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Table 3 Associations between sexual orientation and behavioral risk factor accounting for the presence of depressive symptoms in the National Health and Nutrition Examination Survey, 2005-2010

From: Stress mediates the relationship between sexual orientation and behavioral risk disparities

Gay/Lesbian

 

Model 1 (adjusted for socio-demographic characteristics)a

Model 2 (controlling for depressive symptoms)b

% reduction in association controlling for PHQ-9

Sobel test for significance of mediator

Outcome

OR*

(95% CI)

OR*

(95% CI)

 

Z Value

P-Value

Current Smoker

1.843

(1.17, 2.92)

1.812

(1.14, 2.88)

1.68

1.846

0.064

BMI (Overweight/Obese)

1.128

(0.78, 1.64)

     

Lifetime History of Drug Use (Excluding Marijuana)

1.786

(1.10, 2.91)

1.766

(1.09, 2.87)

1.12

1.4863

0.137

Lifetime History of Marijuana Use

1.753

(1.09, 2.82)

1.746

(1.09, 2.81)

0.40

1.50534

0.132

Risky Drinking (5 or more drinks) in Past 12 months

1.01

(0.61, 1.69)

     

Lifetime Period of Risky Drinking

1.271

(0.76, 2.12)

     

Bisexual

 

Model 1 (adjusted for socio-demographic characteristics) a

Model 2 (controlling for depressive symptoms) b

% reduction in association controlling for PHQ-9

Sobel test for significance of mediator

Outcome

OR*

(95% CI)

OR*

(95% CI)

 

Z Value

P-Value

Current Smoker

2.124

(1.65, 2.73)

2.044

(1.59, 2.63)

3.77

3.04054

0.0023

BMI (Overweight/Obese)

0.897

(0.61, 1.31)

 

-

-

-

-

Lifetime History of Drug Use (Excluding Marijuana)

3.381

(2.24, 5.10)

3.301

(2.20, 4.96)

2.37

1.93298

0.0532

Lifetime History of Marijuana Use

2.928

(2.05, 4.19)

2.901

(2.02, 4.16)

0.92

3.44351

<0.001

Risky Drinking (5 or more drinks) in Past 12 months

1.499

(1.05, 2.15)

Cannot Estimate

   

Lifetime Period of Risky Drinking

2.901

(1.67, 5.04)

Cannot Estimate

   
  1. aadjusted for gender, age and education.
  2. badjusted for gender, age, education and presence of moderate or greater depressive symptoms.
  3. *compared to heterosexuals as referent category.
  4. -mediator not associated with the dependent variables.