Table 3.

Hazard ratios and 95% confidence intervals of emotional symptoms according to negative life events and mental health literacy

Variable	Depressive symptoms			Anxiety symptoms			Stress symptoms
	n (%)	Crude RR (95%CI)	Adjusted RR (95%CI)a	n (%)	Crude RR (95%CI)	Adjusted RR (95%CI)b	n (%)	Crude RR (95%CI)	Adjusted RR (95%CI)c
NLE
Low	190 (12.3)	1.000	1.000	242 (15.7)	1.000	1.000	47 (3.0)	1.000	1.000
High	330 (18.0)	1.558 (1.280–1.897)***	1.568 (1.282–1.918)***	389 (23.3)	1.631 (1.365–1.949)***	1.603 (1.338–1.919)***	89 (5.3)	1.791 (1.249–2.568)**	1.717 (1.194–2.470)**
MHL
Adequate	132 (12.8)	1.000	1.000	169 (16.4)	1.000	1.000	42 (4.1)	1.000	1.000
Inadequate	358 (16.4)	1.332 (1.075–1.652)**	1.286 (1.035–1.597)*	462 (21.2)	1.365 (1.124–1.658)**	1.343 (1.105–1.632)**	94 (4.3)	1.057 (0.729–1.532)	1.034 (0.712–1.501)
Combination of NLE and MHL
Low NLE and adequate MHL	40 (8.2)	1.000	1.000	55 (11.2)	1.000	1.000	11 (2.2)	1.000	1.000
Low NLE and Inadequate MHL	150 (14.3)	1.867 (1.294–2.694)**	1.804 (1.249–2.606)**	187 (17.8)	1.706 (1.236–2.354)**	1.690 (1.224–2.334)**	36 (3.4)	1.540 (0.777–3.051)	1.506 (0.760–2.988)
High NLE and adequate MHL	92 (17.1)	2.310 (1.559–3.425)***	2.342 (1.575–3.484)***	114 (21.2)	2.117 (1.494–2.999)***	2.096 (1.477–2.975)***	31 (5.8)	2.652 (1.318–5.335)**	2.533 (1.256–5.106)**
High NLE and Inadequate MHL	208 (18.4)	2.352 (1.773–3.618)***	2.447 (1.709–3.504)***	275 (24.3)	2.538 (1.858–3.466)***	2.466 (1.802–3.375)***	58 (5.1)	2.351 (1.223–4.519)*	2.210 (1.163–2.619)**

Note. NLE is Negative life events; MHL is Mental health literacy. RR is relative risk; CI is confidence interval. ^*P < 0.05, ^**P < 0.01, ^***P < 0.001 compared with reference

^a Adjusted for gender, self-reported family economy, and drinking

^b Adjusted for gender, self-reported family economy, smoking and drinking

^c Adjusted for gender, self-reported family economy, and drinking