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Gender-specific correlates of perceived life stress: a population-based study, Montreal, Canada, 2012

  • Garbis A. MeshefedjianEmail author
  • Michel Fournier
  • Danielle Blanchard
  • Louis-Robert Frigault
Quantitative Research
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Abstract

Objectives

To identify the gender-specific correlates of perceived life stress in a representative sample of the Montreal population.

Method

Data were extracted from the Local Health Survey Program (called “TOPO”) collected in 2012. TOPO-2012 provided information on chronic diseases, their determinants and risk factors, as well as lifestyle and health services utilization. Poisson regression was used to identify significant correlates of perceived life stress.

Results

Single-parent females were 21% more likely (RR = 1.21; 95% CI = 1.04–1.42) to report stressful life compared to females living alone. Females born in Canada or established female immigrants were significantly more likely to report stressful life (respectively RR = 1.34; 95% CI = 1.12–1.60 and RR = 1.31; 95% CI = 1.08–1.58) than recent female immigrants. Furthermore, females living in a privileged material neighbourhood reported significantly higher perceived life stress (14% higher) than females living in a deprived neighbourhood. On the other hand, males with higher annual household income were 9% more likely (OR = 1.09; 95% CI = 1.05–1.14) to perceive life stress than males reporting a lower income. Also, overweight males reported higher stress (RR = 1.13; 95% CI = 1.01–1.26) than their normal weighted counterparts. Additionally, males who were diagnosed with a physical health problem were more likely to report stressful life (RR = 1.44; 95% CI = 1.28–1.61) than males who did not report any physical health problem.

Conclusion

Identifying correlates of stress at the population level may help researchers characterize people vulnerable to daily stress, provide health agencies the advantage to forecast and prevent its occurrence and diseases associated with it, as well as offer policy advocates a pivotal edge to reduce disparities in population health.

Keywords

Perceived stress Gender-specific Cross-sectional study Logistic regression 

Résumé

Objectifs

Identifier, séparément pour chaque sexe, les variables associées au niveau de stress perçu dans un échantillon représentatif de la population montréalaise.

Méthode

Les données proviennent de l’enquête TOPO 2012. Celle-ci documente les maladies chroniques, leurs déterminants, les facteurs de risque associés, ainsi que les habitudes de vie et l’utilisation des services de santé. Des régressions de Poisson ont été utilisées pour identifier les associations avec le stress perçu.

Résultats

Les mères monoparentales sont 21 % plus susceptibles (RR = 1,21; 95% CI = 1,04–1,42) de rapporter un niveau de stress élevé comparativement aux femmes vivant seules. Les femmes nées au Canada et les immigrantes établies sont significativement plus susceptibles (RR = 1,34; 95% CI = 1,12–1,60 et RR = 1,31; 95% CI = 1,08–1,58, respectivement) de déclarer vivre du stress que les nouvelles arrivantes. En outre, les femmes vivant dans des quartiers favorisés sur le plan matériel rapportent significativement plus de stress perçu (14 %) que les femmes de quartiers défavorisés. Par ailleurs, les hommes dont le revenu annuel du ménage est élevé sont 9 % plus susceptibles (RR = 1,09; 95% CI = 1,05–1,14) de ressentir un stress élevé que ceux qui rapportent un revenu plus faible. Aussi, les hommes en surpoids présentent un stress plus élevé (RR = 1,13; 95% CI = 1,01–1,26) que ceux avec un poids santé. Finalement, les hommes avec un problème de santé physique diagnostiqué sont plus susceptibles de rapporter un niveau de stress élevé (RR = 1,44; 95% CI = 1,28–1,61) que ceux qui ne mentionnent aucun problème de santé.

Conclusion

L’identification de variables associées au stress au niveau populationnel peut aider les chercheurs à caractériser les personnes vulnérables au stress quotidien, fournir aux agences de santé la possibilité de prédire et de prévenir son occurrence de même que celle des maladies qui lui sont associées, ainsi que suggérer des pistes pour la réduction des inégalités de santé.

Mots-clés

Stress perçu Sexospécifique Étude transversale Régression de Poisson 

Notes

Acknowledgements

We are grateful to the local and regional advisors for their participation in the planning stages of this study. We are also grateful to Dr. Marie-Pierre Markon for her valuable comments on the final draft of the paper.

Funding information

Funding for this study was provided by Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Ait Kaci Azzou, S., & Frigault, L.-R. (2015). Enquête TOPO 2012 : Guide méthdologique. Secteur Surveillance de l’état de santé à Montréal (SÉSAM) Direction de santé publique de Montréal du CIUSSS du Centre-Est-de-l’Île-de-Montréal. https://emis.santemontreal.qc.ca/fileadmin/emis/Info/Methodologie/TOPO2012-Guide_methodologique-20150602.pdf. Accessed 28 Dec 2018 .
  2. American Association for Public Opinion Research. (2011). Standard definition: final dispositions of case codes and outcome rates for survey. 7th edition. AAPOR. https://www.esomar.org/uploads/public/knowledge-and-standards/codes-and-guidelines/ESOMAR_Standard-Definitions-Final-Dispositions-of-Case-Codes-and-Outcome-Rates-for-Surveys.pdf. Revised 2011. Accessed 27 Sept 2017.
  3. American Psychological Association. (2017a). Stress: the different kinds of stress. http://www.apa.org/helpcenter/stress-kinds.aspx. Accessed 27 Sept 2017.
  4. American Psychological Association. (2017b). Gender and stress. http://www.apa.org/news/press/releases/stress/2010/gender-stress. Accessed 28 Dec 2018.
  5. Au, A. (2017). The sociological stud of stress: an analysis and critique of the stress process model. European Journal of Medical Health, 12(1), 53–72.  https://doi.org/10.5708/EJMH.12.2017.1.4.CrossRefGoogle Scholar
  6. Bak, C. K., Tanggaard Andersen, P., Bacher, I., & Draghiciu Bancila, D. (2012). The association between socio-demographic characteristics and perceived stress among residents in a deprived neighbourhood in Denmark. European Journal of Public Health, 22(6), 787–792.  https://doi.org/10.1093/eurpub/cks004.CrossRefGoogle Scholar
  7. Barnay, T. (2016). Health, work and working conditions: a review of the European economic literature. European Journal of Health Economics, 17(6), 693–709.  https://doi.org/10.1007/s10198-015-0715-8.CrossRefGoogle Scholar
  8. Barrington, W. E., Ceballos, R. M., Bishop, S. K., McGregor, B. A., & Beresford, S. A. (2012). Perceived stress, behavior, and body mass index among adults participating in worksite obesity prevention program, Seattle, 2005-2007. Preventing Chronic Disease, 9, E152.  https://doi.org/10.5888/pcd9.120001.CrossRefGoogle Scholar
  9. Barrington, W. E., Beresford, S. A., McGregor, B. A., & White, E. (2014). Perceived stress and eating behavior by sex, obesity status, and stress vulnerability: finding from vitamins and lifestyle (VITAL) study. Journal of Academy of Nutrition and Dietetics, 114(11), 1791–1799.  https://doi.org/10.1016/j.jand.2014.03.015.CrossRefGoogle Scholar
  10. Bratte, M. V., Rozeske, R. R., & Maier, S. F. (2013). Understanding stress resilience. Frontiers in Behaviroal Neuroscience, 8(7), 158.  https://doi.org/10.3389/fnbeh.2013.00158.Google Scholar
  11. Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, a. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50(3), 571–579.CrossRefGoogle Scholar
  12. Frigault, L. R., Azzou, S. A. K., Molloy, E. J. K., Ammarguellat, F., Coulture, M., & Gratton, J. (2013). What works? Getting the general population to go online in mixed mode local health survey 2013. http://www.websm.org/uploadi/editor/1372075366Frigault_et_al_2013_Getting_the_General_Population_To_Go_Online_in_a_Mixed_Mode.pdf. Accessed 27 Sept 2017.
  13. Health Canada. (2007). Canada’s food guide. http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/basics-base/index-eng.php. Accessed 27 Sept 2017.
  14. Health Canada. (2011). Canadian guidelines for body weight classification. http://www.hc-sc.gc.ca/fn-an/nutrition/weights-poids/guide-ld-adult/qa-qr-pub-eng.php. Accessed 27 Sept 2017.
  15. IPAQ Committee Research. (2005). Guidelines for the data processing and analysis of the International Physical Activity Questionnaire. http://www.academia.edu/5346814/Guidelines_for_Data_Processing_and_Analysis_of_the_International_Physical_Activity_Questionnaire_IPAQ_Short_and_Long_Forms_Contents. Accessed 27 Sept 2017.
  16. Kass, G. V. (1980). An exploratory technique for investigating large quantities of categorical data. Applied Statisitics, 29(2), 119–127.CrossRefGoogle Scholar
  17. Keller, A., Litzelman, K., Wisk, L. E., Maddox, T., Cheng, E. R., Creswell, P. D., et al. (2012). Does the perception that stress affects health matter? The association with health and mortality. Health Psychology, 31(5), 677–684.  https://doi.org/10.1037/a0026743.CrossRefGoogle Scholar
  18. Marmont, M. G. (2003). Understanding social inequalities in health. Perspectives in Biology and Medicine, 46(3 suppl), S 9–S23.CrossRefGoogle Scholar
  19. Martin, P. R. (2016). Stress and primary headache: review of the research and clinical management. Current Pain and Headache Reports, 20(7), 45.  https://doi.org/10.1007/s11916-016-0576-6.CrossRefGoogle Scholar
  20. Nielsen, L., Curtis, T., Kristensen, T. S., & Rod Nielson, N. (2008). What characterizes persons with high levels of perceived stress in Denmark? A national representative study. Scandinavian Journal of Public Health, 36(4), 369–379.  https://doi.org/10.1177/1403494807088456.CrossRefGoogle Scholar
  21. Pampalon, R., Hamel, D., Gamache, P., & Raymond, G. (2009). A deprivation index for health planning in Canada. Chronic Diseases in Canada, 29(4), 178–191.Google Scholar
  22. Parrott, A. C., & Murphy, R. S. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human Psychopharmacology, 27(2), 150–155.  https://doi.org/10.1002/hup.1247.CrossRefGoogle Scholar
  23. Pearlin, I. L. (1989). The sociological study of stress. Journal of Health and Behavioral Science, 30(3), 241–256.CrossRefGoogle Scholar
  24. Ranabir, S., & Reetu, K. (2011). Stress and hormones. Indian Journal of Endocrinology and Metabolism, 15(1), 18–22.  https://doi.org/10.4103/2230-8210.77573.CrossRefGoogle Scholar
  25. Rao, J. K., & Thomas, d. R. (1989). Chi-square tests for contingency tables. In C. J. Skinner, D. Holt, & T. M. F. Smith (Eds.), Analysis of complex surveys (pp. 89–114). New York: Willey.Google Scholar
  26. Rebbeck, T. R., Weber, A. L., Spangler, E., & Zeighler-Johnson, C. M. (2013). What stresses men? Predictors of perceived stress in a population-based multi-ethnic cross sectional cohort. BMC Public Health, 13, 113.  https://doi.org/10.1186/1471-2458-13-113.CrossRefGoogle Scholar
  27. Schneiderman, N., Ironson, G., & Siegel, S. D. (2005). Stress and health: psychological, behavioral, and biological determinants. Annual Review of Clinical Psychology, 1, 607–628.  https://doi.org/10.1146/annurev.clinpsy.1.102803.144141.CrossRefGoogle Scholar
  28. Statistics Canada. (2014). Overview of census population. Ottawa (ON) https://www12.statcan.gc.ca/census-recensement/2011/ref/overview-apercu/pop9-eng.cfm. Accessed 27 Sept 2017.
  29. Statistics Canada. (2016). Table 105-0501—Health indicator profile, annual estimates, by age group and sex, Canada, provinces, territories, health regions (2013 boundaries) and peer groups, occasional, CANSIM (database). http://www5.statcan.gc.ca/cansim/a26?lang=eng&retrLang=eng&id=1050501&&pattern=&stByVal=1&p1=1&p2=37&tabMode=dataTable&csid. Accessed 27 Sept 2017.
  30. Strang, R., Kendall, P., & Corriveau, A. (2017). Reviving a national prevention agenda is key to sustainability of health care in Canada. Canadian Medical Association Journal, 189(40), E1250–E1251.  https://doi.org/10.1503/cmja.170694.CrossRefGoogle Scholar
  31. Susser, M. (1981). The epidemiology of life stress. Psychological Medicine, 11(1), 1–8.CrossRefGoogle Scholar
  32. Vancampfort, D., Koyanagi, A., Ward, P. B., Vernoese, N., Carvalho, A. F., Solmi, M., et al. (2017). Perceived stress and its relationship with chronic conditions and multimorbidity among 229,293 community-dwelling adults in 44 low- and middle-income countries. American Journal of Epidemiology, 86(8), 979–989.  https://doi.org/10.1093/aje/kwx159.CrossRefGoogle Scholar
  33. Wang, H., Yang, X. Y., Yang, T., Cottrell, R. R., Yu, L., Feng, X., & Jiang, S. (2015). Socioeconomic inequalities and mental stress in individual and regional level: a twenty one cities study in China. International Journal of Equity in Health, 14, 25.  https://doi.org/10.1186/s12939-015-0152-4.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2019

Authors and Affiliations

  • Garbis A. Meshefedjian
    • 1
    Email author
  • Michel Fournier
    • 1
  • Danielle Blanchard
    • 1
  • Louis-Robert Frigault
    • 1
  1. 1.Direction régionale de santé publique, Service des ConnaissancesCentre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l’Île-de-MontréalMontréalCanada

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