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Refugee status is associated with double the odds of psychological distress in mid-to-late life: findings from the Canadian longitudinal study on aging

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dc.contributor.authorTong, Hongmei
dc.contributor.authorLung, Yu
dc.contributor.authorLin, Shen (Lamson)
dc.contributor.authorKobayashi, Karen M.
dc.contributor.authorDavison, Karen M.
dc.contributor.authorAgbeyaka, Senyo
dc.contributor.authorFuller‑Thomson, Esme
dc.date.accessioned2023-05-09T15:49:28Z
dc.date.available2023-05-09T15:49:28Z
dc.date.issued2020
dc.description.abstractPsychological distress is associated with a range of negative outcomes including lower quality of life and an increased risk of premature all-cause mortality. The prevalence of, and factors associated with, psychological distress among middle-aged and older Canadians are understudied. Using the Canadian Longitudinal Study on Aging (CLSA) baseline data, this study examined factors associated with psychological distress among adults between 45 and 85 years, including refugee status and a wide range of sociodemographic, health-related and social support characteristics. Psychological distress was measured by Kessler’s Psychological Distress Scale-K10 scores. Bivariate and multivariable binary logistic regression analyses were conducted. The prevalence of psychological distress was significantly higher among the 244 refugees (23.8%), compared to 23,149 Canadian-born Canadians (12.8%) and 4,765 non-refugee immigrants (12.6%), despite the fact that the average time the refugees had lived in Canada was more than four decades. The results of the binary logistic regression analysis indicated refugees had twice the age-sex adjusted odds of psychological distress (OR = 2.31, 95% CI: 1.74, 3.07). Even after further adjustment for 16 potential risk factors, a significant relationship remained between refugee status and psychological distress (OR = 1.56; 95% CI = 1.12, 2.17). Other significant factors associated with psychological distress included younger age, female gender, visible minority status, lower household income, not having an undergraduate degree, multimorbidities, chronic pain, and lack of social support. Policies and interventions addressing psychological distress among Canadians in mid- to later life should target refugees and other vulnerable groups.
dc.description.urihttps://library.macewan.ca/cgi-bin/SFX/url.pl/DUU
dc.identifier.citationTong, H.M., Yu, L., Lin, S., Kobayashi, K. M., Davison, K., Senyo, A., & Fuller-Thomson, E. (2020) Refugee status is associated with double the odds of psychological distress in mid-to-late life: Findings from the Canadian Longitudinal Study on Aging. International Journal of Social Psychiatry. 2021;67(6):747-760. doi:10.1177/0020764020971003
dc.identifier.doihttps://doi.org/10.1177/0020764020971003
dc.identifier.urihttps://hdl.handle.net/20.500.14078/3094
dc.language.isoen
dc.rightsAll Rights Reserved
dc.subjectCanadian Longitudinal Study on Aging
dc.subjectrefugees
dc.subjectpsychological distress
dc.subjectmid-age adults
dc.subjectolder adults
dc.subjectimmigrants
dc.subjectmental health
dc.titleRefugee status is associated with double the odds of psychological distress in mid-to-late life: findings from the Canadian longitudinal study on agingen
dc.typeArticle

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