Exercise 1 (A)

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Problem Statement

We will use the article by Palis, Marchand, and Oviedo-Joekes (2020), DOI: 10.1080/09638237.2018.1437602.

Question 1: [60% grade]

1(a) Importing dataset

# Importing dataset
load("Data/accessing/cchsMH.RData")

1(b) Subsetting according to eligibility

Subset the dataset according to the eligibility criteria / restriction specified in the paper

  • Identify the variable needed for eligibility criteria

Hint

  • Read the first paragraph of Analytic sample (page 2) for the eligibility criteria
  • Eligibility criteria was determined based on only one variable. Only work with ‘YES’ category.
# your code here

1(c) Retaining necessary variables

In the dataset, retain only the variables associated with outcome measure, explanatory variable, potential confounders and survey weight. There should be eight variables (one outcome, one exposure, five confounders, and one survey weight).

Here are the steps:

  • Identify the outcome variable

  • Identify the explanatory variable

  • Identify the potential confounders

  • Identify the survey weight variable

  • Hint

    1. Read
    • first and second paragraphs of Study variables for the outcome, explanatory and confounding variables
    • third paragraph of the Statistical analyses for the survey weights variable.
    1. There were five potential confounders.
    2. Potentially useful functions for this exercise:
# your code here

1(d) Creating analytic dataset

Outcome variable has a category ‘NOT STATED’, but for our analysis, we will omit anyone associated with this category. Similarly, for explanatory variable, we have categories such as DON’T KNOW, REFUSAL and NOT STATED. We will omit anyone with these categories.

  • Assign missing values for categories such as DON’T KNOW, REFUSAL and NOT STATED.
  • Recode the variables as shown in Table 1 in the article. You can use any function/package of your choice. Here is an example (but feel free to use other functions. In R there are many other ways to do this same task.
## your code here
# levels(your.data.frame$your.age.variable) <- 
#   list("15 to 24 years" = c("15 TO 19 YEARS", "20 TO 24 YEARS"),
#        "25 to 34 years" = c("25 TO 29 YEARS", "30 TO 34 YEARS"),
#        "35 to 44 years" = c("35 TO 39 YEARS", "40 TO 44 YEARS"),
#        "45 to 54 years" = c("45 TO 49 YEARS", "50 TO 54 YEARS"),
#        "55 to 64 years" = c("55 TO 59 YEARS", "60 TO 64 YEARS"),
#        "65 years or older" = c("65 TO 69 YEARS", "70 TO 74 YEARS", 
#        "75 TO 79 YEARS", "80 YEARS OR MORE"))

1(e) Number of columns and variable names

Report the number of columns in your analytic dataset, and the variable names.

# your code here

Question 2: Table 1 [20% grade]

Reproduce Table 1 presented in the article (or see below). Omit the ‘Main source of income’ variable from the table. The table you produce should report numbers as follows, with all columns as shown in the table. In other words, the numbers should match.

Self-rated Mental Health Variable Total n(%) Poor or Fair n(%) Good n(%) Very good or excellent n(%)
Study sample 2628 (100) 1002 (38.1) 885 (33.7) 741 (28.2)
Community belonging
- Very weak 480 (18.3) 282 (28.1) 118 (13.3)a 80 (10.8)a
- Somewhat weak 857 (32.6) 358 (35.7) 309 (34.9) 190 (25.6)
- Somewhat strong 1005 (38.2) 288 (28.7) 362 (40.9) 355 (47.9)
- Very strong 286 (10.9) 74 (7.4)a 96 (10.8)a 116 (15.7)a
Sex
- Females 1407 (53.5) 616 (61.5) 487 (55.0) 304 (41.0)
- Males 1221 (46.5) 386 (38.5) 398 (45.0) 437 (59.0)
Age group
- 15 to 24 years 740 (28.2) 191 (19.1) 264 (29.8) 285 (38.5)
- 25 to 34 years 475 (18.1) 141 (14.1) 167 (18.9) 167 (22.5)
- 35 to 44 years 393 (15.0) 185 (18.5) 119 (13.4)a 89 (12.0)a
- 45 to 54 years 438 (16.6) 220 (22.0) 139 (15.7) 79 (10.7)a
- 55 to 64 years 379 (14.4) 198 (19.7) 113 (12.8)a 68 (9.2)a
- 65 years or older 203 (7.7) 67 (6.6)a 83 (8.4)a 53 (7.1)b
Race/Ethnicity
- Non-white 458 (17.4) 184 (18.4) 140 (15.8) 134 (18.1)
- White 2170 (82.6) 818 (81.6) 745 (84.2) 607 (81.9)
Main source of income
- Employment Income^d 1054 (40.1) 289 (28.8) 386 (43.6) 379 (51.1)
- Worker’s Compensation^e 160 (6.1) 91 (9.1)a 44 (5.0)b 25 (3.4)c
- Senior Benefits^f 134 (5.1) 57 (5.7)a 42 (4.7)b 35 (4.7)
- Other^g 184 (7.0) 82 (8.2)a 60 (6.8)a 42 (5.7)b
- Not applicable^h 851 (32.4) 402 (40.1) 263 (29.7) 186 (25.1)
- Not Stated^i 245 (9.3) 81 (8.1)a 90 (10.2)a 74 (10.0)

\(^a\) Coefficient of variation between 16.6 and 25.0%. \(^b\) Coefficient of variation between 25.1 and 33.3%. \(^c\) Coefficient of variation > 33.3%. \(^d\) Employment Income: Wages/salaries or self-employment. \(^e\) Worker’s compensation: Employment insurance or worker’s compensation or social assistance/welfare. \(^f\) Senior Benefits: Benefits from Canada or Quebec Pension Plan or job related retirement pensions, superannuation and annuities or RRSP/RRIF of Old Age Security and Guaranteed Income Supplement. \(^g\) Other: Dividends/interest or child tax benefit or child support or alimony or other or no income. \(^h\) Not applicable: Respondents who live in a household with only one person. The income variable “main source of personal income” is applicable only to those that live in a household of more than one person. \(^i\) Not Stated: Question was not answered (don’t know, refusal, not stated).

# your code here
require(tableone)

Question 3: [20% grade]

3(a) Subset

Subset the dataset excluding ‘Very good or excellent’ responses from the self-rated mental health variable

# your code here

3(b) Recode

Recode self-rated mental health variable and make it a binary variable: ‘Good’ vs. ‘Poor’ (simplifying category labels only). Convert that variable to a factor variable with ‘Poor’ being the reference level.

# your code here

3(c) Regression

Run a logistic regression model for finding the relationship between community belonging (Reference: Very weak) and self-rated mental health (Reference: Poor) among respondents with mental or substance use disorders. Adjust the model for three confounders: sex, age, and race/ethnicity. Do not need to report summary of the model.

# your code here

3(d) Reporting odds ratio

Report the odds ratios and associated confidence intervals. Publish or jtools package could be useful to report the odds ratios with confidence intervals.

# your code here
Palis, Heather, Kirsten Marchand, and Eugenia Oviedo-Joekes. 2020. “The Relationship Between Sense of Community Belonging and Self-Rated Mental Health Among Canadians with Mental or Substance Use Disorders.” Journal of Mental Health 29 (2): 168–75.