The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study
Abstract Background The COVID-19 pandemic and its prevention policies have taken a toll on Canadians, and certain subgroups may have been disproportionately affected, including those with non-communicable diseases (NCDs; e.g., heart and lung disease) due to their risk of COVID-19 complications and w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15658-z |
| _version_ | 1797647118963310592 |
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| author | Frédérique Deslauriers Vincent Gosselin-Boucher Camille Léger Ariany Marques Vieira Simon L. Bacon Kim L. Lavoie |
| author_facet | Frédérique Deslauriers Vincent Gosselin-Boucher Camille Léger Ariany Marques Vieira Simon L. Bacon Kim L. Lavoie |
| author_sort | Frédérique Deslauriers |
| collection | DOAJ |
| description | Abstract Background The COVID-19 pandemic and its prevention policies have taken a toll on Canadians, and certain subgroups may have been disproportionately affected, including those with non-communicable diseases (NCDs; e.g., heart and lung disease) due to their risk of COVID-19 complications and women due to excess domestic workload associated with traditional caregiver roles during the pandemic. Aims/Objectives We investigated the impacts of COVID-19 on mental health, lifestyle habits, and access to healthcare among Canadians with NCDs compared to those without, and the extent to which women with NCDs were disproportionately affected. Methods As part of the iCARE study ( www.icarestudy.com ), data from eight cross-sectional Canadian representative samples (total n = 24,028) was collected via online surveys between June 4, 2020 to February 2, 2022 and analyzed using general linear models. Results A total of 45.6% (n = 10,570) of survey respondents indicated having at least one physician-diagnosed NCD, the most common of which were hypertension (24.3%), chronic lung disease (13.3%) and diabetes (12.0%). In fully adjusted models, those with NCDs were 1.18–1.24 times more likely to report feeling lonely, irritable/frustrated, and angry ‘to a great extent’ compared to those without (p’s < 0.001). Similarly, those with NCDs were 1.22–1.24 times more likely to report worse eating and drinking habits and cancelling medical appointments/avoiding the emergency department compared to those without (p’s < 0.001). Moreover, although there were no sex differences in access to medical care, women with NCDs were more likely to report feeling anxious and depressed, and report drinking less alcohol, compared to men with NCDs (p’s < 0.01). Conclusion Results suggest that people with NCDs in general and women in general have been disproportionately more impacted by the pandemic, and that women with NCDs have suffered greater psychological distress (i.e., feeling anxious, depressed) compared to men, and men with NCDs reported having increased their alcohol consumption more since the start of COVID-19 compared to women. Findings point to potential intervention targets among people with NCDs (e.g., prioritizing access to medical care during a pandemic, increasing social support for this population and mental health support). |
| first_indexed | 2024-03-11T15:12:45Z |
| format | Article |
| id | doaj.art-6133e4a2fd314e5ba64ecbcdd67e485d |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-11T15:12:45Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-6133e4a2fd314e5ba64ecbcdd67e485d2023-10-29T12:39:01ZengBMCBMC Public Health1471-24582023-10-0123111110.1186/s12889-023-15658-zThe impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE StudyFrédérique Deslauriers0Vincent Gosselin-Boucher1Camille Léger2Ariany Marques Vieira3Simon L. Bacon4Kim L. Lavoie5Department of Psychology, Université du Québec à MontréalSchool of Kinesiology, University of British ColumbiaDepartment of Psychology, Université du Québec à MontréalMontreal Behavioural Medicine Centre, CIUSSS du Nord- de- l’Ile- de- MontrealMontreal Behavioural Medicine Centre, CIUSSS du Nord- de- l’Ile- de- MontrealDepartment of Psychology, Université du Québec à MontréalAbstract Background The COVID-19 pandemic and its prevention policies have taken a toll on Canadians, and certain subgroups may have been disproportionately affected, including those with non-communicable diseases (NCDs; e.g., heart and lung disease) due to their risk of COVID-19 complications and women due to excess domestic workload associated with traditional caregiver roles during the pandemic. Aims/Objectives We investigated the impacts of COVID-19 on mental health, lifestyle habits, and access to healthcare among Canadians with NCDs compared to those without, and the extent to which women with NCDs were disproportionately affected. Methods As part of the iCARE study ( www.icarestudy.com ), data from eight cross-sectional Canadian representative samples (total n = 24,028) was collected via online surveys between June 4, 2020 to February 2, 2022 and analyzed using general linear models. Results A total of 45.6% (n = 10,570) of survey respondents indicated having at least one physician-diagnosed NCD, the most common of which were hypertension (24.3%), chronic lung disease (13.3%) and diabetes (12.0%). In fully adjusted models, those with NCDs were 1.18–1.24 times more likely to report feeling lonely, irritable/frustrated, and angry ‘to a great extent’ compared to those without (p’s < 0.001). Similarly, those with NCDs were 1.22–1.24 times more likely to report worse eating and drinking habits and cancelling medical appointments/avoiding the emergency department compared to those without (p’s < 0.001). Moreover, although there were no sex differences in access to medical care, women with NCDs were more likely to report feeling anxious and depressed, and report drinking less alcohol, compared to men with NCDs (p’s < 0.01). Conclusion Results suggest that people with NCDs in general and women in general have been disproportionately more impacted by the pandemic, and that women with NCDs have suffered greater psychological distress (i.e., feeling anxious, depressed) compared to men, and men with NCDs reported having increased their alcohol consumption more since the start of COVID-19 compared to women. Findings point to potential intervention targets among people with NCDs (e.g., prioritizing access to medical care during a pandemic, increasing social support for this population and mental health support).https://doi.org/10.1186/s12889-023-15658-zNon-communicable chronic diseaseCOVID-19Impacts of the pandemicHealth behavioursMental healthAccess to care |
| spellingShingle | Frédérique Deslauriers Vincent Gosselin-Boucher Camille Léger Ariany Marques Vieira Simon L. Bacon Kim L. Lavoie The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study BMC Public Health Non-communicable chronic disease COVID-19 Impacts of the pandemic Health behaviours Mental health Access to care |
| title | The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study |
| title_full | The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study |
| title_fullStr | The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study |
| title_full_unstemmed | The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study |
| title_short | The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study |
| title_sort | impact of covid 19 on the lives of canadians with and without non communicable chronic diseases results from the icare study |
| topic | Non-communicable chronic disease COVID-19 Impacts of the pandemic Health behaviours Mental health Access to care |
| url | https://doi.org/10.1186/s12889-023-15658-z |
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