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Table 4 Logistic regression analysis for socio-demographic, mental illness, and substance use-related outcomes based on ACE total score (n = 364)

From: Setting the stage for chronic health problems: cumulative childhood adversity among homeless adults with mental illness in Vancouver, British Columbia

Outcome1

Unadjusted OR (95% CI)

p value

Adjusted OR (95% CI)2

p value

Duration of homelessness

    

Cumulative lifetime (>3 years)

1.10 (0.94, 1.09)

0.710

  

Longest single episode (>1 year)

1.09 (1.01, 1.17)

0.032*

1.07 (0.99, 1.16)

0.108+

Age first homeless (<25 years)

1.03 (0.96, 1.11)

0.412

  

Mental disorder

    

Less severe cluster

1.14 (1.05, 1.23)

0.001**

1.13 (1.04, 1.23)

0.004**

Severe cluster

0.96 (0.88, 1.04)

0.313

  

Alcohol dependence

1.13 (1.04, 1.23)

0.006**

1.11 (1.01, 1.21)

0.030*

Substance dependence

1.11 (1.02, 1.19)

0.012*

1.09 (1.00, 1.19)

0.040*

High suicidality

1.10 (1.01, 1.21)

0.039*

1.11 (1.01, 1.23)

0.032*

Multiple (≥2) mental disorders

1.15 (1.07, 1.24)

<0.001***

1.15 (1.06, 1.24)

0.001**

Physical health

    

Blood-borne infectious diseases (HIV/HCV/HBV)

1.11 (1.03, 1.21)

0.008**

1.09 (1.01, 1.19)

0.039*

Multiple (≥3) physical illness

1.17 (1.07, 1.27)

0.001**

1.15 (1.05, 1.26)

0.015*

Overall health (poor)

1.12 (1.01, 1.25)

0.030*

1.12 (1.00, 1.25)

0.047*

Substance use

    

Age first drunk (<14 years)

1.19 (1.10, 1.29)

<0.001***

1.17 (1.08, 1.28)

<0.001***

Age of first drug use (<14 years)

1.20 (1.10, 1.30)

<0.001***

1.20 (1.10, 1.31)

<0.001***

IV drug use

1.07 (0.98, 1.18)

0.149

  

Daily substance use

1.12 (1.03, 1.22)

0.007**

1.10 (1.01, 1.20)

0.027*

Daily illicit drug use

1.15 (1.06, 1.25)

0.001**

1.14 (1.04, 1.25)

0.005**

Daily hard drug use (no marijuana)

1.09 (0.98, 1.20)

0.104+

1.05 (0.95, 1.17)

0.349

Weekly alcohol use

1.08 (0.99, 1.18)

0.089+

1.06 (0.97, 1.16)

0.191

Daily marijuana use

1.14 (1.02, 1.27)

0.017*

1.16 (1.04, 1.31)

0.010*

Poly-substance (≥3) use

1.08 (1.00, 1.17)

0.057+

1.07 (0.99, 1.17)

0.099+

Poly-drug (≥3) use

1.07 (0.98, 1.17)

0.123

  

Poly-drug (≥2) use

1.05 (0.97, 1.13)

0.257

  
  1. *p ≤ 0.05 **p ≤ 0.01 ***p ≤ 0.001 + p ≤ 0.10.
  2. 1Separate binary logistic regression analyses (univariate and multivariable) were conducted for each outcome using ACE total score (continuous measure) as an independent variable.
  3. 2Each multivariable model was controlled for age (continuous), gender (male vs. female), ethnicity (Aboriginal, Caucasian, Other), need level (High vs. Moderate), and education (completed vs. incomplete high school).
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BMC Public Health

ISSN: 1471-2458

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