Multimorbidity resilience and COVID-19 pandemic self-reported impact and worry among older adults: a study based on the Canadian Longitudinal Study on Aging (CLSA)

• DOI: 10.1186/s12877-022-02769-2
• Publication Date: 2022-02-02T05:02:59Z
• Authors: Andrew Wister; Lun Li; Theodore D. Cosco; Jacqueline McMillan; Lauren E. Griffith; ; Andrew Costa; Laura Anderson; Cynthia Balion; Susan Kirkland; Asada Yukiko; Christina Wolfson; Nicole Basta; Benoȋt Cossette; Melanie Levasseur; Scott Hofer; Theone Paterson; David Hogan; Teresa Liu-Ambrose; Verena Menec; Philip St. John; Gerald Mugford; Zhiwei Gao; Vanessa Taler; Patrick Davidson; Paminder Raina
• Keywords: Worry; Pandemic; Longitudinal Study

Abstract Background The Coronavirus Disease-2019 (COVID-19) pandemic has created a spectrum of adversities that have affected older adults disproportionately. This paper examines with multimorbidity using longitudinal data to ascertain why some these vulnerable individuals coped pandemic-induced risk and stressors better than others – termed resilience. We investigate pre-pandemic levels functional, social psychological forms resilience among this sub-population at-risk on two outcomes self-reported comprehensive impact personal worry. Methods study was conducted Follow-up 1 from the Canadian Longitudinal Study Aging (CLSA), Baseline Exit COVID-19 study, between April December in 2020. A final sub-group 9211 or more chronic health conditions were selected for analyses. Logistic regression Generalized Linear Mixed Models employed test hypotheses index its three sub-indices measured outcomes, including covariates. Results inversely associated at both wave (OR = 0.83, p < 0.001, 95% CI: [0.80,0.86]), 0.84, [0.81,0.87]); worry 0.89, [0.86,0.93]), models all full also COVID waves (estimate − 0.19, [− 0.22, 0.16]). Only sub-index [0.87,0.91]) [0.87,0.91]), model; 0.11, 0.13, 0.10]). exhibited weak positive association 1.04, 0.05, [1.01,1.07]) worry, functional measure not either outcome. Conclusions findings show is most pronounced protecting against In addition, several covariates outcomes. are discussed terms developing retrofitting innovative approaches proactive coping multimorbid during peri-pandemic periods.