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TABLE 4

Associations of Cumulative Recommendation Compliance Scores With Physician Visits for Mental Health Disorders in Subsequent 4-Year Follow-up

UnivariateMultivariablea
RR (95% CI)PAll StudentsbGirlsBoys
RR (95% CI)PRR (95% CI)PRR (95% CI)P
Per recommendation metc         
 0.80 (0.74–0.87)* <.001* 0.85 (0.79–0.91)* <.001* 0.89 (0.81–0.98)* .022* 0.82 (0.75–0.91)* <.001* 
No. recommendations metc         
 ≤3 — — — — 
 4–6 0.54 (0.39–0.73)* <.001* 0.61 (0.44–0.84)* .002* 0.79 (0.45–1.40) .425 0.54 (0.37–0.78)* .001* 
 7–9 0.33 (0.22–0.49)* <.001* 0.44 (0.31–0.62)* .004* 0.57 (0.33–0.98)* .042* 0.25 (0.22–0.57)* <.001* 
UnivariateMultivariablea
RR (95% CI)PAll StudentsbGirlsBoys
RR (95% CI)PRR (95% CI)PRR (95% CI)P
Per recommendation metc         
 0.80 (0.74–0.87)* <.001* 0.85 (0.79–0.91)* <.001* 0.89 (0.81–0.98)* .022* 0.82 (0.75–0.91)* <.001* 
No. recommendations metc         
 ≤3 — — — — 
 4–6 0.54 (0.39–0.73)* <.001* 0.61 (0.44–0.84)* .002* 0.79 (0.45–1.40) .425 0.54 (0.37–0.78)* .001* 
 7–9 0.33 (0.22–0.49)* <.001* 0.44 (0.31–0.62)* .004* 0.57 (0.33–0.98)* .042* 0.25 (0.22–0.57)* <.001* 

Estimates are weighted to represent fifth-grade students in Nova Scotia. —, not applicable.

a

Adjusted body weight status, parental education, parental income, region of residence, and energy intake.

b

Futher adjusted for sex.

c

Includes meeting the recommendations for vegetables and fruit, grains, milk and alternatives, meat and alternatives, added sugar, saturated fat, PA, and screen time.

*

P < .05.

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