Investigating the Associations Between Socioeconomic Factors and Unhealthy Days among Adults Using Zero-inflated Negative Binomial Regression

Poor social and economic circumstances affect the health of individuals throughout life cycle. The purpose study was to examine whether state-level individual-level socioeconomic factors are associated with mentally or physically unhealthy days in general U.S. population adults. Behavioral Risk Factor Surveillance System American Community Survey 2016 were used determinants number self-reported last 30 using Zero-Inflated Negative Binomial (ZINB) regression models. Men, older individuals, minorities, persons higher educational attainment levels, who employed, married, a partner, one zero chronic condition more likely report excessive zeros for responses mentally, days. negative binomial results indicated that poverty rates, income inequity, lower median income, unemployment rates related reported Persons attainment, employed findings show significant relationships between contexts status. Health planners policymakers may use allocate resources guide public policies programs.