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editorial
. 2024 Jan 31;19(1):e0297035. doi: 10.1371/journal.pone.0297035

Table 3. Odds ratio (OR) and 95% confidence interval (CI) for the association between distress and complex multimorbidity (n = 400).

Complex multimorbidity (CMM)a
OR (95% CI)b
Model 1c Model 2d Model 3e Model 4f
Distress score
Per 1-unit increase 1.22 (1.04–1.42) 1.22 (1.05–1.43) 1.29 (1.09–1.51) 1.29 (1.10–1.52)
Age
Per 1-year increase 1.11 (1.04–1.17) 1.11 (1.05–1.18) 1.09 (1.01–1.16) 1.08 (1.00–1.17)
Sex
Male 1.00 (Ref) 1.00 (Ref) 1.00 (Ref)
Female 2.26 (1.03–4.94) 1.47 (0.62–3.46) 1.51 (0.64–3.60)
Asian subgroup
Korean 1.00 (Ref) 1.00 (Ref) 1.00 (Ref)
Chinese 0.86 (0.40–1.85) 0.87 (0.38–2.00) 0.85 (0.36–1.99)
Marital status
Married/cohabiting 1.00 (Ref) 1.00 (Ref) 1.00 (Ref)
Not currently married 0.32 (0.09–1.19) 0.40 (0.10–1.56) 0.42 (0.11–1.60)
Education
High school/GED or less 1.00 (Ref) 1.00 (Ref)
Business/vocational school/some college/college graduate 0.83 (0.35–1.99) 0.86 (0.36–2.05)
Some graduate/professional school 0.25 (0.05–1.13) 0.25 (0.06–1.15)
Household income
<$40,000 1.00 (Ref) 1.00 (Ref)
$40,000–99,999 0.96 (0.36–2.53) 0.94 (0.35–2.53)
$100,000 2.86 (0.84–9.72) 3.55 (0.97–12.92)
Employment status
Working full time 1.00 (Ref) 1.00 (Ref)
Working part time 2.56 (0.87–7.52) 2.62 (0.88–7.80)
Not currently working 3.40 (1.21–9.53) 3.32 (1.17–9.42)
Health insurance status
Private health insurance 1.00 (Ref)
Medicare/Medicaid 1.41 (0.46–4.33)
No health insurance 1.85 (0.65–5.27)

a Complex multimorbidity was defined as having three or more of the following body system disorders: (1) endocrine-metabolic disorder (diabetes, obesity, or high cholesterol), (2) circulation disorder (high blood pressure, stroke, heart attack or any other heart disease), (3) cancer, (4) anxiety or depression, (5) breathing problem, and (6) any other health problems.

b Odds ratio and 95% confidence intervals were estimated from the logistic regression models.

c Model 1 adjusted for age.

d Model 2 adjusted for age, sex, Asian subgroup, and marital status.

e Model 3 adjusted for age, sex, Asian subgroup, marital status, education, household income, and employment status.

f Model 4 adjusted for age, sex, Asian subgroup, marital status, education, household income, employment status, and health insurance status.