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Table 3 Excessive unhealthy (≥14) days predicted by adverse childhood experiences and step-wise inclusion of mediators

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

Variables

Model 1

Model 2

Model 3

B

(95 % CI)a

B

(95 % CI)a

B

(95 % CI)a

Main Predictor

      

  Adverse childhood experiences

.21b

(.05, .43)

.104

(−.06, .34)

.03

(−.24, .28)

Mediators

      

  Stress

  

.061b

(.03, .158)

.05b

(.01, .12)

  Sleep disturbances

    

.10b

(.06, .23)

Confounders

      

  Age

.01

(−.027, .04)

.03

(−.01, .08)

.03

(−.01, .09)

  Sex

−.19

(−1.33, .76)

−.19

(−1.67, .95)

.21

(−1.37, 1.84)

  Education

.78

(−.36, 2.28)

1.35b

(.05, 3.48)

1.85b

(.40, 4.38)

  Marital status

.78

(−.19, 2.40)

.55

(−.72, 2.02)

.87

(−.47, 3.06)

  Non-Hispanic black

−.45

(−2.44, 1.65)

−.17

(−1.97, 1.85)

−.65

(−3.01, 1.41)

  Hispanic or Latino

−.81

(−3.08, 1.40)

−.72

(−2.93, 1.65)

−.97

(−3.64, 1.24)

  US$20,001–40,000

−.44

(−1.88, .71)

−.02

(−1.68, 1.34)

−.42

(−2.76, 1.20)

  ≥US$40,001

−.29

(−19.69, 1.30)

−.31

(−19.29 1.13)

−.30

(−20.16, 1.85)

  Community assets

−.05

(−.19, .08)

.07

(−.08, .26)

.07

(−.11, .28)

  Neighborhood issues

−.02

(−.23, .15)

−.12

(−.34, .08)

−.17

(−.49, .03)

  Neighborhood cohesion

−.01

(−.03, .01)

−.01

(−.05, .02)

−.01

(−.05, .02)

Constant

−.76

(−5.04, 2.81)

−4.32b

(−16.16, −.47)

−4.7

(−13.87, −.05)

Model Chi-square [df]

22.48 [7]

38.32 [11]

56.26 [14]

Nagelkerke R2

.18

.32

.44

% Correct predictions

73.2

80.8

82.1

Goodness of fit p-value

.44

.55

.38

  1. Model 1: binary logistic regression with Unhealthy Days as outcome, ACE as predictor, and controlling for age, gender, education, marital status, race/ethnicity, income, community assets, neighborhood issues, neighborhood cohesion as covariates
  2. Model 2: Model 1, adding stress (mediator 1)
  3. Model 3: Model 2, adding sleep disturbance (mediator 2)
  4. N = 151 for model 1,2, and 3
  5. aBootstrapped 95 % confidence intervals based on 1000 bootstrapped samples. All values rounded to two digits.
  6. bIndicates that the coefficient is statistically significant at, at least, the .05 level