Medication Use Among Sexual-Minority Populations for Self-Reported Feelings of Depression and Anxiety
Abstract
Objective:
Methods:
Results:
Conclusions:
Methods
Results
Heterosexual (N=77,163) | Gay and lesbian (N=1,385) | Bisexual (N=737) | Other (N=257) | ||||||
---|---|---|---|---|---|---|---|---|---|
Characteristic | N | % | N | % | N | % | N | % | p |
Weighted distribution | 77,163 | 97.1 | 1,385 | 1.7 | 737 | .9 | 257 | .3 | |
Age (years) | <.001 | ||||||||
18–24 | 6,704 | 11.7 | 163 | 15.9 | 202 | 35.9 | 45 | 29.0 | |
25–34 | 12,900 | 17.9 | 268 | 20.1 | 227 | 28.7 | 50 | 21.6 | |
35–44 | 12,057 | 16.6 | 253 | 18.4 | 104 | 12.9 | 26 | 10.9 | |
45–54 | 12,463 | 17.6 | 300 | 21.8 | 86 | 9.8 | 32 | 9.1 | |
55–64 | 13,359 | 16.6 | 231 | 14.6 | 63 | 7.4 | 54 | 14.5 | |
≥65 | 19,680 | 19.7 | 170 | 9.1 | 55 | 5.3 | 50 | 14.9 | |
Race-ethnicity | .16 | ||||||||
White | 50,317 | 65.7 | 942 | 67.6 | 516 | 68.8 | 167 | 61.0 | |
Black | 9,993 | 11.9 | 183 | 13.9 | 78 | 9.7 | 37 | 11.8 | |
Hispanic | 11,513 | 15.6 | 181 | 13.1 | 94 | 14.6 | 28 | 16.0 | |
Other/multiple races | 5,107 | 6.6 | 75 | 5.2 | 47 | 6.8 | 24 | 11.4 | |
Missing data | 233 | .2 | 4 | .3 | 2 | 0 | 1 | .2 | |
Sex | |||||||||
Male | 42,465 | 48.4 | 633 | 53.0 | 516 | 31.6 | 131 | 52.8 | |
Female | 34,698 | 51.6 | 752 | 47.0 | 221 | 68.4 | 126 | 47.2 | |
U.S. citizenship | <.05 | ||||||||
Yes | 71,055 | 91.6 | 1,329 | 96.5 | 705 | 94.3 | 241 | 93.4 | |
No | 6,029 | 8.3 | 56 | 3.5 | 32 | 5.8 | 16 | 6.6 | |
Missing data | 79 | .1 | 0 | — | 0 | — | 0 | — | |
Educational attainment | <.001 | ||||||||
Less than high school | 10,462 | 12.6 | 92 | 6.8 | 219 | 13.0 | 39 | 17.4 | |
High school graduate | 19,495 | 25.1 | 247 | 18.0 | 77 | 22.7 | 58 | 23.7 | |
Some college | 15,072 | 19.4 | 301 | 22.6 | 152 | 27.6 | 55 | 21.9 | |
Bachelor's degree or higher | 22,968 | 31.2 | 605 | 42.3 | 216 | 29.3 | 71 | 27.1 | |
Missing data | 9,166 | 11.8 | 140 | 10.3 | 73 | 7.5 | 34 | 10.0 | |
Relationship status | <.001 | ||||||||
Married or living with a partner | 39,059 | 61.0 | 531 | 49.7 | 214 | 32.8 | 59 | 27.2 | |
Formerly married | 20,892 | 17.5 | 154 | 7.7 | 153 | 15.0 | 58 | 17.2 | |
Never married | 17,090 | 21.4 | 696 | 42.4 | 369 | 52.2 | 139 | 55.4 | |
Missing data | 122 | .1 | 4 | .2 | 1 | .1 | 1 | .2 | |
Child in household, age <18 | <.001 | ||||||||
No | 54,534 | 65.0 | 1,214 | 82.7 | 527 | 68.7 | 217 | 77.0 | |
Yes | 22,629 | 35.0 | 171 | 17.3 | 210 | 31.3 | 40 | 23.0 | |
Family income relative to federal poverty guidelines (FPG) | <.001 | ||||||||
≤100% of FPG | 11,524 | 11.7 | 194 | 11.5 | 215 | 21.9 | 63 | 18.2 | |
100%–199% of FPG | 14,529 | 17.0 | 215 | 14.0 | 151 | 19.0 | 57 | 25.0 | |
200%–399% of FPG | 20,506 | 26.8 | 340 | 25.9 | 168 | 25.4 | 67 | 29.2 | |
≥400% of FPG | 25,042 | 36.9 | 587 | 44.6 | 166 | 27.8 | 51 | 19.7 | |
Missing data | 5,562 | 7.6 | 49 | 4.1 | 37 | 6.1 | 19 | 7.9 | |
Current cigarette smoker | <.001 | ||||||||
No | 64,395 | 84.3 | 1,054 | 78.3 | 557 | 78.4 | 196 | 75.7 | |
Yes | 12,653 | 15.5 | 328 | 21.5 | 180 | 21.6 | 61 | 24.3 | |
Missing data | 115 | .2 | 3 | .2 | 0 | — | 0 | — | |
Health status | .81 | ||||||||
Excellent, very good, good | 65,933 | 87.3 | 1,199 | 88.6 | 617 | 86.4 | 204 | 85.4 | |
Poor, fair | 11,202 | 12.7 | 186 | 11.4 | 120 | 13.6 | 52 | 14.5 | |
Missing data | 28 | 0 | 0 | — | 0 | — | 1 | .04 | |
Needs help with ADLs/IADLsb | .62 | ||||||||
No | 72,414 | 95.2 | 1,312 | 95.5 | 690 | 95.5 | 233 | 93.3 | |
Yes | 4,749 | 4.8 | 73 | 4.5 | 47 | 4.5 | 24 | 6.7 | |
Health insurance status | <.001 | ||||||||
Private | 37,258 | 54.1 | 836 | 64.3 | 394 | 57.8 | 107 | 45.8 | |
Public | 30,531 | 33.5 | 386 | 23.8 | 232 | 26.9 | 116 | 38.0 | |
Uninsured | 9,107 | 11.9 | 155 | 11.2 | 110 | 15.2 | 30 | 12.4 | |
Missing data | 267 | .5 | 8 | 6.1 | 1 | .1 | 4 | 3.9 | |
Office visit in the prior 12 months | .16 | ||||||||
Yes | 63,882 | 82.0 | 1,159 | 83.5 | 608 | 81.0 | 202 | 74.6 | |
No | 13,034 | 17.7 | 220 | 16.0 | 127 | 18.9 | 55 | 25.4 | |
Missing data | 247 | .3 | 6 | .5 | 2 | .1 | 0 | — | |
Unmet medical care due to cost in prior 12 months | <.001 | ||||||||
Yes | 5,702 | 6.5 | 141 | 9.3 | 103 | 11.8 | 36 | 9.8 | |
No | 71,436 | 93.5 | 1,243 | 90.3 | 634 | 88.2 | 220 | 89.5 | |
Missing data | 25 | 0 | 1 | .4 | 0 | — | 1 | .7 |
Depression (N=77,575) | Anxiety (N=77,637) | |||||||
---|---|---|---|---|---|---|---|---|
Characteristic | N | % | AORb | 95% CI | N | % | AORb | 95% CI |
Sexual orientation (reference: heterosexual) | ||||||||
Heterosexual | 75,244 | 8.1 | — | 75,303 | 19.0 | — | ||
Gay and lesbian | 1,363 | 14.4 | 1.88** | 1.51–2.34 | 1,362 | 30.9 | 1.69** | 1.43–1.98 |
Bisexual | 721 | 24.4 | 3.00** | 2.31–3.91 | 725 | 47.1 | 2.75** | 2.18–3.47 |
Other | 247 | 19.0 | 2.28* | 1.35–3.85 | 247 | 43.7 | 2.83** | 1.96–4.09 |
Age (years) (reference: 45–54) | ||||||||
18–24 | 7,004 | 8.0 | .93 | .80–1.08 | 7,014 | 22.8 | 1.26** | 1.13–1.41 |
25–34 | 13,176 | 7.6 | .98 | .86–1.12 | 13,181 | 21.9 | 1.27** | 1.17–1.39 |
35–44 | 12,153 | 7.9 | 1.04 | .91–1.18 | 12,156 | 20.5 | 1.17** | 1.07–1.27 |
45–54 | 12,547 | 9.6 | — | 12,559 | 20.6 | — | ||
55–64 | 13,352 | 10.1 | .87* | .77–.98 | 13,373 | 19.1 | .78** | .72–.85 |
≥65 | 19,343 | 7.4 | .40** | .34–.46 | 19,354 | 13.7 | .42** | .37–.46 |
Race-ethnicity (reference: Hispanic) | ||||||||
White | 50,673 | 8.9 | 1.27** | 1.12–1.44 | 50,717 | 21.7 | 1.51** | 1.38–1.66 |
Black | 9,986 | 7.8 | .68** | .58–.80 | 9,999 | 14.6 | .67** | .60–.76 |
Hispanic | 11,564 | 7.9 | — | 11,567 | 16.6 | — | ||
Other/multiple races | 5,114 | 5.6 | .84 | .70–1.02 | 5,116 | 14.0 | .88 | .76–1.01 |
Missing data | 238 | 10.3 | 1.36 | .80–2.30 | 238 | 12.8 | .64 | .35–1.16 |
Sex (reference: male) | ||||||||
Male | 34,990 | 7.0 | — | 35,024 | 16.1 | — | ||
Female | 42,585 | 9.7 | 1.29** | 1.19–1.39 | 42,613 | 22.7 | 1.47** | 1.40–1.55 |
U.S. citizenship (reference: yes) | ||||||||
Yes | 5,998 | 8.7 | — | 71,561 | 20.1 | — | ||
No | 71,502 | 5.8 | .76* | .64–.89 | 6,001 | 12.7 | .69** | .61–.79 |
Missing data | 75 | 4.1 | .64 | .18–2.28 | 75 | 14.1 | .87 | .42–1.83 |
Education (reference: high school graduate) | ||||||||
Less than high school | 10,365 | 13.2 | 1.07 | .96–1.20 | 10,382 | 21.3 | 1.06 | .97–1.16 |
High school graduate | 19,443 | 9.7 | — | 19,453 | 19.0 | — | ||
Some college | 15,275 | 9.3 | 1.01 | .90–1.13 | 15,298 | 21.7 | 1.13* | 1.05–1.22 |
Bachelor's degree or higher | 23,319 | 5.1 | .86* | .77–.97 | 23,330 | 18.0 | 1.21** | 1.12–1.31 |
Missing data | 9,173 | 8.1 | .92 | .81–1.04 | 9,174 | 19.2 | 1.03 | .94–1.13 |
Relationship status (reference: married or living with a partner) | ||||||||
Married or living with a partner | 38,949 | 6.5 | — | 38,978 | 17.5 | — | ||
Formerly married | 20,615 | 13.4 | 1.39** | 1.27–1.52 | 20,641 | 22.0 | 1.12* | 1.05–1.21 |
Never married | 17,889 | 9.7 | 1.24** | 1.10–1.39 | 17,895 | 23.2 | 1.14** | 1.06–1.23 |
Missing data | 122 | 10.9 | 1.43 | .71–2.87 | 123 | 22.4 | 1.37 | .58–3.23 |
Child <18 in the household (reference: no) | ||||||||
No | 55,030 | 8.9 | — | 55,080 | 19.4 | — | ||
Yes | 22,545 | 7.4 | .86* | .78–.95 | 22,557 | 19.7 | .93 | .87–1.00 |
Family income relative to federal poverty guidelines (FPG) (reference: ≥400% of FPG) | ||||||||
≤100% of FPG | 11,694 | 17.3 | 1.81** | 1.59–2.07 | 11,714 | 28.9 | 1.51** | 1.37–1.66 |
100%–199% of FPG | 14,596 | 12.4 | 1.54** | 1.35–1.76 | 14,609 | 22.9 | 1.29** | 1.18–1.41 |
200%–399% of FPG | 20,599 | 7.5 | 1.24** | 1.12–1.38 | 20,620 | 19.1 | 1.15** | 1.07–1.23 |
≥400% of FPG | 25,294 | 4.6 | — | 25,306 | 16.1 | — | ||
Missing data | 5,392 | 6.9 | 1.12 | .94–1.34 | 5,388 | 15.2 | .92 | .82–1.03 |
Current cigarette smoker (reference: no) | ||||||||
No | 64,577 | 6.9 | — | 64,625 | 17.7 | — | ||
Yes | 12,898 | 16.3 | 1.68** | 1.54–1.83 | 12,914 | 29.1 | 1.49** | 1.39–1.60 |
Missing data | 100 | 11.6 | 1.42 | .60–3.35 | 98 | 18.9 | 1.05 | .52–2.13 |
Health status (reference: excellent, very good, good) | ||||||||
Excellent, very good, good | 66,382 | 5.8 | — | 66,423 | 16.9 | — | ||
Poor, fair | 11,168 | 26.6 | 3.30** | 1.14–1.48 | 11,188 | 37.9 | 2.57** | 2.39–2.76 |
Missing data | 25 | 11.0 | 1.87 | .47–7.49 | 26 | 26.4 | 2.01 | .75–5.39 |
Needs help with ADLs/IADLs (reference: no) | ||||||||
No | 72,916 | 7.3 | — | 72,965 | 18.4 | — | ||
Yes | 4,659 | 30.3 | 2.06** | 1.82–2.32 | 4,672 | 41.5 | 1.97** | 1.78–2.19 |
Health insurance status (reference: private) | ||||||||
Private | 37,733 | 5.3 | — | 37,758 | 18.2 | — | ||
Public | 30,362 | 12.6 | 1.80** | 1.61–2.01 | 30,387 | 78.9 | 1.22** | 1.13–1.31 |
Uninsured | 9,217 | 10.9 | 1.30** | 1.14–1.48 | 9,229 | 78.7 | 1.01 | .92–1.11 |
Missing data | 263 | 6.9 | 1.12 | .62–2.03 | 263 | 21.0 | 1.23 | .75–2.03 |
Office visit in the prior 12 months (reference: yes) | ||||||||
Yes | 64,219 | 9.0 | — | 64,269 | 20.6 | — | ||
No | 13,147 | 5.7 | .62** | .55–.70 | 13,162 | 14.4 | .64** | .59–.70 |
Missing data | 209 | 19.9 | 1.76 | 1.06–2.90 | 206 | 22.8 | .96 | .59–1.55 |
Unmet medical care in prior 12 months due to cost (reference: no) | ||||||||
Yes | 5,828 | 24.5 | 2.30** | 2.05–2.58 | 71,775 | 40.8 | 2.23** | 2.04–2.45 |
No | 71,724 | 7.3 | — | 5,839 | 18.0 | — | ||
Missing data | 23 | 19.3 | 1.79 | .51–6.34 | 23 | 36.3 | 1.58 | .37–6.67 |
Taking medication for depressive feelings (N=77,530) | Taking medication for anxious feelings (N=77,597) | |||||||
---|---|---|---|---|---|---|---|---|
Characteristic | N | % | AORb | 95% CI | N | % | AORb | 95% CI |
Sexual orientation (reference: heterosexual) | ||||||||
Heterosexual | 75,200 | 7.9 | — | 75,266 | 8.5 | — | ||
Gay and lesbian | 1,363 | 15.9 | 2.07** | 1.64–2.62 | 1,360 | 16.6 | 1.85** | 1.46–2.34 |
Bisexual | 721 | 16.9 | 1.56* | 1.11–2.18 | 725 | 15.8 | 1.20 | .89–1.61 |
Other | 246 | 14.6 | 1.70 | .78–3.73 | 246 | 17.8 | 1.73 | .93–3.33 |
Age (years) (reference: 45–54) | ||||||||
18–24 | 7,003 | 3.9 | .38** | .31–.47 | 7,013 | 5.1 | .42** | .35–.52 |
25–34 | 13,172 | 5.9 | .68** | .59–.80 | 13,178 | 7.0 | .68** | .59–.78 |
35–44 | 12,144 | 7.4 | .89 | .78–1.01 | 12,154 | 7.8 | .96 | .85–1.08 |
45–54 | 12,542 | 10.3 | 1.00 | 12,555 | 10.8 | — | ||
55–64 | 13,348 | 11.6 | .94 | .84–1.06 | 13,363 | 11.2 | .90 | .80–1.01 |
≥65 | 19,321 | 8.6 | .44** | .38–.50 | 19,334 | 8.6 | .48** | .42–.55 |
Race-ethnicity (reference: Hispanic) | ||||||||
White | 50,640 | 10.0 | 1.73** | 1.51–1.97 | 50,688 | 10.6 | 1.59** | 1.40–1.80 |
Black | 9,979 | 5.4 | .70** | .59–.83 | 9,992 | 5.7 | .74** | .63–.87 |
Hispanic | 11,560 | 4.9 | — | 11,566 | 5.3 | — | ||
Other/multiple races | 5,113 | 2.8 | .55** | .42–.71 | 5,113 | 3.6 | .68* | .54–.86 |
Missing data | 238 | 4.6 | .63 | .28–1.41 | 238 | 5.1 | .91 | .38–2.18 |
Sex (reference: male) | ||||||||
Male | 34,973 | 5.6 | — | 35,008 | 5.9 | — | ||
Female | 42,557 | 10.6 | 1.84** | 1.69–1.99 | 42,589 | 11.4 | 1.70** | 1.58–1.84 |
U.S. citizenship (reference: yes) | ||||||||
Yes | 71,457 | 8.7 | — | 71,523 | 9.3 | — | ||
No | 5,998 | 2.4 | .53** | .42–.67 | 5,999 | 2.8 | .64** | .51–.79 |
Missing data | 75 | 1.7 | .49 | .05–4.58 | 75 | 2.6 | .62 | .14–2.76 |
Education (reference: high school graduate) | ||||||||
Less than high school | 10,360 | 8.8 | .92 | .81–1.05 | 10,375 | 9.1 | .94 | .83–1.07 |
High school graduate | 19,428 | 8.3 | — | 19,443 | 8.6 | — | ||
Some college | 15,269 | 8.9 | 1.17* | 1.04–1.31 | 15,288 | 9.9 | 1.19* | 1.07–1.32 |
Bachelor's degree or higher | 23,306 | 6.9 | 1.15* | 1.02–1.29 | 23,320 | 7.4 | .97 | .87–1.09 |
Missing data | 9,167 | 9.2 | 1.18* | 1.03–1.35 | 9,171 | 10.2 | 1.20* | 1.06–1.36 |
Relationship status (reference: married or living with a partner) | ||||||||
Married or living with a partner | 38,931 | 7.2 | — | 38,964 | 7.9 | — | ||
Formerly married | 20,594 | 13.1 | 1.17* | 1.07–1.29 | 20,621 | 12.7 | 1.13* | 1.04–1.24 |
Never married | 17,885 | 6.9 | 1.10 | .98–1.23 | 17,889 | 7.9 | 1.14* | 1.02–1.27 |
Missing data | 120 | 5.8 | .57 | .19–1.72 | 123 | 6.1 | .56 | .19–1.64 |
Child <18 in the household (reference: no) | ||||||||
No | 54,994 | 9.0 | — | 55,043 | 9.4 | — | ||
Yes | 22,536 | 6.4 | .84* | .74–.94 | 22,554 | 7.5 | .86* | .77–.96 |
Family income relative to federal poverty guidelines (FPG) (reference: ≥400% of FPG) | ||||||||
≤100% of FPG | 11,686 | 12.1 | 1.05 | .89–1.24 | 11,703 | 12.6 | 1.03 | .89–1.19 |
100%–199% of FPG | 14,590 | 9.7 | 1.05 | .92–1.21 | 14,605 | 10.0 | .98 | .86–1.11 |
200%–399% of FPG | 20,586 | 8.2 | 1.16* | 1.04–1.29 | 20,612 | 8.7 | 1.04 | .94–1.15 |
≥400% of FPG | 25,285 | 6.5 | — | 25,298 | 7.5 | — | ||
Missing data | 5,383 | 5.9 | .74* | .61–.90 | 5,379 | 6.0 | .68** | .57–.82 |
Current cigarette smoker (reference: no) | ||||||||
No | 64,542 | 7.2 | — | 64,593 | 7.8 | — | ||
Yes | 12,890 | 13.0 | 1.26** | 1.15–1.39 | 12,908 | 14.0 | 1.37** | 1.25–1.50 |
Missing data | 98 | 4.4 | .32* | .11–.95 | 96 | 5.7 | .55 | .20–1.57 |
Health status (reference: excellent, very good, good) | ||||||||
Excellent, very good, good | 66,354 | 6.0 | — | 66,404 | 6.7 | — | ||
Poor, fair | 11,151 | 22.7 | 1.92** | 1.71–2.15 | 11,167 | 22.7 | 1.97** | 1.77–2.20 |
Missing data | 25 | 11.9 | 1.75 | .57–5.40 | 26 | 17.5 | 2.64 | .90–7.73 |
Needs help with ADLs/IADLs (reference: no) | ||||||||
No | 72,886 | 7.2 | — | 72,943 | 7.8 | — | ||
Yes | 4,644 | 27.9 | 1.54** | 1.33–1.78 | 4,654 | 27.7 | 1.57** | 1.39–1.78 |
Health insurance status (reference: private) | ||||||||
Private | 37,719 | 6.2 | — | 37,749 | 7.2 | — | ||
Public | 30,333 | 12.6 | 1.73** | 1.54–1.93 | 30,358 | 12.6 | 1.70** | 1.53–1.90 |
Uninsured | 9,215 | 4.5 | .74* | .59–.93 | 9,227 | 4.9 | .76* | .62–.93 |
Missing data | 263 | 7.7 | 2.21 | .89–5.45 | 263 | 7.7 | 1.63 | .62–4.26 |
Office visit in the prior 12 months (reference: yes) | ||||||||
Yes | 64,182 | 9.6 | — | 64,236 | 10.3 | — | ||
No | 13,145 | 1.4 | .20** | .16–.24 | 13,160 | 1.5 | .20** | .16–.24 |
Missing data | 203 | 9.5 | .51 | .27–.98 | 201 | 15.6 | 1.48 | .88–2.51 |
Unmet medical care due to cost in prior 12 months (reference: no) | ||||||||
Yes | 5,824 | 14.5 | .99 | .86–1.15 | 5,836 | 15.0 | .99 | .86–1.13 |
No | 71,683 | 7.7 | — | 71,738 | 8.3 | — | ||
Missing data | 23 | 17.2 | 1.16 | .26–5.08 | 23 | 17.1 | 1.43 | .45–4.57 |
Self-reported feelings of depression (reference: no) | ||||||||
Yes | 7,233 | 44 | 11.21** | 10.26–12.25 | — | — | — | — |
No | 70,297 | 4.84 | — | — | — | — | — | |
Self-reported feelings of anxiety (reference: no) | ||||||||
Yes | — | — | — | — | 15,616 | 3.9 | 7.43** | 6.88–8.03 |
No | — | — | — | — | 61,981 | 28.5 | — |
Taking medication for depressive feelings (N=7,227) | Taking medication for anxious feelings (N=15,616) | |||||||
---|---|---|---|---|---|---|---|---|
Characteristic | N | % | AORb | 95% CI | N | % | AORb | 95% CI |
Sexual orientation (reference: heterosexual) | ||||||||
Heterosexual | 6,778 | 44.0 | — | 14,757 | 28.2 | — | ||
Gay and lesbian | 203 | 47.1 | 1.34 | .92–1.95 | 413 | 36.5 | 1.69** | 1.26–2.28 |
Bisexual | 188 | 44.4 | 1.29 | .83–2.02 | 340 | 28.1 | 1.18 | .85–1.65 |
Other | 58 | 25.8 | .51 | .26–1.02 | 106 | 26.6 | 1.15 | .59–2.24 |
Age (years) (reference: 45–54) | ||||||||
18–24 | 575 | 24.8 | .38** | .27–.54 | 1,687 | 15.7 | .43** | .34–.55 |
25–34 | 1,026 | 34.7 | .57** | .44–.73 | 2,991 | 22.8 | .71** | .60–.85 |
35–44 | 1,096 | 44.6 | .80 | .63–1.01 | 2,655 | 30.1 | 1.03 | .87–1.21 |
45–54 | 1,428 | 54.5 | — | 2,833 | 34.6 | — | ||
55–64 | 1,582 | 51.2 | .65** | .53–.80 | 2,795 | 35.1 | .82* | .70–.97 |
≥65 | 1,520 | 44.6 | .34** | .27–.43 | 2,655 | 31.8 | .44** | .37–.54 |
Race-ethnicity (reference: Hispanic) | ||||||||
White | 4,968 | 47.9 | 1.10 | .86–1.40 | 11,307 | 31.1 | 1.39** | 1.16–1.65 |
Black | 863 | 35.7 | .57** | .42–.77 | 1,530 | 23.8 | .72* | .57–.89 |
Hispanic | 1,044 | 37.8 | — | 2,011 | 21.9 | — | ||
Other/multiple races | 329 | 25.2 | .48** | .33–.71 | 738 | 15.5 | .65* | .48–.88 |
Missing data | 23 | 33.8 | .84 | .21–3.45 | 30 | 16.8 | .54 | .12–2.51 |
Sex (reference: male) | ||||||||
Male | 2,705 | 37.7 | — | 5,777 | 23.3 | — | ||
Female | 4,522 | 48.3 | 1.51** | 1.31–1.76 | 9,839 | 31.9 | 1.50** | 1.35–1.66 |
U.S. citizenship (%) (reference: yes) | ||||||||
Yes | 6,864 | 45.3 | — | 14,854 | 29.2 | — | ||
No | 363 | 22.5 | .53** | .37–.74 | 751 | 15.2 | .71* | .53–.96 |
Missing data | 0 | .0 | nac | nac | 11 | 18.3 | 1.29 | .17–9.52 |
Education (reference: high school graduate) | ||||||||
Less than high school | 1,483 | 40.2 | .86 | .70–1.07 | 2,248 | 30.4 | .96 | .81–1.13 |
High school graduate | 2,005 | 42.1 | — | 3,716 | 28.5 | — | ||
Some college | 1,584 | 43.9 | 1.08 | .88–1.33 | 3,459 | 29.2 | 1.12 | .97–1.30 |
Bachelor's degree or higher | 1,333 | 46.5 | 1.25* | 1.00–1.56 | 4,350 | 25.2 | .95 | .81–1.11 |
Missing data | 822 | 51.4 | 1.34* | 1.06–1.68 | 1,843 | 32.7 | 1.19 | 1.00–1.43 |
Relationship status (reference: married or living with a partner) | ||||||||
Married or living with a partner | 2,630 | 44.4 | — | 6,868 | 27.6 | — | ||
Formerly married | 2,756 | 51.5 | 1.15 | .97–1.36 | 4,500 | 38.0 | 1.24** | 1.10–1.39 |
Never married | 1,830 | 35.4 | .89 | .73–1.09 | 4,227 | 23.3 | 1.09 | .94–1.25 |
Missing data | 11 | 40.6 | .67 | .09–5.13 | 21 | 13.3 | .29 | .079–1.09 |
Child <18 in the household (reference: no) | ||||||||
No | 5,358 | 46.2 | — | 10,945 | 29.8 | — | ||
Yes | 1,869 | 39.2 | .77* | .65–.92 | 4,671 | 26.0 | .90 | .79–1.02 |
Family income relative to federal poverty guidelines (FPG) (reference: ≥400% of FPG) | ||||||||
≤100% of FPG | 2,152 | 45.7 | 1.00 | .77–1.29 | 3,477 | 33.5 | 1.01 | .84–1.22 |
100%–199% of FPG | 1,847 | 44.0 | 1.00 | .79–1.27 | 3,347 | 30.2 | .95 | .81–1.12 |
200%–399% of FPG | 1,623 | 44.3 | 1.02 | .82–1.27 | 3,966 | 28.3 | 1.02 | .89–1.18 |
≥400% of FPG | 1,240 | 44.3 | — | 4,067 | 26.1 | — | ||
Missing data | 365 | 35.2 | .66* | .47–.92 | 759 | 20.3 | .58** | .44–.76 |
Current cigarette smoker (reference: no) | ||||||||
No | 4,951 | 43.4 | — | 11,747 | 26.8 | — | ||
Yes | 2,266 | 45.4 | 1.09 | .93–1.28 | 3,852 | 34.0 | 1.24** | 1.11–1.40 |
Missing data | 10 | 19.0 | .20* | .05–.84 | 17 | 2.1 | .03* | .002–.37 |
Health status (reference: excellent, very good, good) | ||||||||
Excellent, very good, good | 4,206 | 36.4 | — | 11,393 | 23.1 | — | ||
Poor, fair | 3,021 | 55.5 | 1.70** | 1.45–2.00 | 4,214 | 44.9 | 1.87** | 1.63–2.14 |
Missing data | 0 | 100.0 | nac | nac | 9 | 66.3 | 15.77** | 4.47–55.62 |
Needs help with ADLs/IADLs (reference: no) | ||||||||
No | 5,831 | 40.4 | — | 13,763 | 25.9 | — | ||
Yes | 1,396 | 61.5 | 1.49** | 1.23–1.81 | 1,853 | 51.9 | 1.63** | 1.39–1.91 |
Health insurance status (reference: private) | ||||||||
Private | 2,199 | 41.0 | — | 7,159 | 24.1 | — | ||
Public | 3,968 | 52.8 | 1.59** | 1.33–1.92 | 6,365 | 39.4 | 1.76** | 1.53–2.03 |
Uninsured | 1,038 | 23.2 | .60** | .46–.78 | 2,035 | 16.1 | .71* | .58–.88 |
Missing data | 22 | 25.4 | 1.24 | .40–3.81 | 57 | 17.6 | 1.06 | .44–2.54 |
Office visit in the prior 12 months (reference: yes) | ||||||||
Yes | 6,365 | 48.8 | — | 13,660 | 31.7 | — | ||
No | 823 | 9.9 | .18** | .13–.24 | 1,914 | 6.2 | .20** | .15–.25 |
Missing data | 39 | 33.6 | .52 | .23–1.16 | 42 | 58.8 | 3.07* | 1.18–7.98 |
Unmet medical care due to cost in prior 12 months (reference: no) | ||||||||
Yes | 1,482 | 38.9 | .82* | .68–.99 | 2,440 | 28.6 | .89 | .76–1.04 |
No | 5,740 | 45.2 | — | 13,168 | 28.4 | — | ||
Missing data | 5 | 64.0 | 1.14 | .14–9.27 | 8 | 33.8 | 1.73 | .42–7.22 |
Discussion
Conclusions
References
Information & Authors
Information
Published In
History
Keywords
Authors
Competing Interests
Metrics & Citations
Metrics
Citations
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
For more information or tips please see 'Downloading to a citation manager' in the Help menu.
View Options
View options
PDF/EPUB
View PDF/EPUBGet Access
Login options
Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.
Personal login Institutional Login Open Athens loginNot a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).