Table 4

Adjusted Analysis Predicting the Number of Emergency Department Visits for Children Aged 5 to 17 Years

PredictorModel 1: Incidence Rate Ratio (95% Wald CI)Model 2: Incidence Rate Ratio (95% Wald CI)
Social complexity risk factor
 Parent domestic violence1.01 (0.97–1.05)
 Parent death1.03 (0.97–1.10)
 Parent mental illness1.17 (1.15–1.20)a
 Parent criminal justice involvement1.02 (1.00–1.04)a
 Child abuse/neglect1.13 (1.11–1.15)a
 Homelessness1.09 (1.06–1.11)a
 Poverty1.25 (1.23–1.28)a
 Limited English proficiency1.04 (1.01–1.07)a
 Child mental illness1.10 (1.08–1.13)a
 Child substance abuse1.37 (1.29–1.45)a
 Child juvenile or criminal justice involvement1.40 (1.33–1.46)a
Number of social complexity risk factors
 1 factor1.21 (1.18–1.25)a
 2 factors1.37 (1.32–1.41)a
 3 factors1.52 (1.47–1.57)a
 4 factors1.71 (1.65–1.77)a
 ≥5 factors2.06 (1.99–2.14)a
  • Note: Adjusted for child sex, race/ethnicity, age, level of medical complexity, and length of Medicaid coverage (months).

  • a Significant at P <.0001 level.