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Table 3 Multinomial regression analysis of impact of adversity, trusted adult support in childhood and deprivation on relationships between health-harming behaviours and mental well-being in adulthood

From: Does continuous trusted adult support in childhood impart life-course resilience against adverse childhood experiences - a retrospective study on adult health-harming behaviours and mental well-being

   

≥2 Health-harming behaviours good mental well-being 95% CIs

≤1 Health-harming behaviours lower mental well-being 95% CIs

≥2 Health-harming behaviours lower mental well-being 95% CIs

  

Ref Cat£

AOR

Low

High

P

AOR

Low

High

P

AOR

Low

High

P

Support in childhood £AAA*ACES

 Yes

0

<0.001

1.40

0.94

2.09

0.098

1.21

0.86

1.72

0.273

2.36

1.12

4.97

0.024

2–3

 

1.18

0.72

1.92

0.519

1.55

1.07

2.25

0.020

3.73

1.76

7.90

<0.001

4+

 

1.47

0.71

3.05

0.297

3.17

2.03

4.94

<0.001

4.71

1.68

13.23

0.003

 No

0

 

1.10

0.80

1.51

0.542

2.50

2.00

3.12

<0.001

2.18

1.19

3.99

0.012

1

 

1.62

1.08

2.44

0.021

2.99

2.26

3.95

<0.001

3.46

1.71

7.02

<0.001

2–3

 

1.87

1.25

2.79

0.002

3.46

2.63

4.56

<0.001

6.91

3.70

12.94

<0.001

4+

 

4.47

3.11

6.43

<0.001

7.02

5.33

9.25

<0.001

32.01

18.31

55.98

<0.001

UK region

Luton

<0.001

            

Wales

 

1.54

1.09

2.16

0.013

1.27

1.00

1.61

0.054

1.60

1.01

2.53

0.046

Hertfordshire

 

1.02

0.71

1.47

0.919

1.06

0.83

1.34

0.662

0.84

0.51

1.38

0.481

Northamptonshire

 

0.63

0.42

0.96

0.030

1.13

0.88

1.46

0.332

0.63

0.36

1.10

0.103

Deprivation quintile

Affluent 1

<0.001

            

2

 

1.26

0.88

1.79

0.202

1.41

1.12

1.77

0.003

1.64

0.98

2.75

0.058

3

 

1.63

1.16

2.28

0.005

1.47

1.17

1.85

<0.001

3.36

2.12

5.33

<0.001

4

 

1.82

1.29

2.56

<0.001

1.65

1.31

2.08

<0.001

2.45

1.50

4.00

<0.001

Deprived 5

 

2.73

1.90

3.91

<0.001

2.07

1.60

2.68

<0.001

3.02

1.79

5.07

<0.001

Age

18–29

<0.001

           

category

30–39

 

0.37

0.27

0.52

<0.001

1.03

0.82

1.29

0.817

0.81

0.54

1.21

0.301

(years)

40–49

 

0.39

0.29

0.54

<0.001

0.95

0.76

1.20

0.673

0.64

0.42

0.97

0.036

50–59

 

0.51

0.38

0.69

<0.001

1.13

0.90

1.43

0.301

0.59

0.38

0.94

0.027

60–69

 

0.19

0.13

0.28

<0.001

1.03

0.82

1.30

0.801

0.40

0.24

0.66

<0.001

Sex$

Male

<0.001

2.68

2.13

3.36

<0.001

0.15

0.90

0.77

1.041

2.83

2.08

3.85

<0.001

Ethnicity$

Other

<0.001

0.34

0.22

0.52

<0.001

0.08

0.81

0.64

1.022

0.33

0.18

0.60

<0.001

  1. ACE Adverse Childhood Experiences. £ Ref Cat Reference category for dependent variable was ≤1 Health-harming behaviours and good mental well-being. P values in the Ref Cat column refer to the overall contribution on that variable to the model. 95% CIs 95% Confidence Intervals, AOR Adjusted Odds Ratio. $For binary variables reference categories are female (for sex) and white (for ethnicity). $AAA, Always Available Adult support from someone trusted in childhood. AAA*ACE is a combined interaction variable between continuous trusted adult support and ACEs. An interaction between sex and the AAA support in childhood*ACEs variable was included in the model but did not reach significance (P = 0.394)
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BMC Psychiatry

ISSN: 1471-244X

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