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EXPECTATIONS OF BARRIERS 33 Table 4 Association of child and family characteristics with expecting diffe r ent types of multiple barriers: results of logistic regression analyses with Generalized Estimating Equations modeling (GEE) for parents of children < 12, parents of adolescents, and adolescents, separately Stressors and obstacles Demands and issues Perceived irrelevance Problematic relationship with therapist Crude Adjusted Crude Adjusted Crude Adjusted Crude Adjusted Characteristics OR (CI) OR (CI) OR (CI) OR (CI) OR (CI) OR (CI) OR (CI) OR (CI) Parents of children < 12 years Child’s gender (female vs. male) 0.77 (0.43-1.37) 0.80 (0.44-1.43) 1.22 (0.64-3.33) 1.17 (0.59-2.30) 0.82 (0.65-1.02)# 0.79 (0.57-1.10) 1.45 (1.14-1.85)** 1.36 (0.95-1.94)# Child’s ethnicity (non-Dutch vs. Dutch) 1.18 (0.71-1.95) 1.12 (0.65-1.91) 0.67 (0.21-2.10) 0.76 (0.24-2.40) 0.83 (0.49-1.43) 0.86 (0.42-1.71) 0.46 (0.13-1.57) 0.56 (0.13-2.47) Child’s psychosocial problems (borderline/abnormal vs. normal) 1.70 (1.10-2.62)* 1.27 (0.76-2.15) 1.68 (0.82-3.41) 1.94 (0.65-5.78) 0.66 (0.24-1.80) 0.62 (0.29-1.34) 0.94 (0.52-1.72) 0.92 (0.52-1.61) Psychosocial care use in past 6 months (use vs. no use) 1.85 (1.06-3.23)* 1.78 (0.82-3.85) 1.67 (0.77-3.64) 0.94 (0.50-1.75) 0.84 (0.36-1.96) 0.89 (0.39-2.05) 0.86 (0.60-1.23) 0.97 (0.65-1.44) Parental educational level (reference: university) Primary/Secondary, lower levels 2.35 (1.22-4.53)* 2.25 (1.50-3.36)*** 6.41 (2.49-16.55)*** 5.35 (1.68-17.08)** 1.93 (0.91-4.08)# 1.74 (0.75-4.03) 2.96 (1.16-7.57)* 2.74 (0.79-9.45)# Secondary, higher levels 1.82 (0.72-4.57) 2.21 (1.09-4.49)* 3.70 (1.41-9.69)** 3.32 (1.08-10.21)* 1.14 (0.54-2.39) 1.22 (0.47-3.19) 3.03 (1.14-8.08)* 2.73 (0.79-9.45) Senior vocational 1.23 (0.63-2.41) 1.47 (0.95-2.27)# 3.39 (1.16-9.92)* 2.88 (0.81-10.27)# 1.04 (0.47-2.30) 1.06 (0.43-2.62) 2.23 (0.84-5.94) 1.98 (0.62-6.33) Family composition (other vs. biological two-parent family) 1.10 (0.83-1.45) 0.89 (0.51-1.56) 0.68 (0.28-1.67) 0.64 (0.29-1.41) 0.96 (0.68-1.35) 0.98 (0.73-1.31) 0.91 (0.68-1.21) 0.92 (0.66-1.28) Parents of adolescents Child’s gender (female vs. male) 0.51 (0.45-0.57)*** 0.41 (0.29-0.57)*** 0.44 (0.35-0.56)*** 0.42 (0.35-0.50)*** 0.63 (0.33-1.20) 0.61 (0.32-1.14) 0.73 (0.53-1.01) # 0.67 (0.52-0.86)** Child’s ethnicity (non-Dutch vs. Dutch) 4.58 (2.41-8.72)*** 4.88 (2.90-8.21)*** 1.45 (0.96-2.18)# 1.33 (0.79-2.24) 2.18 (1.48-3.22)*** 2.27 (1.43-3.59)** 1.62 (1.35-1.94)*** 1.53 (1.16-2.00)** Child’s psychosocial problems (borderline/abnormal vs. normal) 2.11 (0.83-5.34) 1.34 (0.90-2.00) 3.45 (1.39-8.58)** 2.77 (1.59-4.82)*** 0.65 (0.36-1.18) 0.65 (0.42-1.01)# 0.91 (0.64-1.28) 0.94 (0.42-2.08) Psychosocial care use in past 6 months (use vs. no use) 1.72 (0.92-3.21)# 1.39 (0.85-2.26) 1.31 (0.53-3.24) 0.84 (0.32-2.23) 0.93 (0.42-2.09) 0.92 (0.43-1.94) 0.76 (0.51-1.14) 0.58 (0.34-1.01) # Parental educational level (reference: university) Primary/Secondary, lower levels 0.87 (0.31-2.40) 0.72 (0.30-1.72) 2.59 (1.52-4.41)*** 2.48 (0.79-7.77) 2.10 (01.29-3.43)** 2.14 (1.60-2.86)*** 4.85 (2.21-10.67*** 4.79 (1.65-13.91)** Secondary, higher levels 1.55 (0.61-3.95) 1.50 (0.61-3.68) 1.82 (0.94-3.54) # 1.92 (1.32-2.80)** 2.49 (1.66-3.72)*** 2.66 (1.72-4.11)*** 3.01 (1.85-4.90)*** 2.94 (1.84-4.68)*** Senior vocational 1.15 (0.65-2.02) 1.13 (0.74-1.73) 1.33 (0.83-2.12) 1.36 (0.77-2.40) 1.40 (0.88-2.23) 1.29 (0.91-1.85) 2.21 (1.23-3.99)** 1.98 (1.12-3.50)* Family composition (other vs. biological two-parent family) 1.77 (0.97-3.23) # 1.70 (1.15-2.50)** 1.88 (1.06-3.34)* 1.86 (1.21-2.85)** 0.87 (0.65-1.18) 0.93 (0.74-1.18) 1.27 (0.87-1.85) 1.33 (0.92-1.90) Adolescents Child’s gender (female vs. male) 1.59 (1.23-2.05)*** 1.37 (1.03-1.82)* 0.80 (0.61-1.05) 0.71 (0.54-0.93)* 0.70 (0.42-1.16) 0.69 (0.43-1.12) 1.21 (0.99-1.47)# 1.09 (0.78-1.51) Child’s ethnicity (non-Dutch vs. Dutch) 1.16 (0.60-2.23) 0.84 (0.40-1.78) 0.75 (0.40-1.40) 0.61 (0.25-1.50) 1.35 (0.65-2.80) 1.30 (0.99-1.71)# 0.80 (0.36-1.79) 0.83 (0.34-2.07) Child’s psychosocial problems (borderline/abnormal vs. normal) 2.26 (1.87-2.74)*** 2.12 (1.67-2.70)*** 1.28 (0.98-1.67)# 1.15 (0.79-1.68) 1.83 (1.42-3.37)*** 1.54 (0.92-2.58) 2.73 (1.91-3.88)*** 3.83 (1.97-7.43)*** Psychosocial care use in past 6 months (use vs. no use) 2.00 (1.64-2.44)*** 1.57 (1.13-2.20)** 1.47 (1.17-1.85)** 1.60 (1.23-2.07)*** 1.21 (0.88-1.68) 1.03 (0.76-1.38) 0.92 (0.62-1.37) 0.57 (0.29-1.11)# Parental educational level (reference: university) Primary/Secondary, lower levels 0.50 (0.14-1.76) 0.49 (0.09-2.70) 1.38 (0.76-2.50) 1.15 (0.57-2.31) 2.82 (1.51-5.30)* 2.58 (1.04-6.42)* 1.84 (0.68-5.00) 2.36 (1.49-3.72)*** Secondary, higher levels 0.50 (0.33-0.76)* 0.53 (0.23-1.03)# 1.67 (1.19-2.34)** 1.53 (1.16-2.02)** 1.15 (0.76-1.75) 1.07 (0.77-1.49) 2.89 (2.18-3.95)*** 3.39 (2.48-4.63)*** Senior vocational 0.34 (0.23-0.52)*** 0.36(0.22-0.58)*** 0.51 (0.24-1.10)# 0.45 (0.20-1.00)# 0.56 (0.31-1.03)# 0.51 (0.26-0.99)* 1.59 (0.77-3.26) 1.95 (1.04-3.63)* Family composition (other vs. biological two-parent family) 0.86 (0.46-1.63) 0.72 (0.26-2.03) 1.21 (0.52-2.87) 1.08 (0.35-3.29) 1.28 (0.82-2.00) 1.16 (0.73-1.85) 1.38 (1.09-1.75)** 1.05 (0.62-1.79) All signific a nt odds ratios are in bol d a OR= odds ratio, CI= confid e nce int erval , # < 0. 10 * p < 0.05, ** p < 0.01, *** p < 0.001