Skip to main content

Table 2 Decomposition of the total time effect on good / poor SRH into direct and indirect effects via leisure time physical activity (LTPA) – using KHB-method for GEE logistic regression

From: Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity

 

Good SRH

 

Men

Women

 

Model 1

Model 2

Model 1

Model 2

 

OR

95% CI

OR

95% CI

OR

95% CI

OR

95% CI

Total time effect

1.38***

1.25–1.52

1.13*

1.04–1.29

1.77***

1.63–1.98

1.34***

1.20–1.41

Direct time effect

1.14*

1.03–1.25

1.00

0.93–1.15

1.38***

1.26–1.52

1.15**

1.03–1.28

Indirect time effect

1.21***

1.19–1.24

1.13***

1.11–1.15

1.28***

1.24–1.31

1.17***

1.14–1.19

 

APE

(%-points)

95% CI

APE

(%-points)

95% CI

APE

(%-points)

95% CI

APE

(%-points)

95% CI

Total time effect

7.3

5.1–9.4

2.7

0.9–5.7

12.4

10.4–14.4

6.8

4.5–9.1

Direct time effect

2.9

0.7–5.1

0.0

−1.6-3.1

7.1

5.0–9.2

3.5

1.2–5.9

Indirect time effect

4.4

---a

2.7

--- a

5.3

--- a

3.3

--- a

Conf_ratio

2.5

--- b

1.7

2.1

Conf_pct

60.1

100.0

42.8

53.4

 

Poor SRH

 

Men

Women

 

Model 1

Model 2

Model 1

Model 2

 

OR

95% CI

OR

95% CI

OR

95% CI

OR

95% CI

Total time effect

0.75***

0.67–0.84

1.04

0.91–1.18

0.72***

0.65–0.80

0.99

0.88–1.12

Direct time effect

0.96

0.86–1.08

1.21**

1.07–1.38

0.92

0.83–1.03

1.18**

1.04–1.33

Indirect time effect

0.79***

0.77–0.81

0.86***

0.84–0.88

0.78***

0.76–0.80

0.85***

0.83–0.87

 

APE

(%-points)

95% CI

APE

(%-points)

95% CI

APE

(%-points)

95% CI

APE

(%-points)

95% CI

Total time effect

−4.7

−6.6-2.8

0.6

−1.4-2.6

−6.0

−8.2-0.4

−0.1

−0.22-0.20

Direct time effect

−0.7

−2.6-1.2

3.0

1.0–5.0

−1.4

−3.5-0.5

2.8

0.70–4.94

Indirect time effect

−4.0

--- a

−2.4

--- a

−4.6

--- a

−2.9

--- a

Conf_ratio

6.9

--- c

4.2

--- c

Conf_pct

85.5

--- c

76.3

--- c

  1. OR Odds ratio, APE Average partial effects (change in average probability of good / poor health over time in percentage points), model 1 adjusted for age, model 2 additionally adjusted for school education, income and occupational position. Conf_ratio: Confounding ratio, gives information on the total effect size relative to the direct effect size, calculated by: total effect / direct effect. Conf_pct: Confounding percentage measures the percentage change of effect attributable to confounding net of rescaling, calculated by: indirect effect / total effect. *p < 0.05, **p < 0.01, ***p < 0.001,--- a95% Confidence intervall cannot be calculated since standard errors of indirect effects are not known for APE method, −--bConf_ratio cannot be calculated in case of direct effect = 0, −--cConf_ratio and Conf_pct cannot be meaningfully interpreted in case of non-significant total effect