Canadian Adults Research Articles

Promoting Older Adults’ Engagement in Disaster Recovery Through Supportive Relationships, Partnerships, and Collaboration: Perspectives of Social Work Practitioners and Human Service Professionals

Shifting demographics—that is, the growing number of older adults in Canada and internationally—and intersecting climatic risks create a complex landscape of aging in place in disaster contexts. Some older adults are vulnerable due to their underlying health conditions and limited physical mobility. Yet they also exhibit resilience in a distinct manner, owing to their wealth of knowledge, wisdom, and ability to navigate adversities. This article elucidates potential avenues for promoting the involvement of older adults in disaster recovery efforts. Our intention is to recognize and foster older adult resilience and mitigate vulnerability by drawing upon insights from the study titled “In the Aftermath of the 2016 Alberta Wildfires: The Role of Social Work Practitioners and Human Service Professionals in Long-Term Disaster Recovery.” Employing a qualitative research approach, that study recruited 51 participants for semistructured interviews and focus groups. A thematic analysis of the collected data unveiled the pivotal roles played by social workers and human service practitioners in facilitating recovery from the 2016 wildfires in the research. Notably, three overarching themes emerged concerning the promotion of older adults’ involvement in disaster recovery: fostering supportive relationships, building partnerships and enhancing collaboration, and addressing ongoing challenges. These findings offer valuable insights into how social work practitioners and human service professionals can effectively facilitate the engagement of older adults in disaster recovery initiatives. This article emphasizes the significance of actively promoting the participation of older adults in disaster mitigation efforts, thereby fostering greater resilience within communities.

Policy Forum: Using Retributive Justice To Ensure Public Trust in Canada's Tax System

To ensure public trust in the tax system, retributive justice must be present. That is, tax offenders must be held accountable for their unethical behaviour and punished in accordance with tax laws. In this article, the authors first summarize recent academic research about the deterrent effect of knowledge of others' tax-crime punishments. They classify this research into two categories: archival "naming-and-shaming" research and experimental tax ethics research. Next, they report the results of a survey of adult Canadian taxpayers in which they assess the perceived severity of tax-crime punishments. They compare these survey results with aggregate tax-crime punishment data in Canada and show that there is an expectations gap between what Canadians believe constitutes appropriate punishment for tax crimes and actual punishments. Finally, the authors discuss enforcement and other challenges for tax authorities in bringing about retributive justice, and consider other ways in which tax authorities might make tax offenders accountable for their crimes. Their ultimate suggestion is that the Canada Revenue Agency needs to increase its perceived power by increasing the frequency of actual prosecutions for tax evasion. Recent proposals for reform of the general anti-avoidance rule may lead to more prosecutions.

A Real-World Study of Nusinersen Effects in Adults with Spinal Muscular Atrophy Type 2 and 3.

Spinal muscular atrophy (SMA) is a progressive genetic disorder characterized by muscle weakness ultimately leading to pulmonary impairments that can be fatal. The recent approval of nusinersen, a disease-modifying therapy, substantially changed the prognosis for patients, particularly in children. However, real-world evidence about its long-term effectiveness in adults remains limited. This study aimed to document longitudinal data on motor function, pulmonary function and patient-reported outcome measures of Canadian adults with SMA type 2 and 3 treated with nusinersen. Outcomes from 17 patients were collected at the Institut de réadaptation en déficience physique de Québec during routine clinical visits over 36 months post nusinersen treatment, using the Hammersmith Functional Motor Scale Expanded for SMA (HFMSE), Revised Upper Limb Module (RULM), 6-Minute Walk Test (6MWT), Children's Hospital of Philadelphia Adult Test of Neuromuscular Disorders (CHOP-ATEND), SMA functional rating scale (SMAFRS), pulmonary function testing and subjective changes reported by patients. After 36 months, 9 patients showed motor function improvement. Changes beyond the minimal clinically important difference were seen for four patients on the HFMSE, four patients on the RULM and five patients on the 6MWT. Pulmonary function remained stable for most subjects. Subjective positive changes were reported in 88% of patients and five patients showed improvement in the SMAFRS. This real-world study demonstrates the positive effects of nusinersen in adults with SMA types 2 and 3. Although stabilizing the patient's condition is considered therapeutic success, this study shows an improvement in motor function and subjective gains in several patients.

Experiences and Impacts of the COVID-19 Pandemic: A Thematic Analysis

The COVID-19 pandemic prompted global public health restrictions that impacted Canadians in multiple ways. The effects of the pandemic are well examined in specific populations and in researcher-defined areas (e.g., mental health, physical activity, social connections, and financial impacts). Few studies explore the complex perspectives of adults who experienced and were impacted by the pandemic. The purpose of this study was to understand Canadian adults’ perspectives of pandemic impacts over time. Methods: A sample of 347 Canadian adults were recruited during the first six months of the COVID-19 pandemic to respond to open-ended questions about the pandemic’s impacts, administered every two weeks between April 2020 and January 2021. The responses were amalgamated into epochs, defined by dates that paralleled infection rates and public health responses in Canada. Qualitative thematic analysis identified major themes for each epoch and changes in themes over time. Results: The participants predominately reported adverse impacts of the pandemic during each epoch assessed, particularly with respect to mental health, future-oriented worry, activity restrictions, and social, and employment disruptions. Key concerns were potentially driven by changes in infection rates and public health policy changes. Conclusions: The COVID-19 pandemic impacted individuals in predominantly negative and complex ways that varied over time with public health responses. Findings from the present study may direct future pandemic responses to mitigate adverse effects to best prevent infection while preserving wellbeing.

Attitudes, barriers, and facilitators to adherent completion of the recombinant zoster vaccine regimen in Canada: Qualitative interviews with healthcare providers and patients

ABSTRACT This qualitative, cross-sectional study aimed to understand the barriers and facilitators related to the adherence and completion of the recombinant zoster vaccine (RZV) two-dose series in Canada, as perceived by healthcare providers (HCPs) and patients. Data collection occurred via 60-minute concept elicitation interviews with 12 HCPs (4 physicians, 2 nurse practitioners, 6 pharmacists) who had prescribed and/or administered RZV in Canada, and 21 patients aged ≥50 years who had received ≥1 dose of RZV. Patients were categorized as adherent (received both doses within the recommended 2-to-6-month timeframe; n = 11) or non-adherent (received only one dose or second dose outside the recommended timeframe; n = 10). Interview transcripts were coded and analyzed using a two-part thematic analysis approach. HCP-identified barriers to RZV adherence included high out-of-pocket cost, inconsistent/lack of health plan coverage, inconvenient processes for accessing RZV, and patient forgetfulness. HCP-identified facilitators included desire for shingles protection, HCP encouragement, and reminders. Barriers to RZV adherence identified by patients included lack of HCP knowledge/experience with RZV, receiving unreliable/confusing information, having unpleasant/severe side effects following the first dose, high out-of-pocket cost, lack of insurance coverage, and forgetfulness. Patient-identified facilitators included self-motivation, financial support, convenient processes for obtaining RZV, and reminders. In conclusion, many factors can influence RZV series completion and adherence among adults in Canada, including cost, insurance coverage, HCP knowledge and encouragement, and reminders. Awareness of these factors may inform HCPs in helping patients overcome barriers and identify opportunities for future consideration, facilitating protection against herpes zoster.

Growing Older at Home: Canadians’ Meaning of Aging in Place

“Aging in place” is a widely used term but its meaning and interpretation in literature and practice have often omitted older adults’ perspectives. This study sought to uncover the meaning of “aging in place” for older adults in Canada, the ways they think it can be supported, and the influence of the COVID-19 pandemic on their perspectives. A survey probing these topics was distributed to older Canadians, and participants were invited to focus groups to elaborate. Approximately 70% of survey participants had heard of the term “aging in place” and 68% said that the pandemic had not changed their perspectives. Framework analysis of focus groups identified five themes related to aging in place: aging with choice, built environment, social environment, communication and information, and funding. This study highlights critical elements of aging in place in Canada and identifies gaps in choices available that can be addressed through nuanced research and policies.

Nightly Sleep Predicts Next-Morning Expectations for Stress and Positive Experiences.

Abundant research has linked nightly sleep as an antecedent of daily psychosocial experiences; however, less is known about sleep's influence on daily expectations of these experiences. Therefore, this research examined the day-to-day associations of sleep quality, duration, and efficiency with next-day expectations for stress(ors) and positive experiences, as well as whether these expectations were related to end-of-day reports of physical symptoms. In Study 1, U.S. adults ( n = 354; ages 19 to 74) completed twice-daily diaries for 10 weekdays about sleep, expectations for encountering daily stressors and positive events, and physical symptoms. In Study 2, adults in Canada ( n = 246; ages 25 to 87) wore a sleep watch for 14 consecutive days and completed mobile surveys 5×/day about sleep, stressfulness and pleasantness expectations, and physical symptoms. Multilevel models indicated that self-reported sleep quality and duration, but not efficiency, were associated with lower next-day expectations for stressors (Study 1) and stressfulness (Study 2). Self-reported sleep quality (Study 1) and all sleep indices (Study 2) predicted greater next-day expectations for positive events and pleasantness, respectively. For actigraphy-assessed sleep (Study 2), only longer-than-usual actigraphic sleep duration was associated with lower stressfulness expectations, whereas both sleep duration and efficiency were positively linked with daily pleasantness expectations. Only pleasantness expectations (Study 2)-but not daily stressfulness and event expectations (Study 1)-predicted end-of-day physical symptoms. Findings suggest the importance of sleep on expectations of next-day stress and positive experiences, of which may have implications for daily physical health.

Impacts of physical activity, sedentary behaviour, and sleep on depression symptoms in Canadian older adults 65 years of age and above: a compositional data analysis of the Canadian Longitudinal Study on Aging

BackgroundDaily time spent in moderate-to-vigorous physical activity (MVPA), light-intensity physical activity (LIPA), sedentary behaviour (SB) and sleep (collectively known as ‘movement behaviours’) are compositional, co-dependent variables. However, most studies examining effects of these behaviours on depression outcomes in older adults do not account for this. Study objectives were to use compositional data analysis methods to (1) examine the relationship between movement behaviour composition (daily time spent in MVPA, LIPA, SB, sleep) and depression symptoms, (2) estimate the extent to which changing time spent in any given movement behaviour within the movement behaviour composition was associated with changes in depression symptoms.Methods5643 older Canadian adults ≥ 65 years of age from the Canadian Longitudinal Study on Aging were studied using a quasi-longitudinal study design. Exposure was baseline daily movement behaviours; time spent in MVPA, LIPA and SB were derived from self-reported Physical Activity Scale for the Elderly responses. Night-time sleep was self-reported separately. Outcome was depression symptoms at follow-up obtained using the ten item Center for Epidemiologic Studies Depression Scale. Compositional data analysis was used to investigate associations between movement behaviours and depression symptoms.ResultsMovement behaviour composition was significantly associated with depression symptoms. Time spent in MVPA [exp(B) = 0.97 (95% CI: 0.94, 0.99)] and sleep [exp(B) = 0.91 (95% CI: 0.85, 0.97)] relative to the remaining movement behaviours were associated with lower depression symptoms scores. Relative time spent in SB was associated with higher depression symptoms scores [exp(B) = 1.09 (95% CI: 1.04, 1.15)]. Time displacement estimates revealed that the greatest change in depression symptoms scores occurred when time spent in MVPA was decreased and replaced with LIPA, SB, sleep or combination of these behaviours (+ 0.22 to 0.26 points increase on depression symptoms scores for 30 min/day displacements).ConclusionsDaily movement behaviour composition was associated with depression symptoms in older Canadians. Replacing time in MVPA with equivalent time from any other behaviour was associated with increased depression symptoms. Preserving time spent in MVPA may play a key role in mitigating and improving mental health in this demographic.

Assessing the impact of COVID-19 on self-reported levels of depression during the pandemic relative to pre-pandemic among Canadian adults

ObjectivesThis study aims to assess the impact of COVID-19 related risk factors on self-reported increases in depression among Canadian adults during the pandemic compared to pre-pandemic levels. We aim to investigate the interactive effects of stressors, including social isolation, financial stress, and fear of catching COVID-19, on mental health outcomes. Our study aims to provide insights for the development of prevention and intervention strategies to address the mental health effects of the pandemic by examining the psychological changes attributable to the pandemic and its impact.MethodsThis study used data collected from the Mental Health Research Canada online survey during the third wave of COVID-19 (April 20–28, 2021). The study examined the impact of COVID-19 related factors, including social isolation, financial concerns, fear of catching COVID-19, and concerns about paying bills, on self-reported increases in depression. Multivariable logistic regression models were utilized to examine these associations, with adjustments made for potential confounding variables. All statistical analysis was performed using SAS V9.4 (SAS Institute Inc., Cary, NC, USA).ResultsParticipants reporting social isolation, financial concerns, and fear of catching COVID-19 were more likely to report increased depression. An interaction was observed between concerns for paying bills and catching COVID-19 in relation to depression (p = 0.0085). In other words, the effect of concerns about paying bills on depression was stronger for individuals who also had a fear of catching COVID-19, and vice versa. Young adults, females, patients with pre-existing depression, and residents of certain provinces reported higher levels of depression during COVID-19.ConclusionOur study underscores the significant impact of the COVID-19 pandemic on mental health, particularly among certain demographic groups. It emphasizes the need for depression screening and increased support for mental health during the pandemic, with a focus on mitigating financial burdens and reducing negative psychological impacts of social isolation. Our findings highlight the complex interplay between different stressors and the need to consider this when designing interventions to support mental health during times of crisis.

Accidental substance-related acute toxicity deaths in older adults in 2016 and 2017: a national chart review study.

Limited research exists on substance-related acute toxicity deaths (ATDs) in older adults (≥60 years) in Canada. This study aims to examine and describe the sociodemographic characteristics, health histories and circumstances of death for accidental ATDs among older adults. Following a retrospective descriptive analysis of all coroner and medical examiner files on accidental substance-related ATDs in older adults in Canada from 2016 to 2017, proportions and mortality rates for coroner and medical examiner data were compared with general population data on older adults from the 2016 Census. Chisquare tests were conducted for categorical variables where possible. From 2016 to 2017, there were 705 documented accidental ATDs in older adults. Multiple substances contributed to 61% of these deaths. Fentanyl, cocaine and ethanol (alcohol) were the most common substances contributing to death. Heart disease (33%), chronic pain (27%) and depression (26%) were commonly documented. Approximately 84% of older adults had contact with health care services in the year preceding their death. Only 14% were confirmed as having their deaths witnessed. Findings provide insight into the demographic, contextual and medical history factors that may influence substance-related ATDs in older adults and suggest key areas for prevention.

Perceived Soccer Literacy: A Construct Linking Soccer Video Games Play to Soccer Engagement

Abstract: This study investigates soccer video games as a platform to promote soccer engagement (i.e., involvement, behavioral intentions) among those who do not physically play soccer regularly. Perceived soccer literacy is proposed as a construct explaining the promotional effect, consisting of the four sub-themes of affective attitude, perceived functional knowledge, perceived critical knowledge, and perceived competence. A study was conducted based on an online survey and with US and Canadian adults who do not physically play soccer on a regular basis. With structural equation modeling, (1) the association between soccer video game use and perceived soccer literacy was examined (via mean comparison) and (2) perceived soccer literacy’s link to soccer involvement and behavioral intentions was tested (via latent variable path analysis). Positive links were reported from soccer video games usage to all four sub-themes. Perceived soccer literacy imposed significant influences on soccer involvement/intentions, where perceived critical knowledge was the most influential.

Regional trends in the moderate-to-vigorous intensity physical activity and screen time of Canadians before and during the COVID-19 pandemic.

During the COVID-19 pandemic, public health approaches and disease-transmission varied widely across Canadian regions. This may have led to different trajectories for moderate-to-vigorous intensity physical activity (MVPA) and screen time during this period. The purpose of this investigation was to describe age- and gender-specific regional trends in MVPA and screen time for Canadian youth (ages 12-17 years) and adults (ages 18+) from 2018 to 2021. Data was collected using the Canadian Community Health Survey, which includes representative data for 5 distinct regions: Atlantic Canada, Québec, Ontario, the Prairie Provinces, and British Columbia (BC). Participants aged 12+ in each region self-reported their total daily screen time, as well as MVPA in 5 domains: overall, recreational, school, occupational/household and active transportation. Results were compared for 2018 (pre-pandemic), January-March of 2020, September-December of 2020, and 2021 using repeated measures t-tests. Among youth, all regions except for Atlantic Canada and BC experienced significant reductions in the proportion of youth meeting MVPA recommendations in the fall of 2020 (all p <0.001), although these had returned to baseline for all regions except Ontario by 2021. Trends varied across regions among adults aged 18-64 years. In Québec, there was 7-percentage point reduction in the proportion of males meeting the MVPA recommendations in the fall of 2020 compared to 2018, while there was a 4-percentage point increase among females in 2021 (all p<0.05). In Ontario and the Prairie provinces, males saw a 4-percentage point decrease in activity recommendation adherence in 2021, when compared to 2018 (p<005). There were no other significant differences for any region when comparing the fall of 2020 or 2021 with 2018 (all p>0.05). Among adults aged 65+ years, significant increases in MVPA were observed in Atlantic Canada and the Prairies in the fall of 2020, and in Atlantic Canada, Québec and the Prairies in 2021 (all p<0.05). With limited exceptions, self-reported screen time increased significantly across regions and age groups for both males and females (all p < 0.05). MVPA levels of Canadians during the COVID-19 pandemic varied both by region and age group. Self-reported MVPA of Canadian youth dropped in most regions in the fall of 2020, before returning to pre-pandemic levels in 2021. Activity levels of Canadians aged 18-64 years were relatively stable during the pandemic and increased for Canadians aged 65+ in most regions. Differences in trajectories across genders observed at the national level were often less apparent in individual regions. Recreational screen use increased across all regions, ages and genders with very few exceptions. These results highlight the differences and similarities in activity and screen time trajectories across the Canadian population and suggest the need for additional research to identify best practices for promoting healthy movement behaviours during future pandemics.

Barriers and Lack of Access to Veterinary Care in Canada 2022

Introduction: Despite concerns about access to veterinary care in Canada, there are no previously published national survey data. The study aimed to estimate the prevalence of barriers to veterinary care faced by Canadian dog and cat owners, and to identify associated factors. Methods: This was a national online survey conducted in mid-2022, the third year of the COVID-19 pandemic. It was nationally representative of English and French-speaking Canadian adults as regards region, age, and sex. Results: Eighteen per cent of the respondents (440/2,500) could not access wanted or needed preventative veterinary care in the past 12 months; 12% (305/2,500) could not access sick care; and 8% (195/2,500) could not access emergency care. The most frequent barriers were the inability to afford care (preventative – 124/440, 28% of those who were unable to access care; sick – 75/305, 25%; emergency – 34/195, 17%); and the inability to obtain an appointment (preventative – 95/440, 22% of those who were unable to access care; sick – 80/305, 26%; emergency – 47/195, 24%). Twenty-one per cent (522/2,500) could not access other pet needs, most frequently pet food (43% of those who lacked access); grooming (34%); and training (28%). Recent immigrants (&lt;5 years) and young people (18–34 years old) were more likely to report barriers. Affordability and appointment availability were the two most frequently occurring barriers. Conclusions: This survey identified a large number of pet owners who faced barriers to veterinary care. There is a need for industry leaders, educators and regulators to help support initiatives to expand access to care.

Food Insecurity and Sleep Duration Among Adults in Manitoba and Saskatchewan: Evidence from the 2015-16 Canadian Community Health Survey

ABSTRACT This study examined the association between sleep duration and food insecurity among Canadian adults (n = 8,406). We employed logistic regression models to estimate the association between sleep duration and food insecurity status among adults in Manitoba and Saskatchewan. The prevalence of short sleep (<7 hours), long sleep (>9 hours), and recommended sleep (7–9 hours) are 42%, 5%, and 53%, respectively. Short sleep duration (RRR = 1.40, p < .05) was found to be significantly associated with food insecurity after controlling for relevant sociodemographic, economic, lifestyle, and health-related variables. We conclude with a discussion of the findings in the context of implications and recommendations for policy and future research.

“It’s the Best of Both Worlds!”: Investigating Bicultural Stress in Adult Bicultural Canadians

This study delves into the ecological factors that predict bicultural stress among bicultural adult Canadians while uncovering common themes surrounding their bicultural identity and developmental journey. A sample of bicultural Canadians (N = 147; 88% female, Mage = 20.72) participated in an online survey consisting of standardized self-report measures and open-ended inquiries about their bicultural experience. The study identified factors contributing to current levels of bicultural stress through regression analysis. Additionally, thematic analysis was conducted to explore participants’ narratives about their bicultural experiences. Participants were of diverse racial/ethnic Canadian backgrounds (Middle Eastern, n = 50; East and Southeast Asian, n = 22; South Asian, n = 27; Black, n = 21; multiple ethnicities, n = 22; Latin, n = 5). The regression results demonstrated that ethnic identity, family cultural socialization towards heritage culture, perceived discrimination, and generational status contributed to feelings of bicultural stress. Thematic analysis revealed a developmental trajectory encompassing participants’ realization of their bicultural identity, navigating bicultural stress, and cultivating an appreciation for their dual cultures. Findings suggest that bicultural individuals’ interactions with their social environment may develop their bicultural identity towards more positive outcomes as they approach adulthood.

Sexual health practices: A comparison of international and domestic students on Canadian campuses

Since 2011, an increasing incidence of sexually transmitted infections and risky sexual practices has been reported among young adults in Canada. However, research on sexual risk behaviours of international students in North America is limited, despite an increasing number of students from abroad attending higher education institutions on this continent. This article shares research findings comparing the sexual practices of international and domestic students in five postsecondary institutions in three Canadian provinces (Manitoba, Ontario, Quebec). Two hundred forty-two international students and 1220 domestic students took part in the bilingual online and paper-based survey. Female international students were less likely to be sexually active than international male, domestic male, and domestic female students. International students were significantly less likely to partake in many risky sexual behaviours, such as inconsistent condom use and unplanned sex after consuming alcohol or drugs. However, male international students were more likely to report having multiple sexual partners than male domestic students. These findings are relevant to those who counsel and advise postsecondary students on Canadian campuses and for healthcare practitioners to better understand postsecondary students’ sexual practices. Strategies to enhance sexual health and knowledge include targeted promotion of safe sexual practices and sexual education in postsecondary institutions.

Living arrangements and housing affordability issues of young adults in Canada: Differences by nativity status.

Housing prices in Canada have increased dramatically, giving rise to a housing affordability crisis. Young adults have been disproportionately affected by this crisis. To cope, many young adults have had to alter their living arrangements, contributing to the diversification of their living arrangements. Young adults' diverse living arrangements are the product of growing inequalities in young adults' economic prospects and access to family support. Extant work has yet to document how young adults' risk of having unaffordable housing varies according to their living arrangements. Our comparison of young adults' risk of having unaffordable housing according to their living arrangements reveals that co-residence with parents, relatives, or roommates reduces young adults' risk of having unaffordable housing. This protective effect is smaller for the foreign-born than the Canadian-born. The National Housing Strategy should allocate more resources to increase the supply of affordable housing earmarked for young adults, particularly the foreign-born who live alone or with children.

Exploring the need for sexually transmitted infection education among university student athletes in Saskatchewan.

Sexually transmitted infections (STIs) are common in young adults in Canada and their prevalence is rising. Assessing sexual health knowledge among young adults is essential for developing effective STI education strategies. However, there is limited research on the sexual health knowledge of Canadian university athletes, who have increased risks of STIs. To determine perceived and objective levels of knowledge on STIs among university athletes and their preferred methods of knowledge translation regarding sexual health information. U SPORTS athletes at the University of Saskatchewan and the University of Regina were invited to complete an electronic survey between January-March 2022. Participants completed the Sexual Transmitted Disease Knowledge Questionnaire (STD-KQ) and self-reported their confidence in their answers. Participants were asked about testing beliefs, where they receive their sexual health information and their preferred format for STI information delivery. One hundred participants completed the survey (14% response rate). Participants had a median composite self-reported STI knowledge score of 2.8 out of 5 (interquartile range [IQR]: 2.4-3.6). The median participant scored 12 out of 27 (44%) on the STD-KQ (IQR: 8-17). Sixty-seven percent of participants received sexual health information from a physician. Sixty-one percent of participants believed embarrassment may prevent them from getting tested or screened. The three most popular methods of health information sharing were online modules (34%), in-person lectures/conferences (24%) and self-paced videos (20%). This study highlighted that STI knowledge is limited in university athletes. Comprehensive online educational interventions may be effective at improving knowledge.

Attitudes toward premarital and casual sex in Canada: A secondary analysis of the seventh wave of the World Values Survey

Numerous studies have examined associations between sociodemographic characteristics and attitudes toward premarital sex and, more recently, toward casual sex. However, no recent study has examined these associations in Canada’s general population. The present exploratory study consists of a secondary analysis of the World Values Survey’s seventh wave of data collected in 2020 from a sample of 4,018 Canadian adults. Results indicate moderately positive attitudes toward premarital sex and lower levels of approval for casual sex, on average. Religion-related variables yielded moderate to strong effect sizes, with identifying as religious, higher frequencies of religious service attendance, and greater attributed importance to religion being associated with lower levels of approval for premarital and casual sex. Small to moderate effects were found for politics-related, family-related, and ethnocultural variables. On average, participants who considered premarital and casual sex as justifiable tended to be more left-leaning, have fewer children, live together as married, have been born in Canada, identify as White, report French as the language they normally speak at home, and live in Quebec. While age and generation were weakly associated with premarital sex attitudes, they were more strongly associated with casual sex attitudes, with younger participants being somewhat more accepting of casual sex than older participants. Small gender differences were found for casual but not premarital sex attitudes. Attitudinal differences based on socioeconomic variables were overall statistically insignificant or negligible. The findings are consistent with and expand on the existing literature. They also shed light on Canada’s ethnocultural and provincial particularities.

"Everything has changed since COVID": Ongoing challenges faced by Canadian adults with intellectual disabilities during waves 2 and 3 of the COVID-19 pandemic.

The COVID-19 pandemic has disrupted the lives of people with intellectual disabilities in many ways, impacting their health and wellbeing. Early in the pandemic, the research team delivered a six-week virtual group-based program to help Canadian adults with intellectual disabilities cope and better manage their mental health. The study's objective was to explore ongoing concerns among individuals with intellectual disabilities following their participation in this education and support program. Thematic analysis was used to analyze participant feedback provided eight weeks after course completion. Twenty-four participants were interviewed in January 2021 and May 2021 across two cycles of the course. Three themes emerged: 1) employment and financial challenges; 2) navigating changes and ongoing restrictions; and 3) vaccine anticipation and experience. These findings suggest that despite benefiting from the program, participants continued to experience pandemic-related challenges in 2021, emphasising the need to continually engage people with intellectual disabilities.