Recent Mental Health Surveys at Statistics Canada

Transcription

1 Recent Mental Health Surveys at Statistics Canada Data Liberation Initiative Webinar Barbara Sérandour and Melanie Hoover February 24, 2015

2 RECENT MENTAL HEALTH SURVEYS 2012 Canadian Community Health Survey Mental Health (CCHS MH) 2013 Canadian Forces Mental Health Survey (CFMHS) 2014 Survey of Living with Chronic Diseases in Canada Mood and anxiety disorders component (SLCDC) 2

3 PRESENTATION OVERVIEW For each survey Background Survey objectives Design and coverage Sample and respondents Content Available files and documentation Analysis Summary 3

4 Canadian Community Health Survey Mental Health 4

5 BACKGROUND Partners Health Canada Public Health Agency of Canada Provincial Health Ministries Mental Health Commission of Canada Expert Advisory Group Previous survey conducted in CCHS - Mental Health

6 SURVEY OBJECTIVES 1. Assess mental health status on both illness and positive mental health continuums through selected mental and substance disorders, mental health problems and well-being. 2. Assess timely, adequate, and appropriate access to and utilization of formal and informal mental health services and supports as well as perceived needs. 3. Assess functioning, ability and disability in relation to mental health and illness. 4. Examine links between mental health and social, demographic, geographic and economic variables or characteristics (covariates). 5. Evaluate changes in patterns of mental health, service use, and functioning from 2002 CCHS data. 6 CCHS - Mental Health

7 DESIGN AND COVERAGE National and provincial estimates Persons aged 15 and over living in private households in 10 provinces Design exclusions: persons living on reserves and other Aboriginal settlements, Canadian Forces and the institutionalized population Cross-sectional Voluntary, No proxy interviews Personal interviews (CAPI) Approx. 1 hour of content 7 CCHS - Mental Health

8 SAMPLE AND RESPONDENTS Address frame Conducted January to December % response rate 25,113 respondents aged 15 and over living in private households in 10 provinces 8 CCHS - Mental Health

9 CONTENT Mental Health Status Screener Section (SCR) Depression (DEP) Suicide sub block of Depression (SUI) Mania (MIA) Generalized Anxiety Disorder (GAD) Alcohol Use, Abuse and Dependence (AUD) Substance Use, Abuse and Dependence (SUD) Positive Mental Health (PMH) Distress (DIS) 9 CCHS - Mental Health

10 CONTENT Functioning Two-Week Disability (TWD) Pain and Discomfort (HUP) WHO Disability Assessment Schedule 2.0 (DAS) Perceived Need for Care (PNC) + Help Needed sub block (PN1) 10

11 CONTENT Services and Support Mental Health Services (SR1) Medication Use (MED) Social Provisions Scale (SPS) Negative Social Interactions (NSI) 11 CCHS - Mental Health

12 CONTENT Correlates General Health (GEN) Chronic Conditions (CCC) Smoking (SMK) Height and Weight Selfreported (HWT) Physical Activity (PHS) Spirituality (SPT) Stress (STS) Family Mental Health Impacts (FMI) Mental Health Experiences (MHE) Contact with Police (CWP) Childhood Experiences (CEX) Labour Force (LF2) Work Stress (WST) Income (INC) Education (EDU) Socio-demographic Characteristics (SDC) 12 CCHS - Mental Health

13 WEBSITE CCHS-MH IMDB record # 5015 Much more documentation available 13 CCHS - Mental Health

14 AVAILABLE DOCUMENTATION Documents included with all data files: Questionnaire Data dictionary Derived variable document User guide Bootstrap weights Read-in info for data file in SAS and SPSS 14 CCHS - Mental Health

15 AVAILABLE FILES See DLI for access to PUMF See RDC webpage for Master file information and dummy file PUMF file also available by request (free) from our client services: 15 CCHS - Mental Health

16 TABULAR DATA IN CANSIM Table (released September 2013) 39 items by age group, sex, province Disorders (depression, bipolar, generalized anxiety disorder, alcohol abuse/dependence, cannabis abuse/dependence, other drug abuse/dependence) Self-reported chronic conditions Suicidal thoughts Perceived needs Service use Work stress 16 CCHS - Mental Health

17 CANSIM EXAMPLE - TABLE Example question: What percent of males in Ontario have depression? Has it changed since 2002? Click Add/Remove data and select characteristics/variables Can download Excel table. Footnotes contain important information 17 CCHS - Mental Health

18 LINKS - DAILY RELEASE AND ANALYSIS AT STC Daily - Sept. 18, 2013 Articles: Mental and substance use disorders in Canada Perceived need for mental health care in Canada: Results from the 2012 Canadian Community Health Survey - Mental Health Professional and informal mental health support reported by Canadians aged 15 to 24 Positive mental health and mental illness 18 CCHS - Mental Health

19 ANALYSIS Rates of disorders Rates of selected mental or substance use disorders, lifetime and 12-month, Canada, household population 15 and older, 2012 Lifetime 12-month % Mental or substance use disorders Substance use disorder Alcohol abuse or dependence Cannabis abuse or dependence Other drug abuse or dependence (excluding cannabis) Mood disorder Major Depressive Episode Bipolar Disorder Generalized Anxiety Disorder Source: Mental and substance use disorders in Canada by Caryn Pearson, Teresa Janz and Jennifer Ali in Health at a Glance (Catalogue no X) September 18 th, CCHS - Mental Health

20 ANALYSIS Perceived Needs Prevalence of perceived need for mental health care (MHC), household population aged 15 or older, Canada, 2012 % Any Information Medication Counselling Other Source: Perceived need for mental health care in Canada: Results from the 2012 Canadian Community Health Survey Mental Health by Adam Sunderland and Leanne C. Findlay in Health Reports (Catalogue no XWE) 20 CCHS - Mental Health

21 ANALYSIS Child Abuse and Mental Disorders Source: Child abuse and mental disorders in Canada by Tracie O Afifi et al, in CMAJ 2014 April CCHS - Mental Health

22 Canadian Forces Mental Health Survey (CFMHS) 22 Source: Canadian Forces Image Gallery

23 BACKGROUND Sponsored by the Department of National Defence (DND) Second mental health survey conducted for DND (first in 2002) Similar content to the CCHS MH (general population) 23 CFMHS

24 SURVEY OBJECTIVES 1. To assess the mental health status and functioning of Canadian Forces members (all regular forces members and only reserve members with a previous deployment in support of the mission in Afghanistan) on both illness and positive mental health continuums through selected mental disorders, mental health problems, and well-being; 2. To assess timely, adequate, and appropriate access to and utilization of formal and informal mental health services and supports as well as perceived needs; 3. To evaluate changes in patterns of mental health, service use, and functioning from the 2002 CCHS - Mental Health and Well-being - Canadian Forces; 4. To evaluate the mental health impact of the Canadian Forces work environment and deployment in support of the mission in Afghanistan. 24 CFMHS

25 DESIGN AND COVERAGE National estimates Cross-sectional Voluntary, No proxy interviews Personal interviews (CAPI) Approx. 1 hour of content 25 CFMHS

26 SAMPLE AND RESPONDENTS Frame = administrative list (as of September 2012) of all: full time regular members and reservists who have been deployed in support of the mission in Afghanistan Conducted April August % response rate 6,696 regular members and 1,469 reservists 26 CFMHS

27 Screener (SCR) Depression (DEP) Suicide (SUI) CONTENT Mental Health Status Generalized Anxiety Disorder (GAD) Panic Disorder (PAD) Post-traumatic Stress Disorder (PTSD) Alcohol Use, Abuse, Dependence (AUD) Positive Mental Health (PMH) Distress (DIS) 27 CFMHS

28 CONTENT Functioning Pain and Discomfort (HUP) WHO Disability Assessment Schedule 2.0 (DAS) Two-Week Disability (TWD) Perceived Need for Care (PNC) 28 CFMHS

29 CONTENT Services and Support Medication Use (MED) Mental Health Services (SR1) Social Provisions Scale (SPS) Mental Health Training (MHT) 29 CFMHS

30 CONTENT CF experiences Military Sexual Trauma (MST) Deployment Experience (DEX) Time Away (TMA) Attitude Towards Mental Health Care (ATC) Absenteeism/Presenteeism (ABS) 30 CFMHS

31 CONTENT Correlates General Health (GEN) Chronic Conditions (CCC) Childhood Experiences (CEX) Mental Health Experiences (MHE) Income (INC) Education (EDU) Stress (STR) Work Stress (WST) Socio-demographic Characteristics (SDC) Labour Force (LF2) 31 CFMHS

32 CONTENT Linked data From CF database: Deployment information Medication use 32 CFMHS

33 AVAILABLE FILE AND DOCUMENTATION Master file available in RDCs (released August 2014) No Public Use Microdata file (PUMF) Documents included with data file: Questionnaire Data dictionary Derived variable document User guide (Master file documentation) Bootstrap weights Read-in info for data file in SAS and SPSS Statistics Canada website: IMDB record # CFMHS

34 LINKS - DAILY RELEASE AND ANALYSIS AT STC Daily: Daily - August 11, 2014 Article: Mental health of the Canadian Armed Forces (November 25, 2014) 34 CFMHS

35 ANALYSIS Rates of Disorders Rates of selected mental or alcohol disorders, full-time regular members of the Canadian Forces in the 12 months prior to the 2013 survey 35 Lifetime % 12-month Any selected mental or alcohol disorder Major depressive episode Generalized anxiety disorder Post traumatic stress disorder Panic disorder Alcohol abuse or dependence Alcohol abuse Alcohol dependence Source: Mental health of the Canadian Armed Forces by Caryn Pearson, Mark Zamorski and Teresa Janz in Health at a Glance (Catalogue no X) November 2014 CFMHS

36 ANALYSIS 2002 to Source: Mental health of the Canadian Armed Forces by Caryn Pearson, Mark Zamorski and Teresa Janz in Health at a Glance (Catalogue no X) November 2014

37 ANALYSIS CF Reg Force vs. Canada 37 Source: Mental health of the Canadian Armed Forces by Caryn Pearson, Mark Zamorski and Teresa Janz in Health at a Glance (Catalogue no X) November 2014

38 38 Survey of Living with Chronic Diseases in Canada (2014) Mood and anxiety disorders

39 BACKGROUND Sponsored by the Public Health Agency of Canada (PHAC) Follow-up survey to the CCHS Annual all respondents who self-identified having a mood and/or anxiety disorder Does not provide prevalence rates Includes detailed information on quality of life and health behaviours of people living with mood and anxiety disorders. 39 SLCDC

40 SURVEY OBJECTIVES 1. To assess the impact of chronic conditions on quality of life 2. To collect more information on how people manage their chronic conditions 3. To identify health behaviours which influence disease outcomes 4. To identify barriers to self-management of chronic conditions 40 SLCDC

41 DESIGN & COVERAGE National estimates Persons aged 18 and over living in private households in 10 provinces Cross-sectional Voluntary, No proxy interviews Telephone interviews (CATI) Approx. 20 minutes of content 41 SLCDC

42 SAMPLE AND RESPONDENTS Targeted respondents. Frame = all 2013 CCHS respondents: living in the 10 provinces, aged 18 years and over, who reported a mood or an anxiety disorder, who did a non-proxy interview, who agreed to share and link, and who provided a telephone number. Conducted October 2013 to March 2014 Response rate = 68.9%. 3,361 respondents who agreed to share and link with CCHS data (2,341 women and 1,020 men). 42 SLCDC

43 CONTENT 1. General health 2. Confirmation of diagnosis 3. Medication use 4. Self-management 5. Contact with health professionals 6. Clinical recommendations 7. Restriction of Activities 8. Restriction of Work-Related Activities 9. Sleep 10. Stress 11. Social Provisions Scale + content of CCHS SLCDC

44 AVAILABLE FILE AND DOCUMENTATION File available in the RDCs: only one file (Oct 30, 2014) all respondents who agreed to link with CCHS and share data no master/pumf Documents included with data file: Questionnaire Data dictionary (SLCDC variables first, see source) Derived variable document (SLCDC DVs only) User guide Bootstrap weights Read-in info for data file in SAS and SPSS 44 SLCDC

45 LINKS Statistics Canada website: IMDB record # 5160 Daily: The Daily - October 30, SLCDC

46 SUMMARY CCHS Mental Health (2012) ~ 25,000 respondents. National and provincial prevalence estimates + correlate information. Canadian Forces Mental Health Survey (2013) ~ 8,500 Regular force and reservist members of CF. Similar to CCHS Mental Health, + includes PTSD and panic disorder, and military-specific content. Survey of Living with Chronic Diseases in Canada (2014) ~ 3,400 respondents with mood or anxiety disorders. Follow-up from CCHS Annual Focus on quality of life and health behaviours. 46 SLCDC

47 COMPARING SURVEYS CCHS-MH (2012) CFMHS (2013) SLCDC (2014) 47 Website IMDB record # Sequence Administration Mode Sample/ Respondents Products nd survey (first in 2002) Face-to-face (CAPI) 2 nd survey Follow-up to CCHS (first in 2002) Annual (2013) Cross-sectional surveys Voluntary personal interviews Non-proxy interviews Face-to-face Telephone (CAPI) (CATI) 25,113 aged 15+ 6,696 regular force and 1,469 reservists Master (RDC), PUMF (DLI), Dummy file, CANSIM Master file + linked variables (RDC) 3,361 aged 18+ Share file for SLCDC + CCHS (RDC)

48 QUESTIONS? Data Liberation Initiative STC Health Statistics Division Client Services , 48