Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

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creativework.keywords - en
Asthma
CLSA
COVID-19
Depression
Older adults
dc.contributor.author
MacNeil, Andie
Li, Grace
Jiang, Ying
de Groh, Margaret
Fuller-Thomson, Esme
dc.date.accessioned
2023-06-01T14:45:44Z
dc.date.available
2023-06-01T14:45:44Z
dc.date.issued
2023-07
dc.description.abstract - en
Objectives: (1) In a subsample of older adults with asthma without a history of depression, to determine the factors associated with developing depression during the COVID-19 pandemic; (2) in a subsample of older adults with asthma with a history of depression, to identify factors associated with recurrent depression during the pandemic. Methods: Data came from four waves (Baseline [2011-2015], Follow-up 1 [2015-2018]; COVID Spring 2020, COVID Autumn 2020) of the Canadian Longitudinal Study on Aging's comprehensive cohort (n = 2,047 with asthma). The outcome of interest was a positive screen for depression based on the CES-D-10 during the autumn of 2020. Bivariate and multivariate logistic regression analyses were conducted. Results: Among older adults with asthma without a history of depression (n = 1,247), approximately 1 in 7 (13.5%) developed depression for the first time during the COVID-19 pandemic. Among those with a history of depression (n = 770), approximately 1 in 2 (48.6%) experienced a recurrence of depression. The risk of incident depression and recurrent depression was higher among those who were lonely, those experiencing family conflict during the pandemic, and those who had difficulty accessing healthcare resources during the pandemic. The risk of incident depression only was higher among those who had difficulty accessing resources and/or loss of income during the pandemic. The risk of recurrent depression only was higher among those with functional limitations. Conclusions: There is a need for targeted interventions to support the mental health of older adults with asthma who have the above identified vulnerabilities during the pandemic.
dc.identifier.citation
MacNeil A, Li G, Jiang Y, de Groh M, Fuller-Thomson E. Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging. Respir Med. 2023 Jul;213:107003. doi: 10.1016/j.rmed.2022.107003
dc.identifier.doi
https://doi.org/10.1016/j.rmed.2022.107003
dc.identifier.issn
1532-3064
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/492
dc.language.iso
en
dc.publisher
Elsevier
dc.rights - en
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
dc.rights - fr
Creative Commons Attribution - Pas d'utilisation commerciale - Pas de modification 4.0 International (CC BY-NC-ND 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging
dc.type - en
Article
dc.type - fr
Article
local.article.journaltitle
Respiratory Medicine
local.article.journalvolume
213
local.peerreview - en
Yes
local.peerreview - fr
Oui
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