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Gravel, Ronald, and Yves Béland. "The Canadian Community Health Survey: Mental Health and Well-Being." Canadian Journal of Psychiatry 50, no. 10 (2005): 573–79. http://dx.doi.org/10.1177/070674370505001002.
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As part of the Canadian Community Health Survey (CCHS) biennial strategy, the provincial survey component of the first CCHS cycle (Cycle 1.2) focused on different aspects of the mental health and well-being of Canadians living in private dwellings. Moreover, the survey collected data on prevalences of specific mental disorders and problems, use of mental health services, and economic and personal costs of having a mental illness. Data collection began in May 2002 and extended over 8 months. More than 85% of all interviews were conducted face-to-face and used a computer-assisted application. The survey obtained a national response rate of 77%. This paper describes several key aspects of the questionnaire content, the sample design, interviewer training, and data collection procedures. A brief overview of the CCHS regional component (Cycle 1.1) is also given.
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Hosseini, Zeinab, Susan J. Whiting, and Hassan Vatanparast. "Canadians’ Dietary Intake from 2007 to 2011 and across Different Sociodemographic/Lifestyle Factors Using the Canadian Health Measures Survey Cycles 1 and 2." Journal of Nutrition and Metabolism 2019 (February 5, 2019): 1–8. http://dx.doi.org/10.1155/2019/2831969.
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Background. Nutrition is an important factor that impacts health, yet in Canada, there have been only a few surveys reflecting dietary intakes. The Canadian Health Measures Survey (CHMS) is a national survey that includes both food intake data as targeted questions and objective health measures. The aim of this research was to determine how food group intake data reported in CHMS is related to food group intakes from Canadian Community Health Survey (CCHS) (2004). A secondary objective was to examine the dietary status of Canadians across sociodemographic levels. Methods. The CHMS Cycles 1 and 2 food group intake data (meat and alternatives; milk products; grains; vegetables and fruits; dietary fat consumption; and beverages) of Canadians (6–79 years, n=11,387) were descriptively compared to previously reported intake of Canadians from CCHS 2.2 in 2004. Further, Canadians’ food intakes were assessed across sociodemographic characteristics. Results. The CHMS dietary intake data from vegetables and fruits and from milk products groups were similar to the dietary intake reported from CCHS 2.2. For the other food groups, the difference in intakes suggested CHMS data by FFQ were not complete. However, similar patterns in food intakes with regards to age/sex and income were observed in both surveys. Conclusion. Not all food groups measured in CHMS provide complete dietary intake data as compared to CCHS 2.2, yet CHMS food group intakes provide valuable information when it comes to evaluating dietary intake across different population groups.
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Bienek, AS, ME Gee, RP Nolan, et al. "Methodology of the 2009 Survey on Living with Chronic Diseases in Canada—hypertension component." Chronic Diseases and Injuries in Canada 33, no. 4 (2013): 267–76. http://dx.doi.org/10.24095/hpcdp.33.4.08.
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Introduction The Survey on Living with Chronic Diseases in Canada—hypertension component (SLCDC-H) is a 20-minute cross-sectional telephone survey on hypertension diagnosis and management. Sampled from the 2008 Canadian Community Health Survey (CCHS), the SLCDC-H includes Canadians (aged ≥ 20 years) with self-reported hypertension from the ten provinces. Methods The questionnaire was developed by Delphi technique, externally reviewed and qualitatively tested. Statistics Canada performed sampling strategies, recruitment, data collection and processing. Proportions were weighted to represent the Canadian population, and 95% confidence intervals (CIs) were derived by bootstrap method. Results Compared with the CCHS population reporting hypertension, the SLCDC-H sample (n = 6142) is slightly younger (SLCDC-H mean age: 61.2 years, 95% CI: 60.8–61.6; CCHS mean age: 62.2 years, 95% CI: 61.8–62.5), has more post-secondary school graduates (SLCDC-H: 52.0%, 95% CI: 49.7%–54.2%; CCHS: 47.5%, 95% CI: 46.1%–48.9%) and has fewer respondents on hypertension medication (SLCDC-H: 82.5%, 95% CI: 80.9%–84.1%; CCHS: 88.6%, 95% CI: 87.7%-89.6%). Conclusion Overall, the 2009 SLCDC-H represents its source population and provides novel, comprehensive data on the diagnosis and management of hypertension. The survey has been adapted to other chronic conditions—diabetes, asthma/chronic obstructive pulmonary disease and neurological conditions. The questionnaire is available on the Statistics Canada website; descriptive results have been disseminated by the Public Health Agency of Canada.
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Bielska, I. A., H. Ouellette-Kuntz, and D. Hunter. "Using national surveys for mental health surveillance of individuals with intellectual disabilities in Canada." Chronic Diseases and Injuries in Canada 32, no. 4 (2012): 194–99. http://dx.doi.org/10.24095/hpcdp.32.4.03.
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Introduction Individuals with intellectual disabilities have a higher prevalence of health problems, including psychiatric and behavioural conditions, than the general population. However, there is little population-based information in Canada about individuals with a dual diagnosis of psychiatric disorder and intellectual impairment. The aim of this study was to determine whether the 2005 Canadian Community Health Survey (CCHS) and the 2006 Participation and Activity Limitation Survey (PALS) could be used to estimate the prevalence of dual diagnosis in Canada. Methods We undertook a secondary analysis of two population-based surveys to determine if these could be used to estimate the prevalence of psychiatric or behavioural conditions among adults with intellectual disabilities in Canada. Results The surveys reflect prevalence estimates of intellectual disabilities (CCHS: 0.2% and PALS: 0.5%) that are considerably lower than those published in the literature. While it was possible to calculate the proportion of individuals with a dual diagnosis (CCHS: 30.6% and PALS: 44.3%), the surveys were of limited use for detailed analyses. The estimates of prevalence derived from the surveys, especially from the CCHS, were of unacceptable quality due to high sampling variability and selection bias. Conclusion The estimates should be interpreted with caution due to concerns regarding the representativeness of the sample with intellectual disabilities in the national surveys.
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Chireh, Batholomew, and Carl D’Arcy. "A comparison of the prevalence of and modifiable risk factors for cognitive impairment among community-dwelling Canadian seniors over two decades, 1991–2009." PLOS ONE 15, no. 12 (2020): e0242911. http://dx.doi.org/10.1371/journal.pone.0242911.
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Background The prevalence of cognitive impairment or dementia is of public health concern globally. Accurate estimates of this debilitating condition are needed for future public health policy planning. In this study, we estimate prevalence and modifiable risk factors for cognitive impairment by sex over approximately 16 years. Methods Canadian Study of Health and Aging (CSHA) baseline data conducted between 1991–1992 were used to measure the prevalence of cognitive impairment and dementia among adults aged 65+ years. The standard Modified Mini-Mental State Examination (3MS) was used for the screening test for cognitive impairment. We compared the CSHA data with Canadian Community Health Survey–Healthy Aging (CCHS-HA) conducted between 2008–2009. The CCHS-HA used a four-dimension cognitive module to screen for cognitive impairment. Only survey community-dwelling respondents were included in the final sample. After applying exclusion criteria, final samples of (N = 8504) respondents in the CSHA sample and (N = 7764) respondents for CCHS–HA sample were analyzed. To account for changes in the age structure of the Canadian population, prevalence estimates were calculated using age-sex standardization to the 2001 population census of Canada. Logistic regression analyses were used to examine predictors of cognitive impairment. A sex stratified analysis was used to examine risk factors for cognitive impairment in the survey samples. Results We found that prevalence of cognitive impairment among respondents in CSHA sample was 15.5% in 1991 while a prevalence of 10.8% was reported in the CCHS–HA sample in 2009, a 4.7% reduction [15.5% (CI = 14.8–16.3), CSHA vs 10.8% (CI = 10.1–11.5), CCHS–HA]. Men reported higher prevalence of cognitive impairment in CSHA study (16.0%) while women reported higher prevalence of cognitive impairment in CCHS–HA (11.6%). In the multivariable analyses, risk factors such as age, poor self-rated health, stroke, Parkinson’s disease, and hearing problems were common to both cohorts. Sex differences in risk factors were also noted. Conclusions This study provides suggestive evidence of a potential reduction in the occurrence of cognitive impairment among community-dwelling Canadian seniors despite the aging of the Canadian population. The moderating roles of improved prevention and treatment of vascular morbidity and improvements in the levels of education of the Canadian population are possible explanations for this decrease in the cognitive impairment.
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Orpana, Heather M., Justin J. Lang, and Kim Yurkowski. "Validation of a brief version of the Social Provisions Scale using Canadian national survey data." Health Promotion and Chronic Disease Prevention in Canada 39, no. 12 (2019): 323–32. http://dx.doi.org/10.24095/hpcdp.39.12.02.
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Introduction The 10-item Social Provisions Scale (SPS-10) has been implemented to measure social support in a number of national surveys in Canada. The objective of this study was to reduce the SPS-10 to a brief, five-item scale (SPS-5), while maintaining adequate measurement properties. Methods Data from individuals aged 18 years and older who responded to the Social Provisions Scale module in the Canadian Community Health Survey 2012 Mental Health Focus cycle (CCHS 2012 MH) and the Canadian Community Health Survey 2017 Annual cycle (CCHS 2017) were analyzed. We used exploratory factor analysis and item-to-total correlations from the CCHS 2012 MH data to choose items. A correlation analysis between the SPS-5, SPS-10 and related positive mental health (PMH) constructs were used to assess the criterion-related validity of the SPS-5 compared to the SPS-10. A confirmatory factor analysis using data from the CCHS 2017 was conducted to confirm the factor structure of the SPS-5. Results The SPS-5 showed high internal consistency (Cronbach’s alpha of 0.88) and similar correlations as the SPS-10 with related PMH constructs. The SPS-5 and SPS-10 were also very highly correlated (r = 0.97). The confirmatory factor analysis demonstrated that a single factor model of the SPS-5 fit the data well. The SPS-5 and SPS-10 yield similar estimates of high social support, of 92.7 and 91.5%, respectively. Conclusion The new SPS-5 demonstrated adequate measurement properties, and functioned in a similar manner to the SPS-10, supporting a reduced version of the Scale. The SPS-5 is a feasible and valid alternative to the SPS-10 that could be used to reduce respondent burden on national health surveys.
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Ahmed, Mavra, Alena (Praneet) Ng, and Mary R. L'Abbe. "Nutrient intakes of Canadian adults: results from the Canadian Community Health Survey (CCHS)–2015 Public Use Microdata File." American Journal of Clinical Nutrition 114, no. 3 (2021): 1131–40. http://dx.doi.org/10.1093/ajcn/nqab143.
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ABSTRACT Background Accurate estimates of the usual intake of nutrients are important for monitoring nutritional adequacy and diet quality of populations. In Canada, comprehensive, nationally representative nutrient estimates have not been available since the Canadian Community Health Survey (CCHS)–Nutrition 2004 survey. Objective The objective of this research was to assess nutrient intakes, distributions, and adequacy of the intakes of Canadian adults. Methods Participants’ first 24-h dietary recall, and the second-day recall from a subset of participants from the recently released CCHS 2015 Public Use Microdata File (PUMF) were used to estimate usual intakes of macronutrients, vitamins, and minerals in adults [≥19 y, excluding lactating females and those with invalid energy intake (EI)]. Usual intakes by DRI age-sex groups were estimated using the National Cancer Institute method, adjusted for age, sex, misreporting status, weekend/weekday, and sequence of recall analyzed (first/second) with outliers removed (final sample, n = 11,992). Usual intakes from food were assessed for prevalence of inadequacy in relation to DRI recommendations. Results Canadian macronutrient intakes were within the recommended acceptable macronutrient distribution ranges. EI was 2154 kcal/d for males (19+) and 1626 kcal/d for females (19+). A high prevalence of inadequate intakes was seen for vitamin A (>47%), vitamin D (>94%), vitamin C (>29% for nonsmokers and >59% for smokers), magnesium (>45%), and calcium (>44%), whereas <25% and <40% of adults (19+) had intakes above the adequate intake for fiber and potassium, respectively. Canadians continue to consume sodium in excess of recommendations (74.8% of males and 47.6% of females). Conclusions A significant number of Canadian adults may not be meeting recommendations for several essential nutrients, contributing to nutrient inadequacies. These results highlight the nutrients of concern by specific age-sex groups that may be important for public health interventions aimed at improving diet quality and nutrient adequacy for Canadian adults.
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Csizmadi, Ilona, Beatrice A. Boucher, Geraldine Lo Siou, et al. "Using national dietary intake data to evaluate and adapt the US Diet History Questionnaire: the stepwise tailoring of an FFQ for Canadian use." Public Health Nutrition 19, no. 18 (2016): 3247–55. http://dx.doi.org/10.1017/s1368980016001506.
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AbstractObjectiveTo evaluate the Canadian Diet History Questionnaire I (C-DHQ I) food list and to adapt the US DHQ II for Canada using Canadian dietary survey data.DesignTwenty-four-hour dietary recalls reported by adults in a national Canadian survey were analysed to create a food list corresponding to C-DHQ I food questions. The percentage contribution of the food list to the total survey intake of seventeen nutrients was used as the criterion to evaluate the suitability of the C-DHQ I to capture food intake in Canadian populations. The data were also analysed to identify foods and to modify portion sizes for the C-DHQ II.SettingThe Canadian Community Health Survey (CCHS) – Cycle 2.2 Nutrition (2004).SubjectsAdults (n20 159) who completed 24 h dietary recalls during in-person interviews.ResultsFour thousand five hundred and thirty-three foods and recipes were grouped into 268 Food Groups, of which 212 corresponded to questions on the C-DHQ I. Nutrient intakes captured by the C-DHQ I ranged from 79 % for fat to 100 % for alcohol. For the new C-DHQ II, some food questions were retained from the original US DHQ II while others were added based on foods reported in CCHS and foods available on the Canadian market since 2004. Of 153 questions, 143 were associated with portion sizes of which fifty-three were modified from US values. Sex-specific nutrient profiles for the C-DHQ II nutrient database were derived using CCHS data.ConclusionsThe C-DHQ I and II are designed to optimize the capture of foods consumed by Canadian populations.
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Mo, Frank, Lisa M. Pogany, Felix C. K. Li, and Howard Morrison. "Prevalence of Diabetes and Cardiovascular Comorbidity in the Canadian Community Health Survey 20022003." Scientific World JOURNAL 6 (2006): 96–105. http://dx.doi.org/10.1100/tsw.2006.13.
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Diabetes mellitus is a major risk factor for heart disease (heart attack, angina, and heart failure), stroke, and hypertension, which shorten the average life expectancy. The main objective of this study was to describe the prevalence of heart disease, hypertension, and stroke among Canadians with diabetes compared to those without diabetes in the Canadian general population aged 12 years and over. It also estimated the strength of association between diabetes, heart disease, hypertension, and other factors such as age, gender, cigarette smoking, alcohol drinking, education status, body mass index (BMI), and other socioeconomic factors. Descriptive statistics were used initially to estimate the prevalence of related comorbidities by age and gender. Logistic regression was then employed to determine the potential strength of association between various effects. Data included 127,610 individuals who participated in the 2.1 cycles of the Canadian Community Health Survey (CCHS) in 2002—2003. The prevalence of self-reported hypertension, heart disease, and stroke among individuals with diabetes were 51.9, 21.7, and 4.8%, respectively. By comparison, prevalence among those without diabetes was 12.7, 4.2, and 0.9%. Adjusted Odds Ratios (OR) were 4.15, 5.04, and 6.75 for males, and 4.10, 5.29, and 4.56 for females hypertension, heart disease, and stroke, respectively. Lower income (OR from 1.27—1.94) and lower education (OR from 1.23—1.86) were independently associated with a high prevalence of hypertension, heart disease, and stroke among diabetics. Alcohol consumption (OR from 1.06—1.38), high BMI (OR from 1.17—1.40), physical inactivity (OR from 1.21—2.45), ethnicity, and immigration status were also strongly associated with hypertension, heart disease, and stroke. The adjusted prevalence of hypertension, heart disease, and stroke in the CCHS-2003 health survey in Canada was significantly higher among those with diabetes compared to those without. Other factors such as age, gender, BMI, lifestyle, family incomes, physical activity levels, and socioeconomic status also affected the strength of association between diabetes and resulting comorbidities.
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Badley, Elizabeth M., Céline M. Goulart, Dov B. Millstone, and Anthony V. Perruccio. "An Update on Arthritis in Canada — National and Provincial Data Regarding the Past, Present, and Future." Journal of Rheumatology 46, no. 6 (2019): 579–86. http://dx.doi.org/10.3899/jrheum.180147.
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Objective.To provide updated arthritis estimates for Canada given a change in wording in the 2015 Canadian Community Health Survey (CCHS) arthritis question.Methods.Prevalence data from the 2000 to 2016 CCHS were used to document trends in the prevalence of arthritis over time. Projections of arthritis prevalence were also calculated using data from CCHS 2015 in conjunction with Statistics Canada’s published population projections. Data for 2015 were also used to provide summary data on the effect of arthritis.Results.Between 2000 and 2014 there were some fluctuations in the prevalence of arthritis (age ≥ 15 yrs), with the range of prevalence varying between 15.4% and 17.6%. There was a significant increase in overall prevalence to over 20% with the 2015 and 2016 surveys (6 million Canadians), coinciding with a revised wording of the arthritis question. This increase was observed in all age and sex groups, except for men aged 85+. The overall characteristics of the 2015 arthritis population were similar to those in 2007/08. Using the updated 2015 CCHS arthritis data, projection estimates suggest the population prevalence of arthritis will increase to just over 24% by 2040, with the number of Canadians living with arthritis projected to increase by about 50% from 2015 to 2040.Conclusion.The revised question likely increased ascertainment of arthritis owing to inclusion of examples of arthritis diagnoses in the CCHS question and more explicit wording in the French version, resulting in a large increase in the estimated prevalence and numbers of people with arthritis in Canada.
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Dooley, Joseph M., Kevin E. Gordon, and Stefan Kuhle. "Food insecurity and migraine in Canada." Cephalalgia 36, no. 10 (2016): 936–42. http://dx.doi.org/10.1177/0333102415617414.
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Aim The aim of this study was to examine the prevalence of household food insecurity in individuals reporting migraine within a large population-based sample of Canadians. Methods The Canadian Community Health Survey (CCHS) uses a stratified cluster sample design to obtain information on Canadians ≥12 years of age. Data on household food insecurity were assessed for individuals who reported having migraine or not, providing a current point prevalence. This was assessed for stability in two CCHS datasets from four and eight years earlier. Factors associated with food insecurity among those reporting migraine were examined and a logistic regression model of food insecurity was developed. We also examined whether food insecurity was associated with other reported chronic health conditions. Results Of 48,645 eligible survey respondents, 4614 reported having migraine (weighted point prevalence 10.2%). Food insecurity was reported by 14.8% who reported migraine compared with 6.8% of those not reporting migraine, giving an odds ratio of 2.4 (95% confidence interval 2.0–2.8%). This risk estimate was stable over the previous eight years. The higher risk for food insecurity was not unique to migraine and was seen with some, but not all, chronic health conditions reported in the CCHS. Conclusions Food insecurity is more frequent among individuals reporting migraine in Canada.
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Hack, Salma, Mahsa Jessri, and Mary R. L’Abbé. "Evaluating Diet Quality of Canadian Adults Using Health Canada’s Surveillance Tool Tier System: Findings from the 2015 Canadian Community Health Survey-Nutrition." Nutrients 12, no. 4 (2020): 1113. http://dx.doi.org/10.3390/nu12041113.
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The 2014 Health Canada’s Surveillance Tool, Tier System (HCST) is a nutrient profiling model developed to evaluate adherence of food choices to dietary recommendations. With the recent release of the nationally representative Canadian Community Health Survey-Nutrition (CCHS-N) 2015, this study used HCST to evaluate nutritional quality of the dietary intakes of Canadians in the CCHS-N. Dietary intakes were ascertained using 24-hour dietary recalls from Canadians adults ≥19 years (N = 13,605). Foods were categorized into four Tiers based on degree of adherence to dietary recommendations according to thresholds for sodium, total fat, saturated fats, and sugars. Tier 1 and Tier 2 represented “recommended foods”, Tier 3 represents foods to “choose less often”, and Tier 4 represented foods “not recommended”. Across all dietary reference intakes (DRI) groups, most foods were categorized as Tier 1 for Vegetable and Fruits (2.2–3.8 servings/day), Tier 2 for Grain Products (2.9–3.4 servings/day), Tier 3 for Milk and Alternatives (0.7–1 serving/day) or for Meat and Alternatives (1.1–1.6 servings/day). Consumption of foods from Tier 4 and “other foods” such as high fat/sugary foods, sugar-sweetened beverages, and alcohol, represented 24–26% and 21–23% kcal/day, for males and females, respectively. Canadians are eating more foods categorized as Tier 1–3, rather than Tier 4. Adults with the highest intakes of Tier 4 and “other foods” had lower intakes of macronutrients and increased body mass index. These findings can be used by policy makers to assist in identifying targets for food reformulation at the nutrient level and quantitative guidance to support healthy food choices.
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Basham, C. Andrew. "Regional variation in multimorbidity prevalence in British Columbia, Canada: a cross-sectional analysis of Canadian Community Health Survey data, 2015/16." Health Promotion and Chronic Disease Prevention in Canada 40, no. 7/8 (2020): 225–34. http://dx.doi.org/10.24095/hpcdp.40.7/8.02.
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Introduction Multimorbidity represents a major concern for population health and service delivery planners. Information about the population prevalence (absolute numbers and proportions) of multimorbidity among regional health service delivery populations is needed for planning for multimorbidity care. In Canada, health region–specific estimates of multimorbidity prevalence are not routinely presented. The Canadian Community Health Survey (CCHS) is a potentially valuable source of data for these estimates. Methods Data from the 2015/16 cycle of the CCHS for British Columbia (BC) were used to estimate and compare multimorbidity prevalence (3+ chronic conditions) through survey-weighted analyses. Crude frequencies and proportions of multimorbidity prevalence were calculated by BC Health Service Delivery Area (HSDA). Logistic regression was used to estimate differences in multimorbidity prevalence by HSDA, adjusting for known confounders. Multiple imputation using chained equations was performed for missing covariate values as a sensitivity analysis. The definition of multimorbidity was also altered as an additional sensitivity analysis. Results A total of 681 921 people were estimated to have multimorbidity in BC (16.9% of the population) in 2015/16. Vancouver (adjOR = 0.65; 95% CI: 0.44–0.97) and Richmond (adjOR = 0.55; 95% CI: 0.37–0.82) had much lower prevalence of multimorbidity than Fraser South (reference HSDA). Missing data analysis and sensitivity analysis showed results consistent with the main analysis. Conclusion Multimorbidity prevalence estimates varied across BC health regions, and were lowest in Vancouver and Richmond after controlling for multiple potential confounders. There is a need for provincial and regional multimorbidity care policy development and priority setting. In this context, the CCHS represents a valuable source of information for regional multimorbidity analyses in Canada.
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Gordon, KE, and S. Kuhle. "P.087 “Reported Brain Injury” Time trends within two Canadian health surveys over two decades." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 45, s2 (2018): S39. http://dx.doi.org/10.1017/cjn.2018.189.
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Background: An “epidemic” of concussions has been widely reported. We explored the annual incidence of reported concussion or other brain injury, over 20 years within Canada in order to explore the magnitude of this reported epidemic. Methods: Two Canadian nationally representative health surveys have serially collected injury data associated with disability. The National Population Health Survey (NPHS) (1994-9) collected data on “concussion”, and the Canadian Community Health Survey (CCHS) (2000-current) has collected data on “concussion or other brain injury”. Data on respondents 12 years and older reporting concussion with or without other brain injury within the past year were examined in order to produce serial incidence data. Results: Nationally representative data were available biennially from 1994/95 through 2013/14 with the exception of 2007/08 and 2011/12. The incidence of reported concussions, or concussions and other brain injury has been stable until 2005/06 when the reported annual incidence started an upward slope to levels 250% higher (p<0.001) without any apparent stabilization by 2013/14, when approximately 1 in 200 Canadians 12 years and older report concussion or other brain injury as their most significant injury associated with disability in the previous 12 months. Conclusions: There is currently a pandemic of reported brain injury in Canada.
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Newbold, K. Bruce, and John K. Filice. "Health Status of Older Immigrants to Canada." Canadian Journal on Aging / La Revue canadienne du vieillissement 25, no. 3 (2006): 305–19. http://dx.doi.org/10.1353/cja.2007.0009.
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ABSTRACTUsing the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged 55+) immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to the Canadian-born in terms of age and gender using multiple measures of health status including self-assessed health. Second, we identify the factors associated with health status using the determinants of health framework. In both cases, the key questions are whether differences in health status exist and whether they are explained primarily by socio-economic, socio-demographic, or lifestyle factors that may point to problems with the Canadian health care system. Findings indicate that there is a relative comparability in the health status of older immigrants, even after controlling for age.
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Hosseini, Seyed H., Yanni Papanikolaou, Naorin Islam, Patil Rashmi, Arash Shamloo, and Hassan Vatanparast. "Consumption Patterns of Grain-Based Foods among Adults in Canada: Evidence from Canadian Community Health Survey—Nutrition 2015." Nutrients 11, no. 4 (2019): 784. http://dx.doi.org/10.3390/nu11040784.
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In this study, we used the Canadian Community Health Survey-Nutrition (CCHS) 2015 data to examine the consumption patterns of grain-based foods (GBFs) for Canadian adults. We used a k-mean cluster analysis based on the contribution of 21 grain-based foods to total energy intake of adults in Canada to find the dietary patterns of GBFs. Cluster analyses rendered seven dietary patterns including: ‘other bread’, ‘cake and cookies’, ‘pasta’, ‘rice’, ‘mixed’, ‘white bread’, and finally ‘whole wheat and whole-grain bread’. ‘No grain’ and ‘rice’ consumers had lower intakes of dietary fibre, folate, iron and calcium, which are the nutrients of public health concern in Canada. Adults consuming a ‘mixed grain’ dietary pattern had a greater daily intake of calcium, potassium, magnesium, riboflavin, and vitamin B6 than those in the ‘no grain’ dietary pattern. We also observed that a considerable proportion of individuals clustered in the ‘rice’ group are immigrants and belong to households with lower income levels.
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Båtstad, Helge S., and Floyd W. Rudmin. "Suicidal tendencies as correlates of disability measures." Journal of Health Psychology 21, no. 12 (2016): 3037–47. http://dx.doi.org/10.1177/1359105315592048.
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Disabilities and handicaps affect health-related quality-of-life (HRQOL) and dysphoria symptoms (helpless, hopeless, worthless, dissatisfied with life, depressed, suicidal). Archived 2009 Canadian Community Health Survey (CCHS) data (N=124,188) replicated 49 positive correlations (p<.001) of seven kinds of disability measured by the Health Utilities Index (HUI) with seven measures of dysphoria. Cognition and pain disabilities appeared most dysphoric. Individuals (N=724) in the 2009 CCHS data with HUI total scores less than 0.00 are defined by HUI protocols as “worse than dead.” This HUI categorization has doubtful validity based on 17 measures of disability, suicidality, self-perceived health, and social engagement.
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Orpana, Heather, Julie Vachon, Jennifer Dykxhoorn, and Gayatri Jayaraman. "Measuring positive mental health in Canada: construct validation of the Mental Health Continuum—Short Form." Health Promotion and Chronic Disease Prevention in Canada 37, no. 4 (2017): 123–30. http://dx.doi.org/10.24095/hpcdp.37.4.03.
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Introduction Positive mental health is increasingly recognized as an important focus for public health policies and programs. In Canada, the Mental Health Continuum—Short Form (MHC-SF) was identified as a promising measure to include on population surveys to measure positive mental health. It proposes to measure a three-factor model of positive mental health including emotional, social and psychological well-being. The purpose of this study was to examine whether the MHC-SF is an adequate measure of positive mental health for Canadian adults. Methods We conducted confirmatory factor analysis (CFA) using data from the 2012 Canadian Community Health Survey (CCHS)—Mental Health Component (CCHS-MH), and cross-validated the model using data from the CCHS 2011–2012 annual cycle. We examined criterion-related validity through correlations of MHC-SF subscale scores with positively and negatively associated concepts (e.g. life satisfaction and psychological distress, respectively). Results We confirmed the validity of the three-factor model of emotional, social and psychological well-being through CFA on two independent samples, once four correlated errors between items on the social well-being scale were added. We observed significant correlations in the anticipated direction between emotional, psychological and social well-being scores and related concepts. Cronbach’s alpha for both emotional and psychological well-being subscales was 0.82; for social well-being it was 0.77. Conclusion Our study suggests that the MHC-SF measures a three-factor model of positive mental health in the Canadian population. However, caution is warranted when using the social well-being scale, which did not function as well as the other factors, as evidenced by the need to add several correlated error terms to obtain adequate model fit, a higher level of missing data on these questions and weaker correlations with related constructs. Social well-being is important in a comprehensive measure of positive mental health, and further research is recommended.
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Nabalamba, Alice, and Scott B. Patten. "Prevalence of Mental Disorders in a Canadian Household Population with Dementia." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 37, no. 2 (2010): 186–94. http://dx.doi.org/10.1017/s0317167100009914.
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Background:Medical and mental health comorbidity in Alzheimer's disease and other dementias presents difficult challenges for health service delivery. However, existing studies have been conducted in clinical samples and may not be informative for planning community services. The Canadian Community Health Survey (CCHS) provides an opportunity to characterize associations between dementias and mental and physical comorbidity in a household population aged 55 and over.Methods:Data were obtained from the 2005 CCHS-cycle 3.1. Weighted estimates for mood and anxiety disorders and other characteristics in Canadian population with dementia were calculated and were compared to those in people without the condition.Results:According to the CCHS, the prevalence of Alzheimer's disease and other dementia increases with age, more or less doubling every decade. The increase among women is monotonic, whereas among men in the household population the rate of dementia peaks at age 85-89 and falls thereafter. Mood and anxiety disorders were found to be substantially more frequent among people with Alzheimer's disease and other forms of dementia compared to those without the disease (mood disorders: 19.5% vs. 5.3% and anxiety disorders: 16.3% vs. 4.0%). Heart disease, stroke and obesity were associated with dementia as was a lower level of education. Furthermore, people with dementia were more likely than those without the disease to report activity restrictions.Conclusions:The high prevalence of mood and anxiety disorders in household population with Alzheimer's disease and other dementia demonstrates the burden of disease that is likely to worsen quality of life over time.
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Molgat, Carmen V., and Scott B. Patten. "Comorbidity of Major Depression and Migraine — A Canadian Population-Based Study." Canadian Journal of Psychiatry 50, no. 13 (2005): 832–37. http://dx.doi.org/10.1177/070674370505001305.
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Objective: To estimate the prevalence of major depressive episodes (MDEs) in patients with migraine and to compare the strength of association with that of other long-term medical conditions. Methods: This study used a large-scale probability sample (over 130 000 sample) from the Canadian Community Health Survey (CCHS), a cross-sectional survey conducted by Statistics Canada. The CCHS screened for a broad set of medical conditions. Major depression was evaluated with the Composite International Diagnostic Interview Short Form for Major Depression, and the diagnosis of migraine was self-reported. The annual prevalence of major depression was calculated in the general population, in subjects with migraine, and in those with chronic conditions other than migraine. Results: The prevalence of major depression in subjects reporting migraine was higher than that in the general population or in subjects with other chronic medical conditions (17.6%, compared with 7.4% and 7.8%, respectively). Conclusions: There is a strong association between major depression and migraine. The migraine–MDE association may account for a large fraction of the chronic condition–MDE association. The association between migraines and MDE differs from that of other chronic conditions, as the association persists into older age groups.
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Smith, Brendan T., Salma Hack, Mahsa Jessri, et al. "The Equity and Effectiveness of Achieving Canada’s Voluntary Sodium Reduction Guidance Targets: A Modelling Study Using the 2015 Canadian Community Health Survey—Nutrition." Nutrients 13, no. 3 (2021): 779. http://dx.doi.org/10.3390/nu13030779.
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Background: High sodium intake is a leading modifiable risk factor for cardiovascular diseases. This study estimated full compliance to Canada’s voluntary sodium reduction guidance (SRG) targets on social inequities and population sodium intake. Methods: We conducted a modeling study using n = 19,645, 24 h dietary recalls (Canadians ≥ 2 years) from the 2015 Canadian Community Health Survey—Nutrition (2015 CCHS-N). Multivariable linear regressions were used to estimate mean sodium intake in measured (in the 2015 CCHS-N) and modelled (achieving SRG targets) scenarios across education, income and food security. The percentage of Canadians with sodium intakes above chronic disease risk reduction (CDRR) thresholds was estimated using the US National Cancer Institute (NCI) method. Results: In children aged 2–8, achieving SRG targets reduced mean sodium intake differences between food secure and insecure households from 271 mg/day (95%CI: 75,468) to 83 mg/day (95%CI: −45,212); a finding consistent across education and income. Mean sodium intake inequities between low and high education households were eliminated for females aged 9–18 (96 mg/day, 95%CI: −149,341) and adults aged 19 and older (males: 148 mg/day, 95%CI: −30,327; female: −45 mg/day, 95%CI: −141,51). Despite these declines (after achieving the SRG targets) the majority of Canadians’ are above the CDRR thresholds. Conclusion: Achieving SRG targets would eliminate social inequities in sodium intake and reduce population sodium intake overall; however, additional interventions are required to reach recommended sodium levels.
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Harrison, Stéphanie, Didier Brassard, Simone Lemieux, and Benoît Lamarche. "Consumption and Sources of Saturated Fatty Acids According to the 2019 Canada Food Guide: Data from the 2015 Canadian Community Health Survey." Nutrients 11, no. 9 (2019): 1964. http://dx.doi.org/10.3390/nu11091964.
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The 2019 revised version of Canada’s Food Guide (CFG) recommends limiting the consumption of processed foods that are high in saturated fatty acids (SFA). Yet, the contributions of each CFG group to the total SFA intake of Canadians are not specifically known. The objectives of this study were to quantify the total SFA intake of Canadians, determine the sources of SFA consumed by Canadian adults, and identify potential differences in these sources. A nation representative sample from the Canadian Community Health Survey (CCHS – Nutrition 2015) was used for these analyses. Dietary intakes were measured using a single 24-h recall. Food sources of SFA were classified according to the revised 2019 CFG categories. We have also examined the contribution of foods not included in these three categories to total SFA intake. Among Canadian adults, total SFA contributed to 10.4 ± 0.1% (SE) of total energy intake (E). The “Protein foods” (47.7 ± 0.5% with 23.2 ± 0.4% from milk and alternatives and 24.5 ± 0.4% from meats and alternatives) and “All other foods” (44.2 ± 0.5%) categories were the main sources of total SFA intake. Few differences in SFA sources were identified between sexes, age groups, education levels, and body mass index (BMI) categories. These data show that the mean SFA consumption is greater than the 10% E cut-off previously proposed in Canada. Future studies should examine which food substitution is most likely to contribute to a greater reduction in SFA intake at the population level.
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Bulloch, AG, S. Currie, L. Guyn, JV Williams, DH Lavorato, and SB Patten. "Estimates of the treated prevalence of bipolar disorders by mental health services in the general population: comparison of results from administrative and health survey data." Chronic Diseases and Injuries in Canada 31, no. 3 (2011): 129–34. http://dx.doi.org/10.24095/hpcdp.31.3.07.
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Introduction Informed provision of population mental health services requires accurate estimates of disease burden. Methods We estimated the treated prevalence of bipolar disorders by mental health services in the Calgary Zone, a catchment area in Alberta with a population of over one million. Administrative data in a central repository provides information of mental health care contacts for about 95% of publically funded mental health services. We compared this treated prevalence against self-reported data in the 2002 Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). Results Of the 63 016 individuals aged 18 years plus treated in the Calgary Zone in 2002–2008, 3659 (5.81%) and 1065 (1.70%) were diagnosed with bipolar I and bipolar II disorder, respectively. The estimated treated population prevalence of these disorders was 0.41% and 0.12%, respectively. We estimated that 0.44% to 1.17% of the Canadian population was being treated by psychiatrists for bipolar I disorder from CCHS 1.2. Discussion For bipolar I disorder the estimate based on local administrative data is close to the lower end of the health survey range. The degree of agreement in our estimates reinforces the utility of administrative data repositories in the surveillance of chronic mental disorders.
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Gadalla, T. M. "Unhealthy behaviours among Canadian adolescents: prevalence, trends and correlates." Chronic Diseases and Injuries in Canada 32, no. 3 (2012): 156–63. http://dx.doi.org/10.24095/hpcdp.32.3.06.
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Introduction This study examines (1) time trends in the prevalence of selected unhealthy behaviours among adolescents aged 12 to 17 years, (2) the most commonly adopted combinations of unhealthy behaviours, and (3) socio-economic and sociodemographic correlates of unhealthy behaviours among adolescents. Methods A secondary analysis used data collected from 13 198 Canadian Community Health Survey (CCHS) respondents in 2000/2001 and 11 050 CCHS respondents in 2007/2008. Results Although the proportion of adolescents consuming a healthy diet increased over the study period, about 50% are still consuming insufficient amounts of fruit and vegetables. In both cycles over one-third of adolescents aged 15 to 17 years reported drinking alcohol regularly. Income level, education level, sex, and language spoken at home were significantly associated with the odds of engaging in unhealthy behaviours among those aged 12 to 14 years, while income level was no longer associated with the odds of engaging in unhealthy behaviours among those aged 15 to 17 years. For both age groups, a language other than French or English spoken in the home was associated with a low risk of unhealthy behaviours. Conclusion There was a general decrease in unhealthy behaviours among younger adolescents aged 12 to 14 years.
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Forbes, Dorothy A., Debra Morgan, and Bonnie L. Janzen. "Rural and Urban Canadians with Dementia: Use of Health Care Services." Canadian Journal on Aging / La Revue canadienne du vieillissement 25, no. 3 (2006): 321–30. http://dx.doi.org/10.1353/cja.2007.0003.
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ABSTRACTThe purpose of this research was to examine the characteristics of older Canadians with dementia (compared to those without dementia), their use of health care services, and the impact of place (rural/urban) on use of services. Andersen and Newman's Behavioural Model of Health Services Use (1973) guided the study. A cross-sectional design used data from the Canadian Community Health Survey (CCHS) Cycle 1.1 (N=49,995 older Canadians; those with dementia =313). Results indicated that among Canadian females between the ages of 50 and 64, those with dementia were more likely than those without dementia to live in rural areas. Among females 80 years of age and over, those with dementia had higher levels of education and income than those without dementia. In addition, a higher proportion of white than of visible minority Canadians was afflicted with dementia. The results further suggest that Canadians with dementia primarily required support services and that they were more likely than persons without dementia to report that their health care needs were unmet. It is recommended that publicly funded national home care programs be expanded to ensure that the supportive services needed by this population are available.
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Laliberté, Vincent, Charles-Edouard Giguère, Stéphane Potvin, and Alain Lesage. "Berkson’s bias in biobank sampling in a specialised mental health care setting: a comparative cross-sectional study." BMJ Open 10, no. 7 (2020): e035088. http://dx.doi.org/10.1136/bmjopen-2019-035088.
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ObjectivesTo determine whether studying aetiological pathways of depression, in particular the well-established determinant of childhood trauma, only in a specialised mental healthcare setting can yield biased estimates of the aetiological association, given that the majority of individuals are treated in primary care settings.Design and settingTwo databanks were used in this study. The Canadian Community Health Survey (CCHS) on Mental Health and Well-Being 2012 is a national survey about mental health of adult Canadians. It measured common mental disorders and utilisation of services. The Signature mental health biobank includes adults from the Island of Montreal recruited at the emergency department of a major university mental health centre. After consent, participants filled standardised psychosocial questionnaires, gave blood samples, and their clinical diagnosis was recorded. We compared the cohort of depressed individuals from CCHS and Signature in contact with specialised services with those in contact with primary care or not in treatment.ParticipantsThere were 860 participants with depression in the CCHS and 207 participants with depression in the Signature Bank.Primary and secondary outcomesThe Childhood Experiences of Violence Questionnaire was used to measure childhood trauma in both settings. Childhood trauma is associated with depression as with other common mental and physical disorders.ResultsIndividuals with depression in the CCHS who reported having been hospitalised for psychiatric treatment or having seen a psychiatrist or those from Signature were found to be more strongly associated with childhood abuse than individuals with depression who were treated in primary care settings or did not seek mental healthcare in the preceding year.ConclusionsBerkson’s bias limits the generalisability of aetiological associations observed in such university-hospital-based biobanks, but the problem can be remedied by broadening recruitment to primary care settings and the general population.
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Watterson, Rita A., Jeanne V. A. Williams, Dina H. Lavorato, and Scott B. Patten. "Descriptive Epidemiology of Generalized Anxiety Disorder in Canada." Canadian Journal of Psychiatry 62, no. 1 (2016): 24–29. http://dx.doi.org/10.1177/0706743716645304.
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Objective: The first national survey to assess the prevalence of generalized anxiety disorder (GAD) in Canada was the 2012 Canadian Community Health Survey: Mental Health and Well-Being (CCHS-MH). The World Mental Health Composite International Diagnostic Interview (WMH-CIDI), used within the representative sample of the CCHS-MH, provides the best available description of the epidemiology of this condition in Canada. This study uses the CCHS-MH data to describe the epidemiology of GAD. Method: The analysis estimated proportions and odds ratios and used logistic regression modelling. All results entailed appropriate sampling weights and bootstrap variance estimation procedures. Results: The lifetime prevalence of GAD is 8.7% (95% CI, 8.2% to 9.3%), and the 12-month prevalence is 2.6% (95% CI, 2.3% to 2.8%). GAD is significantly associated with being female (OR 1.6; 95% CI, 1.3 to 2.1); being middle-aged (age 35-54 years) (OR 1.6; 95% CI, 1.0 to 2.7); being single, widowed, or divorced (OR 1.9; 95% CI, 1.4 to 2.6); being unemployed (OR 1.9; 95% CI, 1.5 to 2.5); having a low household income (<$30 000) (OR 3.2; 95% CI, 2.3 to 4.5); and being born in Canada (OR 2.0; 95% CI, 1.4 to 2.8). Conclusions: The prevalence of GAD was slightly higher than international estimates, with similar associated demographic variables. As expected, GAD was highly comorbid with other psychiatric conditions but also with indicators of pain, stress, stigma, and health care utilization. Independent of comorbid conditions, GAD showed a significant degree of impact on both the individual and society. Our results show that GAD is a common mental disorder within Canada, and it deserves significant attention in health care planning and programs.
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Chan, WW, C. Ng, and TK Young. "Cross-Canada Forum – How we identify and count Aboriginal people—does it make a difference in estimating their disease burden?" Chronic Diseases and Injuries in Canada 33, no. 4 (2013): 277–80. http://dx.doi.org/10.24095/hpcdp.33.4.09.
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Introduction We examined the concordance between the Canadian Community Health Survey (CCHS) ''identity'' and ''ancestry'' questions used to estimate the size of the Aboriginal population in Canada and whether the different definitions affect the prevalence of selected chronic diseases. Methods Based on responses to the ''identity'' and ''ancestry'' questions in the CCHS combined 2009–2010 microdata file, Aboriginal participants were divided into 4 groups: identity only; ancestry only; either ancestry or identity; and both ancestry and identity. Prevalence of diabetes, arthritis and hypertension was estimated based on participants reporting that a health professional had told them that they have the condition(s). Results Of participants who identified themselves as Aboriginal, only 63% reported having an Aboriginal ancestor; of those who claimed Aboriginal ancestry, only 57% identified themselves as Aboriginal. The lack of concordance also differs according to whether the individual was First Nation, Métis or Inuit. The different method of estimating the Aboriginal population, however, does not significantly affect the prevalence of the three selected chronic diseases. Conclusion The lack of concordance requires further investigation by combining more cycles of CCHS to compare discrepancy across regions, genders and socio-economic status. Its impact on a broader list of health conditions should be examined.
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Thielman, Justin, Daniel Harrington, Laura C. Rosella, and Heather Manson. "Prevalence of age-specific and sex-specific overweight and obesity in Ontario and Quebec, Canada: a cross-sectional study using direct measures of height and weight." BMJ Open 8, no. 9 (2018): e022029. http://dx.doi.org/10.1136/bmjopen-2018-022029.
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ObjectiveTo evaluate whether combining three cycles of the Canadian Health Measures Survey (CHMS) produces provincially representative and valid estimates of overweight and obesity in Ontario and Quebec.SettingAn ongoing, nationally representative health survey in Canada, with data released every 2 years. Objective measures of height and weight were taken at mobile examination centres located within 100 km of participants’ residences. To increase sample size, we combined three cycles completed during 2007–2013.Participants5740 Ontario residents and 3980 Quebec residents aged 6–79, with birth dates and directly measured height and weight recorded in the CHMS. Pregnant females were excluded. Sociodemographic characteristics of the Ontario and Quebec portions of the CHMS appeared similar to characteristics from the 2006 Canada Census.Primary outcome measuresObjectively measured overweight and obesity prevalence overall and among males and females in the following age groups: 6–11, 12–19, 20–39, 40–59 and 60–79. We compared these with provincially representative and objectively measured estimates from the 2015 Canadian Community Health Survey (CCHS)-Nutrition.Results57.1% (95% CI 52.8% to 61.4%) of Ontarians were classified overweight or obese and 24.0% (95% CI 20.3% to 27.6%) obese, while Quebec’s corresponding percentages were 56.2% (95% CI 51.3% to 61.1%) and 24.4% (95% CI 20.6% to 28.3%). Generally, overweight and obesity combined was higher in older age groups and males. Comparisons with the CCHS-Nutrition did not yield unexplainable differences between surveys.ConclusionsCombining three CHMS cycles can produce estimates of overweight and obesity in populations representative of Ontario and Quebec. As new CHMS data are collected, these estimates can be updated and used to evaluate trends.
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Lebihan, Laetitia, Charles Olivier Mao Takongmo, and Fanny McKellips. "Health Disparities for Immigrants: Theory and Evidence from Canada." Review of Economics 69, no. 3 (2018): 183–206. http://dx.doi.org/10.1515/roe-2017-0029.
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AbstractFew empirical studies have been conducted to analyse the disparities in health variables affecting immigrants in a given country. To our knowledge, no theoretical analysis has been conducted to explain health disparities for immigrants between regions in the same country that differs in term of languages spoken and income. In this paper, we use the Canadian Community Health Survey (CCHS) to compare multiple health measures among immigrants in Quebec, immigrants in the rest of Canada and Canadian-born individuals. We propose a simple structural model and conduct an empirical analysis in order to assess possible channels that can explain the health disparities for immigrants between two regions of the same country. Our results show that well-being and health indicators worsen significantly for immigrants in Quebec, compared to their counterparts in the rest of Canada and Canadian-born individuals. Additional econometric analysis also shows that life satisfaction is statistically and significantly associated with health outcomes. The proposed structural model predicts that, when the decision to migrate to a particular area is based on income alone, and if the fixed costs associated with the language barrier are large, immigrants may face health issues.
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Quadir, Tanvir, and Noori Akhtar-Danesh. "Fruit and Vegetable Intake In Canadian Ethnic Populations." Canadian Journal of Dietetic Practice and Research 71, no. 1 (2010): 11–16. http://dx.doi.org/10.3148/71.1.2010.11.
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Purpose: We explored whether Canada's diverse ethnic population consumes an adequate daily amount of fruit and vegetables. We also examined the association between fruit and vegetable consumption and long-term diseases. Methods: The Canadian Community Health Survey, Cycle 2.2 (CCHS 2.2), was used to determine the fruit and vegetable intake (FVI) of 13 racial groups, as well as of the entire population. Specifically, we determined median intake and proportions of the group consuming five or more daily servings. Multiple pairwise comparisons among the proportions were performed to detect ethnic groups with significantly low FVI. Logistic regression was also used to describe the risk of longterm diseases associated with FVI and ethnicity. Results: The percentages of Southeast Asian, Aboriginal (offreserve), and Chinese people who consumed five or more daily servings of fruit and vegetables were significantly lower than percentages in all other ethnic groups surveyed. Aboriginal people with the lowest FVI demonstrated the highest propensity for developing most of the long-term diseases. Conclusions: The majority of Canada's ethnic groups identified in the CCHS 2.2 fell short of the recommended FVI target. This low-intake status might be a risk factor for common long-term diseases.
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Nguyen, Cat Tuong, Louise Fournier, Lise Bergeron, Pasquale Roberge, and Geneviève Barrette. "Correlates of Depressive and Anxiety Disorders among Young Canadians." Canadian Journal of Psychiatry 50, no. 10 (2005): 620–28. http://dx.doi.org/10.1177/070674370505001008.
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Objective: The current study presents data on the prevalence of depressive and anxiety disorders in the Canadian population aged between 15 and 24 years and examines their potential correlates. Methods: The study is based on the 2002 Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). This survey was administered to a representative sample of 36 984 Canadians. A subsample of 5673 Canadians aged between 15 and 24 years was available for the analyses. We used descriptive analyses to calculate lifetime and 12-month prevalence of depressive and anxiety disorders, and we used logistic regressions to measure odds ratios. Results: Among Canadian youths, 10.2% had suffered from depressive disorders during their lifetime, whereas 12.1% had suffered from anxiety disorders. For 12-month prevalence, the rates were 6.4% and 6.5% for depressive and anxiety disorders, respectively. Depressive disorders were more frequent among youth aged 20 to 24 years and among those no longer in school. Both disorders were more common among women and people under extreme stress. Conclusions: The prevalence rates found are comparable with other studies, and most of the correlates are concordant with the literature. Results indicate that there is a turning point for depression between late adolescence and adulthood that could be crucial for intervention planning.
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Ibrahim, S. A., C. Muntaner, M. Kerr, C. Mustard, and W. Gnam. "497: Job Insecurity, Social Class and Inequalities in Mental Health using the Canadian Community Health Survey (CCHS) Cycle 1.2." American Journal of Epidemiology 161, Supplement_1 (2005): S125. http://dx.doi.org/10.1093/aje/161.supplement_1.s125.
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Ng, Alena (Praneet), Mahsa Jessri, and Mary R. L’Abbe. "Using partial least squares to identify a dietary pattern associated with obesity in a nationally-representative sample of Canadian adults: Results from the Canadian Community Health Survey—Nutrition 2015." PLOS ONE 16, no. 8 (2021): e0255415. http://dx.doi.org/10.1371/journal.pone.0255415.
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Background Hybrid methods of dietary patterns analysis have emerged as a unique and informative way to study diet-disease relationships in nutritional epidemiology research. Objective To identify an obesogenic dietary pattern using weighted partial least squares (wPLS) in nationally representative Canadian survey data, and to identify key foods and/or beverages associated with the defined dietary pattern. Design Data from one 24-hr dietary recall data from the cross-sectional Canadian Community Health Survey-Nutrition (CCHS) 2015 (n = 12,049) were used. wPLS was used to identify an obesogenic dietary pattern from 40 standardized food and beverage categories using the variables energy density, fibre density, and total fat as outcomes. The association between the derived dietary pattern and likelihood of obesity was examined using weighted multivariate logistic regression. Key dietary components highly associated with the derived pattern were identified. Results Compared to quartile one (i.e. those least adherent to an obesogenic dietary pattern), those in quartile four had 2.40-fold increased odds of being obese (OR = 2.40, 95% CI = 1.91, 3.02, P-trend< 0.0001) with a monotonically increasing trend. Using a factor loading significance cut-off of ≥|0.17|, three food/beverage categories loaded positively for the derived obesogenic dietary pattern: fast food (+0.32), carbonated drinks (including energy drinks, sports drinks and vitamin water) (+0.30), and salty snacks (+0.19). Seven categories loaded negatively (i.e. in the protective direction): whole fruits (-0.40), orange vegetables (-0.32), “other” vegetables (-0.32), whole grains (-0.26), dark green vegetables (-0.22), legumes and soy (-0.18) and pasta and rice (-0.17). Conclusion This is the first study to apply weighted partial least squares to CCHS 2015 data to derive a dietary pattern associated with obesity. The results from this study pinpoint key dietary components that are associated with obesity and consumed among a nationally representative sample of Canadians adults.
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Caron, J., and A. Liu. "A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations." Chronic Diseases and Injuries in Canada 30, no. 3 (2010): 148–49. http://dx.doi.org/10.24095/hpcdp.30.3.03.
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Objective This descriptive study compares rates of high psychological distress and mental disorders between low-income and non-low-income populations in Canada. Methods Data were collected through the Canadian Community Health Survey – Mental Health and Well-being (CCHS 1.2), which surveyed 36 984 Canadians aged 15 or over; 17.9% (n = 6620) was classified within the low-income population using the Low Income Measure. The K-10 was used to measure psychological distress and the CIDI for assessing mental disorders. Results One out of 5 Canadians reported high psychological distress, and 1 out of 10 reported at least one of the five mental disorders surveyed or substance abuse. Women, single, separated or divorced respondents, non-immigrants and Aboriginal Canadians were more likely to report suffering from psychological distress or from mental disorders and substance abuse. Rates of reported psychological distress and of mental disorders and substance abuse were much higher in low-income populations, and these differences were statistically consistent in most of the sociodemographic strata. Conclusion This study helps determine the vulnerable groups in mental health for which prevention and promotion programs could be designed.
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Warren, Sharon A., Karen V. L. Turpin, Sheri L. Pohar, C. Allyson Jones, and K. G. Warren. "Comorbidity and Health-Related Quality of Life in People with Multiple Sclerosis." International Journal of MS Care 11, no. 1 (2009): 6–16. http://dx.doi.org/10.7224/1537-2073-11.1.6.
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This study examined associations between comorbidity and health-related quality of life (HRQL) in people with multiple sclerosis (MS). Data were derived from the Canadian Community Health Survey (CCHS) Cycle 1.1, a cross-sectional survey conducted by Statistics Canada. A nationally representative sample of community-dwelling Canadians was interviewed to determine whether they had been diagnosed with various chronic conditions. Participants were also administered the Health Utilities Index Mark 3 (HUI3) questionnaire to evaluate HRQL. Of the 131,535 participants, 335 reported having MS. Comorbidities listed by at least 10% of respondents with MS were assessed for their relation to HRQL, with age, sex, education, marital status, income, and number of comorbidities included as covariates. Respondents averaged 1.6 comorbidities. Eight comorbidities were experienced by at least 10% of respondents: back problems (35%), nonfood allergies (29%), urinary incontinence (28%), arthritis (26%), hypertension (17%), chronic fatigue syndrome (16%), depression (16%), and migraine (14%). Differences in HRQL between people with and without urinary incontinence, arthritis, hypertension, chronic fatigue syndrome, and depression were either clinically important or statistically significant at the .05 level in bivariate analyses. Only urinary incontinence and depression, however, were negatively associated with HRQL in a multivariate analysis, which explained 26% of the variance. Lower levels of education and receiving social assistance were also negatively associated with HRQL, with social assistance contributing more to the variance in HRQL than either comorbidity.
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Orr, Serena L., Beth K. Potter, Jinhui Ma, and Ian Colman. "Migraine and Mental Health in a Population-Based Sample of Adolescents." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 44, no. 1 (2016): 44–50. http://dx.doi.org/10.1017/cjn.2016.402.
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AbstractObjective: To explore the relationship between migraine and anxiety disorders, mood disorders and perceived mental health in a population-based sample of adolescents. Methods: The Canadian Community Health Survey (CCHS) is a cross-sectional health survey sampling a nationally representative group of Canadians. In this observational study, data on all 61,375 participants aged 12-19 years from six survey cycles were analyzed. The relationships between self-reported migraine, perceived mental health, and mood/anxiety disorders were modeled using univariate and multivariate logistic regression. The migraine–depression association was also explored in a subset of participants using the Composite International Diagnostic Interview–Short Form (CIDI–SF) depression scale. Results: The odds of migraine were higher among those with mood disorders, with the strongest association in 2011-2 (adjusted odds ratio [aOR]=4.59; 95% confidence interval [CI95%]=3.44-6.12), and the weakest in 2009-10 (aOR=3.06, CI95%=2.06-4.55). The migraine–mood disorders association was also significant throughout all cycles, other than 2011-2, when the CIDI–SF depression scale was employed. The odds of migraine were higher among those with anxiety disorders, with the strongest association in 2011-2 (aOR=4.21, CI95%=3.31-5.35) and the weakest in 2010 (aOR=1.87, CI95%=1.10-3.37). The inverse association between high perceived mental health and the odds of migraine was observed in all CCHS cycles, with the strongest association in 2011-2 (aOR=0.58, CI95%=0.48-0.69) and the weakest in 2003-4 (aOR=0.75, CI95%=0.62-0.91). Conclusions: This study provides evidence, derived from a large population-based sample of adolescents, for a link between migraine and mood/anxiety disorders.
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Khan, Mushira Mohsin, Karen Kobayashi, Zoua M. Vang, and Sharon M. Lee. "Are visible minorities “invisible” in Canadian health data and research? A scoping review." International Journal of Migration, Health and Social Care 13, no. 1 (2017): 126–43. http://dx.doi.org/10.1108/ijmhsc-10-2015-0036.
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Purpose Canada’s visible minority population is increasing rapidly, yet despite the demographic significance of this population, there is a surprising dearth of nationally representative health data on visible minorities. This is a major challenge to undertaking research on the health of this group, particularly in the context of investigating racial/ethnic disparities and health disadvantages that are rooted in racialization. The purpose of this paper is to summarize: mortality and morbidity patterns for visible minorities; determinants of visible minority health; health status and determinants of the health of visible minority older adults (VMOA); and promising data sources that may be used to examine visible minority health in future research. Design/methodology/approach A scoping review of 99 studies or publications published between 1978 and 2014 (abstracts of 72 and full articles of 27) was conducted to summarize data and research findings on visible minority health to answer four specific questions: what is known about the morbidity and mortality patterns of visible minorities relative to white Canadians? What is known about the determinants of visible minority health? What is known about the health status of VMOA, a growing segment of Canada’s aging population, and how does this compare with white older adults? And finally, what data sources have been used to study visible minority health? Findings There is indeed a major gap in health data and research on visible minorities in Canada. Further, many studies failed to distinguish between immigrants and Canadian-born visible minorities, thus conflating effects of racial status with those of immigrant status on health. The VMOA population is even more invisible in health data and research. The most promising data set appears to be the Canadian Community Health Survey (CCHS). Originality/value This paper makes an important contribution by providing a comprehensive overview of the nature, extent, and range of data and research available on the health of visible minorities in Canada. The authors make two key recommendations: first, over-sampling visible minorities in standard health surveys such as the CCHS, or conducting targeted health surveys of visible minorities. Surveys should collect information on key socio-demographic characteristics such as nativity, ethnic origin, socioeconomic status, and age-at-arrival for immigrants. Second, researchers should consider an intersectionality approach that takes into account the multiple factors that may affect a visible minority person’s health, including the role of discrimination based on racial status, immigrant characteristics for foreign-born visible minorities, age and the role of ageism for older adults, socioeconomic status, gender (for visible minority women), and geographic place or residence in their analyses.
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Cahill, Leah, Allie Carew, Rania Mekary, et al. "Prospective Study of Eating Habits as a Predictor of Incident Coronary Heart Disease Hospitalization and Mortality: The 2004 Canadian Community Health Survey." Current Developments in Nutrition 4, Supplement_2 (2020): 1382. http://dx.doi.org/10.1093/cdn/nzaa061_010.
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Abstract Objectives Eating habits such as skipping breakfast and snacking are increasingly common practices among North American adults; however, their long-term effects on incident coronary heart disease (CHD) outcomes remain unknown. Previous studies of breakfast skipping and/or eating frequency and cardiometabolic risk have suggested plausible biological pathways for either a protective or harmful relationship to exist, especially when other cardiometabolic risk factors such as diabetes, hypertension, and obesity are present. The objectives of this study were to assess whether long-term associations exist between eating habits (skipping breakfast and eating frequency) and incident CHD (hospitalization and mortality risk), and whether these are intensified by the presence of cardiometabolic risk factors. Methods Skipping breakfast (yes/no) and eating frequency (times per day) were assessed via a 24-hour dietary recall in a nationally representative sample of 13,587 adults (aged ≥18 years) in the 2004 Canadian Community Health Survey (CCHS), who were free of CHD and cancer. Data from the CCHS 2.2 were linked to the population-based Discharge Abstract Database and Canadian Mortality Database to determine the incidence of CHD hospitalization and mortality in the subsequent 9 years. Multivariable Cox proportional hazards models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). Results During follow-up, 762 cases of CHD hospitalization and mortality were documented. Skipping breakfast was not associated with risk of CHD hospitalization and mortality in all participants together (multivariable-adjusted HR = 1.02, 95% CI: 0.74–1.39) or within baseline risk factor subgroups (hypertension: n = 2472; 0.95, 0.55–1.64; diabetes: n = 826; 1.38, 0.65–2.93; BMI ≥ 30 kg/m2: n = 2942; 1.43, 0.84–2.43). Similarly, no associations were observed between eating frequency and risk of CHD hospitalization and mortality. Conclusions Skipping breakfast and eating frequency were not associated with either increased or decreased risk of CHD hospitalization and mortality in this cohort of Canadian adults. Funding Sources Nova Scotia Health Research Foundation Development and Innovative Grant and a Nova Scotia Health Authority Research Foundation New Investigator Grant to LEC.
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Hosseini, Seyed H., Julie M. Jones, and Hassan Vatanparast. "Association between Grain Intake, Nutrient Intake, and Diet Quality of Canadians: Evidence from the Canadian Community Health Survey–Nutrition 2015." Nutrients 11, no. 8 (2019): 1937. http://dx.doi.org/10.3390/nu11081937.
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The new Canada’s Food Guide (CFG) recommends whole grains foods as the primary choice of grain products in the daily diet. This study examined whether higher shares of whole-grain consumption, beyond the recommended levels (i.e., above half) of the daily grain intake, are linked with optimal diet quality and intakes of some key nutrients, for both children and adolescents and adults in Canada. To meet the objective of this study, we used the Canadian Community Health Survey (CCHS)–Nutrition 2015, which is a nationally representative data. We employed the propensity score matching (PSM) method in this study. PSM estimates the exposure effect when a set of individuals are exposed to a specific treatment (food group intake in this study) in a non-experimental setting. The results of our analyses implied that a high consumption of whole grains is associated with a good diet quality. However, after a certain level of whole-grain consumption, no significant differences can be observed in diet quality scores of children and adolescents and adults. Moreover, it was observed that the proportion of obese and overweight individuals was significantly lower among adults that had balanced intakes of whole and non-whole grains. The results of logistic regression analyses also showed the probability of being obese and overweight is significantly lower in the case of adults with balanced intakes of grains. However, no significant differences were observed in the prevalence of obesity and overweight across whole grains consumption patterns for children and adolescents.
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Murray, Cynthia L., Gordon W. Walsh, and Sarah Connor Gorber. "A Comparison between Atlantic Canadian and National Correction Equations to Improve the Accuracy of Self-Reported Obesity Estimates in Atlantic Canada." Journal of Obesity 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/492410.
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Objectives. To determine whether obesity correction equations for the Canadian general population, which are dependent on the prevalence of obesity, are appropriate for use in Atlantic Canada, which has the highest obesity rates in the country. Also, to compare the accuracy of the national equations to equations developed specifically for the Atlantic Canadian population.Methods. The dataset consisted of Canadian Community Health Survey (CCHS) 2007-2008 data collected on 17,126 Atlantic Canadians and a subsample of adults, who provided measured height and weight (MHW) data. Atlantic correction equations were developed in the MHW subsample. Using separate multiple regression models for men and women, self-reported body mass index (BMI) was corrected by multiplying the self-reported estimate by its corresponding model coefficient and adding the model intercept. Pairedt-tests were used to determine whether corrected mean BMI values were significantly more accurate (i.e., closer to measured data) than the equivalent means based on self-reported data. The analyses were repeated using the national equations.Results. Both the Atlantic and the national equations yielded corrected obesity estimates that were significantly more accurate than those based on self-report.Conclusion. The results provide some evidence of the generalizability of the national equations to atypical regions of Canada.
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Menezes, N. M., K. Georgiades, and M. H. Boyle. "The influence of immigrant status and concentration on psychiatric disorder in Canada: a multi-level analysis." Psychological Medicine 41, no. 10 (2011): 2221–31. http://dx.doi.org/10.1017/s0033291711000213.
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BackgroundMany studies have reported an increased incidence of psychiatric disorder (particularly psychotic disorders) among first generation adult immigrants, along with an increasing risk for ethnic minorities living in low-minority concentration neighborhoods. These studies have depended mostly on European case-based databases. In contrast, North American studies have suggested a lower risk for psychiatric disorder in immigrants, although the effect of neighborhood immigrant concentration has not been studied extensively.MethodUsing multi-level modeling to disaggregate individual from area-level influences, this study examines the influence of first generation immigrant status at the individual level, immigrant concentration at the neighborhood-level and their combined effect on 12-month prevalence of mood, anxiety and substance-dependence disorders and lifetime prevalence of psychotic disorder, among Canadians.ResultsIndividual-level data came from the Canadian Community Health Survey (CCHS) 1.2, a cross-sectional study of psychiatric disorder among Canadians over the age of 15 years; the sample for analysis wasn=35 708. The CCHS data were linked with neighborhood-level data from the Canadian Census 2001 for multi-level logistic regression. Immigrant status was associated with a lower prevalence of psychiatric disorder, with an added protective effect for immigrants living in neighborhoods with higher immigrant concentrations. Immigrant concentration was not associated with elevated prevalence of psychiatric disorder among non-immigrants.ConclusionsThe finding of lower 12-month prevalence of psychiatric disorder in Canadian immigrants, with further lessening as the neighborhood immigrant concentration increases, reflects a model of person–environment fit, highlighting the importance of studying individual risk factors within environmental contexts.
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Urbanoski, Karen, Dakota Inglis, and Scott Veldhuizen. "Service Use and Unmet Needs for Substance Use and Mental Disorders in Canada." Canadian Journal of Psychiatry 62, no. 8 (2017): 551–59. http://dx.doi.org/10.1177/0706743717714467.
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Objective: To investigate patterns and predictors of help seeking and met/unmet needs for mental health care in a national population health survey. Method: Participants were respondents to the 2012 Canadian Community Health Survey on Mental Health (CCHS-MH; n = 25,133). We used regression to identify the diagnostic and sociodemographic predictors of the use of informal supports, primary care, and specialist care, as well as perceived unmet needs. Results: Eleven percent of Canadians reported using professionally led services for mental health or substance use in 2012, while another 9% received informal supports. Two-thirds of people with substance use disorders did not receive any care, and among those who did, informal supports were most common. Seventy-four percent of people with mood/anxiety disorders and 88% of those with co-occurring disorders did access services, most commonly specialist mental health care. Men, older people, members of ethnocultural minorities, those not born in Canada, those with lower education, and those with higher incomes were less likely to receive care. Unmet needs were higher among people with substance use disorders. Conclusions: Gaps in services continue to exist for some potentially vulnerable population subgroups. Policy and practice solutions are needed to address these unmet needs. In particular, the convergence of research pointing to gaps in the availability and accessibility of high-quality services for substance use in Canada demands attention.
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Shields, M., L. Tonmyr, and W. Hovdestad. "Is child sexual abuse declining in Canada? Results from nationally representative retrospective surveys." Health Promotion and Chronic Disease Prevention in Canada 36, no. 11 (2016): 252–60. http://dx.doi.org/10.24095/hpcdp.36.11.03.
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Introduction Numerous data sources suggest a decline in child sexual abuse (CSA) in the United States since the early 1990s. Some evidence also indicates that an earlier period of higher CSA incidence began following World War II. This study examines prevalence estimates of sexual abuse reported retrospectively as having occurred in childhood (ChSA) in two nationally representative surveys of the Canadian population. Methods Data are from 13 931 respondents aged 18 to 76 years from the 2004/2005 Canadian Gender, Alcohol, and Culture: An International Study (GENACIS), and from 22 169 household residents aged 18 years or older who participated in the 2012 Canadian Community Health Survey–Mental Health (CCHS-MH). We present inter- and intrasurvey comparisons of ChSA prevalence specific to sex and age groups. Results Findings from both surveys suggest a decline in CSA since 1993, consistent with declines observed in the United States. Results also suggest that 1946 to 1992 was a period of higher risk of CSA, relative to the period before 1946. The evidence was more robust for women. Conclusion Evidence of a decline in CSA in Canada since the early 1990s is encouraging, given the long-term debilitating effects with which it is associated. Continued monitoring is critical. The long-term negative effects associated with CSA underscore the importance of continuing to move from lower risk to zero risk.
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Auclair, Olivia, and Sergio A. Burgos. "Carbon Footprint of Canadian Self-Selected Diets: Trade-Offs With Nutrient Intakes and Diet Quality." Current Developments in Nutrition 5, Supplement_2 (2021): 84. http://dx.doi.org/10.1093/cdn/nzab060_002.
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Abstract Objectives Individuals' dietary choices are critical determinants of human and planetary health. Although the environmental impact of animal-based foods typically exceeds that of plants, trade-offs among nutritional outcomes and environmental sustainability in the context of self-selected diets are less understood. The objectives were to estimate the carbon footprint of Canadian self-selected diets and to compare low- and high-GHGE diets in terms of intake of food groups, nutrients, and diet quality. Methods Twenty-four-hour recalls from the 2015 Canadian Community Health Survey (CCHS) – Nutrition were used to determine dietary intake among adults ≥19 y (n = 13,612). Estimates from the database of Food Impacts on the Environment for Linking to Diets were used to link foods and beverages reported in the CCHS to their greenhouse gas emissions (GHGE). Intake of food groups, nutrients, and diet quality based on the Alternative Healthy Eating Index – 2010 were compared between low- and high-GHGE diets (lowest and highest quintiles of dietary GHGE expressed per 1,000 kcal). Results Dietary GHGE (mean ± SE) was 3.98 ± 0.06 kg CO2-equivalents (eq) per person per d or 2.15 ± 0.03 kg CO2-eq per person per 1,000 kcal. Animal-based foods contributed three-quarters of Canadians' total dietary GHGE, with red and processed meat alone accounting for 47.05 ± 0.82%. High-GHGE diets contained more animal-based foods, but also more vegetables and fruits and miscellaneous foods and beverages; low-GHGE diets contained more cereals, grains, and breads. High-GHGE diet respondents had higher intakes of nutrients of public health concern (iron, potassium, calcium, and vitamin D), but also higher intakes of nutrients to limit (saturated fat and sodium). Moreover, low-GHGE diets had higher diet quality scores compared to high-GHGE diets (55.31 ± 0.49 vs. 47.27 ± 0.46 points; p &lt; 0.0001). Conclusions Self-selected Canadian diets with the highest GHGE contained more animal-based foods and were characterized by higher intakes of nutrients of concern but a lower overall diet quality. These trade-offs warrant attention in shaping future food policy and dietary guidance in Canada aimed at meeting global targets for climate change. Funding Sources None.
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Pohar, Sheri L., C. Allyson Jones, Sharon Warren, Karen V. L. Turpin, and Kenneth Warren. "Health Status and Health Care Utilization of Multiple Sclerosis in Canada." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 34, no. 2 (2007): 167–74. http://dx.doi.org/10.1017/s0317167100005990.
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Background:Persons with multiple sclerosis (MS) represent a small segment of the population, but given the progression of the disease, they experience substantial physical, psychosocial and economic burdens.Objective:The primary aim was to compare demographic characteristics, health status, health behaviours, health care resource utilization and access to health care of the community dwelling populations with and without MS.Methods:Cross-sectional survey using data from the Canadian Community Health Survey (CCHS 1.1). Adjusted analyses were performed to assess differences between persons with MS and the general population, after controlling for age and sex. Normalized sampling weights and bootstrap variance estimates were used.Results:Respondents with MS were 7.6 times (95% CI: 5.4, 10.7) more likely to have health-related quality of life scores that reflected severe impairment than respondents without MS. Respondents with MS were 12.2 times (95% CI: 8.6, 17.2) to rate their health as ‘poor’ or ‘fair’ than the general population. Urinary incontinence and chronic fatigue syndrome were 18.7 times (95% CI: 12.5, 28.2) and 21.9 times (95% CI: 11.9, 40.3), more likely to be reported by respondents with MS than those without. Differences between the two populations also existed in terms of health care resource utilization and access and health behaviours.Conclusion:Large discrepancies in health status and health care utilization existed between persons with MS who reside in the community and the general population according to all indicators used. Health care needs of persons with MS were also not met.
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Beck, Cynthia A., Jeanne VA Williams, Jian Li Wang, et al. "Psychotropic Medication Use in Canada." Canadian Journal of Psychiatry 50, no. 10 (2005): 605–13. http://dx.doi.org/10.1177/070674370505001006.
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Background: Psychotropic medication use can be employed as an indicator of appropriate treatment for mental disorders. The Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2) offers the first opportunity to characterize Canadian psychotropic medication use on a national level within diagnostic groups as assessed by a full version of the Composite International Diagnostic Interview (CIDI). Method: We assessed the prevalence of antidepressant, sedative-hypnotic, mood stabilizer, psychostimulant, and antipsychotic use over 2 days overall and in subgroups defined by CIDI-diagnosed disorders and demographics. We employed sampling weights and bootstrap methods. Results: Overall psychotropic drug utilization was 7.2%. Utilization was higher for women and with increasing age. With any lifetime CIDI-diagnosed disorder assessed in the CCHS 1.2, utilization was 19.3%, whereas without such disorders, it was 4.1%. Selective serotonin reuptake inhibitors (SSRIs) were the most commonly used antidepressants for those with a past-year major depressive episode (17.8%), followed by venlafaxine (7.4%). Among people aged 15 to 19 years, antidepressant use was 1.8% overall and 11.7% among those with past-year depression; SSRIs made up the majority of use. Sedative-hypnotics were used by 3.1% overall, increasing with age to 11.1% over 75 years. Conclusions: International comparison is difficult because of different evaluation methods, but antidepressant use may be higher and antipsychotic use lower in Canada than in recent European and American reports. In light of the relative lack of contemporary evidence for antidepressant efficacy in adolescents, it is likely that antidepressant use among those aged 15 to 19 years will continue to decline. The increased use of sedative-hypnotics with age is of concern, given the associated risk of adverse effects among seniors.
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Ouedraogo, Ernest, Yienouyaba Gaetan Ouoba, and Emmanuel Lompo. "The Social and Economic Correlates of Tobacco Consumption in Developing Countries Compared to Developed Countries: Evidence from Burkina Faso and Canada." Global Journal of Health Science 12, no. 11 (2020): 33. http://dx.doi.org/10.5539/gjhs.v12n11p33.
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This paper examines the socio-demographic and economic factors affecting tobacco consumption in a developing country like Burkina Faso compared to a developed country like Canada. Using nationally representative data from the 2016 round of Burkina Faso&rsquo;s Demographic and Health Survey (DHS) and the Canadian Community Health Survey (CCHS) 2015-2016, we estimated multivariate fixed effects models to identify the social and economic factors associated with tobacco consumption in these countries. We find evidence that age has an inverted U-shaped positive effect on cigarettes consumption in both countries with a peak at 24-35 years old in Burkina Faso and a peak at 40-54 years old in Canada. Second, being single increases the consumption of cigarettes while education and employment reduce cigarettes consumption in both countries. The gender gap in tobacco consumption between men and women is larger in Burkina Faso (5.021 cigarettes) compared to Canada (1.45 cigarettes). Third, while income have a negative impact on cigarettes consumption in Canada, it displays a U-shape effect in Burkina Faso. Hence, the social and economic context should be considered by the international organization while addressing the issue of smoking in developed and developing countries.
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Kuwornu, JP, LM Lix, and S. Shooshtari. "Multimorbidity disease clusters in Aboriginal and non-Aboriginal Caucasian populations in Canada." Chronic Diseases and Injuries in Canada 34, no. 4 (2014): 218–25. http://dx.doi.org/10.24095/hpcdp.34.4.05.
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Introduction Patterns of multimorbidity, the co-occurrence of two or more chronic diseases, may not be constant across populations. Our study objectives were to compare prevalence estimates of multimorbidity in the Aboriginal population in Canada and a matched non-Aboriginal Caucasian population and identify the chronic diseases that cluster in these groups. Methods We used data from the 2005 Canadian Community Health Survey (CCHS) to identify adult (≥ 18 years) respondents who self-identified as Aboriginal or non-Aboriginal Caucasian origin and reported having 2 or more of the 15 most prevalent chronic conditions measured in the CCHS. Aboriginal respondents who met these criteria were matched on sex and age to non-Aboriginal Caucasian respondents. Analyses were stratified by age (18–54 years and ≥ 55 years). Prevalence was estimated using survey weights. Latent class analysis (LCA) was used to identify disease clusters. Results A total of 1642 Aboriginal respondents were matched to the same number of non-Aboriginal Caucasian respondents. Overall, 38.9% (95% CI: 36.5%–41.3%) of Aboriginal respondents had two or more chronic conditions compared to 30.7% (95% CI: 28.9%–32.6%) of non-Aboriginal respondents. Comparisons of LCA results revealed that three or four clusters provided the best fit to the data. There were similarities in the diseases that tended to co-occur amongst older groups in both populations, but differences existed between the populations amongst the younger groups. Conclusion We found a small group of younger Aboriginal respondents who had complex co-occurring chronic diseases; these individuals may especially benefit from disease management programs.
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Patten, Scott B., Cynthia A. Beck, Aliya Kassam, Jeanne VA Williams, Corrado Barbui, and Luanne M. Metz. "Long-Term Medical Conditions and Major Depression: Strength of Association for Specific Conditions in the General Population." Canadian Journal of Psychiatry 50, no. 4 (2005): 195–202. http://dx.doi.org/10.1177/070674370505000402.
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Background: The prevalence of major depression (MD) in persons with nonpsychiatric medical conditions is an indicator of clinical need in those groups, an indicator of the feasibility of screening and case-finding efforts, and a source of etiologic hypotheses. This analysis explores the prevalence of MD in the general population in relation to various long-term medical conditions. Methods: We used a dataset from a large-scale Canadian national health survey, the Canadian Community Health Survey (CCHS). The sample consisted of 115 071 subjects aged 18 years and over, randomly sampled from the Canadian population. The survey interview recorded self-reported diagnoses of various long-term medical conditions and employed a brief predictive interview for MD, the Composite International Diagnostic Interview Short Form for Major Depression. Logistic regression was used to adjust estimates of association for age and sex. Results: The conditions most strongly associated with MD were chronic fatigue syndrome (adjusted odds ratio [AOR] 7.2) and fibromyalgia (AOR 3.4). The conditions least strongly associated were hypertension (AOR 1.2), diabetes, heart disease, and thyroid disease (AOR 1.4 in each case). We found associations with various gastrointestinal, neurologic, and respiratory conditions. Conclusions: A diverse set of long-term medical conditions are associated with MD, although previous studies might have lacked power to detect some of these associations. The strength of association in prevalence data, however, varies across specific conditions.