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Predictors of Mental Health Status among Older United States Adults with Pain

College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA
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Author to whom correspondence should be addressed.
Academic Editors: Heidi Ewen and Katherina Nikzad-Terhune
Behav. Sci. 2021, 11(2), 23; https://doi.org/10.3390/bs11020023
Received: 16 December 2020 / Revised: 27 January 2021 / Accepted: 3 February 2021 / Published: 5 February 2021
(This article belongs to the Special Issue Aging and Resiliency)
Poor mental health is common among older adults with pain, resulting in high economic burden and impaired quality of life. This retrospective, cross-sectional database study aimed to identify characteristics associated with good mental health status among United States (US) adults aged ≥50 years with self-reported pain in the last four weeks using a weighted sample of 2017 Medical Expenditure Panel Survey data. Hierarchical multivariable logistic regression models were used to identify statistically significant predictors of good (versus poor) perceived mental health status. From a weighted population of 57,074,842 individuals, 85.5% (95% confidence interval (CI) = 84.4%, 86.7%) had good perceived mental health. Good mental health was associated most strongly with physical health status (adjusted odds ratio (AOR) = 9.216, 95% CI = 7.044, 12.058). Employed individuals were 1.7 times more likely to report good mental health versus unemployed (AOR = 1.715, 95% CI = 1.199, 2.452). Individuals who had completed less than high school education (AOR = 0.750, 95% CI = 0.569, 0.987) or who reported having a limitation (AOR = 0.513, 95% CI = 0.384, 0.684) were less likely to report good mental health. These key characteristics can be utilized to predict mental health status, which may be investigated to better manage concurrent pain and poor mental health. View Full-Text
Keywords: mental health; pain; health care surveys; older adults mental health; pain; health care surveys; older adults
MDPI and ACS Style

Axon, D.R.; Chien, J. Predictors of Mental Health Status among Older United States Adults with Pain. Behav. Sci. 2021, 11, 23. https://doi.org/10.3390/bs11020023

AMA Style

Axon DR, Chien J. Predictors of Mental Health Status among Older United States Adults with Pain. Behavioral Sciences. 2021; 11(2):23. https://doi.org/10.3390/bs11020023

Chicago/Turabian Style

Axon, David R., and Jonathan Chien. 2021. "Predictors of Mental Health Status among Older United States Adults with Pain" Behavioral Sciences 11, no. 2: 23. https://doi.org/10.3390/bs11020023

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