Table 3.

Path Analysis and Indirect Effects of Developmental Delay on Depressive Symptom Severity Among Primary Caregivers of Children with Evidence of Congenital Zika Virus Infection with and Without Child Care Support, n = 150

Group 1—Primary Caregivers with Child Care Support (n = 80)	b	β (SE)	p	95% Bias-Corrected Bootstrap Interval
Total depression score
Developmental delay	0.12	0.80 (1.11)	0.469	—
Difficulty covering basic expenses	0.11	0.53 (0.76)	0.488	—
≥5 hr of providing health care	−0.003	−0.04 (1.79)	0.982	—
Education
12 or more years (ref)	—	—	—
11 or fewer years	0.29	3.27 (1.14)	0.004	—
Caregiver age	−0.17	−0.13 (0.09)	0.163	—
Difficulty covering basic expenses
Developmental delaya	0.45	0.63 (0.22)	0.005	—
≥5 hours of providing health care
Developmental delaya	0.60	0.32 (0.05)	<0.001	—
Indirect effects
Difficulty covering basic expenses	0.05	0.33 (0.57)b	—	−0.56 to 1.84
≥5 hr of providing health care	0.00	−0.01 (0.58)b	—	−1.14 to 1.21
Group 2—Primary Caregivers Without Child Care Support (n = 70)	b	β (SE)	P	95% Bias-Corrected Bootstrap Interval
Total depression score
Developmental delay	0.10	0.78 (1.34)	0.563	—
Difficulty covering basic expenses	0.60	3.72 (0.86)	<0.001	—
≥5 hr of providing health care	−0.16	−2.07 (2.42)	0.392	—
Education
12 or more years (ref)	—	—	—	—
11 or fewer years	0.08	1.06 (1.71)	0.534	—
Caregiver age	−0.11	0.02 (0.02)	0.540	—
Difficulty covering basic expenses
Developmental delaya	0.34	0.44 (0.22)	0.040	—
≥5 hours of providing health care
Developmental delaya	0.74	0.45 (0.04)	<0.001	—
Indirect effects
Difficulty covering basic expenses	0.21	1.64 (0.88)b	—	0.32 to 3.85
≥5 hr of providing health care	−0.12	−0.93 (1.10)b	—	−3.28 to 1.07
Index of moderated mediation
Difficulty covering basic expenses	0.16	1.31 (1.05)b	—	−0.57 to 3.58
≥5 hr of providing health care	−0.12	−0.92 (1.24)b	—	−3.51 to 1.38

In total, 10,000 bias-corrected bootstraps were estimated; model fit: model χ² = χ²(2, N = 150) = 0.070), TLI = 1.417, and SRMR = 0.086. Covariance between difficulty covering basic expenses and ≥5 br of providing health care was set to zero.

^aControlling for education and caregiver age — neither were significant.

^bSignificance of parameter determined by bias-corrected bootstrap confidence intervals not containing 0. SE, standard error; SRMR, standardized root mean square residual; TLI, Tucker-Lewis index.