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

dc.contributor.authorMacNeil, Andie
dc.contributor.authorLi, Grace
dc.contributor.authorJiang, Ying
dc.contributor.authorde Groh, Margaret
dc.contributor.authorFuller-Thomson, Esme
dc.date.accessioned2024-01-26T16:13:26Z
dc.date.available2024-01-26T16:13:26Z
dc.date.copyright2023en_US
dc.date.issued2023
dc.description.abstractObjectives: (1) In a subsample of older adults with asthma without a history of depression, to determine the factors associated with developing depression during the COVID-19 pandemic; (2) in a subsample of older adults with asthma with a history of depression, to identify factors associated with recurrent depression during the pandemic. Methods: Data came from four waves (Baseline [2011–2015], Follow-up 1 [2015–2018]; COVID Spring 2020, COVID Autumn 2020) of the Canadian Longitudinal Study on Aging's comprehensive cohort (n = 2,047 with asthma). The outcome of interest was a positive screen for depression based on the CES-D-10 during the autumn of 2020. Bivariate and multivariate logistic regression analyses were conducted. Results: Among older adults with asthma without a history of depression (n = 1,247), approximately 1 in 7 (13.5%) developed depression for the first time during the COVID-19 pandemic. Among those with a history of depression (n = 770), approximately 1 in 2 (48.6%) experienced a recurrence of depression. The risk of incident depression and recurrent depression was higher among those who were lonely, those experiencing family conflict during the pandemic, and those who had difficulty accessing healthcare resources during the pandemic. The risk of incident depression only was higher among those who had difficulty accessing resources and/or loss of income during the pandemic. The risk of recurrent depression only was higher among those with functional limitations. Conclusions: There is a need for targeted interventions to support the mental health of older adults with asthma who have the above identified vulnerabilities during the pandemic.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis research was made possible using the data collected by the Canadian Longitudinal Study on Aging (CLSA). Funding for the Canadian Longitudinal Study on Aging (CLSA) is provided by the Government of Canada through the Canadian Institutes of Health Research (CIHR) under grant reference: LSA 94473 and the Canada Foundation for Innovation. This research has been conducted using the Baseline Comprehensive Dataset version 6.0, Baseline Tracking Dataset version 3.7, Follow-up 1 Comprehensive Dataset version 3.0 and Follow-up 1 Tracking Dataset version 2.2, COVID-19 Questionnaire Study Dataset version 1.0 under Application ID 2104024. The CLSA is led by Drs. Parminder Raina, Christina Wolfson and Susan Kirkland. The opinions expressed in this manuscript are the author’s own and do not reflect the views of the Canadian Longitudinal Study on Aging. The authors gratefully acknowledge the support of the Canadian Institutes of Health Research (CIHR) grant #172862 (PI Esme Fuller-Thomson) and the Canadian Frailty Network. The opinions expressed in this manuscript are the authors’ own and do not reflect the views of the Canadian Longitudinal Study on Aging, the CIHR, or the Canadian Frailty Network.en_US
dc.identifier.citationMacNeil, A., Li, G., Jiang, Y., de Groh, M., & Fuller-Thomson, E. (2023). Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging. Respiratory Medicine, 213, 107003. https://doi.org/10.1016/j.rmed.2022.107003en_US
dc.identifier.urihttps://doi.org/10.1016/j.rmed.2022.107003
dc.identifier.urihttp://hdl.handle.net/1828/15900
dc.language.isoenen_US
dc.publisherRespiratory Medicineen_US
dc.subjectAsthma
dc.subjectDepression
dc.subjectOlder adults
dc.subjectCOVID-19
dc.subjectCLSA
dc.subject.departmentDepartment of Sociology
dc.titleIncident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Agingen_US
dc.typeArticleen_US

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