Table 3. Multivariable logistic regression modelsa reporting ORs and 95% CIs for reporting mental health dysfunction within the five questionsb comprising the mental health scale of the SF-36 survey, by specific potential demographic, cancer, social, and economic factors.
Have you been a very nervous person? (question 9b) |
Have you felt so down in the dumps that nothing could cheer you up? (question 9c) |
Have you felt calm and peaceful? (question 9d) |
Have you felt downhearted and blue? (question 9f) |
Have you been a happy person? (question 9h) |
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Characteristic | OR (95% CI) | P-value | Pheterogeneityc (Ptrendd) | OR (95% CI) | P-value | Pheterogeneityc (Ptrendd) | OR (95% CI) | P-value | Pheterogeneityc (Ptrendd) | OR (95% CI) | P-value | Pheterogeneityc (Ptrendd) | OR (95% CI) | P-value | Pheterogeneityc (Ptrendd) |
Sex | |||||||||||||||
Male | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
Female | 1.4 (1.3–1.6) | <0.001 | <0.0001 | 1.7 (1.5–1.9) | <0.001 | <0.0001 | 1.6 (1.5–1.8) | <0.001 | <0.0001 | 1.6 (1.4–1.7) | <0.001 | <0.0001 | 1.2 (1.1–1.4) | <0.001 | <0.0001 |
Diagnosis | |||||||||||||||
Leukaemia | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
Hodgkin lymphoma | 1.1 (0.9–1.3) | 0.433 | 1.0 (0.8–1.2) | 0.732 | 1.1 (0.9–1.3) | 0.468 | 1.0 (0.8–1.2) | 0.617 | 1.3 (1.0–1.6) | 0.021 | |||||
Non-Hodgkin lymphoma | 1.0 (0.8–1.2) | 0.863 | 1.1 (0.8–1.4) | 0.620 | 1.2 (1.0–1.5) | 0.086 | 0.9 (0.8–1.2) | 0.615 | 1.4 (1.1–1.8) | 0.003 | |||||
Central nervous system | 1.3 (1.1–1.5) | 0.001 | 1.2 (1.0–1.4) | 0.036 | 1.2 (1.0–1.3) | 0.024 | 1.1 (1.0–1.3) | 0.080 | 1.4 (1.2–1.6) | <0.001 | |||||
Neuroblastoma | 0.8 (0.6–1.1) | 0.116 | 1.2 (0.9–1.6) | 0.124 | 1.1 (0.9–1.3) | 0.535 | 1.1 (0.9–1.4) | 0.432 | 1.3 (1.0–1.7) | 0.041 | |||||
Non-heritable retinoblastoma | 1.1 (0.8–1.3) | 0.884 | 1.0 (0.8–1.4) | 0.737 | 1.1 (0.9–1.4) | 0.373 | 1.1 (0.8–1.3) | 0.681 | 1.4 (1.0–1.8) | 0.024 | |||||
Heritable retinoblastoma | 0.8 (0.6–1.1) | 0.242 | 1.1 (0.8–1.5) | 0.518 | 0.8 (0.6–1.1) | 0.242 | 0.9 (0.7–1.2) | 0.612 | 1.2 (0.9–1.6) | 0.311 | |||||
Wilms | 0.9 (0.8–1.1) | 0.249 | 0.9 (0.8–1.2) | 0.586 | 1.0 (0.9–1.2) | 0.896 | 0.8 (0.7–1.0) | 0.065 | 1.0 (0.8–1.2) | 0.989 | |||||
Bone sarcoma | 1.0 (0.8–1.3) | 0.881 | 1.2 (0.9–1.6) | 0.229 | 1.2 (1.0–1.6) | 0.071 | 1.0 (0.8–1.3) | 0.737 | 1.5 (1.1–1.9) | 0.005 | |||||
Soft tissue sarcoma | 0.9 (0.7–1.1) | 0.398 | 1.0 (0.8–1.2) | 0.853 | 1.1 (0.9–1.3) | 0.491 | 1.0 (0.8–1.2) | 0.877 | 1.2 (1.0–1.5) | 0.085 | |||||
Other | 0.9 (0.7–1.1) | 0.174 | 0.0022 | 0.9 (0.8–1.1) | 0.481 | 0.2762 | 0.9 (0.8–1.1) | 0.379 | 0.1254 | 0.8 (0.7–1.0) | 0.015 | 0.0273 | 1.0 (0.8–1.2) | 0.898 | 0.0004 |
Age at diagnosis | |||||||||||||||
0–4 years | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
5–9 years | 1.1 (0.9–1.2) | 0.412 | 1.0 (0.9–1.2) | 0.527 | 1.0 (0.9–1.2) | 0.423 | 1.1 (1.0–1.2) | 0.200 | 1.0 (0.9–1.2) | 0.618 | |||||
10–14 years | 1.0 (0.9–1.2) | 0.708 | 0.7132 (0.7301) | 1.1 (0.9–1.3) | 0.334 | 0.6190 (0.3569) | 1.1 (1.0–1.3) | 0.094 | 0.2444 (0.1029) | 1.1 (1.0–1.3) | 0.098 | 0.2266 (0.1072) | 1.1 (1.0–1.3) | 0.132 | 0.2990 (0.1519) |
Age at questionnaire completion | |||||||||||||||
16–24 years | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
25–34 years | 1.1 (1.0–1.3) | 0.131 | 1.2 (1.0–1.4) | 0.210 | 1.2 (1.0–1.3) | 0.010 | 1.3 (1.1–1.5) | <0.001 | 1.3 (1.1–1.5) | 0.001 | |||||
35–44 years | 1.0 (0.9–1.2) | 0.852 | 1.2 (1.0–1.4) | 0.103 | 1.3 (1.1–1.5) | 0.002 | 1.3 (1.1–1.6) | 0.001 | 1.5 (1.3–1.9) | <0.001 | |||||
45+ years | 1.0 (0.8–1.2) | 0.666 | 0.2051 (0.8380) | 0.8 (0.6–1.0) | 0.050 | 0.0001 (0.7357) | 1.0 (0.8–1.3) | 0.731 | 0.0021 (0.0415) | 1.2 (1.0–1.5) | 0.078 | 0.0013 (0.0015) | 1.6 (1.2–2.0) | <0.001 | <0.0001 (<0.0001) |
Marital status | |||||||||||||||
Single | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
Cohabiting | 0.8 (0.7–1.0) | 0.018 | 1.0 (0.8–1.2) | 0.700 | 1.1 (1.0–1.3) | 0.159 | 1.0 (0.8–1.2) | 0.879 | 1.1 (0.9–1.3) | 0.519 | |||||
Married | 0.7 (0.6–0.8) | <0.001 | 0.6 (0.5–0.7) | <0.001 | 0.9 (0.8–1.0) | 0.091 | 0.7 (0.6–0.8) | <0.001 | 0.7 (0.6–0.8) | <0.001 | |||||
Separated | 1.2 (0.8–1.7) | 0.305 | 1.3 (0.9–1.9) | 0.149 | 1.3 (0.9–1.9) | 0.098 | 1.7 (1.2–2.4) | 0.003 | 1.3 (0.9–1.9) | 0.175 | |||||
Divorced | 1.0 (0.8–1.3) | 0.916 | 1.1 (0.8–1.4) | 0.588 | 1.0 (0.8–1.3) | 0.822 | 1.0 (0.8–1.2) | 0.872 | 1.1 (0.9–1.4) | 0.469 | |||||
Widowed | 0.9 (0.4–2.1) | 0.810 | <0.0001 | 2.1 (0.9–4.6) | 0.074 | <0.0001 | 1.3 (0.6–2.9) | 0.455 | 0.0306 | 1.1 (0.5–2.3) | 0.893 | <0.0001 | 1.1 (0.5–2.5) | 0.852 | <0.0001 |
Educational attainment | |||||||||||||||
No qualifications | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
Other qualifications | 1.0 (0.9–1.2) | 0.719 | 0.9 (0.7–1.0) | 0.123 | 0.9 (0.7–1.0) | 0.054 | 0.9 (0.8–1.1) | 0.230 | 0.9 (0.7–1.1) | 0.218 | |||||
O-levele | 0.8 (0.7–0.9) | 0.001 | 0.7 (0.6–0.8) | <0.001 | 0.8 (0.7–0.9) | 0.004 | 0.8 (0.7–1.0) | 0.013 | 0.8 (0.7–0.9) | 0.010 | |||||
A-levelf | 0.7 (0.6–0.9) | <0.001 | 0.6 (0.5–0.8) | <0.001 | 0.8 (0.7–0.9) | 0.004 | 0.7 (0.6–0.9) | <0.001 | 0.8 (0.6–0.9) | 0.005 | |||||
Teaching qualification | 0.8 (0.6–1.0) | 0.029 | 0.6 (0.5–0.8) | <0.001 | 0.8 (0.7–1.0) | 0.031 | 0.8 (0.6–0.9) | 0.006 | 0.7 (0.6–0.9) | 0.009 | |||||
Degree | 0.6 (0.5–0.8) | <0.001 | <0.0001 | 0.5 (0.4–0.6) | <0.001 | <0.0001 | 0.8 (0.7–1.0) | 0.047 | 0.0646 | 0.7 (0.6–0.8) | <0.001 | <0.0001 | 0.7 (0.6–0.9) | 0.002 | 0.0007 |
SEC | |||||||||||||||
Student | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||
Never worked/unemployed | 1.3 (1.1–1.6) | 0.008 | 2.6 (2.1–3.2) | <0.001 | 1.3 (1.1–1.6) | 0.006 | 1.5 (1.2–1.8) | <0.001 | 1.8 (1.5–2.3) | <0.001 | |||||
Routine/manual | 1.0 (0.9–1.2) | 0.892 | 1.4 (1.2–1.7) | <0.001 | 1.1 (0.9–1.2) | 0.417 | 1.3 (1.1–1.5) | 0.004 | 1.2 (1.0–1.4) | 0.091 | |||||
Intermediate | 0.9 (0.7–1.0) | 0.153 | 1.1 (0.9–1.4) | 0.245 | 1.0 (0.9–1.2) | 0.986 | 1.1 (0.9–1.3) | 0.195 | 1.1 (0.9–1.3) | 0.430 | |||||
Managerial/professional | 0.8 (0.6–0.9) | 0.009 | <0.0001 | 1.0 (0.8–1.3) | 0.766 | <0.0001 | 1.0 (0.8–1.2) | 0.816 | 0.0339 | 0.9 (0.8–1.1) | 0.527 | <0.0001 | 1.0 (0.8–1.2) | 0.973 | <0.0001 |
Abbreviations: CI=confidence interval; CNS=central nervous system; NHL=non-Hodgkin lymphoma; OR=odds ratio; SEC=socio-economic classification.
Adjusted for age at diagnosis, diagnosis, sex, age at questionnaire completion, marital status, educational attainment, and SEC.
To view full questions, please refer to Figure 1.
The Pheterogeneity (two-sided) is from the likelihood ratio test for heterogeneity in the probability of reporting mental health dysfunction within this specific question, across different levels of the specified explanatory factor with adjustment for all other factors in the multivariable model. The threshold for statistical significant was 0.05.
The Ptrend (two-sided) is from the test for trend, where the threshold for statistical significant was 0.05.
Degree received at age 16.
Degree received at age 18.