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...
Main Authors: | , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2024-02-01
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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. |
first_indexed | 2024-03-08T00:04:22Z |
format | Article |
id | doaj.art-ab448edc310e43e1bd948749241a09e7 |
institution | Directory Open Access Journal |
issn | 0046-9580 1945-7243 |
language | English |
last_indexed | 2024-03-08T00:04:22Z |
publishDate | 2024-02-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
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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