Serious Psychological Distress and Emergency Room Use among Adults with Multimorbidity in the United States

Table 3

Weight row percentages, adjusted odds ratios, and 95% confidence intervals of serious psychological distress from separate logistic regressions on reasons of the recent ER use in the past 12 months. Adults with multimorbidity and ER use. National Health Interview Survey, 2015.

SPD status	Wt.%	AOR	95% CI	value
Seriousness of medical problem
SPD	85.6	1.03	[0.65, 1.63]	0.888
No SPD (Ref.)	84.0
Doctor’s office or clinic was not open
SPD	44.9	0.93	[0.67, 1.29]	0.676
No SPD (Ref.)	46.4
Lack of access to other providers
SPD	67.0	1.27	[0.91, 1.76]	0.165
No SPD (Ref.)	53.3

Note. Based on 3,663 adults aged over 21 years having two or more physical diseases with and without serious psychological distress (SPD). SPD was defined as a score of 13 or greater on the K6. Adjusted model included sex, age, race/ethnicity, marital status, education level, poverty status, perceived general health, functional limitations, body mass index (kg/m²), smoking status, alcohol use, physical activity, and region of residence. Wt.: weighted; AOR: adjusted odds ratio; CI: confidence interval; Ref.: reference group; SPD: serious psychological distress.