in self-reported and administrative database-identified mental health issues in Slovenia_

Variable	Survey and administrative n=613	Administrative n=1062	Survey n=723	Neither n=7502	Total n=9.900	p-value
	Mean±SD/N (%)
Age	57.8±2.0	63.2±15.8	42.8±19.7	49.0±18.6	50.6±19.1	<0.001
Gender
Male	181 (29.5%)	367 (34.6%)	257 (35.5%)	3674 (49.0%)	4479 (45.2%)	<0.001
Female	432 (70.5%)	695 (65.4%)	466 (64.5%)	3828 (51.0%)	5421 (54.8%)
Education status
Primary school or lower	142 (23.2%)	251 (23.6%)	172 (23.8%)	1172 (15.6%)	1737 (17.5%)	<0.001
Secondary school	327 (53.3%)	593 (55.8%)	323 (44.7%)	4014 (53.5%)	5257 (53.1%)
Tertiary or higher	144 (23.5%)	218 (20.5%)	228 (31.5%)	2316 (30.9%)	2906 (29.4%)
Employment status
Employed, self-employed	197 (32.1%)	301 (28.4%)	330 (46.1%)	3985 (53.4%)	4813 (48.9%)	<0.001
Unemployed	98 (16.0%)	70 (6.6%)	78 (10.9%)	421 (5.6%)	667 (6.8%)
Student	21 (3.4%)	15 (1.4%)	157 (21.9%)	720 (9.6%)	913 (9.3%)
Retired	289 (47.1%)	656 (61.8%)	144 (20.1%)	2243 (30.1%)	3332 (33.8%)
Other	8 (1.3%)	19 (1.8%)	7 (1.0%)	93 (1.2%)	127 (1.3%)

Results of multinomial regression analysis of mental health issue identification across different data sources in the study of discrepancies in self-reported and administrative database-identified mental health issues in Slovenia_

Variable	Administrative and survey			Only administrative			Only survey
	OR	95% CI	p-value	OR	95% CI	p-value	OR	95% CI	p-value
Age	1.02	1.01–1.03	<0.001	1.03	1.03–1.04	<0.001	0.99	0.98–1.00	0.086
Gender
Male	1.00			1.00			1.00
Female	2.23	1.86–2.68	<0.001	1.77	1.44–1.99	<0.001	1.77	1.44–1.99	<0.001
Education status			<0.001			<0.001			<0.001
Primary school or lower	1.00			1.00			1.00
Secondary school	0.86	0.69–1.08	0.198	0.95	0.79–1.14	0.572	0.73	0.59–0.90	0.004
Tertiary or higher	0.75	0.57–0.99	0.039	0.75	0.60–0.93	0.009	0.88	0.69–1.13	0.310
Employment status			<0.001			<0.001			<0.001
Employed, self-employed	1.00			1.00			1.00
Unemployed	4.07	3.11–5.34	<0.001	1.82	1.37–2.42	<0.001	2.20	1.67–2.89	<0.001
Student	0.86	0.51–1.45	0.569	0.57	0.32–1.01	0.054	2.06	1.51–2.81	<0.001
Retired	1.41	1.05–1.90	0.022	1.48	1.17–1.87	0.001	0.93	0.69–1.27	0.666
Other	0.92	0.43–1.97	0.836	1.28	0.72–2.19	0.368	0.76	0.34–1.67	0.489