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Table 4 The mediating role of psychological distress on the association between physical multimorbidity and suicidal plan among the older adults (60+) in rural areas of Shandong province, China, 2019

From: Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress

Characteristics Suicidal plan  
Without mediators (Model 1) With mediators (Model 2)
OR P-value 95%CI OR P-value 95%CI
Multimorbidity (chronic conditions)
 None 1.0    1.0   
 One 3.17 0.020 1.19–8.39 2.78 0.042 1.04–7.45
 Two 3.79 0.008 1.41–10.21 2.99 0.033 1.09–8.20
 Three 5.89 0.001 2.03–17.07 4.65 0.006 1.56–13.86
 Four and above 12.45 < 0.001 3.36–46.15 8.95 0.002 2.27–35.30
Psychological distress (level)
 Low     1.0   
 Moderate     2.62 0.037 1.06–6.48
 High     4.54 < 0.001 1.95–10.59
 Very high     18.51 < 0.001 8.19–41.78
Sex
 Male 1.0    1.0   
 Female 3.56 0.034 1.07–6.09 2.35 0.060 0.96–5.71
Age (Years) 0.96 0.088 0.92–1.01 0.96 0.132 0.92–1.01
Educational attainment
 Illiterate 1.0    1.0   
 Primary school 0.88 0.657 0.51–1.53 0.82 0.506 0.48–1.45
 Middle school or above 1.01 0.983 0.49–2.07 0.92 0.818 0.43–1.93
Marital status
 Single 1.0    1.0   
 Married 1.53 0.194 0.80–2.93 1.46 0.264 0.75–2.84
Household income
 Q1(the poorest) 1.0    1.0   
    Q2 0.65 0.227 0.33–1.30 0.68 0.293 0.33–1.39
 Q3 0.54 0.088 0.26–1.09 0.65 0.243 0.31–1.34
 Q4 (the richest) 0.68 0.278 0.34–1.36 0.84 0.636 0.41–1.72
Cigarette smoking
 Never smoker 1.0    1.0   
 Current smoker 0.84 0.694 0.35–2.02 0.59 0.256 0.24–1.46
 Former smoker 0.98 0.971 0.33–2.93 0.86 0.799 0.28–2.67
Alcohol drinking
 Never-drinker 1.0    1.0   
 Former drinker 1.21 0.781 0.31–4.76 1.71 0.453 0.42–6.95
 Current drinker 1.52 0.329 0.65–3.53 2.30 0.066 0.94–5.60
Physical exercise       
 No 1.0    1.0   
 Yes 0.45 0.002 0.27–0.75 0.52 0.018 0.31–0.89
Sleep disturbances
 No 1.0    1.0   
 Yes 3.45 < 0.001 1.84–6.44 1.69 0.119 0.87–3.31