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Table 3 Adjusted relative risk for none/mild, moderate, and severe traumatic stress symptoms on the adapted UCLA brief screen

From: Screening for symptoms of childhood traumatic stress in the primary care pediatric clinic

 

None/Mild Traumatic Stress

(0–10)

n = 1238 (84.1%)

Moderate Traumatic Stress

(11–20)

n = 157 (10.7%)

Severe Traumatic Stress

(≥ 21)

n = 77 (5.2%)

Prevalence

n (%)

Adjusted Risk Ratio

ARR (95% CI)

Prevalence

n (%)

Adjusted Risk Ratio

ARR (95% CI)

Prevalence

n (%)

Adjusted Risk Ratio

ARR (95% CI)

Potentially Traumatic Event

      

 none reported

946 (95.2)

(ref)

36 (3.6)

(ref)

12 (1.2)

(ref)

 ≥ 1 PTE reported

292 (61.1)

0.7 (0.6–0.7)

121 (25.3)

6.2 (4.3–8.9)

65 (13.6)

8.4 (4.6–15.3)

Child age

      

 6–10 years

588 (89.0)

(ref)

58 (8.8)

(ref)

15 (2.3)

(ref)

 11–17 years

650 (80.2)

1.0 (0.9-1.0)

99 (12.2)

1.4 (1.0, 1.9)

62 (7.6)

2.9 (1.5, 5.6)

Child sex

      

 Male

601 (87.2)

(ref)

67 (9.7)

(ref)

21 (3.1)

(ref)

 Female

637 (81.4)

0.9 (0.9-1.0)

90 (11.5)

1.2 (0.8, 1.8)

56 (7.2)

2.4 (1.5, 4.0)

Ethnicity

      

 Non-Hispanic

1062 (84.4)

(ref)

129 (10.3)

(ref)

67 (5.3)

(ref)

 Hispanic/Latinx

176 (82.2)

1.0 (0.9-1.0)

28 (13.1)

1.2 (0.8–1.8)

10 (4.7)

1.0 (0.5–1.8)

Race

      

 Majority/White

1113 (83.3)

(ref)

148 (11.1)

(ref)

75 (5.6)

(ref)

 Minority/Non-White

125 (91.9)

1.1 (1.0-1.1)

9 (6.6)

0.7 (0.4–1.3)

2 (1.5)

0.4 (0.1–1.5)

Area deprivation index1

      

 Low social risk (ADI 1–3)

1036 (84.9)

(ref)

122 (10.0)

(ref)

63 (5.2)

(ref)

 High social risk (ADI 4–5)

202 (80.5)

0.9 (0.9-1.0)

35 (13.9)

1.2 (0.9–1.7)

14 (5.6)

1.1 (0.6–1.8)

Mental health history2

      

 None

967 (88.6)

(ref)

95 (8.7)

(ref)

30 (2.8)

(ref)

 Mental health diagnosis

271 (71.3)

0.9 (0.9-1.0)

62 (16.3)

1.1 (0.8–1.6)

47 (12.4)

2.2 (1.4–3.6)

Medical complexity3

      

 None

821 (89.6)

(ref)

72 (7.9)

(ref)

23 (2.5)

(ref)

 Non-complex chronic condition

284 (78.0)

0.9 (0.9-1.0)

46 (12.6)

1.2 (0.9–1.7)

34 (9.3)

1.8 (1.1-3.0)

 Complex chronic condition

133 (69.3)

0.9 (0.9-1.0)

39 (20.3)

1.5 (1.0-2.2)

20 (10.4)

1.3 (0.7–2.3)

  1. *Bolded values reflect statistically significant risk of traumatic stress symptoms
  2. 1. The Area Deprivation Index (ADI) reflects a census block-group indicator of relative deprivation based on 17 U.S. Census measures of social determinants of health.31
  3. 2. Mental health history based on AHRQ Clinical Classification Software and adapted using previously described approach