Adverse childhood experiences and health-related quality of life in adulthood: revelations from a community needs assessment

Table 4 Mediation of stress on the relationship between adverse childhood experiences and excessive unhealthy days

Path	Coefficients^{a, b}	S.E.
IV to Mediators (a paths): ACE to Stress and Sleep
Perceived stress	1.64^e	.54
Sleep disturbance	1.09^e	.30
Direct Effects of Mediators on DV (b paths)
Perceived stress	.05^e	.02
Sleep disturbance	.10^e	.03
Total Effect of IV on DV (c path)
Adverse childhood experiences	.19^e	.07
Direct Effect of IV on DV (c’ path)
Adverse childhood experiences	.03	.09
Partial Effect of Control Variables on DV
Age	.03	.02
Sex	.18	.57
Education	1.85^e	.63
Marital status	.79	.58
Race/ethnicity	−.43	.49
Household income	−.23	.39
Community assets	.07	.07
Neighborhood issues	−.16	.09
Neighborhood cohesion	−.01	.01
Indirect Effects of IV(ACE) on DV(Unhealthy days) through Proposed Mediators (ab paths)^c
	Data	Boot (95 % CI)^d
Total	.19	.22 (.06, .33)
Perceived stress	.08	.09 (.01, .21)
Sleep Deprivation	.11	.13 (.03, .21)

^aAll values rounded to two digits. ^bLinear regressions for ‘a paths’ for perceived stress and sleep deprivation. All other coefficients derived with binary logistic regression. ^cFormulas: Total Effect: c = c’ + ab; amount of mediation or indirect effect: ab = c - c’. ^dBased on 1000 bootstrapped samples. ^ePath coefficient significant at p < 0.05

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