PT - JOURNAL ARTICLE AU - De Rubeis, Vanessa AU - Anderson, Laura N. AU - Khattar, Jayati AU - de Groh, Margaret AU - Jiang, Ying AU - Oz, Urun Erbas AU - Basta, Nicole E. AU - Kirkland, Susan AU - Wolfson, Christina AU - Griffith, Lauren E. AU - Raina, Parminder AU - , TI - Stressors and perceived consequences of the COVID-19 pandemic among older adults: a cross-sectional study using data from the Canadian Longitudinal Study on Aging AID - 10.9778/cmajo.20210313 DP - 2022 Jul 01 TA - CMAJ Open PG - E721--E730 VI - 10 IP - 3 4099 - http://www.cmajopen.ca/content/10/3/E721.short 4100 - http://www.cmajopen.ca/content/10/3/E721.full SO - CMAJ2022 Jul 01; 10 AB - Background: The indirect consequences of the COVID-19 pandemic in older adults, such as stress, are unknown. We sought to describe the stressors and perceived consequences of the COVID-19 pandemic on older adults in Canada and to evaluate differences by socioeconomic factors.Methods: We conducted a cross-sectional study using data from the Canadian Longitudinal Study on Aging COVID-19 Exit Questionnaire (September–December 2020). A 12-item checklist was used to assess stressors (e.g., income loss, separation from family) experienced during the pandemic, and a single question was used to measure perceived consequences. We used a generalized linear model with a binomial distribution and log link to estimate prevalence ratios and 95% confidence intervals (CIs) for the association between socioeconomic factors, stressors and perceived consequences.Results: Among the 23 972 older adults (aged 50–96 yr) included in this study, 17 977 (75.5%) reported at least 1 stressor during the pandemic, with 5796 (24.4%) experiencing 3 or more stressors. Of the 23 020 participants who reported on their perceptions of the consequences of the pandemic, 14 520 (63.1%) participants perceived the consequences to be negative. Females were more likely to report most stressors than males, such as separation from family (adjusted prevalence ratio 1.31, 95% CI 1.28–1.35). The perceived consequences of the pandemic varied by region; residents of Quebec were less likely to perceive the consequences of the pandemic as negative (adjusted prevalence ratio 0.87, 95% CI 0.84–0.91) than those of the Atlantic provinces.Interpretation: These findings suggest that older adults across Canada experienced stressors and perceived the pandemic consequences as negative, though stressors and perceptions of consequences varied by socioeconomic factors and geography, highlighting inequalities. Future research will be needed to estimate the impact of stress during the pandemic on future health outcomes.