Jhumi Mihojana, Ooi Laura L, Roberts Karen C, Varin Melanie
Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2025 May;45(5):238-248. doi: 10.24095/hpcdp.45.5.02.
Coping is a protective factor for positive mental health (PMH) and an asset for population health. While there is evidence demonstrating a strong association between coping and PMH, less is known about how coping patterns differ across age groups. Given that age can impact coping ability, addressing this knowledge gap is warranted.
We analyzed data from the 2019 Canadian Community Health Survey on the self-rated ability of adults and youth (N = 60 643; 12+ years) to cope with unexpected or difficult problems and day-to-day demands along with three PMH outcomes: selfrated mental health (SRMH), happiness and life satisfaction. All estimates were disaggregated by sociodemographic variables (sex, gender, household income quintile, immigration status, ethnocultural background, place of residence), stratified by five age groups, and age-specific regression analyses were conducted.
Prevalence of high coping varied by sex, gender, income, place of residence, immigration status and ethnocultural background. High coping was significantly associated with the three PMH outcomes across all age groups. Those with high coping were 4 to 6 times more likely to report high SRMH and high levels of happiness than those with lower coping. Individuals with high coping had a life satisfaction score between 0.84 and 1.32 units greater than individuals with lower coping.
The consistent, positive relationship between high coping and PMH across all age groups provides valuable information for developing public health messaging and promotion efforts for adaptive coping to enhance population mental health.
应对是积极心理健康（PMH）的一个保护因素，也是人群健康的一项资产。虽然有证据表明应对与PMH之间存在紧密联系，但对于不同年龄组的应对模式差异了解较少。鉴于年龄会影响应对能力，填补这一知识空白很有必要。
我们分析了2019年加拿大社区健康调查的数据，内容涉及成年人和青少年（12岁及以上，N = 60643）应对意外或困难问题以及日常需求的自评能力，以及三项PMH结果：自评心理健康（SRMH）、幸福感和生活满意度。所有估计值按社会人口统计学变量（性别、性别认同、家庭收入五分位数、移民身份、种族文化背景、居住地点）进行分类，按五个年龄组分层，并进行了特定年龄的回归分析。
高应对能力的患病率因性别、性别认同、收入、居住地点、移民身份和种族文化背景而异。在所有年龄组中，高应对能力都与三项PMH结果显著相关。与应对能力较低的人相比，应对能力高的人报告高SRMH和高幸福感的可能性要高出4至6倍。应对能力高的个体的生活满意度得分比应对能力低的个体高0.84至1.32分。
所有年龄组中高应对能力与PMH之间持续的正向关系，为制定公共卫生信息以及促进适应性应对以增强人群心理健康的努力提供了有价值的信息。
