highly significantp < 0.001
ANCOVA results (adjusted analyses) revealed highly significant trends across all three outcome measures: self-rated health (F = 546, df = 16, p < 0.001, adjusted R 2 = 0.33), mental distress (F = 634, df = 16, p < 0.001, adjusted R 2 = 0.37), and QoL (F = 629, df = 16, p < 0.001, adjusted R 2 = 0.36).