Post-traumatic stress disorder (PTSD) in mid-age and older adults differs by immigrant status and ethnicity, nutrition, and other determinants of health in the Canadian Longitudinal Study on Aging (CLSA).

Autor: Davison KM; Faculty of Social Science, University of Hawaii, Honolulu, HI, USA.; Faculty of Science and Horticulture (Health Science), Kwantlen Polytechnic University, Surrey, BC, Canada., Hyland CE; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, ON, M5S 1V4, Canada., West ML; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, ON, M5S 1V4, Canada., Lin SL; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, ON, M5S 1V4, Canada.; Institute for Life Course & Aging, University of Toronto, Toronto, ON, Canada., Tong H; Faculty of Health and Community Studies, MacEwan University, Edmonton, AB, Canada., Kobayashi KM; Faculty of Social Science, University of Victoria, Victoria, BC, Canada., Fuller-Thomson E; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, ON, M5S 1V4, Canada. esme.fuller.thomson@utoronto.ca.; Institute for Life Course & Aging, University of Toronto, Toronto, ON, Canada. esme.fuller.thomson@utoronto.ca.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2021 Jun; Vol. 56 (6), pp. 963-980. Date of Electronic Publication: 2021 Feb 03.
DOI: 10.1007/s00127-020-02003-7
Abstrakt: Purpose: This study aimed to address knowledge gaps about post-traumatic stress disorder (PTSD) in mid-age and older adults, with particular attention to the relationship of PTSD with nutrition and with ethnicity and immigrant status.
Methods: Binary logistic regression analysis of weighted comprehensive cohort data from the baseline Canadian Longitudinal Study on Aging (CLSA; n = 27,211) was conducted using the four-item Primary Care-PTSD tool (outcome) and immigrant status by ethnicity (Canadian-born white, Canadian-born minority, immigrant white, immigrant minority). Covariates included various social, economic, nutrition and health-related variables.
Results: After controlling for socioeconomic and health variables, immigrants from minority groups had significantly higher odds of PTSD compared to their Canadian-born counterparts, whereas white immigrants had lower odds of PTSD. These relationships were significantly robust across seven cluster-based regression models. After adjusting for ethnicity/immigrant status, the odds of PTSD were higher among those earning lower household incomes, widowed, divorced, or separated respondents, ever smokers, and those who had multi-morbidities, chronic pain, high nutritional risk, or who reported daily consumptions of pastries, pulses and nuts, or chocolate. Conversely, those 55 years and over, who had high waist-to-height ratio, or who consumed 2-3 fiber sources daily had significantly lower odds of PTSD.
Conclusion: Interventions aimed at managing PTSD in mid-age and older adults should consider ethnicity, immigrant status, as well as socioeconomic, health, and nutrition status.
Databáze: MEDLINE
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