Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)

Karen M. Davison; Yu Lung; Shen (Lamson) L. Lin; Hongmei Tong; Karen M. Kobayashi; Esme Fuller-Thomson

doi:10.1016/j.jad.2020.01.024

Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)

Karen M. Davison, Yu Lung, Shen (Lamson) L. Lin, Hongmei Tong, Karen M. Kobayashi, Esme Fuller-Thomson^*

^*Corresponding author for this work

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

27 Citations (Scopus)

Abstract

Background:  Psychological distress increases mortality risk; there is little knowledge about its prevelance and contributory factors in older populations.
Methods:  Canadian Longitudinal Study on Aging baseline data (2010–2015) were analyzed to examine the relationship between Kessler's Psychological Distress Scale-K10 and immigrant status (recent/mid-term,<20 years; long-term, ≥20 years; Canadian-born). Covariates included socioeconomic and health-related variables. Stratified by sex, two series of multinomial logistic regression were used to calculate the likelihood of having mild distress (20 < K10 score ≤24) and moderate/severe distress (K10 score >24).
Results:  Respondents (n = 25,700) were mainly Canadian-born (82.8%), 45–65 years (59.3%), earning cut-off; OR=1.32, 99% CI 1.02–1.70), and higher nutritional risk (ORs = 2.16–3.31, p's <0.001). For men, psychological distress was associated with under-nutrition (grip strength56 years, ORs=0.19–0.79, p's<0.01), lower income (≤C$149,000, ORs = 1.68–7.79, p's<0.01), multi-morbidities (ORs = 1.67–4.70, p's<0.01), chronic pain (ORs = 1.67–3.09, p's<0.001) and higher intake of chocolate (≥ 0.6 bar/week, ORs=1.61–2.23, p's<0.001).
Limitations: Cross-sectional design prohibits causal inferences.
Conclusions:  Nutritional factors, immigration status, social, and health-related problems are strongly associated with psychological distress among midlife and older adults.

Original language	English
Pages (from-to)	526-537
Number of pages	12
Journal	Journal of Affective Disorders
Volume	265
Online published	11 Jan 2020
DOIs	https://doi.org/10.1016/j.jad.2020.01.024
Publication status	Published - 15 Mar 2020
Externally published	Yes

Funding

The 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 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 CLSA dataset Baseline Tracking Dataset version 3.4, Baseline Comprehensive Dataset version 4.0, under Application Number 170605." The CLSA is led by Drs. Parminder Raina, Christina Wolfson and Susan Kirkland. Part of this study was funded through EFT's Sandra Rotman endowed chair funds and KMD's Fulbright Canada scholarship. The 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 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 CLSA dataset Baseline Tracking Dataset version 3.4, Baseline Comprehensive Dataset version 4.0, under Application Number 170605." The CLSA is led by Drs. Parminder Raina, Christina Wolfson and Susan Kirkland.

Research Keywords

Canadian Longitudinal Study on Aging
CLSA
Immigrants
Nutrient intake
Older adults
Psychological distress

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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@article{13dc2709565e4a7f90954c78318fa987,

title = "Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)",

abstract = "Background: Psychological distress increases mortality risk; there is little knowledge about its prevelance and contributory factors in older populations. Methods: Canadian Longitudinal Study on Aging baseline data (2010–2015) were analyzed to examine the relationship between Kessler's Psychological Distress Scale-K10 and immigrant status (recent/mid-term,<20 years; long-term, ≥20 years; Canadian-born). Covariates included socioeconomic and health-related variables. Stratified by sex, two series of multinomial logistic regression were used to calculate the likelihood of having mild distress (20 < K10 score ≤24) and moderate/severe distress (K10 score >24). Results: Respondents (n = 25,700) were mainly Canadian-born (82.8%), 45–65 years (59.3%), earning cut-off; OR=1.32, 99% CI 1.02–1.70), and higher nutritional risk (ORs = 2.16–3.31, p's <0.001). For men, psychological distress was associated with under-nutrition (grip strength56 years, ORs=0.19–0.79, p's<0.01), lower income (≤C$149,000, ORs = 1.68–7.79, p's<0.01), multi-morbidities (ORs = 1.67–4.70, p's<0.01), chronic pain (ORs = 1.67–3.09, p's<0.001) and higher intake of chocolate (≥ 0.6 bar/week, ORs=1.61–2.23, p's<0.001). Limitations: Cross-sectional design prohibits causal inferences. Conclusions: Nutritional factors, immigration status, social, and health-related problems are strongly associated with psychological distress among midlife and older adults.",

keywords = "Canadian Longitudinal Study on Aging, CLSA, Immigrants, Nutrient intake, Older adults, Psychological distress",

author = "Davison, {Karen M.} and Yu Lung and Lin, {Shen (Lamson) L.} and Hongmei Tong and Kobayashi, {Karen M.} and Esme Fuller-Thomson",

note = "Publisher Copyright: {\textcopyright} 2020",

year = "2020",

month = mar,

day = "15",

doi = "10.1016/j.jad.2020.01.024",

language = "English",

volume = "265",

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Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA). / Davison, Karen M.; Lung, Yu; Lin, Shen (Lamson) L. et al.
In: Journal of Affective Disorders, Vol. 265, 15.03.2020, p. 526-537.

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

TY - JOUR

T1 - Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)

AU - Davison, Karen M.

AU - Lung, Yu

AU - Lin, Shen (Lamson) L.

AU - Tong, Hongmei

AU - Kobayashi, Karen M.

AU - Fuller-Thomson, Esme

PY - 2020/3/15

Y1 - 2020/3/15

N2 - Background: Psychological distress increases mortality risk; there is little knowledge about its prevelance and contributory factors in older populations. Methods: Canadian Longitudinal Study on Aging baseline data (2010–2015) were analyzed to examine the relationship between Kessler's Psychological Distress Scale-K10 and immigrant status (recent/mid-term,<20 years; long-term, ≥20 years; Canadian-born). Covariates included socioeconomic and health-related variables. Stratified by sex, two series of multinomial logistic regression were used to calculate the likelihood of having mild distress (20 < K10 score ≤24) and moderate/severe distress (K10 score >24). Results: Respondents (n = 25,700) were mainly Canadian-born (82.8%), 45–65 years (59.3%), earning cut-off; OR=1.32, 99% CI 1.02–1.70), and higher nutritional risk (ORs = 2.16–3.31, p's <0.001). For men, psychological distress was associated with under-nutrition (grip strength56 years, ORs=0.19–0.79, p's<0.01), lower income (≤C$149,000, ORs = 1.68–7.79, p's<0.01), multi-morbidities (ORs = 1.67–4.70, p's<0.01), chronic pain (ORs = 1.67–3.09, p's<0.001) and higher intake of chocolate (≥ 0.6 bar/week, ORs=1.61–2.23, p's<0.001). Limitations: Cross-sectional design prohibits causal inferences. Conclusions: Nutritional factors, immigration status, social, and health-related problems are strongly associated with psychological distress among midlife and older adults.

AB - Background: Psychological distress increases mortality risk; there is little knowledge about its prevelance and contributory factors in older populations. Methods: Canadian Longitudinal Study on Aging baseline data (2010–2015) were analyzed to examine the relationship between Kessler's Psychological Distress Scale-K10 and immigrant status (recent/mid-term,<20 years; long-term, ≥20 years; Canadian-born). Covariates included socioeconomic and health-related variables. Stratified by sex, two series of multinomial logistic regression were used to calculate the likelihood of having mild distress (20 < K10 score ≤24) and moderate/severe distress (K10 score >24). Results: Respondents (n = 25,700) were mainly Canadian-born (82.8%), 45–65 years (59.3%), earning cut-off; OR=1.32, 99% CI 1.02–1.70), and higher nutritional risk (ORs = 2.16–3.31, p's <0.001). For men, psychological distress was associated with under-nutrition (grip strength56 years, ORs=0.19–0.79, p's<0.01), lower income (≤C$149,000, ORs = 1.68–7.79, p's<0.01), multi-morbidities (ORs = 1.67–4.70, p's<0.01), chronic pain (ORs = 1.67–3.09, p's<0.001) and higher intake of chocolate (≥ 0.6 bar/week, ORs=1.61–2.23, p's<0.001). Limitations: Cross-sectional design prohibits causal inferences. Conclusions: Nutritional factors, immigration status, social, and health-related problems are strongly associated with psychological distress among midlife and older adults.

KW - Canadian Longitudinal Study on Aging

KW - CLSA

KW - Immigrants

KW - Nutrient intake

KW - Older adults

KW - Psychological distress

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U2 - 10.1016/j.jad.2020.01.024

DO - 10.1016/j.jad.2020.01.024

M3 - RGC 21 - Publication in refereed journal

C2 - 32090781

AN - SCOPUS:85078866299

SN - 0165-0327

VL - 265

SP - 526

EP - 537

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

ER -

Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)

Abstract

Funding

Research Keywords

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