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Psychosocial Distress in Patients With Advanced CKD by Racial Group and Immigrant Status: A Canadian Cross-sectional
Navneet Singh1, Punithan Thiagalingam1, Junayd Hussain1
1Ajmera Transplant Center, University Health Network and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Division of Nephrology, University Health Network and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Summary
Patients with advanced chronic kidney disease (CKD) who are racialized or immigrants experience higher rates of psychosocial distress. Culturally competent support is recommended for these vulnerable populations.
Area of Science:
- Nephrology
- Psychiatry
- Sociology
Background:
- Advanced chronic kidney disease (CKD) is linked to significant psychosocial distress.
- Racialized and immigrant populations with CKD face healthcare inequities.
- The intersection of psychosocial distress with racialized and immigrant status in advanced CKD is understudied.
Purpose of the Study:
- To assess the association between psychosocial distress and racialized/immigrant status in Canadians with advanced CKD.
- To identify specific disparities in mental health outcomes among diverse CKD patient groups.
Main Methods:
- Secondary analysis of cross-sectional data from 536 advanced CKD patients in Toronto.
- Used logistic regression to examine associations between racialized/immigrant status and psychosocial distress, depression, anxiety, and social difficulties.
Main Results:
- Racialized immigrant participants showed significantly higher odds of psychosocial distress (OR 2.96), depression (OR 1.87), and social difficulties (OR 3.36) compared to White nonimmigrants.
- Similar associations were observed for racialized nonimmigrants and White immigrants, indicating broader impacts of status.
Conclusions:
- Both racialized and immigrant status are independently associated with increased psychosocial distress in advanced CKD.
- These findings highlight the need for culturally competent psychosocial support tailored to the unique challenges faced by diverse CKD patient groups.
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