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. Author manuscript; available in PMC: 2023 Feb 1.
Published in final edited form as: J Pain Symptom Manage. 2021 Aug 20;63(2):271–282. doi: 10.1016/j.jpainsymman.2021.08.004

Table 3.

Parent psychological distress scores (Kessler-6) across levels of household income, financial difficulty, and household material hardship (HMH) categories

Kessler-6 Score
N (%) Mean (SD) P-value
Household income (unadjusted) ≤ $10,000 34 (5.7 %) 7.9 (6.3)
$10,001 to $20,000 45 (7.5%) 7.6 (6.2)
$20,001 to $40,000 82 (13.6%) 8.4 (4.8)
$40,001 to $70,000 137 (22.8%) 8.5 (4.9) 0.042
$70,001 to $100,000 93 (15.5%) 7.3 (5.5)
$100,001 to $150,000 91 (15.1%) 7.4 (4.4)
>$150,000 60 (10%) 6.9 (4.7)
Preferred not to answer/missingb 59 (9.8 %) 6.4 (4.5)
Household income (adjusted for household size of 3 personsa) ≤ $10,000 24 (4.0%) 8.5 (6.0)
$10,001 to $17,500 49 (8.2%) 6.9 (6.0)
$17,501 to $36,793 87 (14.5%) 8.4 (5.3)
$36,794 to $67,500 156 (26.0%) 8.1 (4.9) 0.202
$67,501 to $90,033 89 (14.8%) 7.6 (5.3)
$90,034 to $150,000 105 (17.5%) 7.6 (4.7)
>$150,000 27 (4.9%) 6.6 (5.0)
Preferred not to answer/missingb 64 (10.7%) 6.6 (4.6)
Financial Difficulty A great deal of difficulty 65 (10.8%) 9.9 (6.1)
Quite a bit of difficulty 74 (12.3%) 8.7 (5.4)
Some difficulty 143 (23.8%) 8.6 (4.5) <0.001
A little difficulty 104 (17.3%) 7.8 (5.1)
No difficulty at all 186 (31.0%) 5.8 (4.2)
Preferred not to answer/missingb 29 (4.8%) 7.4 (5.7)
HMH in the last 6 months Lived with other people 61 (10.2 %) 9.4 (5.9) 0.006
Rent wasn’t paid on time 133 (22.2%) 9.2 (5.6) <0.001
Threatened to shut off utilities 118 (19.7%) 8.9 (5.4) 0.004
Home was not heated/cooled 28 (4.7%) 12.6 (6.3) <0.001
Possibility of food running out 134 (22.4%) 9.1 (5.3) 0.002
Weren’t able to purchase food 103 (17.2%) 9.3 (5.6) 0.001
HMH Composite Scorec 0 351 (60.9%) 6.9 (4.9)
1 76 (13.2%) 8.6 (4.6)
2 48 (8.3%) 7.5 (4.4)
3 44 (7.6%) 8.0 (4.9)
4 22 (3.8%) 7.3 (4.5) <0.001
5 18 (3.1%) 10.1 (6.3)
6 7 (1.2%) 15.4 (5.1)
7 7 (1.2%) 13.4 (3.7)
8 3 (0.5%) 9.7 (8.5)
a

Adjustment for household size was calculated for each participating family by taking the midpoint value of their income category range and dividing by the square root of the number of persons in the household.

b

For statistical testing purposes, the “prefer not to answer/missing” cells were omitted.

c

HMH Composite Scores were comprised of the sum of HMH questions regarding financial difficulty covering housing, utility, and food costs, where higher numbers indicate greater number and severity of difficulties.