Table 4.
Predictors of Mental Health (MCS)
| Unadjusted Odds Ratio (95% CI) | Adjusted Odds Ratio (95% CI)a,b | |
|---|---|---|
|
Sociodemographics |
|
|
|
Age |
1.00 (0.99–1.00) |
1.02 (1.00–1.03) |
|
Gender |
|
|
| Female |
1.00 |
1.00 |
| Male |
1.11 (0.98–1.00) |
1.21 (0.83–1.77) |
|
Education |
|
|
| Grade 7 or less |
1.00 |
1.00 |
| Grade 8–11 |
1.16 (0.99–1.35) |
0.75 (0.48–1.17) |
| Grade 12 or more |
1.42 (1.20–1.68)*** |
1.02 (0.59–1.74) |
|
Marital status |
|
|
| Never married |
1.00 |
|
| Married/cohabitating |
1.13 (0.97–1.32) |
|
| Divorced/separated/widowed |
0.80 (0.61–1.04) |
|
|
Poverty index |
|
|
| Low |
1.00 |
1.00 |
| Medium |
0.98 (0.85–1.13) |
0.98 (0.65–1.48) |
| High |
0.31 (0.25–0.38)*** |
0.48 (0.26–0.90)* |
|
Health variables |
|
|
| New TB patient |
1.00 |
|
| TB retreatment patient |
0.93 (0.80–1.07) |
|
| HIV negative |
1.00 |
1.00 |
| HIV positive |
1.58 (1.38–1.80)*** |
2.99 (1.61–5.57)*** |
|
Chronic conditions |
|
|
| Zero |
1.00 |
|
| One |
1.05 (0.87–1.26) |
|
| Two |
1.20 (0.93–1.56) |
|
| Three or more |
1.13 (0.80–1.59) |
|
| Psychological distress (K > 15) |
0.28 (0.23–0.33)*** |
0.09 (0.05–0.17)*** |
| Alcohol: low risk (AUDIT 0–7) |
1.00 |
|
| Medium (AUDIT 8–19) |
0.92 (0.78–1.09) |
|
| High (AUDIT 20–40) |
1.00 (0.78–1.27) |
|
| Tobacco use (daily or almost daily) |
0.81 (0.69–0.94)** |
0.85 (0.50–1.45) |
| Had sex in past 3 months |
0.75 (0.66–0.85)*** |
0.77 (0.53–1.11) |
| On ART |
1.05 (0.89–1.23) |
--- |
| TB medication adherence |
1.11 (0.95–1.30) |
--- |
| ART adherence |
1.98 (1.48–2.67)*** |
1.19 (0.78–1.87) |
| Partner HIV negative/unknown |
1.00 |
1.00 |
| Partner HIV positive | 1.31 (1.13–1.51)*** | 1.45 (0.99–2.16) |
a Using “enter” LR selection of variables.
b Hosmer and Lemeshow Chi-square 14.39 df 8, 0.072; Cox and Snell R2 0.21; Nagelkerke R2 0.27.
* P < 0.05; ** P < 0.01; *** P < 0.001.