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. 2023 Sep 4;32(9):960–969. doi: 10.1089/jwh.2023.0013

Table 3.

Estimates of Total, Direct, and Indirect Effects (Mediated Through Anxiety, Depression, or Traumatic Stress) of the Association Between Worsening or Incident Health-Related Socioeconomic Vulnerabilities and Increased Smoking Since the Start of the Pandemic, Adjusted for All Other Covariates

 
Total effect
Direct effect
Indirect effect
Proportion mediated
β (95% CI) p β (95% CI) p β (95% CI) p
Mediator
Incident food insecurity Anxiety 0.23 (0.11 to 0.36) <0.001 0.22 (0.09 to 0.35) 0.001 0.02 (−0.01 to 0.04) 0.153 0.07
Incident financial strain 0.14 (0.02 to 0.26) 0.025 0.11 (−0.01 to 0.23) 0.080 0.03 (0.00 to 0.05) 0.056 0.20
Any worsening HRSVs 0.18 (0.10 to 0.26) <0.001 0.14 (0.06 to 0.22) 0.001 0.04 (0.02 to 0.07) 0.001 0.17
Worsening food insecurity 0.16 (0.06 to 0.26) 0.003 0.13 (0.02 to 0.24) 0.017 0.03 (0.00 to 0.05) 0.023 0.19
Incident food insecurity Depression 0.25 (0.12 to 0.37) <0.001 0.24 (0.12 to 0.37) <0.001 0.00 (−0.02 to 0.03) 0.707 0.02
Incident financial strain 0.14 (0.02 to 0.26) 0.018 0.12 (0.00 to 0.24) 0.059 0.03 (0.00 to 0.05) 0.034 0.19
Any worsening HRSVs 0.18 (0.10 to 0.26) <0.001 0.17 (0.07 to 0.28) <0.001 0.03 (0.01 to 0.05) 0.004 0.15
Worsening food insecurity 0.15 (0.05 to 0.26) 0.003 0.14 (0.04 to 0.24) 0.008 0.01 (0.00 to 0.03) 0.101 0.09
Incident food insecurity Traumatic Stress 0.25 (−0.11 to 0.24) 0.445 0.24 (0.11 to 0.37) <0.001 0.01 (−0.01 to 0.03) 0.473 0.03
Incident financial strain 0.15 (0.03 to 0.27) 0.013 0.13 (0.01 to 0.25) 0.040 0.02 (0.00 to 0.05) 0.060 0.16
Any worsening HRSVs 0.18 (0.10 to 0.26) <0.001 0.17 (0.09 to 0.25) <0.001 0.01 (−0.01 to 0.02) 0.266 0.04
Worsening food insecurity 0.15 (0.05 to 0.25) 0.005 0.15 (0.04 to 0.25) 0.005 0.00 (−0.01 to 0.02) 0.827 0.01

Models were adjusted for age, marital status, education, income category, number of people in household, number of household children, self-reported overall health, and number of comorbidities.