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Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study

As the coronavirus disease (COVID-19) pandemic prolongs, documenting trajectories of the socioeconomic gradient of mental health is important. We describe changes in the prevalence and absolute and relative income-related inequalities of mental health between April and December 2020 in Canada. We us...

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Autores principales: Asada, Yukiko, Grignon, Michel, Hurley, Jeremiah, Stewart, Samuel A., Smith, Nathan K., Kirkland, Susan, McMillan, Jacqueline, Griffith, Lauren E., Wolfson, Christina, Raina, Parminder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985544/
https://www.ncbi.nlm.nih.gov/pubmed/36924671
http://dx.doi.org/10.1016/j.healthpol.2023.104758
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author Asada, Yukiko
Grignon, Michel
Hurley, Jeremiah
Stewart, Samuel A.
Smith, Nathan K.
Kirkland, Susan
McMillan, Jacqueline
Griffith, Lauren E.
Wolfson, Christina
Raina, Parminder
author_facet Asada, Yukiko
Grignon, Michel
Hurley, Jeremiah
Stewart, Samuel A.
Smith, Nathan K.
Kirkland, Susan
McMillan, Jacqueline
Griffith, Lauren E.
Wolfson, Christina
Raina, Parminder
author_sort Asada, Yukiko
collection PubMed
description As the coronavirus disease (COVID-19) pandemic prolongs, documenting trajectories of the socioeconomic gradient of mental health is important. We describe changes in the prevalence and absolute and relative income-related inequalities of mental health between April and December 2020 in Canada. We used data from the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Questionnaire Study and the pre-pandemic CLSA Follow-up 1. We estimated the prevalence proportion, the concentration index (relative inequality), and the generalized concentration index (absolute inequality) for anxiety and self-reported feeling generally unwell at multiple points in April-December 2020, overall, by sex and age group, by region, and among those who reported poor or fair overall health and mental health pre-pandemic. Overall, the prevalence of anxiety remained unchanged (22.45 to 22.10%, p = 0.231), but self-reported feeling generally unwell decreased (9.83 to 5.94%, p = 0.004). Relative and absolute income-related inequalities were unchanged for both anxiety and self-reported feeling generally unwell, with exceptions of an increased concentration of self-reported feeling generally unwell among the poor, measured by the concentration index, overall (-0.054 to -0.115, p = 0.004) and in Ontario (-0.035 to -0.123, p = 0.047) and British Columbia (-0.055 to -0.141, p = 0.044). The COVID-19 pandemic appeared to neither exacerbate nor ameliorate existing income-related inequalities in mental health among older adults in Canada between April and December 2020. Continued monitoring of inequalities is necessary.
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spelling pubmed-99855442023-03-06 Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study Asada, Yukiko Grignon, Michel Hurley, Jeremiah Stewart, Samuel A. Smith, Nathan K. Kirkland, Susan McMillan, Jacqueline Griffith, Lauren E. Wolfson, Christina Raina, Parminder Health Policy Article As the coronavirus disease (COVID-19) pandemic prolongs, documenting trajectories of the socioeconomic gradient of mental health is important. We describe changes in the prevalence and absolute and relative income-related inequalities of mental health between April and December 2020 in Canada. We used data from the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Questionnaire Study and the pre-pandemic CLSA Follow-up 1. We estimated the prevalence proportion, the concentration index (relative inequality), and the generalized concentration index (absolute inequality) for anxiety and self-reported feeling generally unwell at multiple points in April-December 2020, overall, by sex and age group, by region, and among those who reported poor or fair overall health and mental health pre-pandemic. Overall, the prevalence of anxiety remained unchanged (22.45 to 22.10%, p = 0.231), but self-reported feeling generally unwell decreased (9.83 to 5.94%, p = 0.004). Relative and absolute income-related inequalities were unchanged for both anxiety and self-reported feeling generally unwell, with exceptions of an increased concentration of self-reported feeling generally unwell among the poor, measured by the concentration index, overall (-0.054 to -0.115, p = 0.004) and in Ontario (-0.035 to -0.123, p = 0.047) and British Columbia (-0.055 to -0.141, p = 0.044). The COVID-19 pandemic appeared to neither exacerbate nor ameliorate existing income-related inequalities in mental health among older adults in Canada between April and December 2020. Continued monitoring of inequalities is necessary. Elsevier B.V. 2023-05 2023-03-05 /pmc/articles/PMC9985544/ /pubmed/36924671 http://dx.doi.org/10.1016/j.healthpol.2023.104758 Text en © 2023 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Asada, Yukiko
Grignon, Michel
Hurley, Jeremiah
Stewart, Samuel A.
Smith, Nathan K.
Kirkland, Susan
McMillan, Jacqueline
Griffith, Lauren E.
Wolfson, Christina
Raina, Parminder
Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title_full Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title_fullStr Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title_full_unstemmed Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title_short Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study
title_sort trajectories of the socioeconomic gradient of mental health: results from the clsa covid-19 questionnaire study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985544/
https://www.ncbi.nlm.nih.gov/pubmed/36924671
http://dx.doi.org/10.1016/j.healthpol.2023.104758
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