Direct mechanism (MODEL 1) |
N = 5223 |
|
N = 1084 |
|
N = 6287 |
|
Potential demographic confounders |
Age group |
|
|
76.62 2p < 0.0001
|
|
7.85 2p = 0.005
|
|
|
Age 18–39 |
3815 |
1670 (32.0) |
|
253 (23.4) |
|
1892 (30.1) |
Ref. |
Age 40–54 |
4309 |
2053 (39.3) |
|
384 (35.4) |
|
1872 (29.8) |
|
Age 55+ |
4470 |
1500 (28.7) |
|
447 (41.2) |
|
2523 (40.1) |
|
Race |
|
|
36.8 1p < 0.0001
|
|
12.41 1p = 0.0002
|
|
Ref. |
White |
11,939 |
4886 (93.5) |
|
1015 (93.6) |
|
6039 (93.1) |
|
Nonwhite |
655 |
337 (6.5) |
|
69 (6.4) |
|
248 (3.9) |
|
Sexual orientation |
|
|
83.18 1p < 0.0001
|
|
13.64 1p = 0.0001
|
|
Ref. |
Exclusively heterosexual |
12,141 |
4946 (94.7) |
|
1041 (96.0) |
|
6154 (97.9) |
|
Not exclusively heterosexual |
453 |
277 (5.3) |
|
43 (4.0) |
|
133 (2.1) |
|
Employment status |
|
|
45.79 3p < 0.0001
|
|
0.65 3p = NS
|
|
Ref. |
Employed |
8514 |
3697 (70.8) |
|
704 (65.0) |
|
4112 (65.4) |
|
Unemployed |
232 |
140 (2.7) |
|
23 (2.1) |
|
69 (1.1) |
|
Retired or disabled |
3683 |
1307 (25.0) |
|
342 (31.5) |
|
2034 (32.4) |
|
Other |
165 |
78 (1.5) |
|
15 (1.4) |
|
72 (1.1) |
|
Kentucky region |
|
|
3.69 1p = 0.02
|
|
5.21 1p = 0.01
|
|
Ref. |
Rural |
4443 |
1909 (36.5) |
|
345 (31.8) |
|
2189 (34.8) |
|
Urban |
8151 |
3314 (63.5) |
|
739 (68.2) |
|
4098 (65.2) |
|
Education |
|
|
45.34 3p < 0.0001
|
|
46.96 3p < 0.0001
|
|
|
≤High school graduate/GED) |
1042 |
445 (8.5) |
|
84 (7.7) |
|
513 (8.2) |
|
Some college or Associates |
3761 |
1808 (34.6) |
|
309 (28.5) |
|
1644 (26.1) |
|
College graduate or beyond |
7553 |
2851 (54.6) |
|
680 (62.8) |
|
4022 (64.0) |
|
Other |
238 |
119 (2.3) |
|
11 (1.0) |
|
108 (1.7) |
|
Insurance group |
|
|
146.41 4p < 0.0001
|
|
10.34 4p = 0.001
|
|
Ref. |
Private insurance |
10,873 |
4360 (83.5) |
|
935 (86.3) |
|
5578 (88.7) |
|
Medicare |
818 |
294 (5.6) |
|
77 (7.1) |
|
447 (7.1) |
|
Medicaid |
167 |
120 (2.3) |
|
11 (1.0) |
|
36 (0.6) |
|
VA |
161 |
74 (1.4) |
|
18 (1.7) |
|
69 (1.1) |
|
Uninsured or unknown |
575 |
375 (7.2) |
|
43 (4.0) |
|
157 (2.5) |
|
Proposed indirect mechanisms: mediators of the effects of violence on current health |
|
|
|
(1) Self-perceived stress (MODEL 2) |
|
420.99 3p < 0.0001
|
|
33.21 4p < 0.0001
|
|
Ref. |
Small |
3909 |
1243 (23.8) |
|
338 (31.2) |
|
2328 (37.0) |
|
Moderate |
5553 |
2289 (43.9) |
|
465 (42.9) |
|
2799 (44.5) |
|
Large |
2506 |
1276 (24.4) |
|
235 (21.7) |
|
995 (15.8) |
|
Overwhelming |
626 |
415 (8.0) |
|
46 (4.2) |
|
165 (2.6) |
|
(2) Support (MODEL 3) |
Social Support |
|
|
226.10 1p < 0.0001
|
|
41.29 1p < 0.0001
|
|
Ref. |
No |
1084 |
667 (12.8) |
|
107 (9.9) |
|
310 (4.9) |
|
Yes |
11,510 |
4556 (87.2) |
|
977 (90.1) |
|
5977 (95.1) |
|
Marital status |
|
|
461.93 4p < 0.0001
|
|
2.97 4p = NS
|
|
Ref. |
Married |
8345 |
3045 (58.3) |
|
772 (71.2) |
|
4528 (72.0) |
|
Widowed |
710 |
240 (4.6) |
|
67 (6.2) |
|
403 (6.4) |
|
Never married |
1507 |
617 (11.8) |
|
111 (10.2) |
|
779 (12.4) |
|
Separated |
153 |
107 (2.0) |
|
13 (1.2) |
|
33 (0.5) |
|
Divorced |
1879 |
1214 (23.2) |
|
121 (11.2) |
|
544 (8.7) |
|
(3) Negative health behaviors (MODEL 4), n (% yes) |
Current smoker |
1276 |
812 (15.5) |
255.3 1p < 0.0001
|
65 (6.0) |
0.258 1p = NS
|
399 (6.3) |
Ref. |
Problem alcohol use |
865 |
582 (11.1) |
237.00 1p < 0.0001
|
47 (4.3) |
0.86 1p = NS
|
236 (3.8) |
Ref. |
Sedentary lifestyle |
2799 |
1357 (26.0) |
78.33 1p < 0.0001
|
242 (22.3) |
5.99 1p = 0.008
|
1200 (19.1) |
Ref. |
Current health (outcomes) |
(1) Poor mental health (≥4 days, past month) |
788 |
541 (10.4) |
237.00 1p < 0.0001
|
68 (6.3) |
31.94 1p < 0.0001
|
179 (2.8) |
Ref. |
(2) Poor physical health (≥4 days, past month) |
1625 |
931 (17.8) |
208.10 1p < 0.0001
|
146 (13.5) |
23.69 1p < 0.0001
|
548 (8.7) |
Ref. |