TABLE 4.
Proportion of trends in recent smoking abstinence explained by insurance coverage gains, 2008–09
| Pts (95% CI) | ||||
|---|---|---|---|---|
|
|
||||
| Direct associations | Indirect associations | Total associations | Proportion mediated | |
| Recent smoking abstinence | ||||
| 2010–11 | ||||
| MH/SUD | −0.12 (−1.43, 1.18) | −0.02 (−0.12, 0.07) | −0.15 (−1.47, 1.17) | 16% |
| No MH/SUD | 0.18 (−0.99, 1.36) | −0.05 (−0.12, 0.03) | 0.14 (−1.05, 1.32) | −34% |
| Difference | −0.31 (−2.12, 1.50) | 0.02 (−0.10, 0.14) | −0.29 (−2.10, 1.53) | −8% |
| 2012–13 | ||||
| MH/SUD | 0.59 (−0.81, 1.99) | −0.01 (−0.11, 0.10) | 0.58 (−0.82, 1.98) | −1% |
| No MH/SUD | 0.41 (−0.88, 1.70) | −0.11 (−0.18, −0.03) | 0.30 (−0.97, 1.58) | −35% |
| Difference | 0.18 (−1.96, 2.31) | 0.10 (−0.04, 0.24) | 0.28 (−1.85, 2.40) | 36% |
| 2014–15 | ||||
| MH/SUD | 1.78 (0.53, 3.03) | 0.18 (0.09, 0.28) | 1.97 (0.72, 3.21) | 9% |
| No MH/SUD | 0.28 (−0.77, 1.34) | 0.09 (0.03, 0.15) | 0.37 (−0.68, 1.42) | 24% |
| Difference | 1.50 (−0.15, 3.15) | 0.10 (−0.02, 0.21) | 1.60 (−0.05, 3.25) | 6% |
| 2016–17 | ||||
| MH/SUD | 2.54 (1.16, 3.92) | 0.44 (0.32, 0.56) | 2.98 (1.58, 4.37) | 15% |
| No MH/SUD | 0.42 (−0.77, 1.61) | 0.28 (0.20, 0.35) | 0.70 (−0.49, 1.88) | 40% |
| Difference | 2.12 (0.32, 3.92) | 0.16 (0.04, 0.28) | 2.28 (0.48, 4.08) | 7% |
| 2018–19 | ||||
| MH/SUD | 3.09 (1.73, 4.44) | 0.42 (0.31, 0.52) | 3.50 (2.15, 4.86) | 12% |
| No MH/SUD | 2.11 (0.80, 3.42) | 0.25 (0.18, 0.32) | 2.36 (1.05, 3.66) | 10% |
| Difference | 0.98 (−0.97, 2.93) | 0.17 (0.05, 0.29) | 1.15 (−0.81, 3.11) | 15% |
Note: 2008–19 National Survey on Drug Use and Health (NSDUH) data (unweighted sample size: n = 122 179). Structural equation model adjusted for age, sex and race/ethnicity. Analysis limited to subsample of adults smoking at least 100 cigarettes in life-time and at any point in the past year.
MH/SUD = mental health and substance use disorders; CI = confidence interval.