Health ReportsPub Date : 2025-01-15DOI: 10.25318/82-003-x202500100001-eng
Thomas Charters, Dafna Kohen, Julie Bernier
{"title":"Mapping the Washington Group on Disability Statistics disability measure to the Health Utilities Index Mark 3: Development and validation of a predictive multivariable model in a general population sample.","authors":"Thomas Charters, Dafna Kohen, Julie Bernier","doi":"10.25318/82-003-x202500100001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202500100001-eng","url":null,"abstract":"<p><strong>Background: </strong>Statistics Canada routinely collects information on functional health and related concepts. Recently, the Washington Group on Disability Statistics (WG) measure of disability has been introduced to the Canadian Community Health Survey (CCHS). The WG measure is used as a tool for developing internationally comparable data on disability. In alternate cycles of the CCHS, it replaces the Health Utilities Index Mark 3 (HUI3), a generic preference-based measure of health-related quality of life. The HUI3 is used to derive evaluative health measures common in population health and economic evaluations. Since the WG measure is not preference-based, it is unable to derive these measures. To address resulting data gaps, this study empirically maps the health state utility values of the HUI3 score from the WG measure.</p><p><strong>Data and methods: </strong>Empirical mapping used a \"head-to-head\" subsample of the 2017 CCHS where WG and HUI3 measures were collected from the same respondents aged 40 and over. Empirical mapping used regression models to estimate the statistical relationship between WG and HUI3 measures in addition to health and demographic variables. Out-of-sample predictive performance was assessed through descriptive statistics, mean absolute error, and other measures of predictive accuracy.</p><p><strong>Results: </strong>The preferred estimation strategy resulted in reasonably precise estimates of the HUI3 score corresponding to trends across health and demographic characteristics and reflecting distributional properties of the HUI3 score. Inclusion of different components of the WG measure influenced predictive accuracy.</p><p><strong>Interpretation: </strong>Empirical mapping offers a potential method to estimate health state utility scores from the WG measure and addresses data gaps in health-related quality of life measures in the CCHS when HUI3 is not collected.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"36 1","pages":"3-18"},"PeriodicalIF":2.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2025-01-15DOI: 10.25318/82-003-x202500100002-eng
Anaelle Cohen, Justin J Lang, Stephanie A Prince, Rachel C Colley, Mark S Tremblay, Jean-Philippe Chaput
{"title":"Are adolescents who do physical activity with their parents more active and mentally healthier?","authors":"Anaelle Cohen, Justin J Lang, Stephanie A Prince, Rachel C Colley, Mark S Tremblay, Jean-Philippe Chaput","doi":"10.25318/82-003-x202500100002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202500100002-eng","url":null,"abstract":"<p><strong>Background: </strong>Adolescents who engage in physical activity experience positive mental health outcomes. However, the increasing prevalence of physical inactivity combined with high screen time use among adolescents is a growing concern. Parents play an important role in shaping adolescents' physical activity and screen time levels through active participation and involvement.</p><p><strong>Data and methods: </strong>This nationally representative cross-sectional study used self-reported data from the 2019 Canadian Health Survey on Children and Youth. The frequency of family physical activity included five categories from \"never\" to \"daily.\" Outcome measures included achieving the physical activity (60 minutes or more of moderate-to-vigorous physical activity per day) and recreational screen time (two hours or less per day) recommendations, as well as mental health indicators. Logistic regression analyses examined the associations between family physical activity frequency and adolescents' physical activity, screen time, and mental health, with adjustments for relevant covariates.</p><p><strong>Results: </strong>In adjusted models, across all outcomes, results showed that a higher frequency of family physical activity was associated with better outcomes in a dose-response relationship when compared with never engaging in family physical activity. The strongest associations for daily frequency of family physical activity (compared with never engaging in it) were with high life satisfaction (odd ratio [OR]: 4.25, 95% confidence interval [CI]: 3.16 to 5.72) and with high perceived mental health (OR: 3.60, 95% CI: 2.62 to 4.96). Subgroup analyses stratified by gender were generally consistent with the main results.</p><p><strong>Interpretation: </strong>A higher frequency of family physical activity was associated with a greater likelihood of adhering to the physical activity and recreational screen time recommendations and better mental health in Canadian adolescents. Family physical activity may be an important way to promote adolescents' physical activity and positively influence their mental health.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"36 1","pages":"19-33"},"PeriodicalIF":2.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-12-18DOI: 10.25318/82-003-x202401200002-eng
Tracey Bushnik, Robert Myette, Janine Clarke
{"title":"From BpTRU to OMRON: The impact of changing automated blood pressure measurement devices on blood pressure estimates among children and youth.","authors":"Tracey Bushnik, Robert Myette, Janine Clarke","doi":"10.25318/82-003-x202401200002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401200002-eng","url":null,"abstract":"<p><strong>Background: </strong>After six cycles of using the BpTRU (BT) BPM-300 blood pressure (BP) monitor, the Canadian Health Measures Survey (CHMS) introduced the OMRON (OM) IntelliSense HEM-907XL BP monitor in Cycle 7. This study assesses differences between BP values measured by both devices in children and youth aged 6 to 17 years and whether equations could be developed to compare BP measurements taken using the two devices.</p><p><strong>Data and methods: </strong>In Cycle 6 (2018 to 2019) of the CHMS, BP was measured using BT and OM devices. Between-device estimates of systolic BP (SBP), diastolic BP (DBP), and BP categories were compared for 233 children and youth aged 6 to 17 years. Sex, age, body mass index (BMI), and central obesity categories were examined in linear regression models to predict SBP and DBP values measured with OM based on those measured with BT.</p><p><strong>Results: </strong>In the study sample, average SBP measured with OM was 9 millimetres of mercury (mmHg) higher than average SBP measured with BT, and average DBP measured with OM was 3 mmHg lower than DBP measured with BT. Normal BP prevalence based on OM measurements was 2.1 to 6.4 percentage points lower than the prevalence based on BT measurements, depending on which pediatric BP guidelines were applied. Between-device BP differences varied in magnitude by sex, age group, and BMI categories. Prediction equations developed using linear regression could not adequately account for the measurement differences between the two devices.</p><p><strong>Interpretation: </strong>Switching to the OM device in Cycle 7 will substantively affect pediatric BP estimates, preventing comparability with BP data from previous cycles. The impact of changing the BP devices on BP measurement should be acknowledged when reporting estimates of pediatric BP based on the CHMS.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 12","pages":"16-30"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-12-18DOI: 10.25318/82-003-x202401200001-eng
Md Kamrul Islam, Heather Gilmour
{"title":"Anxiety disorders among older Canadians: Focus on Indigenous and racialized population groups.","authors":"Md Kamrul Islam, Heather Gilmour","doi":"10.25318/82-003-x202401200001-eng","DOIUrl":"10.25318/82-003-x202401200001-eng","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders are among the most common mental health problems. However, few studies have examined the prevalence of, and factors associated with, anxiety disorders among older Canadians (65 years or older), with a particular focus on Indigenous and racialized population groups.</p><p><strong>Data and methods: </strong>Data from eight cycles of the annual Canadian Community Health Survey (CCHS) - 2015 to 2022 - were used to examine anxiety disorders among older Canadians. Multivariable logistic regression, stratified by sex, was carried out on a pooled sample of 151,755 respondents aged 65 years or older.</p><p><strong>Results: </strong>From 2015 to 2022, on average, 6.0% of older Canadians reported a diagnosis of an anxiety disorder, with females (7.5%) more likely than males (4.2%) to have done so. Indigenous males had higher odds of having an anxiety disorder than non-Indigenous, non-racialized males, while Chinese and other racialized females had lower odds of having an anxiety disorder than non-Indigenous, non-racialized females.</p><p><strong>Interpretation: </strong>Findings of this study highlight the importance of considering Indigenous and racialized population groups disaggregated by sex when examining anxiety disorders among older Canadians to inform screening and intervention programs.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 12","pages":"3-15"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-11-20DOI: 10.25318/82-003-x202401100001-eng
Nicole Mittmann, Soo Jin Seung, Zharmaine Ante, Ning Liu, Jean He Yong, Abeer Yusuf, Anna M Chiarelli, Craig C Earle
{"title":"Updated breast cancer costs for women by disease stage and phase of care using population-based databases.","authors":"Nicole Mittmann, Soo Jin Seung, Zharmaine Ante, Ning Liu, Jean He Yong, Abeer Yusuf, Anna M Chiarelli, Craig C Earle","doi":"10.25318/82-003-x202401100001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401100001-eng","url":null,"abstract":"<p><strong>Background: </strong>This study assessed health care system costs and resource utilization for adult women with breast cancer in Ontario, Canada. The goal was to update costs by stage, age, and phase of care from a health care system perspective.</p><p><strong>Data and methods: </strong>A retrospective analysis was conducted using linked population-based administrative data. The study included women diagnosed with breast cancer from 2017 to 2021, with follow-up data until 2022. Cases were matched with controls in a 1:5 ratio using birth year, local health integrative network, income quintile, and resource utilization band at baseline. Incremental costs were estimated using linear regression. The modified income quintile was the neighbourhood- or area-level income quintile.</p><p><strong>Results: </strong>Among the 37,133 cases matched with 185,665 controls, the average age at diagnosis was 62 years. For the entire study duration, cases incurred an additional cost of $27,485 per year, compared with controls. Costs rose with disease severity, ranging from $15,588 for stage I to $137,319 for stage IV. The highest incremental costs occurred during the first 12 months after diagnosis (initial: $43,408), followed by the last 12 months before death (terminal: $25,940), and then interim years (continuous: $9,533 per year). Additionally, the incremental cost of breast cancer was higher when diagnosis was before age 70 ($28,415), compared with diagnosis at age 70 and older ($25,254).</p><p><strong>Interpretation: </strong>The findings align with previous studies on breast cancer costs for the health care system. Additionally, variations in costs based on disease severity, care phase, and age were emphasized, highlighting higher costs for metastatic breast cancer cases, women younger than 70 years, and the initial 12 months following diagnosis.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 11","pages":"3-11"},"PeriodicalIF":2.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-11-20DOI: 10.25318/82-003-x202401100002-eng
Mila Kingsbury, Leanne Findlay
{"title":"Mental health and access to support among 2SLGBTQ+ youth.","authors":"Mila Kingsbury, Leanne Findlay","doi":"10.25318/82-003-x202401100002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401100002-eng","url":null,"abstract":"<p><strong>Background: </strong>Compared with their cisgender heterosexual peers, youth who are Two-Spirit, lesbian, gay, bisexual, transgender, and queer and those who use other terms related to gender or sexual diversity (2SLGBTQ+) are at elevated risk for mental health difficulties and suicidality. The social experiences of 2SLGBTQ+ youth, including the impact of minority stress, access to social support, and experiences of negative social interactions, may contribute to this disparity.</p><p><strong>Data and methods: </strong>Participants were 2,047 youth aged 15 to 24 years who responded to the 2022 Mental Health and Access to Care Survey. The 2SLGBTQ+ population was derived from youth reports of their gender, sex at birth, and sexual orientation. Two dimensions of social experiences were assessed using the Social Provisions Scale and the Negative Social Interactions Scale. Symptoms of mental health and substance use disorders were assessed via computer-assisted diagnostic interview using a modified version of the World Health Organization Composite International Diagnostic Interview (CIDI). Use of formal and informal mental health supports was self-reported by youth.</p><p><strong>Results: </strong>Results indicated significant group differences in the proportion of youth meeting criteria for any CIDI disorder, a major depressive episode, generalized anxiety disorder, and suicidal ideation in the past 12 months. For example, 56% (95% confidence interval [CI]: 49 to 63) of 2SLGBTQ+ youth met criteria for any CIDI disorder, compared with 29% (95% CI: 26 to 32) of cisgender heterosexual youth. Logistic regression models suggested that after adjusting for demographic covariates, 2SLGBTQ+ youth were at elevated risk of these mental health conditions compared with their cisgender heterosexual peers. These differences remained apparent after adjusting for social support and negative social interactions. Among those meeting criteria for any disorder, 2SLGBTQ+ youth were more likely to report receiving formal and informal mental health support.</p><p><strong>Interpretation: </strong>2SLGBTQ+ youth are at elevated risk of several indicators of poor mental health compared with their cisgender heterosexual peers - differences which are not fully explained by their access to social support and negative social interactions. Some of the remaining differences may potentially be explained by the impact of unmeasured aspects of minority stress on 2SLGBTQ+ youth.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 11","pages":"12-22"},"PeriodicalIF":2.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-10-16DOI: 10.25318/82-003-x202401000002-eng
Jane Y Polsky
{"title":"Trends in household food insecurity from the Canadian Community Health Survey, 2017 to 2022.","authors":"Jane Y Polsky","doi":"10.25318/82-003-x202401000002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401000002-eng","url":null,"abstract":"<p><strong>Background: </strong>Income-related food insecurity is an important determinant of health. This study aimed to provide an update on the food security status of Canadian households using the most recent available data from a health-oriented national-level survey. This study also examined trends in food insecurity since 2017, and how these have tracked with changes in price inflation.</p><p><strong>Data and methods: </strong>Data on household food security status in the 10 Canadian provinces came from five annual cycles of the population-representative cross-sectional Canadian Community Health Survey (CCHS): 2017, 2018, 2020 (September to December), 2021, and 2022. The Household Food Security Survey Module was used to categorize household food security status during the previous 12 months as food secure or marginally, moderately, or severely insecure.</p><p><strong>Results: </strong>Before 2019, approximately 1 in 10 households had experienced some level of food insecurity in the previous 12 months (9.6% in 2017 and 11.6% in 2018). Household food insecurity prevalence was slightly lower and stable during the COVID-19 pandemic years (8.5% in fall 2020 and 9.1% in 2021) and increased to 15.6% in 2022. Levels of household food insecurity generally tracked with changes in consumer price inflation. Compared with 2021, there were notable increases in levels of moderate and severe food insecurity in 2022 among one-parent households with children, renters, and those reliant on government financial assistance.</p><p><strong>Interpretation: </strong>The prevalence of household food insecurity in the CCHS was relatively stable from 2017 to 2021, increased in 2022, and generally tracked with changes in price inflation. Monitoring levels of household food insecurity will continue to be important as price inflation eases but the cost of living remains high.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 10","pages":"18-26"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-10-16DOI: 10.25318/82-003-x202401000003-eng
Stacie Kerr, Leanne Findlay, Rubab Arim
{"title":"Child care for young children with disabilities.","authors":"Stacie Kerr, Leanne Findlay, Rubab Arim","doi":"10.25318/82-003-x202401000003-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401000003-eng","url":null,"abstract":"<p><strong>Background: </strong>More than half (56%) of Canadian children aged 0 to 5 years are in non-parental child care, but data on child care attendance among children with disabilities is limited. This study examines child care participation among young children with disabilities in Canada, with a focus on different disability types.</p><p><strong>Data and methods: </strong>Analyses were conducted on 1,189 children aged 0 to 5 years identified with disabilities from Statistics Canada's 2023 Survey on Early Learning and Child Care Arrangements - Children with Long-term Conditions and Disabilities. Rates of child care participation, difficulties finding child care, difficulties within child care, and whether parents reported that their child had ever been denied a child care space because of their condition were examined. Logistic regression models tested for differences in the main child care arrangement and difficulty finding child care based on the child's disability while controlling for sociodemographic variables.</p><p><strong>Results: </strong>Among children aged 0 to 5 years with disabilities, 45% attended a daycare centre, preschool, centre de la petite enfance, or before or after school care as their main child care arrangement; 17% attended another type of child care, such as a family child care home or care by a relative; and 38% did not regularly attend non-parental child care. The parents of nearly half of children with disabilities reported difficulty finding a child care arrangement, particularly for children with emotional conditions. Close to 1 in 10 parents of children with disabilities who were using child care reported that their child had been denied a child care space because of their condition.</p><p><strong>Interpretation: </strong>These findings highlight the need for information to support inclusive policies, practices, and resources for children with disabilities within the Canada-wide early learning and child care system.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 10","pages":"27-37"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-10-16DOI: 10.25318/82-003-x202401000001-eng
Tracey Bushnik, Heather Gilmour, Vincent Mak, Anne Mather
{"title":"From BpTRU to OMRON: The impact of changing automated blood pressure measurement devices on adult population estimates of blood pressure and hypertension.","authors":"Tracey Bushnik, Heather Gilmour, Vincent Mak, Anne Mather","doi":"10.25318/82-003-x202401000001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202401000001-eng","url":null,"abstract":"<p><strong>Background: </strong>In Cycle 7 (2022), the Canadian Health Measures Survey (CHMS) introduced the OMRON (OM) IntelliSense HEM-907XL blood pressure (BP) monitor after using the BpTRU (BT) BPM-300 BP monitor for six cycles. This study assessed differences between adult BP values measured by both devices and whether equations could be developed to compare BP measurements taken using the two devices.</p><p><strong>Data and methods: </strong>In Cycle 6 (2018 to 2019) of the CHMS, BP was measured using BT and OM devices. Between-device estimates of systolic BP (SBP), diastolic BP (DBP), and hypertension prevalence were compared for 1,072 adults aged 18 to 79 years. Sex, age, body mass index (BMI), and the use of antihypertensive medication were examined in linear regression models to predict SBP and DBP values measured with OM based on those measured with BT.</p><p><strong>Results: </strong>Average SBP measured with OM was 6 millimetres of mercury (mmHg) higher than average SBP measured with BT, and average DBP measured with OM was 2 mmHg lower than DBP measured with BT. Hypertension prevalence based on OM readings was 35.4%, compared with 34.0% based on BT readings. Between-device BP differences varied in magnitude by sex, age group, and BMI category. Average model-predicted estimates of BP were comparable to measured estimates, but predicted values were lower at higher levels of BP.</p><p><strong>Interpretation: </strong>Switching BP monitors will substantively affect population estimates of adult SBP and DBP but may have less impact on estimates of adult hypertension prevalence. The prediction equations proposed in this study can be applied to adult BP data from cycles 1 to 6 of the CHMS for comparison with BP measurements taken in Cycle 7, with some caveats. The impact of changing to the OM monitor in Cycle 7 should be acknowledged when reporting estimates of adult BP based on the CHMS.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"35 10","pages":"3-17"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ReportsPub Date : 2024-09-18DOI: 10.25318/82-003-x202400900002-eng
Danielle Bader,Kristyn Frank
{"title":"Understanding experiences of non-physical maltreatment in childhood in Canada: What is the relationship with suicidal ideation and mental health disorders?","authors":"Danielle Bader,Kristyn Frank","doi":"10.25318/82-003-x202400900002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202400900002-eng","url":null,"abstract":"BackgroundPhysical and sexual childhood abuse are associated with suicidal ideation and mental health disorders. However, less is known about non-physical types of maltreatment. This study examined associations between non-physical types of child maltreatment (e.g., emotional abuse, interpersonal aggression, exposure to physical intimate partner violence, emotional and physical neglect) and suicidal ideation, and mental health disorders.Data and methodsData from the 2018 Survey of Safety in Public and Private Spaces were used to estimate the proportion of individuals 15 years and older in Canada who experienced non-physical maltreatment during childhood. Multivariable regression analyses were used to examine associations between five types of non-physical child maltreatment and suicidal ideation, and mental health disorders.ResultsOverall, interpersonal aggression was the most common (45.7%), followed by emotional abuse (40.4%) and emotional neglect (20.0%). Individuals who experienced any type of non-physical maltreatment in childhood had a higher probability of lifetime suicidal ideation than those who never experienced the maltreatment examined. Mood disorder diagnoses were more likely among those who experienced emotional abuse, interpersonal aggression, and emotional neglect than among those who never experienced these types of maltreatment. Compared with those who never experienced the maltreatment examined, individuals who experienced emotional abuse, interpersonal aggression, emotional neglect, or physical neglect were more likely to be diagnosed with an anxiety disorder. Diagnoses of post-traumatic stress disorder were more likely among those who experienced emotional and physical neglect than among those who never experienced these types of maltreatment.InterpretationNon-physical child maltreatment is associated with suicidal ideation and mental health disorders. The findings highlight the importance of including non-physical types of child maltreatment on population-based surveys to differentiate associations with mental health outcomes to better align interventions and policies.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"49 1","pages":"16-28"},"PeriodicalIF":5.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}