Nutritional Factors, Physical Health and Immigrant Status Are Associated with Anxiety Disorders among Middle‐Aged and Older Adults: Findings from Baseline Data of The Canadian Longitudinal Study on Aging (CLSA)

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dc.contributor.authorDavison, Karen M.
dc.contributor.authorLin, Shen (Lamson)
dc.contributor.authorTong, Hongmei
dc.contributor.authorKobayashi, Karen M.
dc.contributor.authorMora‐Almanza, Jose G.
dc.contributor.authorFuller‐Thomson, Esme
dc.date.accessioned2020-03-09T14:15:29Z
dc.date.available2020-03-09T14:15:29Z
dc.date.copyright2020en_US
dc.date.issued2020
dc.description.abstractThe main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, while controlling for socio-economic, health-related, and nutrition covariates. Of 26,991 participants (49.3% men, 82.5% Canadian born, 58.5% aged 45–65 years), the overall prevalence of self-reported physician diagnosis of anxiety disorders was 8.5%, with immigrants being lower than Canadian-born respondents (6.4% vs. 9.3%, p < 0.001). After accounting for all covariates, the adjusted odds ratio (aOR) for anxiety disorders was lower among immigrants (aOR = 0.77, 95% CI: 0.67–0.88) compared to those who were Canadian born. Identified risk factors included: younger age (aORs = 1.79–3.52), being a woman (aOR = 1.25, 95% CI: 1.07–1.46), single status (aOR = 1.27, 95% CI: 1.09–1.48), lower income (aORs = 1.28–2.68), multi-morbidities (aORs = 2.73–5.13), chronic pain (aOR = 1.31, 95% CI: 1.18–1.44), lifetime smoking ≥ 100 cigarettes (aOR = 1.35, 95% CI: 1.23–1.48), BMI < 18.5 (aOR = 1.87, 95% CI: 1.20–2.92), body fat ≥ 26% (aORs = 1.28–1.79), fruit and vegetable intake (<3/day; aORs = 1.24–1.26), and pastry consumption (>1/day; aOR = 1.55, 95% CI: 1.12–1.15) (p < 0.05). Targeting socio-economic and nutritional risk factors may reduce the burden of anxiety disorders in middle and late adulthood.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe authors wish to thank the CLSA for providing the data for this analysis. This research was made possible using the data/biospecimens collected by the Canadian Longitudinal Study on Aging (CLSA). Funding for the CLSA is provided by the Government of Canada through the Canadian Institutes of Health Research (CIHR) under grant reference: LSA 9447 and the Canada Foundation for Innovation. This research has been conducted using the CLSA Baseline Comprehensive Dataset version 4.0, under Application Number 170605. The CLSA is led by Drs. Parminder Raina, Christina Wolfson and Susan Kirkland. The development, testing and validation of the Short Diet Questionnaire (SDQ) were carried out among NuAge study participants as part of the CLSA Phase II validation studies, CIHR 2006‐2008. The NuAge study was supported by the CIHR, Grant number MOP‐62842, and the Quebec Network for Research on Aging, a network funded by the Fonds de Recherche du Québec‐Santé.en_US
dc.identifier.citationDavison, K.M., Lin, S., Tong, H., Kobayashi, K.M., Mora-Almanza, J.G. & Fuller- Thomson, E. (2020). Nutritional Factors, Physical Health and Immigrant Status Are Associated with Anxiety Disorders among Middle‐Aged and Older Adults: Findings from Baseline Data of The Canadian Longitudinal Study on Aging (CLSA). International Journal of Environmental Research and Public Health, 17(5), 1493. https://doi.org/10.3390/ijerph17051493en_US
dc.identifier.urihttp://dx.doi.org/10.3390/ijerph17051493
dc.identifier.urihttp://hdl.handle.net/1828/11611
dc.language.isoenen_US
dc.publisherInternational Journal of Environmental Research and Public Healthen_US
dc.subjectnutrition
dc.subjectimmigration
dc.subjectdeterminants of mental health
dc.subjectCLSA
dc.subjectanxiety disorders
dc.subject.departmentDepartment of Sociology
dc.titleNutritional Factors, Physical Health and Immigrant Status Are Associated with Anxiety Disorders among Middle‐Aged and Older Adults: Findings from Baseline Data of The Canadian Longitudinal Study on Aging (CLSA)en_US
dc.typeArticleen_US

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