Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging

As the COVID-19 pandemic impacted mental health, this longitudinal study examined the effect of age-friendly communities (AFC) action plan on older adults’ depressive symptoms. Using the CLSA, the CLSA COVID-19 Questionnaire study, survey of Canadian municipalities, and the census, the depressive sy...

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Main Authors: Mélanie Levasseur PhD, Daniel Naud PhD, Verena Menec PhD, Marie-France Dubois PhD, Christina Wolfson PhD, Lauren E. Griffith PhD, Lise Trottier MSc, Jacqueline McMillan PhD, Mélissa Généreux MD, Mathieu Roy PhD, Yves Couturier PhD, Parminder Raina PhD
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580231225918
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author Mélanie Levasseur PhD
Daniel Naud PhD
Verena Menec PhD
Marie-France Dubois PhD
Christina Wolfson PhD
Lauren E. Griffith PhD
Lise Trottier MSc
Jacqueline McMillan PhD
Mélissa Généreux MD
Mathieu Roy PhD
Yves Couturier PhD
Parminder Raina PhD
author_facet Mélanie Levasseur PhD
Daniel Naud PhD
Verena Menec PhD
Marie-France Dubois PhD
Christina Wolfson PhD
Lauren E. Griffith PhD
Lise Trottier MSc
Jacqueline McMillan PhD
Mélissa Généreux MD
Mathieu Roy PhD
Yves Couturier PhD
Parminder Raina PhD
author_sort Mélanie Levasseur PhD
collection DOAJ
description As the COVID-19 pandemic impacted mental health, this longitudinal study examined the effect of age-friendly communities (AFC) action plan on older adults’ depressive symptoms. Using the CLSA, the CLSA COVID-19 Questionnaire study, survey of Canadian municipalities, and the census, the depressive symptoms trajectories were modeled with multilevel multinomial regressions. Most respondents (66.1%) had non-depressed trajectories, 28.1% experienced a moderate increase in depressive symptoms, and 5.8% had a depressed trajectory. AFC action plans did not have a protective effect on these trajectories. Being a female, greater loneliness, lower income, ≥2 chronic conditions, inferior social participation, weaker sense of belonging, COVID-19 infection, and pandemic stressors predicted a depressed trajectory. Neighborhood’s deprivation had a weak protective effect on the declining trajectory. Although AFC action plans provided no benefits during the pandemic, volunteers facilitating resource access and social interactions could limit any increase in depressive symptoms.
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spelling doaj.art-ab448edc310e43e1bd948749241a09e72024-02-17T10:03:31ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432024-02-016110.1177/00469580231225918Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on AgingMélanie Levasseur PhD0Daniel Naud PhD1Verena Menec PhD2Marie-France Dubois PhD3Christina Wolfson PhD4Lauren E. Griffith PhD5Lise Trottier MSc6Jacqueline McMillan PhD7Mélissa Généreux MD8Mathieu Roy PhD9Yves Couturier PhD10Parminder Raina PhD11Université de Sherbrooke, Sherbrooke, QC, CanadaUniversité de Sherbrooke, Sherbrooke, QC, CanadaUniversity of Manitoba, Winnipeg, MB, CanadaUniversité de Sherbrooke, Sherbrooke, QC, CanadaMcGill University, Montréal, QC, CanadaMcMaster University, Hamilton, ON, CanadaEastern Townships Integrated University Health and Social Services Centre – Sherbrooke University Hospital Centre (CIUSSS de l’Estrie – CHUS), Sherbrooke, QC, CanadaUniversity of Calgary, Calgary, AB, CanadaUniversité de Sherbrooke, Sherbrooke, QC, CanadaUniversité de Sherbrooke, Sherbrooke, QC, CanadaUniversité de Sherbrooke, Sherbrooke, QC, CanadaMcMaster University, Hamilton, ON, CanadaAs the COVID-19 pandemic impacted mental health, this longitudinal study examined the effect of age-friendly communities (AFC) action plan on older adults’ depressive symptoms. Using the CLSA, the CLSA COVID-19 Questionnaire study, survey of Canadian municipalities, and the census, the depressive symptoms trajectories were modeled with multilevel multinomial regressions. Most respondents (66.1%) had non-depressed trajectories, 28.1% experienced a moderate increase in depressive symptoms, and 5.8% had a depressed trajectory. AFC action plans did not have a protective effect on these trajectories. Being a female, greater loneliness, lower income, ≥2 chronic conditions, inferior social participation, weaker sense of belonging, COVID-19 infection, and pandemic stressors predicted a depressed trajectory. Neighborhood’s deprivation had a weak protective effect on the declining trajectory. Although AFC action plans provided no benefits during the pandemic, volunteers facilitating resource access and social interactions could limit any increase in depressive symptoms.https://doi.org/10.1177/00469580231225918
spellingShingle Mélanie Levasseur PhD
Daniel Naud PhD
Verena Menec PhD
Marie-France Dubois PhD
Christina Wolfson PhD
Lauren E. Griffith PhD
Lise Trottier MSc
Jacqueline McMillan PhD
Mélissa Généreux MD
Mathieu Roy PhD
Yves Couturier PhD
Parminder Raina PhD
Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
title_full Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
title_fullStr Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
title_full_unstemmed Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
title_short Effect of Age-Friendly Communities Action Plan on Trajectories of Older Canadians’ Depressive Symptoms Between 2018 and 2020: Multilevel Results From the Canadian Longitudinal Study on Aging
title_sort effect of age friendly communities action plan on trajectories of older canadians depressive symptoms between 2018 and 2020 multilevel results from the canadian longitudinal study on aging
url https://doi.org/10.1177/00469580231225918
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