Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis

Mental health disorders are prevalent among United States (US) adults with arthritis. Yet, little is known about characteristics associated with mental health among US adults with arthritis. This retrospective cross-sectional study used 2019 Medical Expenditures Panel Survey data to assess the assoc...

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Main Authors: Nouf Bin Awad, David R. Axon
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Behavioral Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-328X/12/8/256
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author Nouf Bin Awad
David R. Axon
author_facet Nouf Bin Awad
David R. Axon
author_sort Nouf Bin Awad
collection DOAJ
description Mental health disorders are prevalent among United States (US) adults with arthritis. Yet, little is known about characteristics associated with mental health among US adults with arthritis. This retrospective cross-sectional study used 2019 Medical Expenditures Panel Survey data to assess the association between multiple personal characteristics and mental health status among US adults with arthritis. Hierarchical logistic regression models modeled associations between personal characteristics and mental health status. Model 1 included predisposing factors, model 2 included predisposing and enabling factors, while model 3 included predisposing, enabling, and need factors. The a priori alpha level was 0.05. Analyses accounted for the complex survey design and were weighted to produce national estimates. Among 28,512 individuals, 4984 met the inclusion criteria. Of these, 4181 had good mental health (85.5%, 95% confidence interval (CI) = 84.3%, 86.7%). The following characteristics were associated with good mental health status in the final adjusted model: age 18–64 vs. ≥65 (adjusted odds ratio (AOR) = 0.29, 95% CI = 0.12, 0.71), Midwest vs. West census region (AOR = 5.17, 95% CI = 1.63, 16.46), no degree vs. higher than high school education (AOR = 0.34, 95% CI = 0.12, 0.92), and high school diploma vs. higher than high school education (AOR = 0.40, 95% CI = 0.18, 0.86). In conclusion, this study suggests such characteristics may be targeted to help improve mental health among this population. Additional efforts are needed to help satisfy the unmet need for mental healthcare among this population.
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spelling doaj.art-cef3f594dd8a43c08793d1b6531b9fe72023-11-30T23:11:51ZengMDPI AGBehavioral Sciences2076-328X2022-07-0112825610.3390/bs12080256Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with ArthritisNouf Bin Awad0David R. Axon1Department of Pharmacy Practice & Science, R. Ken Coit College of Pharmacy, The University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacy Practice & Science, R. Ken Coit College of Pharmacy, The University of Arizona, Tucson, AZ 85721, USAMental health disorders are prevalent among United States (US) adults with arthritis. Yet, little is known about characteristics associated with mental health among US adults with arthritis. This retrospective cross-sectional study used 2019 Medical Expenditures Panel Survey data to assess the association between multiple personal characteristics and mental health status among US adults with arthritis. Hierarchical logistic regression models modeled associations between personal characteristics and mental health status. Model 1 included predisposing factors, model 2 included predisposing and enabling factors, while model 3 included predisposing, enabling, and need factors. The a priori alpha level was 0.05. Analyses accounted for the complex survey design and were weighted to produce national estimates. Among 28,512 individuals, 4984 met the inclusion criteria. Of these, 4181 had good mental health (85.5%, 95% confidence interval (CI) = 84.3%, 86.7%). The following characteristics were associated with good mental health status in the final adjusted model: age 18–64 vs. ≥65 (adjusted odds ratio (AOR) = 0.29, 95% CI = 0.12, 0.71), Midwest vs. West census region (AOR = 5.17, 95% CI = 1.63, 16.46), no degree vs. higher than high school education (AOR = 0.34, 95% CI = 0.12, 0.92), and high school diploma vs. higher than high school education (AOR = 0.40, 95% CI = 0.18, 0.86). In conclusion, this study suggests such characteristics may be targeted to help improve mental health among this population. Additional efforts are needed to help satisfy the unmet need for mental healthcare among this population.https://www.mdpi.com/2076-328X/12/8/256arthritisautoimmune diseasesmental healthnational survey
spellingShingle Nouf Bin Awad
David R. Axon
Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
Behavioral Sciences
arthritis
autoimmune diseases
mental health
national survey
title Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
title_full Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
title_fullStr Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
title_full_unstemmed Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
title_short Characteristics Associated with Good Self-Perceived Mental Health among United States Adults with Arthritis
title_sort characteristics associated with good self perceived mental health among united states adults with arthritis
topic arthritis
autoimmune diseases
mental health
national survey
url https://www.mdpi.com/2076-328X/12/8/256
work_keys_str_mv AT noufbinawad characteristicsassociatedwithgoodselfperceivedmentalhealthamongunitedstatesadultswitharthritis
AT davidraxon characteristicsassociatedwithgoodselfperceivedmentalhealthamongunitedstatesadultswitharthritis