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. 2020 Oct 12;10(10):e040056. doi: 10.1136/bmjopen-2020-040056

Table 3.

Estimates from causal mediation analysis for the association of maternal education and socioemotional behavioural problems at age 11 years in the UK MCS and the DNBC

Mediator Effect RR 95% CI PM 95% CI
MCS
 Perinatal factors Natural direct effect 3.95 3.05 to 5.12 10.17 4.47 to 15.87
 Perinatal factors Natural indirect effect 1.08 1.03 to 1.14 . .
 Perinatal factors Total effect 4.28 3.30 to 5.54 . .
 +Childhood illness at age 7 years Natural direct effect 3.89 3.01 to 5.04 11.53 5.20 to 17.86
 +Childhood illness at age 7 years Natural indirect effect 1.09 1.04 to 1.16 . .
 +Childhood illness at age 7 years Total effect 4.28 3.30 to 5.54 . .
 +Maternal mental health at age 7 years Natural direct effect 3.15 2.44 to 4.06 32.21 25.37 to 39.06
 +Maternal mental health at age 7 years Natural indirect effect 1.33 1.23 to 1.44 . .
 +Maternal mental health at age 7 years Total effect 4.28 3.30 to 5.54 . .
DNBC
 Perinatal factors Natural direct effect 5.26 4.16 to 6.64 16.47 11.88 to 21.06
 Perinatal factors Natural indirect effect 1.16 1.11 to 1.21 . .
 Perinatal factors Total effect 6.21 4.94 to 7.80 . .
 +Childhood illness at age 7 years Natural direct effect 5.25 4.17 to 6.61 15.59 9.86 to 21.31
 +Childhood illness at age 7 years Natural indirect effect 1.15 1.09 to 1.21 . .
 +Childhood illness at age 7 years Total effect 6.21 4.94 to 7.80 . .
 +Maternal mental health at age 7 years Natural direct effect 5.19 4.12 to 6.53 16.91 11.17 to 22.64
 +Maternal mental health at age 7 years Natural indirect effect 1.16 1.10 to 1.23 . .
 +Maternal mental health at age 7 years Total effect 6.21 4.94 to 7.80 . .

DNBC, Danish National Birth Cohort; MCS, Millennium Cohort Study; PM, proportion mediated; RR, relative risk.