Research Article

Comparing Adult Males and Females in the United States to Examine the Association between Body Mass Index and Frequent Mental Distress: An Analysis of Data from BRFSS 2011

Table 5

Adjusted odds ratiosa of having FMD among adults in the United States, stratified by gender, BRFSS 2011.

VariablebCategories Females ( )Males ( )
Adjusted OR95% CIAdjusted OR95% CI

Age category (years) (ref: 18–24)25–341.060.91–1.23 1.110.94–1.31
35–441.040.89–1.21 1.060.89–1.26
45–540.880.76–1.030.830.70–0.99*
55–640.610.52–0.71***0.600.50–0.73***
≥650.340.28–0.40***0.340.27–0.42***

Race and ethnicity (ref: non-Hispanic White)Black non-Hispanic0.810.73–0.89***0.880.77–1.01
Asian non-Hispanic0.770.57–1.040.720.53–0.99*
American Indian/Alaska Native non-Hispanic0.930.75–1.151.200.91–1.57
Hispanic0.900.81–0.99*0.920.81–1.04
Other race non-Hispanic1.150.97–1.351.381.13–1.68**

Education (ref: did not graduate from high school)Graduated from high school0.890.81–0.99*0.840.74–0.95**
Attended college or technical school0.990.89–1.100.900.79–1.03
Graduated from college or technical school0.820.73–0.92**0.750.65–0.87***

Employment status (ref: employed for wages)Self-employed1.100.96–1.241.141.00–1.29
Out of work for >1 year1.951.72–2.21***2.362.01–2.78***
Out of work for <1 year1.831.57–2.12***2.151.82–2.56***
Homemaker1.101.00–1.22*
Student1.411.18–1.67***1.140.88–1.46
Retired1.030.94–1.141.331.14–1.56**
Unable to work3.232.92–3.57***3.663.19–4.20***

Annual income ($) (ref: <15000)15000 to less than 250000.750.69–0.82***0.800.71–0.90**
25000 to less than 350000.710.63–0.79***0.740.64–0.86***
35000 to less than 500000.590.53–0.66***0.670.58–0.78***
50000 or more0.530.48–0.60***0.530.46–0.61***

Marital status (ref: currently married)Divorced1.161.08–1.26**1.231.11–1.37**
Widowed0.950.86–1.051.611.35–1.93***
Separated1.581.38–1.82***1.61 1.33–1.95***
Never married1.111.00–1.22*1.131.01–1.26*
A member of an unmarried couple1.181.02–1.37*1.13 0.92–1.38

Tobacco use (ref: never used tobacco or smoked <100 cigarettes in life)Everyday2.021.87–2.18***1.771.60–1.97***
Some of the days but not everyday1.711.52–1.92***1.661.43–1.93***
Previous user of smokeless tobacco or smoked <100 cigarettes in life1.201.12–1.29***1.201.08–1.32**

Alcohol use (ref: not used alcohol at all in the previous 30 days)Drank at least once in the past 30 days but not a heavy or binge drinker1.050.98–1.120.880.80–0.96**
Heavy drinker1.090.88–1.341.060.70–1.61
Binge drinker1.271.16–1.40***1.080.98–1.19

Dietary practicec0.94 0.90–0.98**0.91 0.87–0.96**

Physical activity in previous 30 days (ref: no physical activity or exercise other than regular work) Met aerobic and strengthening guidelines0.650.59–0.72***0.710.63–0.80***
Met aerobic guidelines0.680.63–0.73***0.750.68–0.83***
Met strengthening guidelines0.720.62–0.83***0.860.72–1.02
Met neither guideline but had physical activity0.780.72–0.84***0.850.75–0.95**

Number of chronic conditions ever diagnosedc1.34 1.31–1.37***1.33 1.29–1.38***

BMI category (ref: normal)Underweight1.331.10–1.60**1.40 0.98–1.99
Overweight1.101.03–1.19**0.970.88–1.07
Obese1.211.13–1.31***1.050.95–1.17

BMI: body mass index; CI: confidence interval; FMD: frequent mental distress; OR: odds ratio.
; ; .
OR for each variable is adjusted for all other covariates.
The reference category for each variable is specified within parenthesis.
Introduced in the multivariable model as continuous variable.