Gina Dissertation

setwd("C:/Work Files/Dissertations/Gina Drury")

Below are the main packages being used for these analyses. mice (multiple imputation chained equations) is loaded to manage missing data. This includes both assessing missingness and conducting any necessary imputations. Lavaan is the SEM package, and tidyverse is an umbrella of packages that are used for data cleaning, management, and graphing.

library(mice)

Attaching package: 'mice'
The following object is masked from 'package:stats':

    filter
The following objects are masked from 'package:base':

    cbind, rbind
library(lavaan)
This is lavaan 0.6-19
lavaan is FREE software! Please report any bugs.
library(tidyverse)
── Attaching core tidyverse packages ──────────────────────── tidyverse 2.0.0 ──
✔ dplyr     1.1.4     ✔ readr     2.1.5
✔ forcats   1.0.0     ✔ stringr   1.5.1
✔ ggplot2   3.5.2     ✔ tibble    3.2.1
✔ lubridate 1.9.4     ✔ tidyr     1.3.1
✔ purrr     1.0.4     
── Conflicts ────────────────────────────────────────── tidyverse_conflicts() ──
✖ dplyr::filter() masks mice::filter(), stats::filter()
✖ dplyr::lag()    masks stats::lag()
ℹ Use the conflicted package (<http://conflicted.r-lib.org/>) to force all conflicts to become errors
cleaned_data_final2 <- read.csv("cleaned_data_final2.csv")

The block below restructures the final data set such that the categorical variables are coded as ordered factors. This needed to incorporate them into the SEM model.

str(cleaned_data_final2)
'data.frame':   291 obs. of  51 variables:
 $ X                 : int  1 2 3 4 5 6 7 8 9 10 ...
 $ oboe_group        : chr  "control" "control" "control" "control" ...
 $ pcedlevel         : int  NA 7 6 3 5 2 4 6 5 3 ...
 $ hseincom          : int  NA 7 4 1 1 1 4 7 2 2 ...
 $ bzip              : int  NA 44118 44106 44132 44102 41042 41042 45242 41012 45103 ...
 $ maristat          : chr  "Single" "Married" "Single" "Single" ...
 $ zip               : int  44132 44118 44106 44132 44102 41042 41042 54242 41042 45102 ...
 $ diabpprg          : chr  "No" "No" "No" "No" ...
 $ gestdiab          : chr  "No" "No" "No" "No" ...
 $ hyp               : chr  "No" "No" "No" "No" ...
 $ pree              : chr  "No" "No" "No" "No" ...
 $ hepc              : chr  "Unknown" "No" "Unknown" "Unknown" ...
 $ hiv               : chr  "No" "No" "No" "No" ...
 $ hepb              : chr  "No" "No" "No" "No" ...
 $ syph              : chr  "No" "No" "No" "No" ...
 $ gon               : chr  "No" "No" "No" "No" ...
 $ chlmyd            : chr  "No" "No" "No" "No" ...
 $ acescore          : int  NA 0 2 1 0 3 0 0 2 1 ...
 $ Dep_Score         : num  NA 38.2 38.2 38.2 47.5 54.1 47.5 38.2 49.4 44.7 ...
 $ Anx_Score         : num  NA 45.9 37.1 37.1 56.4 63.5 49.4 37.1 47.8 49.4 ...
 $ Anger_Score       : num  NA 48.4 48.4 52.7 50.6 52.7 52.7 50.6 48.4 46.3 ...
 $ Supp_Score        : num  NA 62 62 62 49 49 62 62 62 62 ...
 $ Meaning_Score     : num  NA 68.4 37.1 68.4 58.8 48.8 61.1 55 64.1 68.4 ...
 $ gawks             : int  39 40 41 40 39 39 39 37 40 40 ...
 $ gaday             : int  4 2 1 5 5 2 3 3 4 0 ...
 $ imhbirthwt        : num  3.4 3.69 3.84 3.61 3.57 ...
 $ imh_birthhcr      : num  34.5 33.5 35.5 34 34 34.3 35.6 33.5 33.6 33 ...
 $ imh_birthlt       : num  52.5 53 54.5 54.5 53 53.3 52.1 54 53.3 53 ...
 $ apgar1m           : int  9 9 9 9 9 8 9 8 9 8 ...
 $ apgar5m           : int  9 9 9 9 9 9 9 9 9 9 ...
 $ sex               : chr  "Male" "Female" "Female" "Female" ...
 $ n2attention       : num  4.71 6 5.71 6.14 4.14 4.14 4.43 5.43 4.43 3 ...
 $ n2regulation      : num  6.13 6.51 6.36 5.92 6.16 3.33 4.11 5.19 4.17 3.92 ...
 $ n2arousal         : num  5.88 5.08 4.76 3.36 4.56 3.76 4.96 2.56 3.96 4.16 ...
 $ n2tone            : num  4.9 4.9 4.8 4.9 4.3 4.2 5.1 4.9 4.7 4.9 ...
 $ n2tonehi          : int  0 0 0 0 0 0 0 0 0 0 ...
 $ n2tonelo          : int  0 0 0 0 0 1 0 0 0 0 ...
 $ n2tonemix         : int  0 0 0 0 0 0 0 0 0 0 ...
 $ n2nonoptref       : num  2 1 1.5 1 3 2.5 2 2.5 2 2.5 ...
 $ n2qmove           : num  8.67 8 8.33 6.33 8.5 4.33 8 7.75 5.67 7.25 ...
 $ n2stress          : num  1 1 1 1 1.17 1.51 1.17 1.68 1.17 1.34 ...
 $ ethnc             : chr  "NotHis" "NotHis" "NotHis" "NotHis" ...
 $ MomOnlyFSIQ       : int  NA 115 135 104 88 125 96 131 108 98 ...
 $ final_nnns_class  : int  3 1 1 2 1 2 1 2 1 1 ...
 $ MatAge            : int  20 34 34 21 32 24 32 35 25 22 ...
 $ prenatal_collapsed: chr  "adequate" "adequate" "adequate" "inadequate" ...
 $ collapsed_mentheal: chr  "None" "None" "None" "None" ...
 $ mmins_combined    : chr  "private" "private" "public" "public" ...
 $ mrace_combined    : chr  "Black" "White" "White" "Black" ...
 $ othersub_y_n      : chr  "No" "Yes" "Yes" "No" ...
 $ any_subuse_y_n    : chr  "No" "Yes" "Yes" "No" ...
cleaned_data_final2.1 <- cleaned_data_final2 %>% mutate(across(where(is.factor), ordered))

cleaned_data_final2.1_oboe_only <--(cleaned_data_final2.1$oboe_group==2)

md.pattern is a function for assessing patterns of missingness in the data. Based on the graph below there is not a gread deal of missing data. Blue squares indicate non-missing cases, red squares indicate variables with at least 1 missing case. The left axis indicates how many cases in the data set display the pattern of missingness for that row. The right axis indicates how many variables in that pattern are missing values. The top row, for example, indicates a pattern with no missing data on any variables (i.e., the zero on the right axis) and that there are n=188 participants with that pattern. The second row indicates that there is 1 participant (left axis) missing data on 1 variable (right axis). There does not appear to be any systematic pattern to the missingness that would indicate MNAR and so imputation and FIML techniques for handling missingess are appropriate. A formal Little’s MCAR test could be conducted, but for a data set this size and this level of missingness the results are always a bit suspect.

md.pattern(cleaned_data_final2)

    X oboe_group maristat zip hepc hiv hepb syph gon chlmyd gawks gaday
188 1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
4   1          1        1   1    1   1    1    1   1      1     1     1
12  1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
14  1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
2   1          1        1   1    1   1    1    1   1      1     1     1
3   1          1        1   1    1   1    1    1   1      1     1     1
5   1          1        1   1    1   1    1    1   1      1     1     1
10  1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
4   1          1        1   1    1   1    1    1   1      1     1     1
3   1          1        1   1    1   1    1    1   1      1     1     1
8   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
6   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
2   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
4   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
2   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
2   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
1   1          1        1   1    1   1    1    1   1      1     1     1
    0          0        0   0    0   0    0    0   0      0     0     0
    imhbirthwt apgar1m apgar5m sex n2tone n2tonehi n2tonelo n2tonemix ethnc
188          1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
4            1       1       1   1      1        1        1         1     1
12           1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
14           1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
2            1       1       1   1      1        1        1         1     1
3            1       1       1   1      1        1        1         1     1
5            1       1       1   1      1        1        1         1     1
10           1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
4            1       1       1   1      1        1        1         1     1
3            1       1       1   1      1        1        1         1     1
8            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
6            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
2            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
4            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
2            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
2            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
1            1       1       1   1      1        1        1         1     1
             0       0       0   0      0        0        0         0     0
    final_nnns_class MatAge collapsed_mentheal mmins_combined mrace_combined
188                1      1                  1              1              1
1                  1      1                  1              1              1
4                  1      1                  1              1              1
12                 1      1                  1              1              1
1                  1      1                  1              1              1
14                 1      1                  1              1              1
1                  1      1                  1              1              1
2                  1      1                  1              1              1
3                  1      1                  1              1              1
5                  1      1                  1              1              1
10                 1      1                  1              1              1
1                  1      1                  1              1              1
4                  1      1                  1              1              1
3                  1      1                  1              1              1
8                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
6                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
2                  1      1                  1              1              1
1                  1      1                  1              1              1
4                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
2                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
2                  1      1                  1              1              1
1                  1      1                  1              1              1
1                  1      1                  1              1              1
                   0      0                  0              0              0
    othersub_y_n any_subuse_y_n n2arousal n2nonoptref n2stress imh_birthhcr
188            1              1         1           1        1            1
1              1              1         1           1        1            1
4              1              1         1           1        1            1
12             1              1         1           1        1            1
1              1              1         1           1        1            1
14             1              1         1           1        1            1
1              1              1         1           1        1            1
2              1              1         1           1        1            1
3              1              1         1           1        1            1
5              1              1         1           1        1            1
10             1              1         1           1        1            1
1              1              1         1           1        1            1
4              1              1         1           1        1            1
3              1              1         1           1        1            1
8              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
6              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
2              1              1         1           1        1            1
1              1              1         1           1        1            1
4              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
2              1              1         1           1        1            1
1              1              1         1           1        1            1
1              1              1         1           1        1            1
2              1              1         1           1        1            0
1              1              1         1           0        1            1
1              1              1         0           1        0            1
               0              0         1           1        1            2
    imh_birthlt n2regulation n2qmove diabpprg pree hyp acescore pcedlevel bzip
188           1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
4             1            1       1        1    1   1        1         1    1
12            1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
14            1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
2             1            1       1        1    1   1        1         1    1
3             1            1       1        1    1   1        1         1    1
5             1            1       1        1    1   1        1         1    1
10            1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
4             1            1       1        1    1   1        1         1    1
3             1            1       1        1    1   1        1         1    1
8             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         0    0
1             1            1       1        1    1   1        1         0    0
1             1            1       1        1    1   1        0         1    1
6             1            1       1        1    1   1        0         0    0
1             1            1       1        1    1   1        0         0    0
1             1            1       1        1    1   1        0         0    0
2             1            1       1        1    1   0        1         1    1
1             1            1       1        1    0   1        1         1    1
4             1            1       1        0    0   0        1         1    1
1             1            1       1        0    0   0        1         1    1
1             1            1       1        0    0   0        0         0    0
2             1            1       0        1    1   1        1         1    1
1             1            0       1        1    1   1        1         1    1
1             1            0       1        1    1   1        1         1    1
2             0            1       1        1    1   1        1         1    1
1             1            1       1        1    1   1        1         1    1
1             1            0       0        1    1   1        1         1    1
              2            3       3        6    7   8       10        11   11
    gestdiab prenatal_collapsed MomOnlyFSIQ n2attention hseincom Supp_Score
188        1                  1           1           1        1          1
1          1                  1           1           1        1          1
4          1                  1           1           1        1          0
12         1                  1           1           1        0          1
1          1                  1           1           1        0          0
14         1                  1           1           0        1          1
1          1                  1           1           0        1          1
2          1                  1           1           0        1          0
3          1                  1           1           0        0          1
5          1                  1           0           1        1          1
10         1                  1           0           1        1          0
1          1                  1           0           1        0          0
4          1                  1           0           0        1          1
3          1                  1           0           0        1          0
8          1                  0           1           1        1          1
1          1                  0           1           1        0          1
1          1                  0           1           0        1          1
1          1                  0           0           1        1          0
1          0                  1           1           1        1          1
1          0                  1           0           1        1          1
1          0                  1           0           0        0          0
1          1                  1           1           1        0          1
1          1                  1           1           1        0          0
1          1                  1           0           1        1          0
6          1                  1           1           1        0          0
1          1                  1           0           1        0          0
1          1                  0           1           1        0          0
2          1                  1           1           1        1          1
1          0                  1           1           1        1          1
4          0                  1           1           1        1          1
1          0                  0           1           1        0          1
1          0                  1           0           1        0          0
2          1                  1           1           1        1          1
1          1                  1           1           0        1          1
1          0                  1           1           1        0          0
2          1                  1           1           1        1          1
1          1                  1           1           1        0          1
1          1                  1           1           0        1          1
          11                 13          29          31       33         35
    Anx_Score Anger_Score Meaning_Score Dep_Score    
188         1           1             1         1   0
1           1           1             1         0   1
4           0           0             0         0   5
12          1           1             1         1   1
1           0           0             0         0   6
14          1           1             1         1   1
1           0           0             0         0   5
2           0           0             0         0   6
3           1           1             1         1   2
5           1           1             1         1   1
10          0           0             0         0   6
1           0           0             0         0   7
4           1           1             1         1   2
3           0           0             0         0   7
8           1           1             1         1   1
1           1           1             1         1   2
1           1           1             1         1   2
1           0           0             0         0   7
1           1           1             1         1   1
1           1           1             1         1   2
1           0           0             0         0   9
1           1           1             1         1   3
1           0           0             0         0   8
1           0           0             0         0   7
6           0           0             0         0   9
1           0           0             0         0  10
1           0           0             0         0  10
2           1           1             1         1   1
1           1           1             1         1   2
4           1           1             1         1   4
1           1           1             1         1   6
1           0           0             0         0  14
2           1           1             1         1   1
1           1           1             1         1   2
1           0           0             0         0   8
2           1           1             1         1   2
1           1           1             1         1   2
1           1           1             1         1   5
           36          36            36        37 363

This block was from an exploratory analysis and isn’t needed for any subsequent analyses and can be ignored.

imputed_data <- mice(cleaned_data_final2, m = 3, method = 'pmm', seed = 123)

 iter imp variable
  1   1  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  1   2  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  1   3  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  2   1  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  2   2  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  2   3  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  3   1  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  3   2  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  3   3  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  4   1  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  4   2  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  4   3  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  5   1  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  5   2  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
  5   3  pcedlevel  hseincom  bzip  acescore  Dep_Score  Anx_Score  Anger_Score  Supp_Score  Meaning_Score  imh_birthhcr  imh_birthlt  n2attention  n2regulation  n2arousal  n2nonoptref  n2qmove  n2stress  MomOnlyFSIQ
Warning: Number of logged events: 35
summary(imputed_data)
Class: mids
Number of multiple imputations:  3 
Imputation methods:
                 X         oboe_group          pcedlevel           hseincom 
                ""                 ""              "pmm"              "pmm" 
              bzip           maristat                zip           diabpprg 
             "pmm"                 ""                 ""                 "" 
          gestdiab                hyp               pree               hepc 
                ""                 ""                 ""                 "" 
               hiv               hepb               syph                gon 
                ""                 ""                 ""                 "" 
            chlmyd           acescore          Dep_Score          Anx_Score 
                ""              "pmm"              "pmm"              "pmm" 
       Anger_Score         Supp_Score      Meaning_Score              gawks 
             "pmm"              "pmm"              "pmm"                 "" 
             gaday         imhbirthwt       imh_birthhcr        imh_birthlt 
                ""                 ""              "pmm"              "pmm" 
           apgar1m            apgar5m                sex        n2attention 
                ""                 ""                 ""              "pmm" 
      n2regulation          n2arousal             n2tone           n2tonehi 
             "pmm"              "pmm"                 ""                 "" 
          n2tonelo          n2tonemix        n2nonoptref            n2qmove 
                ""                 ""              "pmm"              "pmm" 
          n2stress              ethnc        MomOnlyFSIQ   final_nnns_class 
             "pmm"                 ""              "pmm"                 "" 
            MatAge prenatal_collapsed collapsed_mentheal     mmins_combined 
                ""                 ""                 ""                 "" 
    mrace_combined       othersub_y_n     any_subuse_y_n 
                ""                 ""                 "" 
PredictorMatrix:
           X oboe_group pcedlevel hseincom bzip maristat zip diabpprg gestdiab
X          0          0         1        1    1        0   1        0        0
oboe_group 1          0         1        1    1        0   1        0        0
pcedlevel  1          0         0        1    1        0   1        0        0
hseincom   1          0         1        0    1        0   1        0        0
bzip       1          0         1        1    0        0   1        0        0
maristat   1          0         1        1    1        0   1        0        0
           hyp pree hepc hiv hepb syph gon chlmyd acescore Dep_Score Anx_Score
X            0    0    0   0    0    0   0      0        1         1         1
oboe_group   0    0    0   0    0    0   0      0        1         1         1
pcedlevel    0    0    0   0    0    0   0      0        1         1         1
hseincom     0    0    0   0    0    0   0      0        1         1         1
bzip         0    0    0   0    0    0   0      0        1         1         1
maristat     0    0    0   0    0    0   0      0        1         1         1
           Anger_Score Supp_Score Meaning_Score gawks gaday imhbirthwt
X                    1          1             1     1     1          1
oboe_group           1          1             1     1     1          1
pcedlevel            1          1             1     1     1          1
hseincom             1          1             1     1     1          1
bzip                 1          1             1     1     1          1
maristat             1          1             1     1     1          1
           imh_birthhcr imh_birthlt apgar1m apgar5m sex n2attention
X                     1           1       1       1   0           1
oboe_group            1           1       1       1   0           1
pcedlevel             1           1       1       1   0           1
hseincom              1           1       1       1   0           1
bzip                  1           1       1       1   0           1
maristat              1           1       1       1   0           1
           n2regulation n2arousal n2tone n2tonehi n2tonelo n2tonemix
X                     1         1      1        1        1         1
oboe_group            1         1      1        1        1         1
pcedlevel             1         1      1        1        1         1
hseincom              1         1      1        1        1         1
bzip                  1         1      1        1        1         1
maristat              1         1      1        1        1         1
           n2nonoptref n2qmove n2stress ethnc MomOnlyFSIQ final_nnns_class
X                    1       1        1     0           1                1
oboe_group           1       1        1     0           1                1
pcedlevel            1       1        1     0           1                1
hseincom             1       1        1     0           1                1
bzip                 1       1        1     0           1                1
maristat             1       1        1     0           1                1
           MatAge prenatal_collapsed collapsed_mentheal mmins_combined
X               1                  0                  0              0
oboe_group      1                  0                  0              0
pcedlevel       1                  0                  0              0
hseincom        1                  0                  0              0
bzip            1                  0                  0              0
maristat        1                  0                  0              0
           mrace_combined othersub_y_n any_subuse_y_n
X                       0            0              0
oboe_group              0            0              0
pcedlevel               0            0              0
hseincom                0            0              0
bzip                    0            0              0
maristat                0            0              0
Number of logged events:  35 
  it im dep     meth        out
1  0  0     constant oboe_group
2  0  0     constant   maristat
3  0  0     constant   diabpprg
4  0  0     constant   gestdiab
5  0  0     constant        hyp
6  0  0     constant       pree
completed_data <- complete(imputed_data, 1)

head(completed_data)
  X oboe_group pcedlevel hseincom  bzip maristat   zip diabpprg gestdiab hyp
1 1    control         3        3 45205   Single 44132       No       No  No
2 2    control         7        7 44118  Married 44118       No       No  No
3 3    control         6        4 44106   Single 44106       No       No  No
4 4    control         3        1 44132   Single 44132       No       No  No
5 5    control         5        1 44102   Single 44102       No       No  No
6 6    control         2        1 41042   Single 41042       No     <NA>  No
  pree    hepc hiv hepb    syph     gon  chlmyd acescore Dep_Score Anx_Score
1   No Unknown  No   No      No      No      No        7      38.2      37.1
2   No      No  No   No      No      No      No        0      38.2      45.9
3   No Unknown  No   No      No      No      No        2      38.2      37.1
4   No Unknown  No   No      No      No      No        1      38.2      37.1
5   No Unknown  No   No      No      No      No        0      47.5      56.4
6 <NA> Unknown  No   No Unknown Unknown Unknown        3      54.1      63.5
  Anger_Score Supp_Score Meaning_Score gawks gaday imhbirthwt imh_birthhcr
1        32.9         62          68.4    39     4       3.40         34.5
2        48.4         62          68.4    40     2       3.69         33.5
3        48.4         62          37.1    41     1       3.84         35.5
4        52.7         62          68.4    40     5       3.61         34.0
5        50.6         49          58.8    39     5       3.57         34.0
6        52.7         49          48.8    39     2       3.67         34.3
  imh_birthlt apgar1m apgar5m    sex n2attention n2regulation n2arousal n2tone
1        52.5       9       9   Male        4.71         6.13      5.88    4.9
2        53.0       9       9 Female        6.00         6.51      5.08    4.9
3        54.5       9       9 Female        5.71         6.36      4.76    4.8
4        54.5       9       9 Female        6.14         5.92      3.36    4.9
5        53.0       9       9   Male        4.14         6.16      4.56    4.3
6        53.3       8       9   Male        4.14         3.33      3.76    4.2
  n2tonehi n2tonelo n2tonemix n2nonoptref n2qmove n2stress   ethnc MomOnlyFSIQ
1        0        0         0         2.0    8.67     1.00  NotHis          93
2        0        0         0         1.0    8.00     1.00  NotHis         115
3        0        0         0         1.5    8.33     1.00  NotHis         135
4        0        0         0         1.0    6.33     1.00  NotHis         104
5        0        0         0         3.0    8.50     1.17  NotHis          88
6        0        1         0         2.5    4.33     1.51 Unknown         125
  final_nnns_class MatAge prenatal_collapsed collapsed_mentheal mmins_combined
1                3     20           adequate               None        private
2                1     34           adequate               None        private
3                1     34           adequate               None         public
4                2     21         inadequate               None         public
5                1     32           adequate               None         public
6                2     24         inadequate             AnxDep         public
  mrace_combined othersub_y_n any_subuse_y_n
1          Black           No             No
2          White          Yes            Yes
3          White          Yes            Yes
4          Black           No             No
5          Black           No             No
6          White           No             No

This block of code is just to clean up some of the categorical data for use in the SEM model. Nothing really to be reported.

cat_vars <- names(cleaned_data_final2.1)[sapply(cleaned_data_final2.1, is.factor)]

head(cat_vars)
character(0)
library(forcats)

# Collapse rare levels in all categorical variables
cleaned_data_final2.1[cat_vars] <- lapply(cleaned_data_final2.1[cat_vars], function(x) {
  fct_lump_min(x, min = 5)  # Change threshold based on your data
})

The following block of code is for assessing the model fit of the measurement model. By ensuring that the measurement model fits the data adequately before testing any relationships between latent variables any future model misfit can be attributed to the hypothesized relationships among latent constructs rather than relationships between the observed measures and the latent constructs for which they ostensibly serve as indicators. It only needs a sentence in the results section under preliminary analyses.

The model produced a moderate fit to the data. The exact fit chi-sq was significant, \(\chi^2(316) = 514.203, p < .001\). But due to a large sample, the exact fit is not a reliable index of model fit / misfit as even small deviations between the observed covariance matrix [\(\sigma\)] and the model implied covariance matrix [s]. The CFI = .89 and the TLI = .88 are both below the threshold of .9 for acceptable fit and well below the .95 criterion for good fit. The RMSEA = .047, however, which does indicate a good fit. These inconsistencies usually arise from data that doesn’t strictly meet the assumptions of the GLM for which the CFI and TLI are more sensitive than the RMSEA. Although the SRMR is also too large at 0.152. Examining the output, it would appear that hepc is the main culprit as the factor loading is non-significant and approaching 0 ( b=-0.046). Modification indices would also suggest that hepc is problematic. The confounding of race and indicators of substance use along with hepc may also be contributing to model misfit to some degree.

eliminating hepc from the Mat_Health construct and adding correlations between hepc and mrace_combined and any_subuse_y_n did improve model fit slightly. The CFI and TLI both crossed the 0.9 threshold and are at least consistent with the RMSEA.

M_model <- '

Mat_Health =~ diabpprg + gestdiab + hyp + prenatal_collapsed + hiv + hepb + syph + chlmyd + any_subuse_y_n

MatMen_health =~ collapsed_mentheal + acescore + Dep_Score + Anx_Score + Anger_Score + Supp_Score + Meaning_Score

Infant =~ imhbirthwt + imh_birthlt + imh_birthhcr + gawks + sex

SocioDem =~ MatAge + mmins_combined + mrace_combined + pcedlevel + MomOnlyFSIQ + any_subuse_y_n

hepc    ~~  any_subuse_y_n
hepc ~~ mrace_combined
'

M_model_fit <- sem(M_model, estimator= "WLSMV", data=cleaned_data_final2.1, std.lv=TRUE,missing = "pairwise", mimic = "Mplus")
Warning: lavaan->lav_options_est_dwls():  
   estimator "DWLS" is not recommended for continuous data. Did you forget to 
   set the ordered= argument?
Warning: lavaan->lav_samplestats_from_data():  
   number of observations (291) too small to compute Gamma
Warning: lavaan->lav_model_vcov():  
   The variance-covariance matrix of the estimated parameters (vcov) does not 
   appear to be positive definite! The smallest eigenvalue (= -6.390605e-06) 
   is smaller than zero. This may be a symptom that the model is not 
   identified.
Warning: lavaan->lav_object_post_check():  
   covariance matrix of latent variables is not positive definite ; use 
   lavInspect(fit, "cov.lv") to investigate.
summary(M_model_fit, fit.measures = TRUE, standardized=TRUE)
lavaan 0.6-19 ended normally after 103 iterations

  Estimator                                       DWLS
  Optimization method                           NLMINB
  Number of model parameters                        89

  Number of observations                           291
  Number of missing patterns                        23

Model Test User Model:
                                              Standard      Scaled
  Test Statistic                               455.813     416.737
  Degrees of freedom                               316         316
  P-value (Chi-square)                           0.000       0.000
  Scaling correction factor                                  1.998
  Shift parameter                                          188.612
    simple second-order correction (WLSMV)                        

Model Test Baseline Model:

  Test statistic                              2167.704    1054.827
  Degrees of freedom                               351         351
  P-value                                        0.000       0.000
  Scaling correction factor                                  2.581

User Model versus Baseline Model:

  Comparative Fit Index (CFI)                    0.923       0.857
  Tucker-Lewis Index (TLI)                       0.915       0.841
                                                                  
  Robust Comparative Fit Index (CFI)                         0.923
  Robust Tucker-Lewis Index (TLI)                            0.915

Root Mean Square Error of Approximation:

  RMSEA                                          0.039       0.033
  90 Percent confidence interval - lower         0.031       0.024
  90 Percent confidence interval - upper         0.047       0.041
  P-value H_0: RMSEA <= 0.050                    0.991       1.000
  P-value H_0: RMSEA >= 0.080                    0.000       0.000
                                                                  
  Robust RMSEA                                               0.047
  90 Percent confidence interval - lower                     0.034
  90 Percent confidence interval - upper                     0.059
  P-value H_0: Robust RMSEA <= 0.050                         0.656
  P-value H_0: Robust RMSEA >= 0.080                         0.000

Standardized Root Mean Square Residual:

  SRMR                                           0.062       0.062

Parameter Estimates:

  Standard errors                           Robust.sem
  Information                                 Expected
  Information saturated (h1) model        Unstructured

Latent Variables:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
  Mat_Health =~                                                         
    diabpprg          0.002    0.003    0.855    0.393    0.002    0.024
    gestdiab          0.002    0.010    0.165    0.869    0.002    0.007
    hyp               0.064    0.034    1.886    0.059    0.064    0.153
    prenatl_cllpsd    0.052    0.029    1.767    0.077    0.052    0.139
    hiv              -0.016    0.015   -1.114    0.265   -0.016   -0.078
    hepb              0.007    0.012    0.579    0.563    0.007    0.034
    syph              0.016    0.014    1.111    0.267    0.016    0.067
    chlmyd            0.042    0.031    1.347    0.178    0.042    0.106
    any_subuse_y_n    0.064    0.036    1.803    0.071    0.064    0.141
  MatMen_health =~                                                      
    collapsd_mnthl    0.311    0.051    6.058    0.000    0.311    0.331
    acescore         -0.961    0.152   -6.300    0.000   -0.961   -0.347
    Dep_Score        -8.041    0.428  -18.804    0.000   -8.041   -0.898
    Anx_Score        -8.631    0.442  -19.540    0.000   -8.631   -0.809
    Anger_Score      -6.811    0.571  -11.927    0.000   -6.811   -0.698
    Supp_Score        5.337    0.474   11.266    0.000    5.337    0.645
    Meaning_Score     5.388    0.519   10.376    0.000    5.388    0.591
  Infant =~                                                             
    imhbirthwt        0.429    0.025   16.862    0.000    0.429    0.945
    imh_birthlt       1.713    0.144   11.882    0.000    1.713    0.725
    imh_birthhcr      0.989    0.082   12.106    0.000    0.989    0.694
    gawks             0.370    0.065    5.695    0.000    0.370    0.369
    sex               0.086    0.031    2.779    0.005    0.086    0.173
  SocioDem =~                                                           
    MatAge            1.037    0.371    2.796    0.005    1.037    0.204
    mmins_combined   -0.163    0.039   -4.220    0.000   -0.163   -0.331
    mrace_combined    0.298    0.076    3.914    0.000    0.298    0.255
    pcedlevel         0.916    0.116    7.928    0.000    0.916    0.592
    MomOnlyFSIQ       8.939    1.169    7.647    0.000    8.939    0.640
    any_subuse_y_n   -0.145    0.039   -3.763    0.000   -0.145   -0.320

Covariances:
                    Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
 .any_subuse_y_n ~~                                                      
    hepc               0.140    0.021    6.710    0.000    0.140    0.345
 .mrace_combined ~~                                                      
    hepc               0.379    0.048    7.857    0.000    0.379    0.357
  Mat_Health ~~                                                          
    MatMen_health     -1.093    0.520   -2.103    0.035   -1.093   -1.093
    Infant            -0.074    0.209   -0.355    0.723   -0.074   -0.074
    SocioDem           0.262    0.249    1.053    0.292    0.262    0.262
  MatMen_health ~~                                                       
    Infant             0.150    0.064    2.334    0.020    0.150    0.150
    SocioDem           0.149    0.070    2.126    0.033    0.149    0.149
  Infant ~~                                                              
    SocioDem           0.390    0.070    5.562    0.000    0.390    0.390

Intercepts:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
   .diabpprg          1.011    0.006  170.092    0.000    1.011    9.884
   .gestdiab          1.057    0.013   78.931    0.000    1.057    4.546
   .hyp               1.230    0.024   50.396    0.000    1.230    2.918
   .prenatl_cllpsd    1.165    0.021   54.550    0.000    1.165    3.131
   .hiv               1.024    0.012   82.905    0.000    1.024    4.868
   .hepb              1.024    0.012   82.905    0.000    1.024    4.868
   .syph              1.034    0.014   75.810    0.000    1.034    4.452
   .chlmyd            1.100    0.023   46.963    0.000    1.100    2.758
   .any_subuse_y_n    1.711    0.027   64.203    0.000    1.711    3.770
   .collapsd_mnthl    2.014    0.055   36.503    0.000    2.014    2.144
   .acescore          2.758    0.160   17.267    0.000    2.758    0.996
   .Dep_Score        47.667    0.491   97.043    0.000   47.667    5.323
   .Anx_Score        52.164    0.586   88.958    0.000   52.164    4.889
   .Anger_Score      51.645    0.536   96.264    0.000   51.645    5.290
   .Supp_Score       56.181    0.455  123.360    0.000   56.181    6.793
   .Meaning_Score    59.531    0.501  118.714    0.000   59.531    6.524
   .imhbirthwt        3.261    0.027  122.529    0.000    3.261    7.195
   .imh_birthlt      50.265    0.138  363.413    0.000   50.265   21.267
   .imh_birthhcr     34.200    0.083  410.346    0.000   34.200   24.013
   .gawks            38.729    0.059  657.764    0.000   38.729   38.625
   .sex               1.564    0.029   53.597    0.000    1.564    3.147
   .MatAge           29.753    0.299   99.470    0.000   29.753    5.841
   .mmins_combined    3.835    0.029  132.851    0.000    3.835    7.801
   .mrace_combined    3.423    0.069   49.815    0.000    3.423    2.925
   .pcedlevel         4.054    0.089   45.476    0.000    4.054    2.619
   .MomOnlyFSIQ      94.385    0.778  121.311    0.000   94.385    6.758
    hepc              1.732    0.055   31.448    0.000    1.732    1.847

Variances:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
   .diabpprg          0.010    0.006    1.797    0.072    0.010    0.999
   .gestdiab          0.054    0.012    4.559    0.000    0.054    1.000
   .hyp               0.173    0.013   12.870    0.000    0.173    0.977
   .prenatl_cllpsd    0.136    0.014    9.620    0.000    0.136    0.981
   .hiv               0.044    0.023    1.908    0.056    0.044    0.994
   .hepb              0.044    0.023    1.886    0.059    0.044    0.999
   .syph              0.054    0.024    2.264    0.024    0.054    0.995
   .chlmyd            0.157    0.039    4.047    0.000    0.157    0.989
   .any_subuse_y_n    0.186    0.014   13.182    0.000    0.186    0.902
   .collapsd_mnthl    0.786    0.035   22.451    0.000    0.786    0.891
   .acescore          6.740    0.546   12.335    0.000    6.740    0.880
   .Dep_Score        15.545    2.892    5.376    0.000   15.545    0.194
   .Anx_Score        39.356    4.610    8.538    0.000   39.356    0.346
   .Anger_Score      48.917    6.249    7.828    0.000   48.917    0.513
   .Supp_Score       39.918    4.380    9.113    0.000   39.918    0.584
   .Meaning_Score    54.225    5.352   10.131    0.000   54.225    0.651
   .imhbirthwt        0.022    0.013    1.689    0.091    0.022    0.106
   .imh_birthlt       2.653    0.414    6.411    0.000    2.653    0.475
   .imh_birthhcr      1.050    0.127    8.270    0.000    1.050    0.518
   .gawks             0.869    0.075   11.578    0.000    0.869    0.864
   .sex               0.239    0.006   38.464    0.000    0.239    0.970
   .MatAge           24.870    1.949   12.760    0.000   24.870    0.959
   .mmins_combined    0.215    0.059    3.663    0.000    0.215    0.891
   .mrace_combined    1.280    0.118   10.857    0.000    1.280    0.935
   .pcedlevel         1.555    0.194    7.998    0.000    1.555    0.649
   .MomOnlyFSIQ     115.153   18.196    6.328    0.000  115.153    0.590
    hepc              0.880    0.031   28.225    0.000    0.880    1.000
    Mat_Health        1.000                               1.000    1.000
    MatMen_health     1.000                               1.000    1.000
    Infant            1.000                               1.000    1.000
    SocioDem          1.000                               1.000    1.000
modindices(M_model_fit)
Warning: lavaan->lav_start_check_cov():  
   starting values imply a correlation larger than 1; variables involved are: 
   Mat_Health MatMen_health
                   lhs op                rhs     mi     epc sepc.lv sepc.all
98          Mat_Health =~ collapsed_mentheal  1.170   0.133   0.133    0.142
99          Mat_Health =~           acescore  0.492   0.238   0.238    0.086
100         Mat_Health =~          Dep_Score  0.593   1.012   1.012    0.113
101         Mat_Health =~          Anx_Score  0.776  -1.328  -1.328   -0.124
102         Mat_Health =~        Anger_Score  0.209  -0.590  -0.590   -0.060
103         Mat_Health =~         Supp_Score  0.854  -0.982  -0.982   -0.119
104         Mat_Health =~      Meaning_Score 11.745   4.044   4.044    0.443
105         Mat_Health =~         imhbirthwt  0.768   0.019   0.019    0.042
106         Mat_Health =~        imh_birthlt  2.240   0.143   0.143    0.061
107         Mat_Health =~       imh_birthhcr  2.946  -0.100  -0.100   -0.070
108         Mat_Health =~              gawks  1.301  -0.040  -0.040   -0.040
109         Mat_Health =~                sex  0.380  -0.011  -0.011   -0.022
110         Mat_Health =~             MatAge  3.839   0.360   0.360    0.071
111         Mat_Health =~     mmins_combined  0.000   0.000   0.000    0.000
112         Mat_Health =~     mrace_combined  6.589   0.111   0.111    0.095
113         Mat_Health =~          pcedlevel  1.216   0.074   0.074    0.048
114         Mat_Health =~        MomOnlyFSIQ 10.086  -2.045  -2.045   -0.146
115         Mat_Health =~               hepc  4.433   0.065   0.065    0.069
116      MatMen_health =~           diabpprg  0.505   0.002   0.002    0.020
117      MatMen_health =~           gestdiab  0.509  -0.008  -0.008   -0.035
118      MatMen_health =~                hyp  4.340   0.067   0.067    0.160
119      MatMen_health =~ prenatal_collapsed 11.940   0.092   0.092    0.247
120      MatMen_health =~                hiv  0.628   0.009   0.009    0.041
121      MatMen_health =~               hepb  0.002   0.000   0.000    0.002
122      MatMen_health =~               syph  0.110   0.004   0.004    0.017
123      MatMen_health =~             chlmyd  2.456   0.039   0.039    0.099
124      MatMen_health =~     any_subuse_y_n  4.611   0.079   0.079    0.175
125      MatMen_health =~         imhbirthwt  0.483  -0.015  -0.015   -0.032
126      MatMen_health =~        imh_birthlt  2.373  -0.143  -0.143   -0.060
127      MatMen_health =~       imh_birthhcr  1.644   0.072   0.072    0.051
128      MatMen_health =~              gawks  2.374   0.051   0.051    0.051
129      MatMen_health =~                sex  0.325   0.010   0.010    0.019
130      MatMen_health =~             MatAge  4.112  -0.360  -0.360   -0.071
131      MatMen_health =~     mmins_combined  0.013   0.003   0.003    0.005
132      MatMen_health =~     mrace_combined  5.863  -0.101  -0.101   -0.086
133      MatMen_health =~          pcedlevel  1.403  -0.076  -0.076   -0.049
134      MatMen_health =~        MomOnlyFSIQ 10.062   1.953   1.953    0.140
135      MatMen_health =~               hepc  3.245  -0.051  -0.051   -0.054
136             Infant =~           diabpprg  7.263   0.009   0.009    0.091
137             Infant =~           gestdiab  1.260  -0.009  -0.009   -0.037
138             Infant =~                hyp 10.643   0.060   0.060    0.142
139             Infant =~ prenatal_collapsed  0.210   0.007   0.007    0.020
140             Infant =~                hiv  9.437   0.016   0.016    0.074
141             Infant =~               hepb  1.144  -0.005  -0.005   -0.023
142             Infant =~               syph  0.400  -0.004  -0.004   -0.018
143             Infant =~             chlmyd  1.838  -0.020  -0.020   -0.049
144             Infant =~     any_subuse_y_n  5.724   0.070   0.070    0.155
145             Infant =~ collapsed_mentheal  1.195   0.043   0.043    0.045
146             Infant =~           acescore  0.019  -0.016  -0.016   -0.006
147             Infant =~          Dep_Score  0.390   0.255   0.255    0.028
148             Infant =~          Anx_Score  1.825  -0.645  -0.645   -0.060
149             Infant =~        Anger_Score  0.009   0.040   0.040    0.004
150             Infant =~         Supp_Score 10.813  -1.097  -1.097   -0.133
151             Infant =~      Meaning_Score  3.443   0.683   0.683    0.075
152             Infant =~             MatAge  0.550   0.205   0.205    0.040
153             Infant =~     mmins_combined  2.134  -0.040  -0.040   -0.082
154             Infant =~     mrace_combined  5.393  -0.144  -0.144   -0.123
155             Infant =~          pcedlevel  2.017   0.164   0.164    0.106
156             Infant =~        MomOnlyFSIQ  0.020  -0.159  -0.159   -0.011
157             Infant =~               hepc  0.166  -0.015  -0.015   -0.016
158           SocioDem =~           diabpprg  3.098   0.007   0.007    0.067
159           SocioDem =~           gestdiab  5.185  -0.027  -0.027   -0.115
160           SocioDem =~                hyp  1.057   0.024   0.024    0.058
161           SocioDem =~ prenatal_collapsed  5.789   0.047   0.047    0.127
162           SocioDem =~                hiv 11.997   0.025   0.025    0.121
163           SocioDem =~               hepb  0.393  -0.005  -0.005   -0.022
164           SocioDem =~               syph  0.657  -0.008  -0.008   -0.032
165           SocioDem =~             chlmyd  0.531   0.013   0.013    0.032
166           SocioDem =~ collapsed_mentheal  1.637   0.063   0.063    0.067
167           SocioDem =~           acescore  0.404   0.087   0.087    0.031
168           SocioDem =~          Dep_Score  2.542   0.817   0.817    0.091
169           SocioDem =~          Anx_Score  0.435  -0.391  -0.391   -0.037
170           SocioDem =~        Anger_Score  0.022   0.076   0.076    0.008
171           SocioDem =~         Supp_Score  5.067  -0.940  -0.940   -0.114
172           SocioDem =~      Meaning_Score 10.680   1.529   1.529    0.168
173           SocioDem =~         imhbirthwt  0.776   0.039   0.039    0.086
174           SocioDem =~        imh_birthlt  0.021  -0.027  -0.027   -0.012
175           SocioDem =~       imh_birthhcr  3.704  -0.217  -0.217   -0.153
176           SocioDem =~              gawks  3.986   0.147   0.147    0.147
177           SocioDem =~                sex  0.023  -0.005  -0.005   -0.010
178           SocioDem =~               hepc  0.349   0.026   0.026    0.028
179           diabpprg ~~           gestdiab  2.888   0.001   0.001    0.026
180           diabpprg ~~                hyp  1.403  -0.004  -0.004   -0.105
181           diabpprg ~~ prenatal_collapsed  3.710   0.002   0.002    0.051
182           diabpprg ~~                hiv  1.385   0.000   0.000    0.011
183           diabpprg ~~               hepb  1.636   0.000   0.000    0.011
184           diabpprg ~~               syph  2.364   0.000   0.000    0.016
185           diabpprg ~~             chlmyd  3.336   0.001   0.001    0.029
186           diabpprg ~~     any_subuse_y_n  0.038   0.001   0.001    0.012
187           diabpprg ~~ collapsed_mentheal  0.246   0.003   0.003    0.033
188           diabpprg ~~           acescore  0.038  -0.003  -0.003   -0.013
189           diabpprg ~~          Dep_Score  0.745  -0.025  -0.025   -0.062
190           diabpprg ~~          Anx_Score  0.008  -0.005  -0.005   -0.008
191           diabpprg ~~        Anger_Score  0.887  -0.038  -0.038   -0.053
192           diabpprg ~~         Supp_Score  1.889   0.068   0.068    0.105
193           diabpprg ~~      Meaning_Score  0.447  -0.010  -0.010   -0.013
194           diabpprg ~~         imhbirthwt  1.841   0.004   0.004    0.284
195           diabpprg ~~        imh_birthlt  1.578   0.013   0.013    0.079
196           diabpprg ~~       imh_birthhcr  2.879   0.010   0.010    0.098
197           diabpprg ~~              gawks  2.891   0.015   0.015    0.154
198           diabpprg ~~                sex  0.135  -0.001  -0.001   -0.021
199           diabpprg ~~             MatAge  2.360  -0.026  -0.026   -0.052
200           diabpprg ~~     mmins_combined  0.816   0.009   0.009    0.184
201           diabpprg ~~     mrace_combined  0.893   0.008   0.008    0.070
202           diabpprg ~~          pcedlevel  0.042   0.001   0.001    0.008
203           diabpprg ~~        MomOnlyFSIQ  1.372   0.133   0.133    0.122
204           gestdiab ~~                hyp  1.609  -0.008  -0.008   -0.087
205           gestdiab ~~ prenatal_collapsed  1.263  -0.007  -0.007   -0.076
206           gestdiab ~~                hiv  1.698  -0.009  -0.009   -0.191
207           gestdiab ~~               hepb  0.846  -0.006  -0.006   -0.121
208           gestdiab ~~               syph  0.351  -0.002  -0.002   -0.036
209           gestdiab ~~             chlmyd  0.345   0.002   0.002    0.022
210           gestdiab ~~     any_subuse_y_n  0.573   0.005   0.005    0.049
211           gestdiab ~~ collapsed_mentheal  0.585  -0.010  -0.010   -0.048
212           gestdiab ~~           acescore  0.301   0.018   0.018    0.030
213           gestdiab ~~          Dep_Score  0.009  -0.011  -0.011   -0.013
214           gestdiab ~~          Anx_Score  0.109   0.052   0.052    0.036
215           gestdiab ~~        Anger_Score  3.714  -0.190  -0.190   -0.117
216           gestdiab ~~         Supp_Score  2.414  -0.148  -0.148   -0.101
217           gestdiab ~~      Meaning_Score  0.233  -0.054  -0.054   -0.031
218           gestdiab ~~         imhbirthwt  0.463  -0.004  -0.004   -0.129
219           gestdiab ~~        imh_birthlt  0.086  -0.005  -0.005   -0.014
220           gestdiab ~~       imh_birthhcr  0.849  -0.020  -0.020   -0.085
221           gestdiab ~~              gawks  3.583   0.024   0.024    0.110
222           gestdiab ~~                sex  2.750  -0.010  -0.010   -0.092
223           gestdiab ~~             MatAge  4.386  -0.143  -0.143   -0.123
224           gestdiab ~~     mmins_combined  1.290   0.012   0.012    0.111
225           gestdiab ~~     mrace_combined  0.327   0.010   0.010    0.038
226           gestdiab ~~          pcedlevel  1.415  -0.029  -0.029   -0.100
227           gestdiab ~~        MomOnlyFSIQ  1.829  -0.280  -0.280   -0.112
228                hyp ~~ prenatal_collapsed  0.608  -0.008  -0.008   -0.051
229                hyp ~~                hiv  3.049   0.005   0.005    0.061
230                hyp ~~               hepb  3.944   0.006   0.006    0.064
231                hyp ~~               syph  0.046   0.001   0.001    0.013
232                hyp ~~             chlmyd  0.333  -0.007  -0.007   -0.041
233                hyp ~~     any_subuse_y_n  0.311   0.007   0.007    0.037
234                hyp ~~ collapsed_mentheal  0.321   0.013   0.013    0.035
235                hyp ~~           acescore  0.001   0.002   0.002    0.002
236                hyp ~~          Dep_Score  0.035   0.046   0.046    0.028
237                hyp ~~          Anx_Score  0.022   0.043   0.043    0.016
238                hyp ~~        Anger_Score  2.313  -0.397  -0.397   -0.136
239                hyp ~~         Supp_Score  0.007   0.018   0.018    0.007
240                hyp ~~      Meaning_Score  0.031  -0.039  -0.039   -0.013
241                hyp ~~         imhbirthwt  4.888   0.025   0.025    0.410
242                hyp ~~        imh_birthlt  0.969   0.053   0.053    0.079
243                hyp ~~       imh_birthhcr  1.608   0.046   0.046    0.108
244                hyp ~~              gawks 12.736   0.101   0.101    0.260
245                hyp ~~                sex  2.364  -0.018  -0.018   -0.089
246                hyp ~~             MatAge  1.909  -0.174  -0.174   -0.084
247                hyp ~~     mmins_combined  0.162  -0.005  -0.005   -0.025
248                hyp ~~     mrace_combined  0.759   0.026   0.026    0.055
249                hyp ~~          pcedlevel  0.426  -0.025  -0.025   -0.048
250                hyp ~~        MomOnlyFSIQ  0.201  -0.155  -0.155   -0.035
251 prenatal_collapsed ~~                hiv  0.007   0.000   0.000   -0.004
252 prenatal_collapsed ~~               hepb  0.306  -0.003  -0.003   -0.042
253 prenatal_collapsed ~~               syph  3.070  -0.013  -0.013   -0.154
254 prenatal_collapsed ~~             chlmyd  0.112  -0.003  -0.003   -0.020
255 prenatal_collapsed ~~     any_subuse_y_n  0.501  -0.007  -0.007   -0.044
256 prenatal_collapsed ~~ collapsed_mentheal  0.177   0.008   0.008    0.026
257 prenatal_collapsed ~~           acescore  0.031  -0.010  -0.010   -0.011
258 prenatal_collapsed ~~          Dep_Score  0.005  -0.014  -0.014   -0.010
259 prenatal_collapsed ~~          Anx_Score  1.717  -0.292  -0.292   -0.126
260 prenatal_collapsed ~~        Anger_Score  0.933   0.180   0.180    0.070
261 prenatal_collapsed ~~         Supp_Score  0.109   0.051   0.051    0.022
262 prenatal_collapsed ~~      Meaning_Score  5.187   0.413   0.413    0.152
263 prenatal_collapsed ~~         imhbirthwt  0.758  -0.009  -0.009   -0.168
264 prenatal_collapsed ~~        imh_birthlt  0.197   0.025   0.025    0.042
265 prenatal_collapsed ~~       imh_birthhcr  0.080   0.008   0.008    0.022
266 prenatal_collapsed ~~              gawks  0.309  -0.013  -0.013   -0.038
267 prenatal_collapsed ~~                sex  3.655  -0.020  -0.020   -0.109
268 prenatal_collapsed ~~             MatAge  2.844  -0.185  -0.185   -0.100
269 prenatal_collapsed ~~     mmins_combined 19.917  -0.030  -0.030   -0.177
270 prenatal_collapsed ~~     mrace_combined  0.159   0.010   0.010    0.025
271 prenatal_collapsed ~~          pcedlevel  1.182   0.038   0.038    0.082
272 prenatal_collapsed ~~        MomOnlyFSIQ  0.118  -0.102  -0.102   -0.026
273                hiv ~~               hepb  0.937  -0.006  -0.006   -0.146
274                hiv ~~               syph  0.771  -0.003  -0.003   -0.059
275                hiv ~~             chlmyd  0.292  -0.002  -0.002   -0.022
276                hiv ~~     any_subuse_y_n  4.684  -0.008  -0.008   -0.089
277                hiv ~~ collapsed_mentheal  0.023   0.002   0.002    0.009
278                hiv ~~           acescore  0.363   0.009   0.009    0.017
279                hiv ~~          Dep_Score  0.000   0.001   0.001    0.002
280                hiv ~~          Anx_Score  0.057  -0.032  -0.032   -0.024
281                hiv ~~        Anger_Score  0.221   0.064   0.064    0.043
282                hiv ~~         Supp_Score  2.752   0.230   0.230    0.174
283                hiv ~~      Meaning_Score  1.371  -0.113  -0.113   -0.073
284                hiv ~~         imhbirthwt  2.236   0.005   0.005    0.177
285                hiv ~~        imh_birthlt  0.558   0.009   0.009    0.027
286                hiv ~~       imh_birthhcr  3.026   0.019   0.019    0.086
287                hiv ~~              gawks  1.080   0.008   0.008    0.040
288                hiv ~~                sex  1.099   0.007   0.007    0.066
289                hiv ~~             MatAge  1.512  -0.083  -0.083   -0.079
290                hiv ~~     mmins_combined  2.550  -0.004  -0.004   -0.036
291                hiv ~~     mrace_combined  0.097   0.005   0.005    0.023
292                hiv ~~          pcedlevel  0.015  -0.003  -0.003   -0.010
293                hiv ~~        MomOnlyFSIQ  1.966   0.181   0.181    0.080
294               hepb ~~               syph  1.646  -0.009  -0.009   -0.192
295               hepb ~~             chlmyd  1.224  -0.008  -0.008   -0.092
296               hepb ~~     any_subuse_y_n  3.661  -0.007  -0.007   -0.076
297               hepb ~~ collapsed_mentheal  0.179  -0.005  -0.005   -0.028
298               hepb ~~           acescore  0.902  -0.036  -0.036   -0.066
299               hepb ~~          Dep_Score  0.172  -0.059  -0.059   -0.071
300               hepb ~~          Anx_Score  0.001  -0.006  -0.006   -0.004
301               hepb ~~        Anger_Score  0.172   0.060   0.060    0.041
302               hepb ~~         Supp_Score  0.108  -0.031  -0.031   -0.023
303               hepb ~~      Meaning_Score  0.845   0.084   0.084    0.054
304               hepb ~~         imhbirthwt  0.386  -0.002  -0.002   -0.079
305               hepb ~~        imh_birthlt  0.004   0.001   0.001    0.002
306               hepb ~~       imh_birthhcr  0.031  -0.003  -0.003   -0.012
307               hepb ~~              gawks  3.554  -0.007  -0.007   -0.035
308               hepb ~~                sex  1.050   0.007   0.007    0.065
309               hepb ~~             MatAge  0.131  -0.021  -0.021   -0.020
310               hepb ~~     mmins_combined  0.386   0.006   0.006    0.062
311               hepb ~~     mrace_combined  3.453  -0.013  -0.013   -0.056
312               hepb ~~          pcedlevel  0.151   0.007   0.007    0.026
313               hepb ~~        MomOnlyFSIQ  0.007  -0.011  -0.011   -0.005
314               syph ~~             chlmyd  2.086  -0.020  -0.020   -0.218
315               syph ~~     any_subuse_y_n  0.016   0.001   0.001    0.008
316               syph ~~ collapsed_mentheal  3.041   0.024   0.024    0.117
317               syph ~~           acescore  0.363  -0.022  -0.022   -0.037
318               syph ~~          Dep_Score  0.014   0.016   0.016    0.017
319               syph ~~          Anx_Score  1.072  -0.141  -0.141   -0.097
320               syph ~~        Anger_Score  0.054   0.029   0.029    0.018
321               syph ~~         Supp_Score  0.312  -0.049  -0.049   -0.034
322               syph ~~      Meaning_Score  0.078  -0.030  -0.030   -0.017
323               syph ~~         imhbirthwt  0.254  -0.002  -0.002   -0.059
324               syph ~~        imh_birthlt  0.020  -0.003  -0.003   -0.008
325               syph ~~       imh_birthhcr  0.060  -0.004  -0.004   -0.017
326               syph ~~              gawks  0.651   0.011   0.011    0.050
327               syph ~~                sex  1.781  -0.008  -0.008   -0.073
328               syph ~~             MatAge  0.992  -0.073  -0.073   -0.063
329               syph ~~     mmins_combined  0.169   0.004   0.004    0.037
330               syph ~~     mrace_combined  0.013   0.002   0.002    0.008
331               syph ~~          pcedlevel  0.084   0.006   0.006    0.020
332               syph ~~        MomOnlyFSIQ  0.662  -0.102  -0.102   -0.041
333             chlmyd ~~     any_subuse_y_n  0.130  -0.004  -0.004   -0.023
334             chlmyd ~~ collapsed_mentheal  0.414   0.014   0.014    0.040
335             chlmyd ~~           acescore  0.401  -0.046  -0.046   -0.045
336             chlmyd ~~          Dep_Score  0.005   0.017   0.017    0.011
337             chlmyd ~~          Anx_Score  0.740  -0.223  -0.223   -0.090
338             chlmyd ~~        Anger_Score  0.151  -0.085  -0.085   -0.031
339             chlmyd ~~         Supp_Score  0.405   0.148   0.148    0.059
340             chlmyd ~~      Meaning_Score  0.000  -0.005  -0.005   -0.002
341             chlmyd ~~         imhbirthwt  0.412  -0.006  -0.006   -0.106
342             chlmyd ~~        imh_birthlt  2.014  -0.058  -0.058   -0.090
343             chlmyd ~~       imh_birthhcr  2.033  -0.044  -0.044   -0.109
344             chlmyd ~~              gawks  0.001  -0.001  -0.001   -0.002
345             chlmyd ~~                sex  0.272  -0.006  -0.006   -0.031
346             chlmyd ~~             MatAge  0.002   0.007   0.007    0.004
347             chlmyd ~~     mmins_combined  0.222   0.006   0.006    0.032
348             chlmyd ~~     mrace_combined  0.782   0.028   0.028    0.063
349             chlmyd ~~          pcedlevel  1.440   0.036   0.036    0.073
350             chlmyd ~~        MomOnlyFSIQ  1.169   0.257   0.257    0.060
351     any_subuse_y_n ~~ collapsed_mentheal  4.140   0.052   0.052    0.136
352     any_subuse_y_n ~~           acescore  9.414  -0.207  -0.207   -0.185
353     any_subuse_y_n ~~          Dep_Score  0.008   0.021   0.021    0.012
354     any_subuse_y_n ~~          Anx_Score  0.080  -0.079  -0.079   -0.029
355     any_subuse_y_n ~~        Anger_Score  1.156   0.272   0.272    0.090
356     any_subuse_y_n ~~         Supp_Score  0.026  -0.034  -0.034   -0.013
357     any_subuse_y_n ~~      Meaning_Score  0.269   0.113   0.113    0.036
358     any_subuse_y_n ~~         imhbirthwt  1.720   0.018   0.018    0.283
359     any_subuse_y_n ~~        imh_birthlt  0.086   0.021   0.021    0.030
360     any_subuse_y_n ~~       imh_birthhcr  1.354   0.046   0.046    0.104
361     any_subuse_y_n ~~              gawks  0.189   0.012   0.012    0.029
362     any_subuse_y_n ~~                sex  0.319   0.007   0.007    0.035
363     any_subuse_y_n ~~             MatAge 11.100  -0.504  -0.504   -0.234
364     any_subuse_y_n ~~     mmins_combined  1.238  -0.016  -0.016   -0.082
365     any_subuse_y_n ~~     mrace_combined 20.840  -0.167  -0.167   -0.343
366     any_subuse_y_n ~~          pcedlevel  2.182   0.076   0.076    0.141
367     any_subuse_y_n ~~        MomOnlyFSIQ  0.438  -0.324  -0.324   -0.070
368 collapsed_mentheal ~~           acescore  1.077   0.154   0.154    0.067
369 collapsed_mentheal ~~          Dep_Score  0.921  -0.517  -0.517   -0.148
370 collapsed_mentheal ~~          Anx_Score  6.610   1.560   1.560    0.281
371 collapsed_mentheal ~~        Anger_Score  0.281  -0.293  -0.293   -0.047
372 collapsed_mentheal ~~         Supp_Score  2.290   0.705   0.705    0.126
373 collapsed_mentheal ~~      Meaning_Score  0.778   0.454   0.454    0.069
374 collapsed_mentheal ~~         imhbirthwt  0.860   0.024   0.024    0.180
375 collapsed_mentheal ~~        imh_birthlt  0.438  -0.086  -0.086   -0.060
376 collapsed_mentheal ~~       imh_birthhcr  1.716   0.104   0.104    0.114
377 collapsed_mentheal ~~              gawks  0.101  -0.018  -0.018   -0.021
378 collapsed_mentheal ~~                sex  0.308   0.015   0.015    0.035
379 collapsed_mentheal ~~             MatAge  0.452   0.193   0.193    0.044
380 collapsed_mentheal ~~     mmins_combined  0.389   0.018   0.018    0.043
381 collapsed_mentheal ~~     mrace_combined  1.897   0.089   0.089    0.088
382 collapsed_mentheal ~~          pcedlevel  0.124   0.030   0.030    0.027
383 collapsed_mentheal ~~        MomOnlyFSIQ  1.805   0.994   0.994    0.105
384           acescore ~~          Dep_Score  0.125   0.616   0.616    0.060
385           acescore ~~          Anx_Score  0.945   1.872   1.872    0.115
386           acescore ~~        Anger_Score  0.000  -0.027  -0.027   -0.001
387           acescore ~~         Supp_Score  0.342   0.879   0.879    0.054
388           acescore ~~      Meaning_Score  0.669  -1.253  -1.253   -0.066
389           acescore ~~         imhbirthwt  0.001  -0.002  -0.002   -0.006
390           acescore ~~        imh_birthlt  0.377  -0.230  -0.230   -0.054
391           acescore ~~       imh_birthhcr  0.089  -0.068  -0.068   -0.026
392           acescore ~~              gawks  0.046   0.034   0.034    0.014
393           acescore ~~                sex  0.044  -0.017  -0.017   -0.013
394           acescore ~~             MatAge  6.367   2.092   2.092    0.162
395           acescore ~~     mmins_combined  2.308  -0.137  -0.137   -0.114
396           acescore ~~     mrace_combined 14.859  -0.618  -0.618   -0.210
397           acescore ~~          pcedlevel  2.341   0.357   0.357    0.110
398           acescore ~~        MomOnlyFSIQ  0.562  -1.531  -1.531   -0.055
399          Dep_Score ~~          Anx_Score  0.797  -8.219  -8.219   -0.332
400          Dep_Score ~~        Anger_Score  0.202  -3.857  -3.857   -0.140
401          Dep_Score ~~         Supp_Score  0.200  -3.189  -3.189   -0.128
402          Dep_Score ~~      Meaning_Score  0.004   0.442   0.442    0.015
403          Dep_Score ~~         imhbirthwt  0.050   0.056   0.056    0.096
404          Dep_Score ~~        imh_birthlt  1.338   1.394   1.394    0.217
405          Dep_Score ~~       imh_birthhcr  0.243  -0.352  -0.352   -0.087
406          Dep_Score ~~              gawks  1.328  -0.525  -0.525   -0.143
407          Dep_Score ~~                sex  0.024  -0.039  -0.039   -0.020
408          Dep_Score ~~             MatAge  1.479   3.207   3.207    0.163
409          Dep_Score ~~     mmins_combined  0.000  -0.003  -0.003   -0.002
410          Dep_Score ~~     mrace_combined  4.312   1.335   1.335    0.299
411          Dep_Score ~~          pcedlevel  1.120   0.792   0.792    0.161
412          Dep_Score ~~        MomOnlyFSIQ  0.045   1.508   1.508    0.036
413          Anx_Score ~~        Anger_Score  0.412  -5.695  -5.695   -0.130
414          Anx_Score ~~         Supp_Score  2.850 -12.017 -12.017   -0.303
415          Anx_Score ~~      Meaning_Score  0.581  -5.875  -5.875   -0.127
416          Anx_Score ~~         imhbirthwt  0.304  -0.162  -0.162   -0.174
417          Anx_Score ~~        imh_birthlt  0.000   0.001   0.001    0.000
418          Anx_Score ~~       imh_birthhcr  0.740  -0.791  -0.791   -0.123
419          Anx_Score ~~              gawks  2.105  -0.860  -0.860   -0.147
420          Anx_Score ~~                sex  1.387  -0.349  -0.349   -0.114
421          Anx_Score ~~             MatAge  1.203   3.355   3.355    0.107
422          Anx_Score ~~     mmins_combined  0.642  -0.325  -0.325   -0.112
423          Anx_Score ~~     mrace_combined  0.940   0.660   0.660    0.093
424          Anx_Score ~~          pcedlevel  0.015   0.112   0.112    0.014
425          Anx_Score ~~        MomOnlyFSIQ  1.364  -9.850  -9.850   -0.146
426        Anger_Score ~~         Supp_Score  0.252  -3.443  -3.443   -0.078
427        Anger_Score ~~      Meaning_Score  0.008   0.597   0.597    0.012
428        Anger_Score ~~         imhbirthwt  0.071   0.075   0.075    0.072
429        Anger_Score ~~        imh_birthlt  0.095   0.398   0.398    0.035
430        Anger_Score ~~       imh_birthhcr  0.935  -0.852  -0.852   -0.119
431        Anger_Score ~~              gawks  0.012   0.058   0.058    0.009
432        Anger_Score ~~                sex  0.727   0.229   0.229    0.067
433        Anger_Score ~~             MatAge  2.672   4.367   4.367    0.125
434        Anger_Score ~~     mmins_combined  0.099   0.118   0.118    0.036
435        Anger_Score ~~     mrace_combined 13.858   2.460   2.460    0.311
436        Anger_Score ~~          pcedlevel  0.204  -0.351  -0.351   -0.040
437        Anger_Score ~~        MomOnlyFSIQ  0.445  -4.786  -4.786   -0.064
438         Supp_Score ~~      Meaning_Score  8.334 -17.212 -17.212   -0.370
439         Supp_Score ~~         imhbirthwt  4.693  -0.449  -0.449   -0.481
440         Supp_Score ~~        imh_birthlt  3.183  -1.919  -1.919   -0.187
441         Supp_Score ~~       imh_birthhcr  1.458  -0.774  -0.774   -0.120
442         Supp_Score ~~              gawks  0.022  -0.063  -0.063   -0.011
443         Supp_Score ~~                sex  0.009   0.022   0.022    0.007
444         Supp_Score ~~             MatAge  1.797  -3.058  -3.058   -0.097
445         Supp_Score ~~     mmins_combined  0.823  -0.240  -0.240   -0.082
446         Supp_Score ~~     mrace_combined  3.052  -1.102  -1.102   -0.154
447         Supp_Score ~~          pcedlevel  0.377  -0.402  -0.402   -0.051
448         Supp_Score ~~        MomOnlyFSIQ  0.036  -1.130  -1.130   -0.017
449      Meaning_Score ~~         imhbirthwt  0.102   0.073   0.073    0.067
450      Meaning_Score ~~        imh_birthlt  0.023   0.180   0.180    0.015
451      Meaning_Score ~~       imh_birthhcr  1.269   0.823   0.823    0.109
452      Meaning_Score ~~              gawks  1.451   0.594   0.594    0.087
453      Meaning_Score ~~                sex  0.503  -0.180  -0.180   -0.050
454      Meaning_Score ~~             MatAge  0.383   1.703   1.703    0.046
455      Meaning_Score ~~     mmins_combined  2.554  -0.466  -0.466   -0.136
456      Meaning_Score ~~     mrace_combined  0.001   0.018   0.018    0.002
457      Meaning_Score ~~          pcedlevel  0.129   0.274   0.274    0.030
458      Meaning_Score ~~        MomOnlyFSIQ 12.378  24.678  24.678    0.312
459         imhbirthwt ~~        imh_birthlt  0.008   0.013   0.013    0.054
460         imhbirthwt ~~       imh_birthhcr  0.013   0.009   0.009    0.062
461         imhbirthwt ~~              gawks  0.267  -0.022  -0.022   -0.157
462         imhbirthwt ~~                sex  0.309  -0.009  -0.009   -0.129
463         imhbirthwt ~~             MatAge  1.007   0.132   0.132    0.179
464         imhbirthwt ~~     mmins_combined  0.742  -0.012  -0.012   -0.171
465         imhbirthwt ~~     mrace_combined  3.493  -0.059  -0.059   -0.353
466         imhbirthwt ~~          pcedlevel  2.250   0.067   0.067    0.366
467         imhbirthwt ~~        MomOnlyFSIQ  0.183   0.184   0.184    0.116
468        imh_birthlt ~~       imh_birthhcr  2.194   0.494   0.494    0.296
469        imh_birthlt ~~              gawks  1.860  -0.243  -0.243   -0.160
470        imh_birthlt ~~                sex  0.084   0.022   0.022    0.028
471        imh_birthlt ~~             MatAge  0.001  -0.017  -0.017   -0.002
472        imh_birthlt ~~     mmins_combined  0.256  -0.030  -0.030   -0.040
473        imh_birthlt ~~     mrace_combined  0.167  -0.065  -0.065   -0.035
474        imh_birthlt ~~          pcedlevel  0.553   0.162   0.162    0.080
475        imh_birthlt ~~        MomOnlyFSIQ  0.207  -0.927  -0.927   -0.053
476       imh_birthhcr ~~              gawks  0.177  -0.046  -0.046   -0.048
477       imh_birthhcr ~~                sex  0.791  -0.041  -0.041   -0.081
478       imh_birthhcr ~~             MatAge  0.406  -0.277  -0.277   -0.054
479       imh_birthhcr ~~     mmins_combined  0.071  -0.011  -0.011   -0.023
480       imh_birthhcr ~~     mrace_combined  1.770  -0.114  -0.114   -0.098
481       imh_birthhcr ~~          pcedlevel  0.622  -0.106  -0.106   -0.083
482       imh_birthhcr ~~        MomOnlyFSIQ  1.137  -1.242  -1.242   -0.113
483              gawks ~~                sex  3.612   0.058   0.058    0.127
484              gawks ~~             MatAge  3.906   0.599   0.599    0.129
485              gawks ~~     mmins_combined  0.870  -0.027  -0.027   -0.064
486              gawks ~~     mrace_combined  2.499   0.109   0.109    0.104
487              gawks ~~          pcedlevel  0.523   0.068   0.068    0.058
488              gawks ~~        MomOnlyFSIQ  0.045   0.189   0.189    0.019
489                sex ~~             MatAge  0.001  -0.005  -0.005   -0.002
490                sex ~~     mmins_combined  1.234  -0.016  -0.016   -0.071
491                sex ~~     mrace_combined  0.614  -0.027  -0.027   -0.049
492                sex ~~          pcedlevel  0.000   0.000   0.000    0.000
493                sex ~~        MomOnlyFSIQ  0.006   0.030   0.030    0.006
494             MatAge ~~     mmins_combined  0.294  -0.085  -0.085   -0.037
495             MatAge ~~     mrace_combined  0.002   0.019   0.019    0.003
496             MatAge ~~          pcedlevel  7.312  -1.438  -1.438   -0.231
497             MatAge ~~        MomOnlyFSIQ  1.791   6.947   6.947    0.130
498     mmins_combined ~~     mrace_combined  0.036  -0.006  -0.006   -0.011
499     mmins_combined ~~          pcedlevel  1.189   0.068   0.068    0.117
500     mmins_combined ~~        MomOnlyFSIQ  0.506   0.347   0.347    0.070
501     mrace_combined ~~          pcedlevel  7.618   0.308   0.308    0.218
502     mrace_combined ~~        MomOnlyFSIQ  4.385  -2.417  -2.417   -0.199
503          pcedlevel ~~        MomOnlyFSIQ  0.020  -0.318  -0.318   -0.024
    sepc.nox
98     0.142
99     0.086
100    0.113
101   -0.124
102   -0.060
103   -0.119
104    0.443
105    0.042
106    0.061
107   -0.070
108   -0.040
109   -0.022
110    0.071
111    0.000
112    0.095
113    0.048
114   -0.146
115    0.069
116    0.020
117   -0.035
118    0.160
119    0.247
120    0.041
121    0.002
122    0.017
123    0.099
124    0.175
125   -0.032
126   -0.060
127    0.051
128    0.051
129    0.019
130   -0.071
131    0.005
132   -0.086
133   -0.049
134    0.140
135   -0.054
136    0.091
137   -0.037
138    0.142
139    0.020
140    0.074
141   -0.023
142   -0.018
143   -0.049
144    0.155
145    0.045
146   -0.006
147    0.028
148   -0.060
149    0.004
150   -0.133
151    0.075
152    0.040
153   -0.082
154   -0.123
155    0.106
156   -0.011
157   -0.016
158    0.067
159   -0.115
160    0.058
161    0.127
162    0.121
163   -0.022
164   -0.032
165    0.032
166    0.067
167    0.031
168    0.091
169   -0.037
170    0.008
171   -0.114
172    0.168
173    0.086
174   -0.012
175   -0.153
176    0.147
177   -0.010
178    0.028
179    0.026
180   -0.105
181    0.051
182    0.011
183    0.011
184    0.016
185    0.029
186    0.012
187    0.033
188   -0.013
189   -0.062
190   -0.008
191   -0.053
192    0.105
193   -0.013
194    0.284
195    0.079
196    0.098
197    0.154
198   -0.021
199   -0.052
200    0.184
201    0.070
202    0.008
203    0.122
204   -0.087
205   -0.076
206   -0.191
207   -0.121
208   -0.036
209    0.022
210    0.049
211   -0.048
212    0.030
213   -0.013
214    0.036
215   -0.117
216   -0.101
217   -0.031
218   -0.129
219   -0.014
220   -0.085
221    0.110
222   -0.092
223   -0.123
224    0.111
225    0.038
226   -0.100
227   -0.112
228   -0.051
229    0.061
230    0.064
231    0.013
232   -0.041
233    0.037
234    0.035
235    0.002
236    0.028
237    0.016
238   -0.136
239    0.007
240   -0.013
241    0.410
242    0.079
243    0.108
244    0.260
245   -0.089
246   -0.084
247   -0.025
248    0.055
249   -0.048
250   -0.035
251   -0.004
252   -0.042
253   -0.154
254   -0.020
255   -0.044
256    0.026
257   -0.011
258   -0.010
259   -0.126
260    0.070
261    0.022
262    0.152
263   -0.168
264    0.042
265    0.022
266   -0.038
267   -0.109
268   -0.100
269   -0.177
270    0.025
271    0.082
272   -0.026
273   -0.146
274   -0.059
275   -0.022
276   -0.089
277    0.009
278    0.017
279    0.002
280   -0.024
281    0.043
282    0.174
283   -0.073
284    0.177
285    0.027
286    0.086
287    0.040
288    0.066
289   -0.079
290   -0.036
291    0.023
292   -0.010
293    0.080
294   -0.192
295   -0.092
296   -0.076
297   -0.028
298   -0.066
299   -0.071
300   -0.004
301    0.041
302   -0.023
303    0.054
304   -0.079
305    0.002
306   -0.012
307   -0.035
308    0.065
309   -0.020
310    0.062
311   -0.056
312    0.026
313   -0.005
314   -0.218
315    0.008
316    0.117
317   -0.037
318    0.017
319   -0.097
320    0.018
321   -0.034
322   -0.017
323   -0.059
324   -0.008
325   -0.017
326    0.050
327   -0.073
328   -0.063
329    0.037
330    0.008
331    0.020
332   -0.041
333   -0.023
334    0.040
335   -0.045
336    0.011
337   -0.090
338   -0.031
339    0.059
340   -0.002
341   -0.106
342   -0.090
343   -0.109
344   -0.002
345   -0.031
346    0.004
347    0.032
348    0.063
349    0.073
350    0.060
351    0.136
352   -0.185
353    0.012
354   -0.029
355    0.090
356   -0.013
357    0.036
358    0.283
359    0.030
360    0.104
361    0.029
362    0.035
363   -0.234
364   -0.082
365   -0.343
366    0.141
367   -0.070
368    0.067
369   -0.148
370    0.281
371   -0.047
372    0.126
373    0.069
374    0.180
375   -0.060
376    0.114
377   -0.021
378    0.035
379    0.044
380    0.043
381    0.088
382    0.027
383    0.105
384    0.060
385    0.115
386   -0.001
387    0.054
388   -0.066
389   -0.006
390   -0.054
391   -0.026
392    0.014
393   -0.013
394    0.162
395   -0.114
396   -0.210
397    0.110
398   -0.055
399   -0.332
400   -0.140
401   -0.128
402    0.015
403    0.096
404    0.217
405   -0.087
406   -0.143
407   -0.020
408    0.163
409   -0.002
410    0.299
411    0.161
412    0.036
413   -0.130
414   -0.303
415   -0.127
416   -0.174
417    0.000
418   -0.123
419   -0.147
420   -0.114
421    0.107
422   -0.112
423    0.093
424    0.014
425   -0.146
426   -0.078
427    0.012
428    0.072
429    0.035
430   -0.119
431    0.009
432    0.067
433    0.125
434    0.036
435    0.311
436   -0.040
437   -0.064
438   -0.370
439   -0.481
440   -0.187
441   -0.120
442   -0.011
443    0.007
444   -0.097
445   -0.082
446   -0.154
447   -0.051
448   -0.017
449    0.067
450    0.015
451    0.109
452    0.087
453   -0.050
454    0.046
455   -0.136
456    0.002
457    0.030
458    0.312
459    0.054
460    0.062
461   -0.157
462   -0.129
463    0.179
464   -0.171
465   -0.353
466    0.366
467    0.116
468    0.296
469   -0.160
470    0.028
471   -0.002
472   -0.040
473   -0.035
474    0.080
475   -0.053
476   -0.048
477   -0.081
478   -0.054
479   -0.023
480   -0.098
481   -0.083
482   -0.113
483    0.127
484    0.129
485   -0.064
486    0.104
487    0.058
488    0.019
489   -0.002
490   -0.071
491   -0.049
492    0.000
493    0.006
494   -0.037
495    0.003
496   -0.231
497    0.130
498   -0.011
499    0.117
500    0.070
501    0.218
502   -0.199
503   -0.024

The full SEM specified below shows a model fit similar to that of the measurement model, \(\chi^2(497)=797.87, p<.001\) , CFI = .86, TLI=.84, RMSEA = 0.046. However, this is at least in part due to the large number of non-significant regressions in the model. Given these non-significant paths, the model was re-specified in the next block of code.

SEM_model <- '

Mat_Health =~ diabpprg + gestdiab + hyp + prenatal_collapsed + hepc + hiv + syph + chlmyd + any_subuse_y_n

MatMen_health =~ collapsed_mentheal + acescore + Dep_Score + Anx_Score + Anger_Score + Supp_Score + Meaning_Score

Infant =~ imhbirthwt + imh_birthlt + imh_birthhcr + gawks + sex

SocioDem =~ MatAge + mmins_combined + mrace_combined + pcedlevel + MomOnlyFSIQ + any_subuse_y_n + hseincom

hepc    ~~  any_subuse_y_n

Mat_Health~~MatMen_health
#SocioDem~~MatMen_health
#SocioDem~~Mat_Health

hepc ~~ mrace_combined
any_subuse_y_n  ~~  mrace_combined

Mat_Health ~ SocioDem
MatMen_health ~ SocioDem

Infant ~ Mat_Health + MatMen_health 

n2attention ~ Infant  
n2regulation ~ Infant 
n2arousal ~ Infant  
n2tone ~ Infant  
n2nonoptref ~ Infant  
n2qmove ~ Infant  
n2stress ~ Infant  
'


SEM_model_fit <- sem(SEM_model, estimator= "WLSMV", data=cleaned_data_final2.1, std.lv=TRUE,missing = "pairwise", mimic = "Mplus")
Warning: lavaan->lav_options_est_dwls():  
   estimator "DWLS" is not recommended for continuous data. Did you forget to 
   set the ordered= argument?
Warning: lavaan->lav_data_full():  
   some observed variances are (at least) a factor 1000 times larger than 
   others; use varTable(fit) to investigate
Warning: lavaan->lav_samplestats_from_data():  
   number of observations (291) too small to compute Gamma
Warning: lavaan->lav_model_vcov():  
   The variance-covariance matrix of the estimated parameters (vcov) does not 
   appear to be positive definite! The smallest eigenvalue (= -1.099158e-05) 
   is smaller than zero. This may be a symptom that the model is not 
   identified.
Warning: lavaan->lav_object_post_check():  
   covariance matrix of latent variables is not positive definite ; use 
   lavInspect(fit, "cov.lv") to investigate.
summary(SEM_model_fit, fit.measures = TRUE, standardized=TRUE)
lavaan 0.6-19 ended normally after 117 iterations

  Estimator                                       DWLS
  Optimization method                           NLMINB
  Number of model parameters                       132

  Number of observations                           291
  Number of missing patterns                        37

Model Test User Model:
                                              Standard      Scaled
  Test Statistic                               819.885     680.661
  Degrees of freedom                               497         497
  P-value (Chi-square)                           0.000       0.000
  Scaling correction factor                                  2.171
  Shift parameter                                          303.053
    simple second-order correction (WLSMV)                        

Model Test Baseline Model:

  Test statistic                              2837.560    1408.357
  Degrees of freedom                               561         561
  P-value                                        0.000       0.000
  Scaling correction factor                                  2.687

User Model versus Baseline Model:

  Comparative Fit Index (CFI)                    0.858       0.783
  Tucker-Lewis Index (TLI)                       0.840       0.755
                                                                  
  Robust Comparative Fit Index (CFI)                         0.825
  Robust Tucker-Lewis Index (TLI)                            0.802

Root Mean Square Error of Approximation:

  RMSEA                                          0.047       0.036
  90 Percent confidence interval - lower         0.041       0.029
  90 Percent confidence interval - upper         0.053       0.042
  P-value H_0: RMSEA <= 0.050                    0.774       1.000
  P-value H_0: RMSEA >= 0.080                    0.000       0.000
                                                                  
  Robust RMSEA                                               0.053
  90 Percent confidence interval - lower                     0.042
  90 Percent confidence interval - upper                     0.062
  P-value H_0: Robust RMSEA <= 0.050                         0.326
  P-value H_0: Robust RMSEA >= 0.080                         0.000

Standardized Root Mean Square Residual:

  SRMR                                           0.065       0.065

Parameter Estimates:

  Standard errors                           Robust.sem
  Information                                 Expected
  Information saturated (h1) model        Unstructured

Latent Variables:
                   Estimate   Std.Err  z-value  P(>|z|)   Std.lv   Std.all
  Mat_Health =~                                                           
    diabpprg          -0.003    0.003   -0.876    0.381    -0.003   -0.028
    gestdiab          -0.003    0.011   -0.275    0.783    -0.003   -0.013
    hyp               -0.074    0.026   -2.868    0.004    -0.077   -0.183
    prenatl_cllpsd    -0.056    0.021   -2.660    0.008    -0.059   -0.159
    hepc               0.062    0.053    1.161    0.246     0.065    0.069
    hiv                0.019    0.014    1.365    0.172     0.020    0.093
    syph              -0.017    0.014   -1.239    0.215    -0.018   -0.077
    chlmyd            -0.045    0.027   -1.630    0.103    -0.047   -0.117
    any_subuse_y_n    -0.063    0.025   -2.534    0.011    -0.066   -0.146
  MatMen_health =~                                                        
    collapsd_mnthl     0.306    0.052    5.930    0.000     0.310    0.330
    acescore          -0.926    0.151   -6.113    0.000    -0.937   -0.339
    Dep_Score         -7.964    0.427  -18.640    0.000    -8.066   -0.901
    Anx_Score         -8.479    0.460  -18.442    0.000    -8.587   -0.805
    Anger_Score       -6.786    0.563  -12.054    0.000    -6.872   -0.704
    Supp_Score         5.325    0.477   11.155    0.000     5.392    0.652
    Meaning_Score      5.293    0.535    9.891    0.000     5.360    0.587
  Infant =~                                                               
    imhbirthwt         0.388    0.042    9.279    0.000     0.416    0.917
    imh_birthlt        1.598    0.188    8.511    0.000     1.713    0.725
    imh_birthhcr       0.886    0.109    8.121    0.000     0.949    0.667
    gawks              0.315    0.066    4.785    0.000     0.338    0.337
    sex                0.079    0.030    2.578    0.010     0.084    0.169
  SocioDem =~                                                             
    MatAge             0.939    0.375    2.508    0.012     0.939    0.184
    mmins_combined    -0.154    0.038   -4.035    0.000    -0.154   -0.314
    mrace_combined     0.381    0.080    4.742    0.000     0.381    0.326
    pcedlevel          0.852    0.115    7.410    0.000     0.852    0.550
    MomOnlyFSIQ        8.779    1.122    7.821    0.000     8.779    0.629
    any_subuse_y_n    -0.180    0.038   -4.670    0.000    -0.180   -0.396
    hseincom          -6.856    5.084   -1.349    0.177    -6.856   -0.059

Regressions:
                   Estimate   Std.Err  z-value  P(>|z|)   Std.lv   Std.all
  Mat_Health ~                                                            
    SocioDem          -0.313    0.232   -1.350    0.177    -0.298   -0.298
  MatMen_health ~                                                         
    SocioDem           0.160    0.075    2.140    0.032     0.158    0.158
  Infant ~                                                                
    Mat_Health        -0.891    0.481   -1.854    0.064    -0.871   -0.871
    MatMen_health      1.067    0.456    2.339    0.019     1.008    1.008
  n2attention ~                                                           
    Infant            -0.006    0.073   -0.089    0.929    -0.007   -0.005
  n2regulation ~                                                          
    Infant             0.006    0.064    0.094    0.925     0.006    0.006
  n2arousal ~                                                             
    Infant             0.092    0.102    0.896    0.370     0.098    0.062
  n2tone ~                                                                
    Infant            -0.061    0.032   -1.883    0.060    -0.065   -0.118
  n2nonoptref ~                                                           
    Infant            -0.232    0.071   -3.268    0.001    -0.248   -0.220
  n2qmove ~                                                               
    Infant             0.118    0.074    1.609    0.108     0.127    0.106
  n2stress ~                                                              
    Infant            -0.046    0.037   -1.260    0.208    -0.050   -0.071

Covariances:
                    Estimate   Std.Err  z-value  P(>|z|)   Std.lv   Std.all
 .hepc ~~                                                                  
   .any_subuse_y_n      0.140    0.021    6.763    0.000     0.140    0.357
 .Mat_Health ~~                                                            
   .MatMen_health       1.044    0.108    9.699    0.000     1.044    1.044
 .hepc ~~                                                                  
   .mrace_combined      0.387    0.050    7.732    0.000     0.387    0.374
 .any_subuse_y_n ~~                                                        
   .mrace_combined      0.177    0.033    5.310    0.000     0.177    0.380
 .n2attention ~~                                                           
   .n2regulation        0.297    0.084    3.523    0.000     0.297    0.215
   .n2arousal          -0.519    0.110   -4.738    0.000    -0.519   -0.255
   .n2tone              0.010    0.040    0.246    0.806     0.010    0.014
   .n2nonoptref         0.123    0.077    1.612    0.107     0.123    0.088
   .n2qmove             0.186    0.077    2.407    0.016     0.186    0.122
   .n2stress            0.058    0.044    1.306    0.192     0.058    0.064
 .n2regulation ~~                                                          
   .n2arousal          -0.479    0.095   -5.037    0.000    -0.479   -0.279
   .n2tone             -0.019    0.034   -0.554    0.579    -0.019   -0.032
   .n2nonoptref        -0.038    0.080   -0.477    0.633    -0.038   -0.032
   .n2qmove             0.136    0.075    1.806    0.071     0.136    0.106
   .n2stress           -0.077    0.047   -1.653    0.098    -0.077   -0.102
 .n2arousal ~~                                                             
   .n2tone              0.322    0.063    5.117    0.000     0.322    0.369
   .n2nonoptref         0.030    0.104    0.287    0.774     0.030    0.017
   .n2qmove            -0.378    0.131   -2.878    0.004    -0.378   -0.200
   .n2stress            0.429    0.074    5.786    0.000     0.429    0.386
 .n2tone ~~                                                                
   .n2nonoptref        -0.044    0.048   -0.899    0.369    -0.044   -0.072
   .n2qmove            -0.088    0.055   -1.584    0.113    -0.088   -0.134
   .n2stress            0.155    0.037    4.232    0.000     0.155    0.403
 .n2nonoptref ~~                                                           
   .n2qmove            -0.281    0.085   -3.330    0.001    -0.281   -0.215
   .n2stress            0.178    0.048    3.755    0.000     0.178    0.232
 .n2qmove ~~                                                               
   .n2stress           -0.383    0.062   -6.133    0.000    -0.383   -0.462

Intercepts:
                   Estimate   Std.Err  z-value  P(>|z|)   Std.lv   Std.all
   .diabpprg           1.011    0.006  170.092    0.000     1.011    9.884
   .gestdiab           1.057    0.013   78.931    0.000     1.057    4.546
   .hyp                1.230    0.024   50.396    0.000     1.230    2.918
   .prenatl_cllpsd     1.165    0.021   54.550    0.000     1.165    3.131
   .hepc               1.732    0.055   31.448    0.000     1.732    1.847
   .hiv                1.024    0.012   82.905    0.000     1.024    4.868
   .syph               1.034    0.014   75.810    0.000     1.034    4.452
   .chlmyd             1.100    0.023   46.963    0.000     1.100    2.758
   .any_subuse_y_n     1.711    0.027   64.203    0.000     1.711    3.770
   .collapsd_mnthl     2.014    0.055   36.503    0.000     2.014    2.144
   .acescore           2.758    0.160   17.267    0.000     2.758    0.996
   .Dep_Score         47.667    0.491   97.043    0.000    47.667    5.323
   .Anx_Score         52.164    0.586   88.958    0.000    52.164    4.889
   .Anger_Score       51.645    0.536   96.264    0.000    51.645    5.290
   .Supp_Score        56.181    0.455  123.360    0.000    56.181    6.793
   .Meaning_Score     59.531    0.501  118.714    0.000    59.531    6.524
   .imhbirthwt         3.261    0.027  122.529    0.000     3.261    7.195
   .imh_birthlt       50.265    0.138  363.413    0.000    50.265   21.267
   .imh_birthhcr      34.200    0.083  410.346    0.000    34.200   24.013
   .gawks             38.729    0.059  657.764    0.000    38.729   38.625
   .sex                1.564    0.029   53.597    0.000     1.564    3.147
   .MatAge            29.753    0.299   99.470    0.000    29.753    5.841
   .mmins_combined     3.835    0.029  132.851    0.000     3.835    7.801
   .mrace_combined     3.423    0.069   49.815    0.000     3.423    2.925
   .pcedlevel          4.054    0.089   45.476    0.000     4.054    2.619
   .MomOnlyFSIQ       94.385    0.778  121.311    0.000    94.385    6.758
   .hseincom          20.643    6.465    3.193    0.001    20.643    0.177
   .n2attention        4.627    0.071   65.274    0.000     4.627    3.622
   .n2regulation       4.201    0.063   66.678    0.000     4.201    3.895
   .n2arousal          4.640    0.093   49.658    0.000     4.640    2.911
   .n2tone             4.940    0.033  152.002    0.000     4.940    8.926
   .n2nonoptref        3.122    0.066   47.107    0.000     3.122    2.761
   .n2qmove            6.697    0.070   95.993    0.000     6.697    5.608
   .n2stress           1.637    0.041   39.871    0.000     1.637    2.337

Variances:
                   Estimate   Std.Err  z-value  P(>|z|)   Std.lv   Std.all
   .diabpprg           0.010    0.006    1.798    0.072     0.010    0.999
   .gestdiab           0.054    0.012    4.559    0.000     0.054    1.000
   .hyp                0.172    0.013   12.965    0.000     0.172    0.967
   .prenatl_cllpsd     0.135    0.014    9.744    0.000     0.135    0.975
   .hepc               0.875    0.032   27.670    0.000     0.875    0.995
   .hiv                0.044    0.023    1.910    0.056     0.044    0.991
   .syph               0.054    0.024    2.264    0.024     0.054    0.994
   .chlmyd             0.157    0.039    4.068    0.000     0.157    0.986
   .any_subuse_y_n     0.176    0.014   12.218    0.000     0.176    0.857
   .collapsd_mnthl     0.787    0.035   22.471    0.000     0.787    0.891
   .acescore           6.784    0.548   12.384    0.000     6.784    0.885
   .Dep_Score         15.150    2.949    5.138    0.000    15.150    0.189
   .Anx_Score         40.120    4.712    8.515    0.000    40.120    0.352
   .Anger_Score       48.074    6.232    7.714    0.000    48.074    0.504
   .Supp_Score        39.326    4.352    9.035    0.000    39.326    0.575
   .Meaning_Score     54.534    5.438   10.029    0.000    54.534    0.655
   .imhbirthwt         0.033    0.014    2.419    0.016     0.033    0.159
   .imh_birthlt        2.652    0.430    6.170    0.000     2.652    0.475
   .imh_birthhcr       1.127    0.133    8.456    0.000     1.127    0.556
   .gawks              0.891    0.077   11.640    0.000     0.891    0.886
   .sex                0.240    0.006   38.337    0.000     0.240    0.971
   .MatAge            25.063    1.955   12.818    0.000    25.063    0.966
   .mmins_combined     0.218    0.058    3.732    0.000     0.218    0.901
   .mrace_combined     1.224    0.114   10.693    0.000     1.224    0.894
   .pcedlevel          1.670    0.182    9.156    0.000     1.670    0.697
   .MomOnlyFSIQ      117.991   16.933    6.968    0.000   117.991    0.605
   .hseincom       13629.508 4742.560    2.874    0.004 13629.508    0.997
   .n2attention        1.632    0.133   12.292    0.000     1.632    1.000
   .n2regulation       1.163    0.098   11.873    0.000     1.163    1.000
   .n2arousal          2.531    0.165   15.333    0.000     2.531    0.996
   .n2tone             0.302    0.042    7.139    0.000     0.302    0.986
   .n2nonoptref        1.217    0.128    9.493    0.000     1.217    0.952
   .n2qmove            1.410    0.127   11.087    0.000     1.410    0.989
   .n2stress           0.488    0.056    8.747    0.000     0.488    0.995
   .Mat_Health         1.000                                0.911    0.911
   .MatMen_health      1.000                                0.975    0.975
   .Infant             1.000                                0.870    0.870
    SocioDem           1.000                                1.000    1.000
mod_indices <- modindices(SEM_model_fit)
Warning: lavaan->lav_start_check_cov():  
   starting values imply a correlation larger than 1; variables involved are: 
   Mat_Health MatMen_health
mod_indices_sorted <- mod_indices[order(-mod_indices$mi), ] 

print(mod_indices_sorted)
                   lhs op                rhs      mi     epc sepc.lv sepc.all
775      MatMen_health  ~       n2regulation 392.687  -5.733  -5.662   -6.106
149         Mat_Health =~        imh_birthlt 179.995   8.655   9.068    3.837
150         Mat_Health =~       imh_birthhcr  76.722   0.991   1.038    0.729
844           n2stress  ~      MatMen_health  64.297   0.220   0.223    0.319
194             Infant =~      Meaning_Score  53.622   4.170   4.470    0.490
843           n2stress  ~         Mat_Health  49.451   0.179   0.188    0.268
192             Infant =~        Anger_Score  30.729  -5.585  -5.986   -0.613
826        n2nonoptref  ~      MatMen_health  25.671   0.313   0.317    0.281
193             Infant =~         Supp_Score  23.070  -5.959  -6.387   -0.772
835            n2qmove  ~      MatMen_health  21.494  -0.238  -0.241   -0.202
727     mrace_combined ~~        n2attention  20.925   0.414   0.414    0.293
335 prenatal_collapsed ~~     mmins_combined  20.511  -0.031  -0.031   -0.179
215           SocioDem =~      Meaning_Score  20.468   2.276   2.276    0.249
817             n2tone  ~      MatMen_health  16.468   0.103   0.104    0.188
515           acescore ~~     mrace_combined  15.583  -0.634  -0.634   -0.220
568          Anx_Score ~~           n2stress  15.124  -1.506  -1.506   -0.340
857           SocioDem  ~          n2arousal  14.568   0.203   0.203    0.324
181             Infant =~                hyp  14.273   0.053   0.057    0.135
351               hepc ~~           acescore  14.267  -0.582  -0.582   -0.239
834            n2qmove  ~         Mat_Health  14.040  -0.175  -0.183   -0.154
825        n2nonoptref  ~         Mat_Health  13.778   0.178   0.186    0.165
302                hyp ~~              gawks  13.588   0.104   0.104    0.267
789        n2attention  ~         Mat_Health  12.941   0.170   0.179    0.140
502 collapsed_mentheal ~~           n2stress  12.803   0.135   0.135    0.217
578        Anger_Score ~~     mrace_combined  12.728   2.369   2.369    0.309
790        n2attention  ~      MatMen_health  12.690   0.178   0.181    0.141
617      Meaning_Score ~~        MomOnlyFSIQ  12.659  24.948  24.948    0.311
724     mrace_combined ~~          pcedlevel  12.574   0.399   0.399    0.279
147         Mat_Health =~      Meaning_Score  12.520  -3.140  -3.290   -0.361
736          pcedlevel ~~        n2attention  12.447  -0.379  -0.379   -0.230
855           SocioDem  ~        n2attention  12.429  -0.238  -0.238   -0.304
731     mrace_combined ~~        n2nonoptref  12.232   0.326   0.326    0.267
551          Anx_Score ~~         imhbirthwt  12.212  -1.391  -1.391   -1.215
467     any_subuse_y_n ~~             MatAge  12.211  -0.534  -0.534   -0.254
157         Mat_Health =~        MomOnlyFSIQ  11.410   2.232   2.338    0.167
799       n2regulation  ~      MatMen_health  11.276  -0.142  -0.143   -0.133
177      MatMen_health =~        MomOnlyFSIQ  11.217   2.070   2.096    0.150
530          Dep_Score ~~         imhbirthwt  10.712  -1.272  -1.272   -1.809
816             n2tone  ~         Mat_Health  10.618   0.075   0.078    0.141
681              gawks ~~        n2attention   9.931  -0.218  -0.218   -0.181
456     any_subuse_y_n ~~           acescore   9.331  -0.205  -0.205   -0.188
728     mrace_combined ~~       n2regulation   9.320   0.246   0.246    0.206
856           SocioDem  ~       n2regulation   9.222  -0.250  -0.250   -0.269
179             Infant =~           diabpprg   9.212   0.008   0.008    0.080
582        Anger_Score ~~        n2attention   9.184  -2.073  -2.073   -0.234
703             MatAge ~~          pcedlevel   8.950  -1.529  -1.529   -0.236
547          Dep_Score ~~           n2stress   8.487  -1.087  -1.087   -0.400
797        n2attention  ~           SocioDem   8.396  -0.333  -0.333   -0.261
680              gawks ~~           hseincom   8.223  -5.932  -5.932   -0.054
699                sex ~~            n2qmove   8.132   0.098   0.098    0.169
589         Supp_Score ~~      Meaning_Score   8.122 -16.962 -16.962   -0.366
187             Infant =~     any_subuse_y_n   8.020   0.071   0.076    0.167
172      MatMen_health =~                sex   7.942   0.076   0.076    0.154
532          Dep_Score ~~       imh_birthhcr   7.755  -2.483  -2.483   -0.601
202           SocioDem =~           gestdiab   7.585  -0.030  -0.030   -0.131
640         imhbirthwt ~~        n2nonoptref   7.576  -0.205  -0.205   -1.028
671       imh_birthhcr ~~        n2nonoptref   7.515  -0.377  -0.377   -0.322
175      MatMen_health =~     mrace_combined   7.488  -0.117  -0.119   -0.101
798       n2regulation  ~         Mat_Health   7.253  -0.108  -0.113   -0.105
588        Anger_Score ~~           n2stress   7.174  -0.895  -0.895   -0.185
206           SocioDem =~                hiv   7.138   0.019   0.019    0.089
299                hyp ~~         imhbirthwt   6.917   0.031   0.031    0.409
151         Mat_Health =~              gawks   6.879   0.111   0.116    0.116
481 collapsed_mentheal ~~          Anx_Score   6.844   1.580   1.580    0.281
278           gestdiab ~~           hseincom   6.653   1.105   1.105    0.041
197             Infant =~     mrace_combined   6.630  -0.130  -0.140   -0.119
553          Anx_Score ~~       imh_birthhcr   6.538  -2.679  -2.679   -0.398
339 prenatal_collapsed ~~           hseincom   6.484   2.812   2.812    0.066
513           acescore ~~             MatAge   6.421   2.100   2.100    0.161
155         Mat_Health =~     mrace_combined   6.376  -0.118  -0.123   -0.105
475     any_subuse_y_n ~~             n2tone   6.203  -0.032  -0.032   -0.139
204           SocioDem =~ prenatal_collapsed   6.058   0.045   0.045    0.120
842            n2qmove  ~           SocioDem   6.045  -0.305  -0.305   -0.256
709             MatAge ~~             n2tone   6.007  -0.416  -0.416   -0.151
605         Supp_Score ~~        n2nonoptref   5.892   1.467   1.467    0.212
641         imhbirthwt ~~            n2qmove   5.812   0.127   0.127    0.592
285           gestdiab ~~           n2stress   5.758   0.016   0.016    0.096
478     any_subuse_y_n ~~           n2stress   5.579  -0.036  -0.036   -0.124
610      Meaning_Score ~~       imh_birthhcr   5.563   1.859   1.859    0.237
695                sex ~~       n2regulation   5.491   0.074   0.074    0.140
212           SocioDem =~          Anx_Score   5.474  -1.580  -1.580   -0.148
744        MomOnlyFSIQ ~~        n2attention   5.325  -2.113  -2.113   -0.152
685              gawks ~~        n2nonoptref   5.311  -0.176  -0.176   -0.169
573        Anger_Score ~~       imh_birthhcr   5.303  -2.213  -2.213   -0.301
545          Dep_Score ~~        n2nonoptref   5.282  -1.632  -1.632   -0.380
184             Infant =~                hiv   5.186   0.009   0.010    0.046
162      MatMen_health =~ prenatal_collapsed   5.122   0.040   0.040    0.109
495 collapsed_mentheal ~~           hseincom   5.036 -11.620 -11.620   -0.112
554          Anx_Score ~~              gawks   5.009  -1.385  -1.385   -0.232
546          Dep_Score ~~            n2qmove   4.985   1.478   1.478    0.320
328 prenatal_collapsed ~~      Meaning_Score   4.963   0.399   0.399    0.147
426               syph ~~        n2nonoptref   4.869   0.016   0.016    0.063
608      Meaning_Score ~~         imhbirthwt   4.848   0.594   0.594    0.445
639         imhbirthwt ~~             n2tone   4.756  -0.054  -0.054   -0.547
519           acescore ~~        n2attention   4.717   0.426   0.426    0.128
533          Dep_Score ~~              gawks   4.672  -1.052  -1.052   -0.286
806       n2regulation  ~           SocioDem   4.666  -0.220  -0.220   -0.204
625      Meaning_Score ~~           n2stress   4.518   0.857   0.857    0.166
273           gestdiab ~~             MatAge   4.362  -0.142  -0.142   -0.122
587        Anger_Score ~~            n2qmove   4.320   1.332   1.332    0.162
729     mrace_combined ~~          n2arousal   4.306  -0.208  -0.208   -0.118
376                hiv ~~     any_subuse_y_n   4.222  -0.007  -0.007   -0.085
674              gawks ~~                sex   4.219   0.064   0.064    0.139
552          Anx_Score ~~        imh_birthlt   4.191  -3.555  -3.555   -0.345
586        Anger_Score ~~        n2nonoptref   4.170  -1.389  -1.389   -0.182
153         Mat_Health =~             MatAge   4.076  -0.387  -0.406   -0.080
455     any_subuse_y_n ~~ collapsed_mentheal   4.033   0.051   0.051    0.138
173      MatMen_health =~             MatAge   3.984  -0.351  -0.356   -0.070
161      MatMen_health =~                hyp   3.910   0.044   0.045    0.106
223           diabpprg ~~ prenatal_collapsed   3.844   0.002   0.002    0.052
673       imh_birthhcr ~~           n2stress   3.840  -0.131  -0.131   -0.177
567          Anx_Score ~~            n2qmove   3.799   1.461   1.461    0.194
675              gawks ~~             MatAge   3.684   0.581   0.581    0.123
188             Infant =~ collapsed_mentheal   3.638   0.068   0.073    0.077
271           gestdiab ~~              gawks   3.613   0.024   0.024    0.109
487 collapsed_mentheal ~~       imh_birthhcr   3.604   0.154   0.154    0.163
362               hepc ~~             MatAge   3.583  -0.493  -0.493   -0.105
537          Dep_Score ~~     mrace_combined   3.547   1.219   1.219    0.283
565          Anx_Score ~~             n2tone   3.516  -0.708  -0.708   -0.203
227           diabpprg ~~             chlmyd   3.466   0.001   0.001    0.029
644        imh_birthlt ~~              gawks   3.465  -0.877  -0.877   -0.571
265           gestdiab ~~        Anger_Score   3.447  -0.184  -0.184   -0.114
333 prenatal_collapsed ~~                sex   3.438  -0.019  -0.019   -0.106
824             n2tone  ~           SocioDem   3.386   0.098   0.098    0.178
348               hepc ~~               syph   3.364  -0.028  -0.028   -0.127
401                hiv ~~           n2stress   3.332   0.011   0.011    0.073
421               syph ~~           hseincom   3.313   0.573   0.573    0.021
651        imh_birthlt ~~           hseincom   3.237  21.069  21.069    0.111
345 prenatal_collapsed ~~            n2qmove   3.158   0.045   0.045    0.103
247           diabpprg ~~        n2attention   3.109   0.009   0.009    0.070
611      Meaning_Score ~~              gawks   3.098   0.890   0.890    0.128
485 collapsed_mentheal ~~         imhbirthwt   3.096   0.047   0.047    0.290
427               syph ~~            n2qmove   3.094   0.024   0.024    0.086
544          Dep_Score ~~             n2tone   3.079  -0.595  -0.595   -0.278
677              gawks ~~     mrace_combined   3.065   0.121   0.121    0.116
238           diabpprg ~~       imh_birthhcr   3.064   0.011   0.011    0.098
404               syph ~~ collapsed_mentheal   3.023   0.024   0.024    0.116
549          Anx_Score ~~         Supp_Score   3.020 -12.305 -12.305   -0.310
499 collapsed_mentheal ~~             n2tone   3.019   0.054   0.054    0.110
201           SocioDem =~           diabpprg   3.007   0.007   0.007    0.064
248           diabpprg ~~       n2regulation   2.975   0.008   0.008    0.070
239           diabpprg ~~              gawks   2.938   0.015   0.015    0.154
221           diabpprg ~~           gestdiab   2.935   0.001   0.001    0.026
319 prenatal_collapsed ~~               syph   2.930  -0.013  -0.013   -0.151
146         Mat_Health =~         Supp_Score   2.918   1.379   1.445    0.175
563          Anx_Score ~~       n2regulation   2.902   1.109   1.109    0.162
209           SocioDem =~ collapsed_mentheal   2.896   0.085   0.085    0.091
382                hiv ~~         Supp_Score   2.885   0.235   0.235    0.179
637         imhbirthwt ~~       n2regulation   2.848   0.070   0.070    0.360
334 prenatal_collapsed ~~             MatAge   2.763  -0.182  -0.182   -0.099
189             Infant =~           acescore   2.752  -0.171  -0.183   -0.066
272           gestdiab ~~                sex   2.737  -0.010  -0.010   -0.091
571        Anger_Score ~~         imhbirthwt   2.722  -0.556  -0.556   -0.443
394                hiv ~~           hseincom   2.712   0.409   0.409    0.017
576        Anger_Score ~~             MatAge   2.710   4.397   4.397    0.127
251           diabpprg ~~        n2nonoptref   2.650  -0.009  -0.009   -0.083
266           gestdiab ~~         Supp_Score   2.639  -0.155  -0.155   -0.106
470     any_subuse_y_n ~~        MomOnlyFSIQ   2.616  -0.821  -0.821   -0.180
597         Supp_Score ~~     mrace_combined   2.595  -1.019  -1.019   -0.147
346 prenatal_collapsed ~~           n2stress   2.574  -0.027  -0.027   -0.104
614      Meaning_Score ~~     mmins_combined   2.558  -0.466  -0.466   -0.135
196             Infant =~     mmins_combined   2.533  -0.033  -0.036   -0.072
226           diabpprg ~~               syph   2.503   0.000   0.000    0.017
706             MatAge ~~        n2attention   2.483  -0.523  -0.523   -0.082
555          Anx_Score ~~                sex   2.473  -0.474  -0.474   -0.153
541          Dep_Score ~~        n2attention   2.471  -1.010  -1.010   -0.203
144         Mat_Health =~          Anx_Score   2.449   1.760   1.845    0.173
364               hepc ~~          pcedlevel   2.413   0.129   0.129    0.106
516           acescore ~~          pcedlevel   2.400   0.361   0.361    0.107
483 collapsed_mentheal ~~         Supp_Score   2.373   0.718   0.718    0.129
718     mmins_combined ~~       n2regulation   2.354   0.040   0.040    0.079
301                hyp ~~       imh_birthhcr   2.349   0.056   0.056    0.128
386                hiv ~~       imh_birthhcr   2.346   0.016   0.016    0.074
241           diabpprg ~~             MatAge   2.336  -0.026  -0.026   -0.051
367               hepc ~~        n2attention   2.329   0.100   0.100    0.084
514           acescore ~~     mmins_combined   2.319  -0.138  -0.138   -0.113
603         Supp_Score ~~          n2arousal   2.307  -1.169  -1.169   -0.117
601         Supp_Score ~~        n2attention   2.290   1.074   1.074    0.134
609      Meaning_Score ~~        imh_birthlt   2.286   1.986   1.986    0.165
152         Mat_Health =~                sex   2.285   0.029   0.030    0.061
390                hiv ~~     mmins_combined   2.250  -0.003  -0.003   -0.034
288                hyp ~~                hiv   2.242   0.004   0.004    0.050
167      MatMen_health =~     any_subuse_y_n   2.221   0.039   0.040    0.088
501 collapsed_mentheal ~~            n2qmove   2.198  -0.093  -0.093   -0.088
737          pcedlevel ~~       n2regulation   2.189  -0.139  -0.139   -0.099
280           gestdiab ~~       n2regulation   2.189   0.016   0.016    0.066
652        imh_birthlt ~~        n2attention   2.181   0.282   0.282    0.136
303                hyp ~~                sex   2.172  -0.017  -0.017   -0.086
623      Meaning_Score ~~        n2nonoptref   2.156   0.999   0.999    0.123
745        MomOnlyFSIQ ~~       n2regulation   2.145  -1.281  -1.281   -0.109
180             Infant =~           gestdiab   2.142  -0.008  -0.009   -0.038
492 collapsed_mentheal ~~     mrace_combined   2.116   0.094   0.094    0.095
203           SocioDem =~                hyp   2.099   0.032   0.032    0.076
542          Dep_Score ~~       n2regulation   2.097   0.789   0.789    0.188
500 collapsed_mentheal ~~        n2nonoptref   2.062   0.086   0.086    0.088
402               syph ~~             chlmyd   2.047  -0.020  -0.020   -0.216
714     mmins_combined ~~          pcedlevel   2.015   0.085   0.085    0.141
283           gestdiab ~~        n2nonoptref   1.980   0.018   0.018    0.071
236           diabpprg ~~         imhbirthwt   1.964   0.004   0.004    0.240
749        MomOnlyFSIQ ~~            n2qmove   1.961  -1.288  -1.288   -0.100
141         Mat_Health =~ collapsed_mentheal   1.956  -0.131  -0.137   -0.146
666       imh_birthhcr ~~           hseincom   1.910 -11.476 -11.476   -0.093
428               syph ~~           n2stress   1.885  -0.017  -0.017   -0.104
572        Anger_Score ~~        imh_birthlt   1.874  -2.041  -2.041   -0.181
494 collapsed_mentheal ~~        MomOnlyFSIQ   1.865   1.011   1.011    0.105
366               hepc ~~           hseincom   1.859   7.429   7.429    0.068
234           diabpprg ~~         Supp_Score   1.856   0.068   0.068    0.105
296                hyp ~~        Anger_Score   1.855  -0.349  -0.349   -0.122
595         Supp_Score ~~             MatAge   1.824  -3.081  -3.081   -0.098
304                hyp ~~             MatAge   1.818  -0.170  -0.170   -0.082
525           acescore ~~           n2stress   1.803  -0.149  -0.149   -0.082
277           gestdiab ~~        MomOnlyFSIQ   1.781  -0.277  -0.277   -0.110
620      Meaning_Score ~~       n2regulation   1.752  -0.742  -0.742   -0.093
633         imhbirthwt ~~          pcedlevel   1.727   0.058   0.058    0.247
748        MomOnlyFSIQ ~~        n2nonoptref   1.721   1.356   1.356    0.113
237           diabpprg ~~        imh_birthlt   1.719   0.014   0.014    0.082
732     mrace_combined ~~            n2qmove   1.718  -0.110  -0.110   -0.084
642         imhbirthwt ~~           n2stress   1.712  -0.037  -0.037   -0.289
300                hyp ~~        imh_birthlt   1.711   0.072   0.072    0.107
257           gestdiab ~~                hiv   1.710  -0.009  -0.009   -0.192
415               syph ~~                sex   1.703  -0.008  -0.008   -0.071
509           acescore ~~        imh_birthlt   1.697  -0.502  -0.502   -0.118
393                hiv ~~        MomOnlyFSIQ   1.691   0.168   0.168    0.074
720     mmins_combined ~~             n2tone   1.677  -0.020  -0.020   -0.078
246           diabpprg ~~           hseincom   1.673   0.148   0.148    0.012
726     mrace_combined ~~           hseincom   1.666  14.630  14.630    0.113
214           SocioDem =~         Supp_Score   1.664  -0.602  -0.602   -0.073
249           diabpprg ~~          n2arousal   1.662   0.008   0.008    0.050
632         imhbirthwt ~~     mrace_combined   1.659  -0.041  -0.041   -0.208
607         Supp_Score ~~           n2stress   1.655   0.411   0.411    0.094
757           hseincom ~~           n2stress   1.650  -6.584  -6.584   -0.081
619      Meaning_Score ~~        n2attention   1.621   0.775   0.775    0.082
636         imhbirthwt ~~        n2attention   1.592   0.057   0.057    0.249
497 collapsed_mentheal ~~       n2regulation   1.584  -0.073  -0.073   -0.076
583        Anger_Score ~~       n2regulation   1.579   0.703   0.703    0.094
725     mrace_combined ~~        MomOnlyFSIQ   1.577  -1.497  -1.497   -0.125
445             chlmyd ~~          pcedlevel   1.574   0.038   0.038    0.073
254           gestdiab ~~                hyp   1.565  -0.008  -0.008   -0.087
325 prenatal_collapsed ~~          Anx_Score   1.551  -0.270  -0.270   -0.116
389                hiv ~~             MatAge   1.550  -0.084  -0.084   -0.080
451             chlmyd ~~             n2tone   1.550   0.016   0.016    0.073
439             chlmyd ~~       imh_birthhcr   1.550  -0.039  -0.039   -0.092
656        imh_birthlt ~~        n2nonoptref   1.548  -0.307  -0.307   -0.171
182             Infant =~ prenatal_collapsed   1.538   0.015   0.016    0.043
535          Dep_Score ~~             MatAge   1.519   3.249   3.249    0.167
384                hiv ~~         imhbirthwt   1.505   0.005   0.005    0.120
198             Infant =~          pcedlevel   1.501   0.103   0.110    0.071
560          Anx_Score ~~        MomOnlyFSIQ   1.501 -10.322 -10.322   -0.150
712             MatAge ~~           n2stress   1.426  -0.275  -0.275   -0.079
446             chlmyd ~~        MomOnlyFSIQ   1.412   0.282   0.282    0.066
245           diabpprg ~~        MomOnlyFSIQ   1.409   0.135   0.135    0.122
160      MatMen_health =~           gestdiab   1.398  -0.013  -0.013   -0.055
733     mrace_combined ~~           n2stress   1.382   0.054   0.054    0.070
438             chlmyd ~~        imh_birthlt   1.382  -0.048  -0.048   -0.075
667       imh_birthhcr ~~        n2attention   1.381  -0.135  -0.135   -0.099
276           gestdiab ~~          pcedlevel   1.380  -0.029  -0.029   -0.095
222           diabpprg ~~                hyp   1.364  -0.004  -0.004   -0.104
363               hepc ~~     mmins_combined   1.349  -0.032  -0.032   -0.073
337 prenatal_collapsed ~~          pcedlevel   1.347   0.040   0.040    0.084
658        imh_birthlt ~~           n2stress   1.343  -0.135  -0.135   -0.119
750        MomOnlyFSIQ ~~           n2stress   1.316  -0.523  -0.523   -0.069
459     any_subuse_y_n ~~        Anger_Score   1.312   0.286   0.286    0.098
700                sex ~~           n2stress   1.280  -0.023  -0.023   -0.068
564          Anx_Score ~~          n2arousal   1.280  -1.115  -1.115   -0.111
159      MatMen_health =~           diabpprg   1.277   0.003   0.003    0.033
274           gestdiab ~~     mmins_combined   1.275   0.012   0.012    0.110
156         Mat_Health =~          pcedlevel   1.264  -0.075  -0.079   -0.051
347               hepc ~~                hiv   1.254  -0.016  -0.016   -0.079
556          Anx_Score ~~             MatAge   1.244   3.410   3.410    0.108
655        imh_birthlt ~~             n2tone   1.238  -0.115  -0.115   -0.128
311                hyp ~~       n2regulation   1.238   0.029   0.029    0.064
383                hiv ~~      Meaning_Score   1.235  -0.106  -0.106   -0.069
689                sex ~~     mmins_combined   1.234  -0.016  -0.016   -0.070
255           gestdiab ~~ prenatal_collapsed   1.228  -0.006  -0.006   -0.075
479 collapsed_mentheal ~~           acescore   1.205   0.163   0.163    0.070
738          pcedlevel ~~          n2arousal   1.191   0.157   0.157    0.076
657        imh_birthlt ~~            n2qmove   1.178   0.234   0.234    0.121
225           diabpprg ~~                hiv   1.176   0.000   0.000    0.010
622      Meaning_Score ~~             n2tone   1.162   0.385   0.385    0.095
166      MatMen_health =~             chlmyd   1.161   0.022   0.022    0.055
538          Dep_Score ~~          pcedlevel   1.141   0.794   0.794    0.158
343 prenatal_collapsed ~~             n2tone   1.135  -0.014  -0.014   -0.072
721     mmins_combined ~~        n2nonoptref   1.118   0.031   0.031    0.060
715     mmins_combined ~~        MomOnlyFSIQ   1.110   0.490   0.490    0.097
808          n2arousal  ~      MatMen_health   1.109   0.070   0.071    0.045
164      MatMen_health =~                hiv   1.085   0.009   0.009    0.042
256           gestdiab ~~               hepc   1.084   0.012   0.012    0.057
522           acescore ~~             n2tone   1.076  -0.083  -0.083   -0.058
704             MatAge ~~        MomOnlyFSIQ   1.066   5.246   5.246    0.096
207           SocioDem =~               syph   1.065  -0.009  -0.009   -0.039
531          Dep_Score ~~        imh_birthlt   1.054  -1.614  -1.614   -0.255
423               syph ~~       n2regulation   1.053  -0.020  -0.020   -0.080
373               hepc ~~           n2stress   1.049  -0.041  -0.041   -0.062
604         Supp_Score ~~             n2tone   1.049   0.268   0.268    0.078
388                hiv ~~                sex   1.037   0.007   0.007    0.064
462     any_subuse_y_n ~~         imhbirthwt   1.037   0.014   0.014    0.189
407               syph ~~          Anx_Score   1.034  -0.138  -0.138   -0.094
282           gestdiab ~~             n2tone   1.031  -0.009  -0.009   -0.067
454             chlmyd ~~           n2stress   1.026   0.009   0.009    0.034
734          pcedlevel ~~        MomOnlyFSIQ   1.024  -2.000  -2.000   -0.143
306                hyp ~~     mrace_combined   1.011   0.030   0.030    0.066
326 prenatal_collapsed ~~        Anger_Score   1.004   0.182   0.182    0.072
665       imh_birthhcr ~~        MomOnlyFSIQ   1.000  -1.153  -1.153   -0.100
496 collapsed_mentheal ~~        n2attention   0.985   0.068   0.068    0.060
416               syph ~~             MatAge   0.971  -0.072  -0.072   -0.062
698                sex ~~        n2nonoptref   0.969   0.034   0.034    0.062
208           SocioDem =~             chlmyd   0.934   0.016   0.016    0.041
464     any_subuse_y_n ~~       imh_birthhcr   0.924   0.038   0.038    0.086
243           diabpprg ~~     mrace_combined   0.922   0.008   0.008    0.073
645        imh_birthlt ~~                sex   0.920   0.090   0.090    0.112
480 collapsed_mentheal ~~          Dep_Score   0.903  -0.511  -0.511   -0.148
444             chlmyd ~~     mrace_combined   0.902   0.031   0.031    0.070
562          Anx_Score ~~        n2attention   0.900  -0.734  -0.734   -0.091
176      MatMen_health =~          pcedlevel   0.899  -0.059  -0.060   -0.039
606         Supp_Score ~~            n2qmove   0.886  -0.545  -0.545   -0.073
387                hiv ~~              gawks   0.865   0.007   0.007    0.035
233           diabpprg ~~        Anger_Score   0.850  -0.037  -0.037   -0.052
630         imhbirthwt ~~             MatAge   0.846   0.121   0.121    0.134
186             Infant =~             chlmyd   0.845  -0.010  -0.011   -0.027
526          Dep_Score ~~          Anx_Score   0.844  -8.367  -8.367   -0.339
596         Supp_Score ~~     mmins_combined   0.841  -0.242  -0.242   -0.083
270           gestdiab ~~       imh_birthhcr   0.826  -0.020  -0.020   -0.081
664       imh_birthhcr ~~          pcedlevel   0.820  -0.120  -0.120   -0.087
374                hiv ~~               syph   0.819  -0.003  -0.003   -0.061
349               hepc ~~             chlmyd   0.811   0.018   0.018    0.050
242           diabpprg ~~     mmins_combined   0.811   0.009   0.009    0.182
469     any_subuse_y_n ~~          pcedlevel   0.806   0.046   0.046    0.085
510           acescore ~~       imh_birthhcr   0.780  -0.207  -0.207   -0.075
676              gawks ~~     mmins_combined   0.770  -0.026  -0.026   -0.059
433             chlmyd ~~          Anx_Score   0.769  -0.224  -0.224   -0.089
663       imh_birthhcr ~~     mrace_combined   0.753  -0.076  -0.076   -0.064
508           acescore ~~         imhbirthwt   0.751  -0.066  -0.066   -0.140
414               syph ~~              gawks   0.744   0.012   0.012    0.053
284           gestdiab ~~            n2qmove   0.717  -0.012  -0.012   -0.044
484 collapsed_mentheal ~~      Meaning_Score   0.712   0.433   0.433    0.066
631         imhbirthwt ~~     mmins_combined   0.700  -0.011  -0.011   -0.134
447             chlmyd ~~           hseincom   0.691  -4.145  -4.145   -0.090
287                hyp ~~               hepc   0.690   0.018   0.018    0.047
231           diabpprg ~~          Dep_Score   0.690  -0.024  -0.024   -0.061
368               hepc ~~       n2regulation   0.680  -0.047  -0.047   -0.046
340 prenatal_collapsed ~~        n2attention   0.677  -0.021  -0.021   -0.045
213           SocioDem =~        Anger_Score   0.674  -0.456  -0.456   -0.047
468     any_subuse_y_n ~~     mmins_combined   0.673  -0.012  -0.012   -0.062
684              gawks ~~             n2tone   0.667  -0.024  -0.024   -0.047
807          n2arousal  ~         Mat_Health   0.648   0.050   0.053    0.033
557          Anx_Score ~~     mmins_combined   0.638  -0.324  -0.324   -0.109
670       imh_birthhcr ~~             n2tone   0.623  -0.048  -0.048   -0.082
261           gestdiab ~~ collapsed_mentheal   0.622  -0.010  -0.010   -0.050
504           acescore ~~          Anx_Score   0.621   1.508   1.508    0.091
471     any_subuse_y_n ~~           hseincom   0.615   2.443   2.443    0.050
316                hyp ~~           n2stress   0.615  -0.014  -0.014   -0.048
585        Anger_Score ~~             n2tone   0.608  -0.239  -0.239   -0.063
354               hepc ~~        Anger_Score   0.607   0.402   0.402    0.062
399                hiv ~~        n2nonoptref   0.598   0.008   0.008    0.036
558          Anx_Score ~~     mrace_combined   0.596   0.529   0.529    0.075
708             MatAge ~~          n2arousal   0.595   0.382   0.382    0.048
200             Infant =~           hseincom   0.593  -2.608  -2.796   -0.024
517           acescore ~~        MomOnlyFSIQ   0.579  -1.553  -1.553   -0.055
260           gestdiab ~~     any_subuse_y_n   0.572   0.005   0.005    0.051
361               hepc ~~                sex   0.566   0.020   0.020    0.045
321 prenatal_collapsed ~~     any_subuse_y_n   0.556  -0.007  -0.007   -0.046
398                hiv ~~             n2tone   0.552  -0.005  -0.005   -0.042
735          pcedlevel ~~           hseincom   0.551   5.426   5.426    0.036
580        Anger_Score ~~        MomOnlyFSIQ   0.550  -5.320  -5.320   -0.071
352               hepc ~~          Dep_Score   0.545   0.359   0.359    0.098
649        imh_birthlt ~~          pcedlevel   0.543   0.159   0.159    0.076
566          Anx_Score ~~        n2nonoptref   0.542  -0.519  -0.519   -0.074
350               hepc ~~ collapsed_mentheal   0.539   0.037   0.037    0.045
420               syph ~~        MomOnlyFSIQ   0.532  -0.092  -0.092   -0.036
740          pcedlevel ~~        n2nonoptref   0.522  -0.074  -0.074   -0.052
395                hiv ~~        n2attention   0.519  -0.006  -0.006   -0.021
358               hepc ~~        imh_birthlt   0.518  -0.093  -0.093   -0.061
235           diabpprg ~~      Meaning_Score   0.504  -0.011  -0.011   -0.014
635         imhbirthwt ~~           hseincom   0.496   2.065   2.065    0.098
742          pcedlevel ~~           n2stress   0.496  -0.044  -0.044   -0.049
661       imh_birthhcr ~~             MatAge   0.489  -0.304  -0.304   -0.057
489 collapsed_mentheal ~~                sex   0.489   0.019   0.019    0.044
584        Anger_Score ~~          n2arousal   0.485  -0.642  -0.642   -0.058
693                sex ~~           hseincom   0.482  -2.160  -2.160   -0.038
250           diabpprg ~~             n2tone   0.482   0.002   0.002    0.032
507           acescore ~~      Meaning_Score   0.481  -1.058  -1.058   -0.055
400                hiv ~~            n2qmove   0.470   0.015   0.015    0.061
690                sex ~~     mrace_combined   0.467  -0.024  -0.024   -0.044
719     mmins_combined ~~          n2arousal   0.465   0.038   0.038    0.051
185             Infant =~               syph   0.462  -0.003  -0.004   -0.016
317 prenatal_collapsed ~~               hepc   0.462  -0.014  -0.014   -0.040
330 prenatal_collapsed ~~        imh_birthlt   0.450   0.038   0.038    0.064
754           hseincom ~~             n2tone   0.450  -1.319  -1.319   -0.021
669       imh_birthhcr ~~          n2arousal   0.446   0.112   0.112    0.066
313                hyp ~~             n2tone   0.443   0.010   0.010    0.043
490 collapsed_mentheal ~~             MatAge   0.443   0.191   0.191    0.043
268           gestdiab ~~         imhbirthwt   0.438  -0.004  -0.004   -0.103
687              gawks ~~           n2stress   0.433  -0.028  -0.028   -0.042
550          Anx_Score ~~      Meaning_Score   0.428  -5.002  -5.002   -0.107
430             chlmyd ~~ collapsed_mentheal   0.426   0.014   0.014    0.040
431             chlmyd ~~           acescore   0.424  -0.048  -0.048   -0.046
672       imh_birthhcr ~~            n2qmove   0.421   0.081   0.081    0.064
569        Anger_Score ~~         Supp_Score   0.420  -4.448  -4.448   -0.102
252           diabpprg ~~            n2qmove   0.416   0.003   0.003    0.022
506           acescore ~~         Supp_Score   0.413   0.965   0.965    0.059
371               hepc ~~        n2nonoptref   0.410   0.037   0.037    0.036
435             chlmyd ~~         Supp_Score   0.407   0.148   0.148    0.060
713     mmins_combined ~~     mrace_combined   0.397  -0.019  -0.019   -0.037
281           gestdiab ~~          n2arousal   0.389   0.013   0.013    0.034
491 collapsed_mentheal ~~     mmins_combined   0.388   0.018   0.018    0.043
453             chlmyd ~~            n2qmove   0.386   0.014   0.014    0.030
598         Supp_Score ~~          pcedlevel   0.379  -0.402  -0.402   -0.050
259           gestdiab ~~             chlmyd   0.372   0.002   0.002    0.023
286                hyp ~~ prenatal_collapsed   0.371  -0.006  -0.006   -0.038
613      Meaning_Score ~~             MatAge   0.367   1.667   1.667    0.045
405               syph ~~           acescore   0.366  -0.022  -0.022   -0.037
660       imh_birthhcr ~~                sex   0.361  -0.032  -0.032   -0.061
375                hiv ~~             chlmyd   0.360  -0.002  -0.002   -0.024
548          Anx_Score ~~        Anger_Score   0.352  -5.239  -5.239   -0.119
678              gawks ~~          pcedlevel   0.350   0.055   0.055    0.045
654        imh_birthlt ~~          n2arousal   0.346  -0.169  -0.169   -0.065
409               syph ~~         Supp_Score   0.345  -0.052  -0.052   -0.036
682              gawks ~~       n2regulation   0.344  -0.043  -0.043   -0.042
275           gestdiab ~~     mrace_combined   0.342   0.010   0.010    0.040
707             MatAge ~~       n2regulation   0.341  -0.175  -0.175   -0.032
258           gestdiab ~~               syph   0.340  -0.002  -0.002   -0.035
473     any_subuse_y_n ~~       n2regulation   0.340  -0.016  -0.016   -0.036
262           gestdiab ~~           acescore   0.333   0.019   0.019    0.031
534          Dep_Score ~~                sex   0.330  -0.148  -0.148   -0.078
528          Dep_Score ~~         Supp_Score   0.329  -4.087  -4.087   -0.167
474     any_subuse_y_n ~~          n2arousal   0.328  -0.025  -0.025   -0.038
329 prenatal_collapsed ~~         imhbirthwt   0.326  -0.006  -0.006   -0.091
424               syph ~~          n2arousal   0.323  -0.008  -0.008   -0.022
370               hepc ~~             n2tone   0.321   0.016   0.016    0.031
751           hseincom ~~        n2attention   0.319  -4.523  -4.523   -0.030
716     mmins_combined ~~           hseincom   0.314   1.399   1.399    0.026
696                sex ~~          n2arousal   0.313   0.026   0.026    0.034
378                hiv ~~           acescore   0.312   0.009   0.009    0.016
710             MatAge ~~        n2nonoptref   0.310  -0.190  -0.190   -0.034
482 collapsed_mentheal ~~        Anger_Score   0.307  -0.306  -0.306   -0.050
647        imh_birthlt ~~     mmins_combined   0.305  -0.033  -0.033   -0.043
723     mmins_combined ~~           n2stress   0.304   0.012   0.012    0.035
634         imhbirthwt ~~        MomOnlyFSIQ   0.303   0.234   0.234    0.119
476     any_subuse_y_n ~~        n2nonoptref   0.298  -0.017  -0.017   -0.037
815          n2arousal  ~           SocioDem   0.288   0.086   0.086    0.054
267           gestdiab ~~      Meaning_Score   0.286  -0.060  -0.060   -0.035
575        Anger_Score ~~                sex   0.284   0.145   0.145    0.043
307                hyp ~~          pcedlevel   0.282  -0.020  -0.020   -0.038
574        Anger_Score ~~              gawks   0.281  -0.294  -0.294   -0.045
331 prenatal_collapsed ~~       imh_birthhcr   0.280   0.016   0.016    0.040
711             MatAge ~~            n2qmove   0.280  -0.191  -0.191   -0.032
668       imh_birthhcr ~~       n2regulation   0.278   0.054   0.054    0.047
292                hyp ~~ collapsed_mentheal   0.264   0.012   0.012    0.032
472     any_subuse_y_n ~~        n2attention   0.261   0.016   0.016    0.030
466     any_subuse_y_n ~~                sex   0.257   0.007   0.007    0.033
336 prenatal_collapsed ~~     mrace_combined   0.257   0.013   0.013    0.032
341 prenatal_collapsed ~~       n2regulation   0.255   0.012   0.012    0.031
229           diabpprg ~~ collapsed_mentheal   0.242   0.003   0.003    0.032
851           n2stress  ~           SocioDem   0.240   0.030   0.030    0.043
593         Supp_Score ~~              gawks   0.238   0.213   0.213    0.036
290                hyp ~~             chlmyd   0.236  -0.006  -0.006   -0.034
205           SocioDem =~               hepc   0.236   0.022   0.022    0.024
590         Supp_Score ~~         imhbirthwt   0.236  -0.125  -0.125   -0.111
441             chlmyd ~~                sex   0.230  -0.005  -0.005   -0.028
305                hyp ~~     mmins_combined   0.221  -0.006  -0.006   -0.030
291                hyp ~~     any_subuse_y_n   0.220   0.005   0.005    0.031
624      Meaning_Score ~~            n2qmove   0.218  -0.316  -0.316   -0.036
461     any_subuse_y_n ~~      Meaning_Score   0.218   0.101   0.101    0.032
359               hepc ~~       imh_birthhcr   0.218  -0.037  -0.037   -0.037
397                hiv ~~          n2arousal   0.215   0.008   0.008    0.024
332 prenatal_collapsed ~~              gawks   0.202  -0.011  -0.011   -0.031
521           acescore ~~          n2arousal   0.202  -0.117  -0.117   -0.028
612      Meaning_Score ~~                sex   0.201  -0.115  -0.115   -0.032
579        Anger_Score ~~          pcedlevel   0.198  -0.345  -0.345   -0.039
443             chlmyd ~~     mmins_combined   0.195   0.006   0.006    0.030
591         Supp_Score ~~        imh_birthlt   0.189  -0.530  -0.530   -0.052
498 collapsed_mentheal ~~          n2arousal   0.182   0.037   0.037    0.026
183             Infant =~               hepc   0.173  -0.012  -0.012   -0.013
143         Mat_Health =~          Dep_Score   0.172  -0.403  -0.423   -0.047
422               syph ~~        n2attention   0.169   0.005   0.005    0.016
385                hiv ~~        imh_birthlt   0.169   0.005   0.005    0.015
381                hiv ~~        Anger_Score   0.169   0.055   0.055    0.038
322 prenatal_collapsed ~~ collapsed_mentheal   0.167   0.008   0.008    0.025
195             Infant =~             MatAge   0.163   0.085   0.091    0.018
429             chlmyd ~~     any_subuse_y_n   0.162  -0.004  -0.004   -0.025
747        MomOnlyFSIQ ~~             n2tone   0.161   0.170   0.170    0.029
543          Dep_Score ~~          n2arousal   0.160  -0.342  -0.342   -0.055
342 prenatal_collapsed ~~          n2arousal   0.160  -0.013  -0.013   -0.023
594         Supp_Score ~~                sex   0.159   0.093   0.093    0.030
369               hepc ~~          n2arousal   0.158  -0.034  -0.034   -0.023
417               syph ~~     mmins_combined   0.156   0.004   0.004    0.035
434             chlmyd ~~        Anger_Score   0.154  -0.085  -0.085   -0.031
264           gestdiab ~~          Anx_Score   0.153   0.062   0.062    0.042
145         Mat_Health =~        Anger_Score   0.145   0.377   0.396    0.041
437             chlmyd ~~         imhbirthwt   0.145  -0.004  -0.004   -0.052
199             Infant =~        MomOnlyFSIQ   0.144   0.320   0.343    0.025
309                hyp ~~           hseincom   0.141   0.916   0.916    0.019
465     any_subuse_y_n ~~              gawks   0.140   0.010   0.010    0.025
686              gawks ~~            n2qmove   0.138   0.026   0.026    0.024
701             MatAge ~~     mmins_combined   0.137  -0.057  -0.057   -0.025
360               hepc ~~              gawks   0.137   0.020   0.020    0.023
697                sex ~~             n2tone   0.136  -0.006  -0.006   -0.022
240           diabpprg ~~                sex   0.128  -0.001  -0.001   -0.020
372               hepc ~~            n2qmove   0.128   0.023   0.023    0.021
512           acescore ~~                sex   0.128  -0.028  -0.028   -0.022
755           hseincom ~~        n2nonoptref   0.126  -3.573  -3.573   -0.028
294                hyp ~~          Dep_Score   0.125   0.084   0.084    0.052
694                sex ~~        n2attention   0.120   0.012   0.012    0.020
493 collapsed_mentheal ~~          pcedlevel   0.118   0.029   0.029    0.025
616      Meaning_Score ~~          pcedlevel   0.115   0.259   0.259    0.027
253           diabpprg ~~           n2stress   0.115  -0.002  -0.002   -0.023
419               syph ~~          pcedlevel   0.109   0.007   0.007    0.022
356               hepc ~~      Meaning_Score   0.107  -0.155  -0.155   -0.022
355               hepc ~~         Supp_Score   0.105  -0.136  -0.136   -0.023
577        Anger_Score ~~     mmins_combined   0.104   0.121   0.121    0.037
527          Dep_Score ~~        Anger_Score   0.103  -2.747  -2.747   -0.102
741          pcedlevel ~~            n2qmove   0.102  -0.033  -0.033   -0.022
380                hiv ~~          Anx_Score   0.089  -0.039  -0.039   -0.030
523           acescore ~~        n2nonoptref   0.084   0.046   0.046    0.016
410               syph ~~      Meaning_Score   0.084  -0.031  -0.031   -0.018
308                hyp ~~        MomOnlyFSIQ   0.079  -0.097  -0.097   -0.022
279           gestdiab ~~        n2attention   0.077   0.004   0.004    0.014
289                hyp ~~               syph   0.076   0.002   0.002    0.017
295                hyp ~~          Anx_Score   0.076   0.077   0.077    0.029
327 prenatal_collapsed ~~         Supp_Score   0.073   0.041   0.041    0.018
411               syph ~~         imhbirthwt   0.073  -0.001  -0.001   -0.026
298                hyp ~~      Meaning_Score   0.072  -0.059  -0.059   -0.019
269           gestdiab ~~        imh_birthlt   0.071  -0.005  -0.005   -0.013
312                hyp ~~          n2arousal   0.070  -0.010  -0.010   -0.016
344 prenatal_collapsed ~~        n2nonoptref   0.069  -0.007  -0.007   -0.017
730     mrace_combined ~~             n2tone   0.069   0.011   0.011    0.018
391                hiv ~~     mrace_combined   0.066   0.005   0.005    0.020
320 prenatal_collapsed ~~             chlmyd   0.066  -0.002  -0.002   -0.015
408               syph ~~        Anger_Score   0.065   0.032   0.032    0.020
163      MatMen_health =~               hepc   0.065  -0.012  -0.012   -0.013
477     any_subuse_y_n ~~            n2qmove   0.065   0.008   0.008    0.016
365               hepc ~~        MomOnlyFSIQ   0.059   0.160   0.160    0.016
460     any_subuse_y_n ~~         Supp_Score   0.058  -0.051  -0.051   -0.019
650        imh_birthlt ~~        MomOnlyFSIQ   0.058  -0.490  -0.490   -0.028
662       imh_birthhcr ~~     mmins_combined   0.055  -0.010  -0.010   -0.020
244           diabpprg ~~          pcedlevel   0.055   0.001   0.001    0.009
621      Meaning_Score ~~          n2arousal   0.053   0.197   0.197    0.017
357               hepc ~~         imhbirthwt   0.052  -0.006  -0.006   -0.033
518           acescore ~~           hseincom   0.050   3.103   3.103    0.010
338 prenatal_collapsed ~~        MomOnlyFSIQ   0.047  -0.064  -0.064   -0.016
503           acescore ~~          Dep_Score   0.046   0.373   0.373    0.037
458     any_subuse_y_n ~~          Anx_Score   0.045  -0.058  -0.058   -0.022
739          pcedlevel ~~             n2tone   0.043  -0.010  -0.010   -0.013
230           diabpprg ~~           acescore   0.037  -0.003  -0.003   -0.012
615      Meaning_Score ~~     mrace_combined   0.036   0.104   0.104    0.013
683              gawks ~~          n2arousal   0.035   0.019   0.019    0.012
457     any_subuse_y_n ~~          Dep_Score   0.035   0.044   0.044    0.027
702             MatAge ~~     mrace_combined   0.034   0.073   0.073    0.013
228           diabpprg ~~     any_subuse_y_n   0.034   0.001   0.001    0.012
154         Mat_Health =~     mmins_combined   0.033   0.004   0.004    0.009
323 prenatal_collapsed ~~           acescore   0.033  -0.010  -0.010   -0.011
377                hiv ~~ collapsed_mentheal   0.032   0.002   0.002    0.010
318 prenatal_collapsed ~~                hiv   0.029  -0.001  -0.001   -0.008
392                hiv ~~          pcedlevel   0.029  -0.004  -0.004   -0.014
679              gawks ~~        MomOnlyFSIQ   0.025   0.142   0.142    0.014
353               hepc ~~          Anx_Score   0.025  -0.092  -0.092   -0.016
418               syph ~~     mrace_combined   0.025   0.003   0.003    0.011
559          Anx_Score ~~          pcedlevel   0.022   0.134   0.134    0.016
449             chlmyd ~~       n2regulation   0.022   0.004   0.004    0.008
174      MatMen_health =~     mmins_combined   0.021  -0.003  -0.003   -0.006
406               syph ~~          Dep_Score   0.019   0.019   0.019    0.021
314                hyp ~~        n2nonoptref   0.018  -0.004  -0.004   -0.008
539          Dep_Score ~~        MomOnlyFSIQ   0.017   0.934   0.934    0.022
310                hyp ~~        n2attention   0.016   0.003   0.003    0.006
599         Supp_Score ~~        MomOnlyFSIQ   0.014  -0.713  -0.713   -0.010
211           SocioDem =~          Dep_Score   0.014  -0.076  -0.076   -0.008
413               syph ~~       imh_birthhcr   0.013  -0.002  -0.002   -0.008
648        imh_birthlt ~~     mrace_combined   0.012   0.017   0.017    0.010
448             chlmyd ~~        n2attention   0.012   0.003   0.003    0.006
722     mmins_combined ~~            n2qmove   0.011   0.004   0.004    0.007
692                sex ~~        MomOnlyFSIQ   0.011   0.041   0.041    0.008
717     mmins_combined ~~        n2attention   0.011   0.004   0.004    0.007
403               syph ~~     any_subuse_y_n   0.010   0.001   0.001    0.006
746        MomOnlyFSIQ ~~          n2arousal   0.010   0.126   0.126    0.007
629         imhbirthwt ~~                sex   0.009   0.002   0.002    0.028
659       imh_birthhcr ~~              gawks   0.009  -0.016  -0.016   -0.016
505           acescore ~~        Anger_Score   0.008  -0.157  -0.157   -0.009
752           hseincom ~~       n2regulation   0.007  -0.534  -0.534   -0.004
165      MatMen_health =~               syph   0.007  -0.001  -0.001   -0.004
529          Dep_Score ~~      Meaning_Score   0.007   0.596   0.596    0.021
158         Mat_Health =~           hseincom   0.007   0.381   0.399    0.003
396                hiv ~~       n2regulation   0.006  -0.001  -0.001   -0.004
224           diabpprg ~~               hepc   0.006   0.000   0.000    0.005
379                hiv ~~          Dep_Score   0.006  -0.008  -0.008   -0.010
232           diabpprg ~~          Anx_Score   0.006  -0.005  -0.005   -0.007
293                hyp ~~           acescore   0.004   0.004   0.004    0.004
315                hyp ~~            n2qmove   0.004   0.002   0.002    0.004
450             chlmyd ~~          n2arousal   0.004  -0.003  -0.003   -0.004
210           SocioDem =~           acescore   0.004  -0.009  -0.009   -0.003
570        Anger_Score ~~      Meaning_Score   0.003   0.403   0.403    0.008
511           acescore ~~              gawks   0.003  -0.009  -0.009   -0.004
488 collapsed_mentheal ~~              gawks   0.003  -0.003  -0.003   -0.004
442             chlmyd ~~             MatAge   0.003   0.009   0.009    0.005
432             chlmyd ~~          Dep_Score   0.003   0.013   0.013    0.008
440             chlmyd ~~              gawks   0.003   0.001   0.001    0.003
646        imh_birthlt ~~             MatAge   0.003  -0.036  -0.036   -0.004
297                hyp ~~         Supp_Score   0.002  -0.010  -0.010   -0.004
178      MatMen_health =~           hseincom   0.002   0.204   0.206    0.002
688                sex ~~             MatAge   0.002  -0.007  -0.007   -0.003
592         Supp_Score ~~       imh_birthhcr   0.002   0.031   0.031    0.005
412               syph ~~        imh_birthlt   0.002   0.001   0.001    0.002
756           hseincom ~~            n2qmove   0.002  -0.175  -0.175   -0.001
753           hseincom ~~          n2arousal   0.002  -0.483  -0.483   -0.003
486 collapsed_mentheal ~~        imh_birthlt   0.001  -0.005  -0.005   -0.003
524           acescore ~~            n2qmove   0.001  -0.006  -0.006   -0.002
142         Mat_Health =~           acescore   0.001   0.008   0.008    0.003
520           acescore ~~       n2regulation   0.001   0.004   0.004    0.002
452             chlmyd ~~        n2nonoptref   0.001   0.001   0.001    0.002
638         imhbirthwt ~~          n2arousal   0.000   0.001   0.001    0.004
463     any_subuse_y_n ~~        imh_birthlt   0.000   0.001   0.001    0.002
263           gestdiab ~~          Dep_Score   0.000  -0.002  -0.002   -0.002
324 prenatal_collapsed ~~          Dep_Score   0.000  -0.003  -0.003   -0.002
653        imh_birthlt ~~       n2regulation   0.000  -0.003  -0.003   -0.001
691                sex ~~          pcedlevel   0.000  -0.001  -0.001   -0.001
425               syph ~~             n2tone   0.000   0.000   0.000    0.000
536          Dep_Score ~~     mmins_combined   0.000  -0.001  -0.001   -0.001
436             chlmyd ~~      Meaning_Score   0.000   0.000   0.000    0.000
602         Supp_Score ~~       n2regulation   0.000   0.000   0.000    0.000
    sepc.nox
775   -6.106
149    3.837
150    0.729
844    0.319
194    0.490
843    0.268
192   -0.613
826    0.281
193   -0.772
835   -0.202
727    0.293
335   -0.179
215    0.249
817    0.188
515   -0.220
568   -0.340
857    0.324
181    0.135
351   -0.239
834   -0.154
825    0.165
302    0.267
789    0.140
502    0.217
578    0.309
790    0.141
617    0.311
724    0.279
147   -0.361
736   -0.230
855   -0.304
731    0.267
551   -1.215
467   -0.254
157    0.167
799   -0.133
177    0.150
530   -1.809
816    0.141
681   -0.181
456   -0.188
728    0.206
856   -0.269
179    0.080
582   -0.234
703   -0.236
547   -0.400
797   -0.261
680   -0.054
699    0.169
589   -0.366
187    0.167
172    0.154
532   -0.601
202   -0.131
640   -1.028
671   -0.322
175   -0.101
798   -0.105
588   -0.185
206    0.089
299    0.409
151    0.116
481    0.281
278    0.041
197   -0.119
553   -0.398
339    0.066
513    0.161
155   -0.105
475   -0.139
204    0.120
842   -0.256
709   -0.151
605    0.212
641    0.592
285    0.096
478   -0.124
610    0.237
695    0.140
212   -0.148
744   -0.152
685   -0.169
573   -0.301
545   -0.380
184    0.046
162    0.109
495   -0.112
554   -0.232
546    0.320
328    0.147
426    0.063
608    0.445
639   -0.547
519    0.128
533   -0.286
806   -0.204
625    0.166
273   -0.122
587    0.162
729   -0.118
376   -0.085
674    0.139
552   -0.345
586   -0.182
153   -0.080
455    0.138
173   -0.070
161    0.106
223    0.052
673   -0.177
567    0.194
675    0.123
188    0.077
271    0.109
487    0.163
362   -0.105
537    0.283
565   -0.203
227    0.029
644   -0.571
265   -0.114
333   -0.106
824    0.178
348   -0.127
401    0.073
421    0.021
651    0.111
345    0.103
247    0.070
611    0.128
485    0.290
427    0.086
544   -0.278
677    0.116
238    0.098
404    0.116
549   -0.310
499    0.110
201    0.064
248    0.070
239    0.154
221    0.026
319   -0.151
146    0.175
563    0.162
209    0.091
382    0.179
637    0.360
334   -0.099
189   -0.066
272   -0.091
571   -0.443
394    0.017
576    0.127
251   -0.083
266   -0.106
470   -0.180
597   -0.147
346   -0.104
614   -0.135
196   -0.072
226    0.017
706   -0.082
555   -0.153
541   -0.203
144    0.173
364    0.106
516    0.107
483    0.129
718    0.079
301    0.128
386    0.074
241   -0.051
367    0.084
514   -0.113
603   -0.117
601    0.134
609    0.165
152    0.061
390   -0.034
288    0.050
167    0.088
501   -0.088
737   -0.099
280    0.066
652    0.136
303   -0.086
623    0.123
745   -0.109
180   -0.038
492    0.095
203    0.076
542    0.188
500    0.088
402   -0.216
714    0.141
283    0.071
236    0.240
749   -0.100
141   -0.146
666   -0.093
428   -0.104
572   -0.181
494    0.105
366    0.068
234    0.105
296   -0.122
595   -0.098
304   -0.082
525   -0.082
277   -0.110
620   -0.093
633    0.247
748    0.113
237    0.082
732   -0.084
642   -0.289
300    0.107
257   -0.192
415   -0.071
509   -0.118
393    0.074
720   -0.078
246    0.012
726    0.113
214   -0.073
249    0.050
632   -0.208
607    0.094
757   -0.081
619    0.082
636    0.249
497   -0.076
583    0.094
725   -0.125
445    0.073
254   -0.087
325   -0.116
389   -0.080
451    0.073
439   -0.092
656   -0.171
182    0.043
535    0.167
384    0.120
198    0.071
560   -0.150
712   -0.079
446    0.066
245    0.122
160   -0.055
733    0.070
438   -0.075
667   -0.099
276   -0.095
222   -0.104
363   -0.073
337    0.084
658   -0.119
750   -0.069
459    0.098
700   -0.068
564   -0.111
159    0.033
274    0.110
156   -0.051
347   -0.079
556    0.108
655   -0.128
311    0.064
383   -0.069
689   -0.070
255   -0.075
479    0.070
738    0.076
657    0.121
225    0.010
622    0.095
166    0.055
538    0.158
343   -0.072
721    0.060
715    0.097
808    0.045
164    0.042
256    0.057
522   -0.058
704    0.096
207   -0.039
531   -0.255
423   -0.080
373   -0.062
604    0.078
388    0.064
462    0.189
407   -0.094
282   -0.067
454    0.034
734   -0.143
306    0.066
326    0.072
665   -0.100
496    0.060
416   -0.062
698    0.062
208    0.041
464    0.086
243    0.073
645    0.112
480   -0.148
444    0.070
562   -0.091
176   -0.039
606   -0.073
387    0.035
233   -0.052
630    0.134
186   -0.027
526   -0.339
596   -0.083
270   -0.081
664   -0.087
374   -0.061
349    0.050
242    0.182
469    0.085
510   -0.075
676   -0.059
433   -0.089
663   -0.064
508   -0.140
414    0.053
284   -0.044
484    0.066
631   -0.134
447   -0.090
287    0.047
231   -0.061
368   -0.046
340   -0.045
213   -0.047
468   -0.062
684   -0.047
807    0.033
557   -0.109
670   -0.082
261   -0.050
504    0.091
471    0.050
316   -0.048
585   -0.063
354    0.062
399    0.036
558    0.075
708    0.048
200   -0.024
517   -0.055
260    0.051
361    0.045
321   -0.046
398   -0.042
735    0.036
580   -0.071
352    0.098
649    0.076
566   -0.074
350    0.045
420   -0.036
740   -0.052
395   -0.021
358   -0.061
235   -0.014
635    0.098
742   -0.049
661   -0.057
489    0.044
584   -0.058
693   -0.038
250    0.032
507   -0.055
400    0.061
690   -0.044
719    0.051
185   -0.016
317   -0.040
330    0.064
754   -0.021
669    0.066
313    0.043
490    0.043
268   -0.103
687   -0.042
550   -0.107
430    0.040
431   -0.046
672    0.064
569   -0.102
252    0.022
506    0.059
371    0.036
435    0.060
713   -0.037
281    0.034
491    0.043
453    0.030
598   -0.050
259    0.023
286   -0.038
613    0.045
405   -0.037
660   -0.061
375   -0.024
548   -0.119
678    0.045
654   -0.065
409   -0.036
682   -0.042
275    0.040
707   -0.032
258   -0.035
473   -0.036
262    0.031
534   -0.078
528   -0.167
474   -0.038
329   -0.091
424   -0.022
370    0.031
751   -0.030
716    0.026
696    0.034
378    0.016
710   -0.034
482   -0.050
647   -0.043
723    0.035
634    0.119
476   -0.037
815    0.054
267   -0.035
575    0.043
307   -0.038
574   -0.045
331    0.040
711   -0.032
668    0.047
292    0.032
472    0.030
466    0.033
336    0.032
341    0.031
229    0.032
851    0.043
593    0.036
290   -0.034
205    0.024
590   -0.111
441   -0.028
305   -0.030
291    0.031
624   -0.036
461    0.032
359   -0.037
397    0.024
332   -0.031
521   -0.028
612   -0.032
579   -0.039
443    0.030
591   -0.052
498    0.026
183   -0.013
143   -0.047
422    0.016
385    0.015
381    0.038
322    0.025
195    0.018
429   -0.025
747    0.029
543   -0.055
342   -0.023
594    0.030
369   -0.023
417    0.035
434   -0.031
264    0.042
145    0.041
437   -0.052
199    0.025
309    0.019
465    0.025
686    0.024
701   -0.025
360    0.023
697   -0.022
240   -0.020
372    0.021
512   -0.022
755   -0.028
294    0.052
694    0.020
493    0.025
616    0.027
253   -0.023
419    0.022
356   -0.022
355   -0.023
577    0.037
527   -0.102
741   -0.022
380   -0.030
523    0.016
410   -0.018
308   -0.022
279    0.014
289    0.017
295    0.029
327    0.018
411   -0.026
298   -0.019
269   -0.013
312   -0.016
344   -0.017
730    0.018
391    0.020
320   -0.015
408    0.020
163   -0.013
477    0.016
365    0.016
460   -0.019
650   -0.028
662   -0.020
244    0.009
621    0.017
357   -0.033
518    0.010
338   -0.016
503    0.037
458   -0.022
739   -0.013
230   -0.012
615    0.013
683    0.012
457    0.027
702    0.013
228    0.012
154    0.009
323   -0.011
377    0.010
318   -0.008
392   -0.014
679    0.014
353   -0.016
418    0.011
559    0.016
449    0.008
174   -0.006
406    0.021
314   -0.008
539    0.022
310    0.006
599   -0.010
211   -0.008
413   -0.008
648    0.010
448    0.006
722    0.007
692    0.008
717    0.007
403    0.006
746    0.007
629    0.028
659   -0.016
505   -0.009
752   -0.004
165   -0.004
529    0.021
158    0.003
396   -0.004
224    0.005
379   -0.010
232   -0.007
293    0.004
315    0.004
450   -0.004
210   -0.003
570    0.008
511   -0.004
488   -0.004
442    0.005
432    0.008
440    0.003
646   -0.004
297   -0.004
178    0.002
688   -0.003
592    0.005
412    0.002
756   -0.001
753   -0.003
486   -0.003
524   -0.002
142    0.003
520    0.002
452    0.002
638    0.004
463    0.002
263   -0.002
324   -0.002
653   -0.001
691   -0.001
425    0.000
536   -0.001
436    0.000
602    0.000

Here the model was updated, although hepc was included in the measurement model for purposes of consistency with the broader literature. This model was estimated using the WLSMV estimator due to the large number of ordered categorical indicator variables. The model fit was consistent with earlier models \(\chi^2(342) = 539.11, p <.001\), CFI = .89, TLI = .87, RMSEA = .045. In this model the infant outcomes are predicted by Maternal Health (\(\beta = -0.343, p=0.084\)) , MatMen_Health (\(\beta = 0.09, p =0.482\)), SocioDem (\(\beta = 0.522, p <.01\)). In turn Infant outcomes were not predictive of the final nnns class membership (\(\beta=0.003, p = 0.96\)).

See figure below:

flowchart LR
id1["SocioDemographics"]
id2["Maternal Mental Health"]
id3["Maternal Health"]
id4["Infant Outcomes"]
id5["nnns class"]

id1 --0.522-->id4
id2 --0.092-->id4
id3 -- -0.34-->id4
id4 --0.003 -->id5

SEM_model_v2 <- '

Mat_Health =~ diabpprg + gestdiab + prenatal_collapsed + hiv + hyp + hepc + hepb + syph + chlmyd + any_subuse_y_n

MatMen_health =~ collapsed_mentheal + acescore + Dep_Score + Anx_Score + Anger_Score + Supp_Score + Meaning_Score

Infant =~ imhbirthwt + imh_birthlt + imh_birthhcr + gawks + sex

SocioDem =~ MatAge + mmins_combined + mrace_combined + pcedlevel + MomOnlyFSIQ + any_subuse_y_n

hepc    ~~  any_subuse_y_n



Mat_Health~~MatMen_health
SocioDem~~MatMen_health
SocioDem~~Mat_Health

Infant ~ Mat_Health + MatMen_health + SocioDem

final_nnns_class ~ Infant 

'


SEM_model_fit_v2 <- sem(SEM_model_v2,estimator= "WLSMV", data=cleaned_data_final2.1, std.lv=TRUE,missing = "pairwise", mimic = "Mplus")
Warning: lavaan->lav_options_est_dwls():  
   estimator "DWLS" is not recommended for continuous data. Did you forget to 
   set the ordered= argument?
Warning: lavaan->lav_samplestats_from_data():  
   number of observations (291) too small to compute Gamma
Warning: lavaan->lav_model_vcov():  
   The variance-covariance matrix of the estimated parameters (vcov) does not 
   appear to be positive definite! The smallest eigenvalue (= -5.828967e-06) 
   is smaller than zero. This may be a symptom that the model is not 
   identified.
Warning: lavaan->lav_object_post_check():  
   covariance matrix of latent variables is not positive definite ; use 
   lavInspect(fit, "cov.lv") to investigate.
summary(SEM_model_fit_v2, fit.measures = TRUE, standardized=TRUE)
lavaan 0.6-19 ended normally after 122 iterations

  Estimator                                       DWLS
  Optimization method                           NLMINB
  Number of model parameters                        92

  Number of observations                           291
  Number of missing patterns                        23

Model Test User Model:
                                              Standard      Scaled
  Test Statistic                               547.736     476.515
  Degrees of freedom                               342         342
  P-value (Chi-square)                           0.000       0.000
  Scaling correction factor                                  2.015
  Shift parameter                                          204.673
    simple second-order correction (WLSMV)                        

Model Test Baseline Model:

  Test statistic                              2200.818    1081.512
  Degrees of freedom                               378         378
  P-value                                        0.000       0.000
  Scaling correction factor                                  2.591

User Model versus Baseline Model:

  Comparative Fit Index (CFI)                    0.887       0.809
  Tucker-Lewis Index (TLI)                       0.875       0.789
                                                                  
  Robust Comparative Fit Index (CFI)                         0.887
  Robust Tucker-Lewis Index (TLI)                            0.875

Root Mean Square Error of Approximation:

  RMSEA                                          0.046       0.037
  90 Percent confidence interval - lower         0.038       0.029
  90 Percent confidence interval - upper         0.053       0.044
  P-value H_0: RMSEA <= 0.050                    0.849       0.998
  P-value H_0: RMSEA >= 0.080                    0.000       0.000
                                                                  
  Robust RMSEA                                               0.052
  90 Percent confidence interval - lower                     0.041
  90 Percent confidence interval - upper                     0.063
  P-value H_0: Robust RMSEA <= 0.050                         0.361
  P-value H_0: Robust RMSEA >= 0.080                         0.000

Standardized Root Mean Square Residual:

  SRMR                                           0.064       0.064

Parameter Estimates:

  Standard errors                           Robust.sem
  Information                                 Expected
  Information saturated (h1) model        Unstructured

Latent Variables:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
  Mat_Health =~                                                         
    diabpprg         -0.002    0.003   -0.877    0.381   -0.002   -0.024
    gestdiab         -0.001    0.010   -0.145    0.885   -0.001   -0.006
    prenatl_cllpsd   -0.053    0.029   -1.824    0.068   -0.053   -0.143
    hiv               0.016    0.015    1.116    0.265    0.016    0.077
    hyp              -0.067    0.035   -1.930    0.054   -0.067   -0.158
    hepc              0.048    0.057    0.844    0.398    0.048    0.051
    hepb             -0.007    0.012   -0.546    0.585   -0.007   -0.032
    syph             -0.016    0.014   -1.112    0.266   -0.016   -0.067
    chlmyd           -0.044    0.032   -1.386    0.166   -0.044   -0.110
    any_subuse_y_n   -0.066    0.035   -1.893    0.058   -0.066   -0.145
  MatMen_health =~                                                      
    collapsd_mnthl    0.310    0.051    6.041    0.000    0.310    0.330
    acescore         -0.950    0.153   -6.210    0.000   -0.950   -0.343
    Dep_Score        -8.057    0.427  -18.877    0.000   -8.057   -0.900
    Anx_Score        -8.625    0.442  -19.520    0.000   -8.625   -0.808
    Anger_Score      -6.823    0.570  -11.980    0.000   -6.823   -0.699
    Supp_Score        5.344    0.475   11.240    0.000    5.344    0.646
    Meaning_Score     5.394    0.520   10.379    0.000    5.394    0.591
  Infant =~                                                             
    imhbirthwt        0.396    0.036   11.036    0.000    0.428    0.945
    imh_birthlt       1.584    0.163    9.700    0.000    1.713    0.725
    imh_birthhcr      0.915    0.096    9.527    0.000    0.989    0.694
    gawks             0.342    0.062    5.533    0.000    0.370    0.369
    sex               0.079    0.029    2.745    0.006    0.086    0.173
  SocioDem =~                                                           
    MatAge            1.027    0.371    2.767    0.006    1.027    0.202
    mmins_combined   -0.164    0.039   -4.238    0.000   -0.164   -0.334
    mrace_combined    0.292    0.076    3.851    0.000    0.292    0.250
    pcedlevel         0.923    0.116    7.984    0.000    0.923    0.596
    MomOnlyFSIQ       8.932    1.171    7.624    0.000    8.932    0.640
    any_subuse_y_n   -0.143    0.039   -3.640    0.000   -0.143   -0.314

Regressions:
                     Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
  Infant ~                                                                
    Mat_Health         -0.252    1.141   -0.221    0.825   -0.233   -0.233
    MatMen_health       0.385    1.179    0.327    0.744    0.356    0.356
    SocioDem            0.311    0.431    0.721    0.471    0.288    0.288
  final_nnns_class ~                                                      
    Infant             -0.005    0.058   -0.083    0.934   -0.005   -0.005

Covariances:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
 .hepc ~~                                                               
   .any_subuse_y_n    0.141    0.021    6.835    0.000    0.141    0.351
  Mat_Health ~~                                                         
    MatMen_health     1.068    0.473    2.259    0.024    1.068    1.068
  MatMen_health ~~                                                      
    SocioDem          0.148    0.070    2.126    0.034    0.148    0.148
  Mat_Health ~~                                                         
    SocioDem         -0.205    0.239   -0.857    0.391   -0.205   -0.205

Intercepts:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
   .diabpprg          1.011    0.006  170.092    0.000    1.011    9.884
   .gestdiab          1.057    0.013   78.931    0.000    1.057    4.546
   .prenatl_cllpsd    1.165    0.021   54.550    0.000    1.165    3.131
   .hiv               1.024    0.012   82.905    0.000    1.024    4.868
   .hyp               1.230    0.024   50.396    0.000    1.230    2.918
   .hepc              1.732    0.055   31.448    0.000    1.732    1.847
   .hepb              1.024    0.012   82.905    0.000    1.024    4.868
   .syph              1.034    0.014   75.810    0.000    1.034    4.452
   .chlmyd            1.100    0.023   46.963    0.000    1.100    2.758
   .any_subuse_y_n    1.711    0.027   64.203    0.000    1.711    3.770
   .collapsd_mnthl    2.014    0.055   36.503    0.000    2.014    2.144
   .acescore          2.758    0.160   17.267    0.000    2.758    0.996
   .Dep_Score        47.667    0.491   97.043    0.000   47.667    5.323
   .Anx_Score        52.164    0.586   88.958    0.000   52.164    4.889
   .Anger_Score      51.645    0.536   96.264    0.000   51.645    5.290
   .Supp_Score       56.181    0.455  123.360    0.000   56.181    6.793
   .Meaning_Score    59.531    0.501  118.714    0.000   59.531    6.524
   .imhbirthwt        3.261    0.027  122.529    0.000    3.261    7.195
   .imh_birthlt      50.265    0.138  363.413    0.000   50.265   21.267
   .imh_birthhcr     34.200    0.083  410.346    0.000   34.200   24.013
   .gawks            38.729    0.059  657.764    0.000   38.729   38.625
   .sex               1.564    0.029   53.597    0.000    1.564    3.147
   .MatAge           29.753    0.299   99.470    0.000   29.753    5.841
   .mmins_combined    3.835    0.029  132.851    0.000    3.835    7.801
   .mrace_combined    3.423    0.069   49.815    0.000    3.423    2.925
   .pcedlevel         4.054    0.089   45.476    0.000    4.054    2.619
   .MomOnlyFSIQ      94.385    0.778  121.311    0.000   94.385    6.758
   .finl_nnns_clss    2.137    0.060   35.522    0.000    2.137    2.086

Variances:
                   Estimate  Std.Err  z-value  P(>|z|)   Std.lv  Std.all
   .diabpprg          0.010    0.006    1.797    0.072    0.010    0.999
   .gestdiab          0.054    0.012    4.559    0.000    0.054    1.000
   .prenatl_cllpsd    0.136    0.014    9.596    0.000    0.136    0.980
   .hiv               0.044    0.023    1.907    0.056    0.044    0.994
   .hyp               0.173    0.013   12.848    0.000    0.173    0.975
   .hepc              0.877    0.031   27.877    0.000    0.877    0.997
   .hepb              0.044    0.023    1.886    0.059    0.044    0.999
   .syph              0.054    0.024    2.264    0.024    0.054    0.996
   .chlmyd            0.157    0.039    4.050    0.000    0.157    0.988
   .any_subuse_y_n    0.185    0.014   13.139    0.000    0.185    0.899
   .collapsd_mnthl    0.786    0.035   22.516    0.000    0.786    0.891
   .acescore          6.760    0.547   12.362    0.000    6.760    0.882
   .Dep_Score        15.283    2.877    5.313    0.000   15.283    0.191
   .Anx_Score        39.450    4.588    8.598    0.000   39.450    0.347
   .Anger_Score      48.741    6.245    7.805    0.000   48.741    0.511
   .Supp_Score       39.842    4.358    9.142    0.000   39.842    0.582
   .Meaning_Score    54.163    5.372   10.083    0.000   54.163    0.651
   .imhbirthwt        0.022    0.013    1.689    0.091    0.022    0.107
   .imh_birthlt       2.653    0.414    6.409    0.000    2.653    0.475
   .imh_birthhcr      1.051    0.127    8.273    0.000    1.051    0.518
   .gawks             0.868    0.075   11.575    0.000    0.868    0.864
   .sex               0.239    0.006   38.521    0.000    0.239    0.970
   .MatAge           24.891    1.948   12.779    0.000   24.891    0.959
   .mmins_combined    0.215    0.059    3.650    0.000    0.215    0.889
   .mrace_combined    1.284    0.118   10.858    0.000    1.284    0.938
   .pcedlevel         1.544    0.195    7.910    0.000    1.544    0.645
   .MomOnlyFSIQ     115.279   18.224    6.325    0.000  115.279    0.591
   .finl_nnns_clss    1.050    0.060   17.393    0.000    1.050    1.000
    Mat_Health        1.000                               1.000    1.000
    MatMen_health     1.000                               1.000    1.000
   .Infant            1.000                               0.856    0.856
    SocioDem          1.000                               1.000    1.000