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Table 1 Percentage and adjusted odds ratios for self-rated poorer mental health according to the pandemic period

From: Measuring changes in adult health and well-being during the COVID-19 pandemic and their relationship with adverse childhood experiences and current social assets: a cross-sectional survey

 

Poorer mental health (%)

Adjusted odds ratios (95% confidence intervals)

Never

Always

Pre- COVID-only

One-year-on-only

P

Ref: never poorer mental health

Always

Pre-COVID-only

One-year-on-only

 

n

3471

314

172

716

    
 

All

74.3

6.7

3.7

15.3

    

ACE

0

80.9

4.9

2.4

11.8

 

Ref

  

Count

1

76.4

5.7

3.3

14.6

 

0.94 (0.67–1.32)

1.32 (0.85–2.05)

1.11 (0.89–1.39)

2–3

65.3

8.8

5.0

20.8

 

1.44 (1.04–2.01)

2.20 (1.42–3.38)

1.64 (1.30–2.06)

 ≥ 4

51.6

14.3

8.9

25.2

***

2.36 (1.66–3.36)

4.36 (2.81–6.77)

2.11 (1.62–2.76)

Trusted

0

50.5

16.8

5.8

26.8

 

Ref

  

Family

1

63.9

11.8

3.8

20.5

 

0.61 (0.35–1.05)

0.48 (0.21–1.10)

0.61 (0.39–0.94)

Members (n)

 ≥ 2

76.5

5.7

3.6

14.2

***

0.37 (0.23–0.60)

0.42 (0.21–0.83)

0.41 (0.28–0.60)

Trusted

0

64.0

14.3

2.8

19.0

 

Ref

  

Friends (n)

1

62.1

13.2

3.7

21.0

 

0.90 (0.57–1.41)

1.23 (0.54–2.78)

1.05 (0.72–1.53)

 ≥ 2

76.6

5.3

3.8

14.3

***

0.44 (0.31–0.64)

1.35 (0.69–2.63)

0.74 (0.55–1.00)

Community

No

68.6

10.5

4.0

16.9

 

Ref

  

Helpa

Yes

76.1

5.5

3.6

14.8

***

0.66 (0.50–0.86)

0.87 (0.60–1.25)

0.90 (0.74–1.10)

Had

No

75.8

6.5

3.7

14.1

 

Ref

  

COVID-19

Yes

68.0

7.8

3.6

20.7

***

1.09 (0.81–1.48)

0.84 (0.56–1.26)

1.33 (1.09–1.63)

Deprivation

(least) 5

79.7

4.3

3.1

12.9

 

Ref

  

Quintile

4

77.3

4.4

4.5

13.8

 

1.08 (0.68–1.71)

1.47 (0.89–2.41)

1.10 (0.83–1.46)

3

76.9

6.9

3.2

13.0

 

1.42 (0.92–2.19)

0.95 (0.55–1.65)

0.91 (0.68–1.22)

2

70.4

8.9

3.6

17.1

 

1.86 (1.22–2.83)

1.11 (0.65–1.89)

1.26 (0.95–1.66)

(most) 1

68.6

8.7

3.9

18.8

***

1.78 (1.18–2.67)

1.15 (0.70–1.91)

1.32 (1.01–1.72)

Age

18–29

46.4

15.5

7.8

30.3

 

Ref

  

(years)

30–39

59.5

11.6

6.4

22.4

 

0.59 (0.39–0.90)

0.65 (0.38–1.12)

0.57 (0.41–0.80)

40–49

70.6

7.5

3.4

18.5

 

0.39 (0.26–0.59)

0.32 (0.18–0.56)

0.45 (0.33–0.61)

50–59

73.3

6.8

3.9

16.0

 

0.33 (0.22–0.49)

0.37 (0.22–0.63)

0.39 (0.29–0.52)

69–69

81.0

4.6

2.5

11.9

 

0.21 (0.13–0.33)

0.23 (0.13–0.41)

0.28 (0.20–0.38)

70 + 

89.3

2.4

1.9

6.4

***

0.11 (0.06–0.18)

0.19 (0.10–0.35)

0.15 (0.10–0.21)

Sex

Male

80.4

5.5

2.4

11.7

 

Ref

  

Female

70.6

7.4

4.4

17.5

***

1.51 (1.16–1.97)

1.99 (1.39–2.86)

1.71 (1.42–2.05)

Ethnicity

White

74.7

6.8

3.6

14.9

 

Ref

  

Other

66.7

5.9

5.2

22.2

**

0.50 (0.28–0.88)

1.31 (0.71–2.41)

1.08 (0.77–1.52)

Survey

Phone

76.7

5.4

3.5

14.4

 

Ref

  

method

Online

61.0

13.9

4.8

20.3

***

1.90 (1.42–2.56)

1.28 (0.84–1.95)

1.29 (1.02–1.63)

Study

England

75.9

6.1

3.2

14.7

 

Ref

  

location

Wales

73.2

7.1

4.0

15.7

ns

1.05 (0.81–1.38)

1.18 (0.83–1.68)

1.11 (0.92–1.34)

  1. ACE Adverse childhood experience, Ref Reference category
  2. ns Not significant
  3. aKnow where to get help in the community
  4. **P < 0.01
  5. ***P < 0.001