Associations Between the Presence or Absence of a Lifetime History of Prostate Cancer Diagnosis and Current Mental Health Issues in a Sample of Canadian Men: A Secondary Analysis of the Canadian Longitudinal Study on Aging (CLSA)

Abstract

The present study examined the prevalence of lifetime history of prostate cancer (PCa) in a cross-sectional sample of Canadian men (N = 25, 183) and investigated the contribution of presence or absence of history of a PCa diagnosis to current mental health outcomes. This study used baseline data from the Canadian Longitudinal Study on Aging (2010-2015). Logistic regression analyses, controlled for the complexity of the design, demographics, and lifestyle factors, evaluated the association between history of a lifetime PCa diagnosis and current mental health outcomes. The prevalence of lifetime history of PCa diagnosis in this sample was 4% (95% CI: 3.7, 4.4). Our results indicate statistically significantly greater odds of psychological distress (aOR= 1.52, 95% CI: 1.09, 2.11) and depressive symptoms (aOR = 1.24, 95% CI: 1.02, 1.51) among Canadian men who self-reported a lifetime history of PCa diagnosis, compared to men with no history of a PCa diagnosis, even when multimorbidity and substance use were statistically controlled.