2014 Survey on Living with Chronic Diseases in Canada (SLCDC): Mood & Anxiety Disorders

National Mental Health and Addictions Information Collaborative

Monday, November 3rd, 2014

• Background on the SLCDC» Overview, previous surveys and products

•  2014 SLCDC Mood & Anxiety Disorders» Objectives » Target population (CCHS screening question)» Sampling methods» Sample limitations» Survey content» Public health relevance» Data access» PHAC’s analytical plans and potential products

Outline

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• Survey sponsored and developed by Public Health Agency of Canada in collaboration with Statistics Canada and expert group.

• Collects information related to the experiences of Canadians with chronic health conditions.

• 20 minute cross sectional survey, follow-up to CCHS.

• Every 2 years, 1 to 2 chronic disease covered in each cycle:• 2009 - Hypertension & Arthritis• 2011 - Diabetes & Respiratory Disease• 2012 - Neurological conditions • 2014 - Mood & Anxiety Disorders

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Overview of the SLCDC

• PHAC fact sheets• Peer-reviewed articles• PHAC website (e.g., data cubes)• PHAC internal official statistics

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Previous SLCDC products

Objectives1. To identify factors which influence mental health/illness outcomes;

2. To assess the impacts of mood & anxiety disorders on Canadians adults; and

3. To provide more information on how people with mood &/or anxiety disorders manage their condition and to identify the barriers to care/self-management.

*Final data file also includes linked responses from the 2013 CCHS (e.g., health determinants and co-morbidities) for those who agreed to link and share with Statistics Canada’s share partners.

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2014 SLCDC: Mood & Anxiety Disorders

Public health relevance

The SLCDC data can be used by:

»Governments and other stakeholders to better plan and provide health services for persons with mood & anxiety disorders and to develop public education campaigns primarily aimed at health promotion and disease prevention; and

»Researchers to analyze and report on factors affecting, impacts and management of mood & anxiety disorders.

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2014 SLCDC: Mood & Anxiety Disorders

Target population

• To be identified from the 2013 CCHS» Respondents age 18+ (as of December 31st, 2013) with a mood

and/or an anxiety disorder living in privately occupied dwellings in the ten provinces.

• Excluded (represents < 3% overall Canadian population)» Persons living on reserves and other Aboriginal settlements;» Persons living in institutions and certain remote regions of QC;» Full-time members of the Canadian Forces; and» Territories.

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2014 SLCDC: Mood &/or Anxiety Disorders

CCHS screening questionNow I’d like to ask about certain chronic health conditions which you may have. We are interested in “long-term conditions” which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

• Do you have a mood disorder such as depression, bipolar disorder, mania or dysthmia? Yes/No

• Do you have an anxiety disorder such as a phobia, obsessive compulsive disorder or a panic disorder? Yes/No

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2014 SLCDC: Mood & Anxiety Disorders

Sampling methods

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2014 SLCDC: Mood & Anxiety Disorders

Sample (n=3,361)

• Should provide reliable estimates at national level for:» Overall: indicators with min prevalence of ~3%» By sex: indicators with min prevalence of ~4 to 8%» By age groups (18-34, 35-49, 50-64 and 65+) with min prevalence of

~8 to 12%

• Should provide reliable regional estimates for indicators with higher prevalence ~7-18%

• Atlantic, QC, ON, Prairies, BC

• Limitations:» Sample size limits analyses by age and sex (especially males)» Sample size limits provincial estimates

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2014 SLCDC: Mood & Anxiety Disorders

Content

1. General health

2. Confirmation of diagnosis

3. Medication use

4. Self-management

5. Contact with health professionals

6. Clinical recommendations7. Restriction of activities8. Restriction of work activities9. Sleep 10. Stress11. Social Provisions Scale

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2014 SLCDC: Mood & Anxiety Disorders

Survey questions were designed for computer-assisted interviewing (CAI) conducted by telephone.

Data availability

• Official released» October 30th, 2014

• Access to data:» PHAC - DCAP and DAIS» Public - Statistics Canada’s Research Data Centres (RDC)

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2014 SLCDC: Mood & Anxiety Disorders

Potential products» PHAC fact sheet (underway)» Peer-reviewed articles (double theme issue in CDIC Spring 2016)» PHAC website (e.g., data cubes)» PHAC internal official statistics

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2014 SLCDC: Mood & Anxiety Disorders

Analytic plans for peer-reviewed articles

• Analyst from the Agency’s Surveillance & Epidemiology Division (ACDC Section) to develop analytic plans in collaboration with:

» Internal stakeholders e.g., Social Determinants and Science Integration Directorate, Centre for Health Promotion (Division of Children, Seniors and Healthy Development), Centre for Chronic Disease Prevention (Surveillance & Epidemiology Division, BELT Section).

» External stakeholders e.g., PHAC’s Mental Health/Mental Illness Advisory Committee, others?

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2014 SLCDC: Mood & Anxiety Disorders

Potential topics

• Time to diagnosis • Co-morbidities • Impacts • Sleep• Predictors of well being• Concordance between clinical recommendations &

medication use, counselling and physical activity

All analysis will examine key factors that influence health status such as age, sex, education, income, Aboriginal status etc.

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2014 SLCDC: Mood & Anxiety Disorders

For more information about this survey:» Statistics Canada:

http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=5160

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2014 SLCDC: Mood & Anxiety Disorders