Household food insecurity, sense of community belonging, and access to a regular medical doctor as mediators in the relationship between mood and/or anxiety disorders and self-rated general health in Canada between 2011 and 2016: a serial cross-sectional analysis

Objective To assess whether (household) food insecurity, access to a regular medical doctor, and sense of community belonging mediate the relationship between mood and/or anxiety disorders and self-rated general health. Methods We used six annual cycles of the Canadian Community Health Survey, inclu...

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Bibliographic Details
Published in:Canadian journal of public health 2022-12, Vol.113 (6), p.944-954
Main Authors: Nehumba, Doreen, Paiero, Adrianna, Tafessu, Hiwot, Salters, Kate, Moore, David, Lima, Viviane D.
Format: Article
Language:English
Subjects:
Adult
Anxiety
Anxiety disorders
Anxiety Disorders - epidemiology
Anxiety Disorders - psychology
Canada - epidemiology
Cross-Sectional Studies
Disorders
Food
Food Insecurity
Food security
Food Supply
Health care access
Humans
Medicine
Medicine & Public Health
Mental Health
Mood
Personal health
Physicians
Public Health
Quantitative Research
Regression analysis
Regression models
Social support
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Summary:Objective To assess whether (household) food insecurity, access to a regular medical doctor, and sense of community belonging mediate the relationship between mood and/or anxiety disorders and self-rated general health. Methods We used six annual cycles of the Canadian Community Health Survey, including Canadian adults aged 18–59 years, between 2011 and 2016. Mediation models, adjusted for key determinants of health, were based on a series of weighted logistic regression models. The Sobel products of coefficients approach was used to estimate the indirect effect, and bootstrapping to estimate uncertainty. Results The annual (weighted) prevalence of mood and/or anxiety disorders increased from 11.3% (2011) to 13.2% (2016). Across the 6 years, 23.9–27.7% of individuals with mood and/or anxiety disorders reported fair/poor self-rated health as compared with 4.9–6.5% of those without mood and/or anxiety disorders ( p
ISSN:0008-4263
1920-7476
DOI:10.17269/s41997-022-00658-0