Mental Health Index Report Canada January 2021
Mental Health Index Report Canada January 2021
Index™ report
Canada, January 2021
January 2021 report
Table of contents
January highlights 1
The Mental Health Index™ 4
Mental Health Index™ sub-scores 5
The Mental Health Index™ (regional) 8
The Mental Health Index™ (industry) 11
The Mental Stress Change score 12
Mental Stress Change (percentages) 13
The Mental Stress Change (industry) 16
Spotlight 17
Emotional state 17
Changing priorities due to the COVID-19 pandemic 18
Positive impact of the COVID-19 pandemic 19
Negative impact of the COVID-19 pandemic 20
Employment during the pandemic 21
Spending habits 22
Overview of the Mental Health Index™ 23
Methodology 23
Calculations 23
Additional data and analyses 24
January highlights
As Canadians head into 2021, COVID-19 restrictions remain in place in most parts of the A positive score on the Mental
country. The ongoing impact of the pandemic continues to have a negative effect on the Health Index™ indicates better
mental health of Canadians, with January marking ten consecutive months of diminished
mental health when compared to before the pandemic. mental health in the overall
After the initial significant decline measured in April 2020, there were modest increases working population, compared
from May to July 2020. A reversal of this trend occurred in August, followed by a modest to the benchmark period of 2017
improvement in September, a decline in October, a slight improvement in November, and
to 2019. A higher positive score
a decline in December to its lowest point. In January, the score is nearly equal to December
and the same as in April 2020, at the inception of the Index™, and near the start of the reflects greater improvement.
pandemic. The level of mental health in January continues to be a concern as it indicates A negative Mental Health Index™
that the working population is currently as distressed as the most distressed one per cent
score indicates a decline in mental
of working Canadians, prior to 2020.
health compared to the benchmark
The proportion of individuals reporting more stress than the prior month (25 per cent) is
nearly equal to the prior month, while the proportion of individuals reporting less mental period. The more negative the
stress is only 5 per cent. The majority (70 per cent) indicate the same level of stress when score, the greater the decline.
compared to the prior month, however, given the escalation in stress each month since the
A score of zero indicates mental
pandemic, this reflects an elevated level of cumulative stress for this group as well. With
recent increases in cases in many regions of the country, and the resulting restrictions, this health that is the same as it was
strain will likely continue. in the benchmark period.
General psychological health continues its decline. In January, the psychological health risk
score of Canadians is 3.6 points lower than at the start of the Index™, in April 2020.
Extended restrictions and social distancing are leading to an ancillary epidemic of loneliness.
In January, the isolation score is at its lowest point (-12.8) since the inception of the Index™.
The Mental Health Index™ score for managers (-13.2) is lower than for non-managers (-10.7).
Provincial mental health scores since April have shown general improvement until July;
however, several regions showed declines from July to August. In January, Manitoba, The
Maritimes, and Quebec reported modest increases in mental health, while declines are
observed in Newfoundland and Labrador, Alberta, British Columbia, Saskatchewan, and Ontario.
The lowest mental health score in January is observed in Alberta (-14.7), a 0.8-point decline
from December.
For the eighth consecutive month, full-time students have the lowest mental health score
(-26.7) when compared to individuals across all industry sectors. Further, students have
the most significant increase in mental stress (67.5).
Almost one in ten (9 per cent) of respondents have steady employment and supplement their
income with “gigs”; this group has a significantly lower mental health score (-20.2) than even
full (-14.3) or part-time gig workers (-13.0).
Previous findings in June and August 2020 indicate that the most commonly reported emotions
that individuals were experiencing were worry, calm and frustration. Nearly one year into
the pandemic, the most commonly reported emotions continue to be worry (23 per cent),
calm (21 per cent), and frustration (19 per cent) and their proportions are largely the same
as observed in prior months. Women are fifty per cent more likely to report worry as their
primary emotion and fifty per cent less likely to report calm when compared to men.
Those who report gratitude have the strongest mental health.
As Canadians continue to manage their daily lives in a time of global pandemic, thoughts of
temporary adjustments are moving to what the “new normal” could look like. Many Canadians
are rethinking their priorities amid the ongoing impact of the pandemic on work, finances, social
relationships, physical and mental health. The most commonly reported areas respondents
would like to focus on are family (57 per cent), physical health (50 per cent), financial security
(43 per cent), and having fun/enjoying life (42 per cent). One-third of individuals report
wanting to focus on their mental health. Individuals between the ages of 20 and 29 are nearly
twice as likely to report wanting to focus on their mental health when compared to those over
the age of 60.
The impact of the COVID-19 pandemic has touched Canadians in different ways – restricted
social lives, the shift to virtual work, illness, or death of loved ones, etc. At the same time,
some Canadians are reporting inspired changes or unseen benefits because of the pandemic.
The most commonly reported area of positive impact is personal relationships (16 per cent),
followed by financial security (10 per cent), and physical health (9 per cent). Respondents
reporting a positive change in their social lives have the highest mental health score (-5.6).
As expected, the impact of the COVID-19 pandemic has been difficult on most Canadians.
The most commonly reported area of negative change is social life (24 per cent), followed
by mental health (15 per cent), and financial security (13 per cent). The lowest mental health
score is observed among individuals reporting that the most significant negative impact is
to their mental health (-26.9), followed by those reporting a negative change to their financial
security (-21.1), and those reporting a negative impact on their job/career (-17.1). Individuals
under the age of 40 are more than twice as likely to report the most significant negative
impact on mental health when compared to individuals over 60 years old.
As Canadians focus on managing through the pandemic, employment remains a critical
stabilizer. Finances and isolation continue to be the strongest drivers of mental health
and stable employment is central to offsetting the risk of poor mental health. Sixty per cent
of respondents have no change in their hours or salary, whereas seventeen per cent report
working fewer hours, and seven per cent report reduced pay/salary. Individuals reporting
reduced pay/salary during the pandemic have a mental health score nearly ten points below
the national average; those working fewer hours have a mental health score six points below
the average.
Previous findings (June 2020) indicate that less than one quarter (19 per cent) of
respondents are likely to return to their previous spending habits. Over six months later,
twenty-nine per cent of individuals report that they will go back to prior spending habits.
Among those who will not return to their prior spending habits, the most commonly reported
reasons are fear over infection risk (25 per cent) and worry about job/income security
(23 per cent).
-11.5 -11.2
-11.7 -11.4 -11.7
-11.8
-12
-13
April May June July August Sept. Oct. Nov. Dec. January
2020 2020 2021
Isolation Isolation
-9 In January, the isolation sub-score is at
-9.7 its lowest point (-12.8) since the inception
of the Index™ in April 2020. Despite a sharp
-10
increase from August to September, rising
-10.6
2.4 points, the improvement did not persist
-11.0 -11.1 into the following month and the isolation
-11
-11.6 score has remained well-below the pre-
-11.9 -12.0 COVID benchmark since April 2020.
-11.5
-12
-12.1
-12.8
-13
April May June July August Sept. Oct. Nov. Dec. January
2020 2020 2021
-2
-4
-6
-8 Alberta
Manitoba
-12
Newfoundland and Labrador
-14 Ontario
Quebec
-16
April May June July August Sept. Oct. Nov. Dec. January Saskatchewan
2020 2020 2021
The Maritimes
Demographics
• For ten consecutive months, females (-13.8) have a significantly lower mental health score
than males (-9.6); we have also observed that mental health scores improve with age.
• The variance in the mental health score between those with and without children has
been observed since April, and results in January continue this trend with a lower score
for those with at least one child (-15.3) when compared to those without children (-10.6).
Employment
• Overall, five per cent of respondents are unemployed. While most individuals remain
employed, seventeen per cent report reduced hours or reduced salary since April 2020.
• Individuals reporting reduced salary when compared to the prior month (-26.0) have
the lowest mental health score, followed by those who report fewer hours when compared
to the prior month (-17.6), and those not currently employed (-13.1).
• Managers have lower mental health scores (-13.2) when compared to non-managers
(-10.7).
• Twenty-one per cent of respondents participate in the gig economy; the mental health
scores of individuals working part-time hours in the gig economy (-13.0) and those working
multiple part-time gigs (-13.0) are lower than individuals who do not participate in the gig
economy (-10.0).
• Self-employed/sole proprietors have the highest mental health score (-7.5), although
this score is down from the prior month (-6.1).
• Respondents who report working for companies with 51-100 employees have the
lowest mental health score (-15.7), followed by individuals working for companies
with 101-500 employees (-13.3).
Emergency savings
• Individuals without emergency savings continue to experience a lower score in mental
health (-25.6) than the overall group. Those reporting having an emergency fund have
a mental health score of -6.2.
Employment status Jan. 2021 Dec. 2020 Province Jan. 2021 Dec. 2020 Employer size Jan. 2021 Dec. 2020
Current month
January 2021: -60.1 December 2020: 60.2
100
90
80 74.7
68.3
70
60.4 57.2 57.7 57.1 60.7 58.5 60.2 60.1 More mental stress
60
50 = No change from prior month
50
Less mental stress
40
30
20
10
0
April May June July August Sept. Oct. Nov. Dec. January
2020 2020 2021
50%
40%
30%
54% 42%
20%
29% 24% 24% 22% 28% 22% 26% 25%
10%
0%
April 2020 May June July August Sept. Oct. Nov. Dec. 2020 January 2021
Demographics
• As was reported in prior months, and as evidenced again in January, younger respondents
are experiencing a greater increase in mental stress when compared to older respondents.
• Since April 2020, females have had larger increases in mental stress when compared
with males.
Geography
• Considering geography, the greatest increase in stress month-over-month was for
respondents living in Alberta (67.1), followed by Manitoba (61.9), Saskatchewan (60.7),
and British Columbia (60.5). Respondents living in the provinces where the increase
in mental stress was less, still had significant increases. They include Ontario (59.9),
followed by The Maritimes (58.7), Newfoundland and Labrador (56.4), and Quebec (56.1).
Employment
• The greatest increase in mental stress is seen in employed people with reduced salary
(69.9), followed by employed people with reduced hours (63.2) when compared to
unemployed people (59.9) and employed people with no change to salary or hours (59.1).
• The greatest increase in mental stress is observed among managers (62.2) while
non-managers have a more modest increase in mental stress (58.9).
Employment status Jan. 2021 Dec. 2020 Province Jan. 2021 Dec. 2020 Employer size Jan. 2021 Dec. 2020
Worry 23%
Emotional state Calm 21%
Previous findings in June and August 2020 indicate Frustration 19%
that the most commonly reported emotions that
Gratitude 9%
individuals were experiencing were worry, calm
Hopefulness 8%
and frustration. Nearly one year into the pandemic,
the most commonly reported emotions continue Other 6%
to be worry (23 per cent), calm (21 per cent), Helplessness 5%
and frustration (19 per cent) and their proportions
Happiness 4%
are largely the same as observed in prior months.
Anger 4%
• Consistent with the June and August findings,
Disbelief/Shock 3%
individuals reporting positive emotions
(gratitude, happiness, calm, and hopefulness)
have significantly higher mental health scores MHI score by the main emotion felt most often right now
when compared to individuals reporting negative
emotions (frustration, worry, disbelief/shock, Gratitude (9%) 3.6
anger, and helplessness). Happiness (4%) 2.4
• Individuals without children are nearly twice as Longitudinal comparison of emotion type and MHI score
likely to report feeling gratitude when compared
to those with children. -11.7 January 2021
Overall -11.2 August 2020
-10.9
Changing priorities due to the COVID-19 June 2020
pandemic -22.3
Negative Emotion -20.5
As Canadians continue to manage their daily lives -19.9
in a time of global pandemic, thoughts of temporary
adjustments are moving to what the “new normal” 1.1
Positive Emotion 1.2
could look like. Many Canadians are rethinking their 2.0
priorities amid the ongoing impact of the pandemic
on work, finances, social relationships, physical and
mental health. Respondents were asked to select Areas individuals would like to focus on when compared to before the pandemic
three areas they would like to focus on when
Family 57%
compared to before the pandemic.
Physical health 50%
• The most commonly reported areas respondents
would like to focus on are family (57 per cent), Financial security 43%
physical health (50 per cent), financial security Having fun/enjoying life 42%
(43 per cent), and having fun/enjoying life
Mental health 33%
(42 per cent).
Friendships 30%
• One-third of individuals report wanting to focus
Job/Career 21%
on their mental health; this group has the lowest
mental health score (-21.4). Community involvement 5%
• Respondents over the age of 60 are nearly twice MHI by areas individuals would like to focus on when compared to before the pandemic
as likely to want to focus on their physical health
when compared to individuals between the ages Other (1%) -5.6
Negative impact of the COVID-19 Areas that have changed negatively due to the pandemic
pandemic Social life 24%
As expected, the impact of the COVID-19 pandemic
No impact/no change 20%
has been difficult on most Canadians. Respondents
were asked to indicate the area of their lives that has Mental health 15%
• Individuals working fewer hours or with reduced Personal relationships (10%) -15.0
pay/salary are over twice as likely to report that Physical health (8%) -16.0
the most significant negative change is financial
Job/Career (8%) -17.1
security when compared to those with no
change in employment. Financial security (13%) -21.1
• As reported in the January Financial Wellbeing Working fewer hours (17%) -18.0
Index results, individuals not currently employed Reduced pay/salary (7%) -21.4
due to the pandemic have the lowest financial
Not currently employed due
wellbeing score (-14.3), followed by those with -23.3
to the pandemic (4%)
reduced pay or salary (-13.2), and those with On leave (1%) -26.0
fewer working hours (-10.1).
None of the above (5%) -13.4
Spending habits Reasons individuals will not return to prior spending habits once stores
and businesses re-open
Previous findings (June 2020) indicate that less
than one quarter (19 per cent) of respondents are
I will go back to my prior spending habits 29%
likely to return to their previous spending habits.
Over six months later, twenty-nine per cent of Concern about infection risk while being
25%
individuals report that they will go back to prior in stores/service areas
spending habits.
Worry about job/income security 23%
• Among those who will not return to their prior
spending habits, the most commonly reported
Change in income 17%
reasons are fear over infection risk (25 per cent)
and worry about job/income security
Unsure 15%
(23 per cent).
• Respondents over the age of 40 are almost Lack of will or energy to do things
12%
that I did before
twice as likely to report that they will return
to their prior spending habits when compared
to those under 40 years old. Optimism score by reasons individuals will not return to prior spending habits
once stores and businesses re-open
• Individuals working for employers with under
1,000 employees are nearly twice as likely
to report not returning to previous spending I will go back to my prior spending habits (29%) -4.5
Methodology
The data for this report was collected through an online survey of 3,000 Canadians who are
living in Canada and are currently employed or who were employed within the prior six months.
Participants were selected to be representative of the age, gender, industry, and geographic
distribution in Canada. The same respondents participate each month to remove sampling bias.
The respondents were asked to consider the prior two weeks when answering each question.
The Mental Health Index™ is published monthly, starting in April 2020. The benchmark data
was collected in 2017, 2018 and 2019. The data for the current report was collected between
December 14 to December 23, 2020.
Calculations
To create the Mental Health Index™, the first step leverages a response scoring system turning
individual responses to each question into a point value. Higher point values are associated
with better mental health and less mental health risk. Each individual’s scores are added and
then divided by the total number of possible points to get a score out of 100. The raw score
is the mathematical mean of the individual scores.
To demonstrate change, the current month’s scores are then compared to the benchmark
and the prior month. The benchmark is comprised of data from 2017, 2018 and 2019. This
was a period of relative social stability and steady economic growth. The change relative
to the benchmark is the Mental Health Index™. A score of zero in the Mental Health Index™
reflects no change, positive scores reflect improvement, and negative scores reflect decline.
A Mental Stress Change score is also reported given that increasing and prolonged mental
stress is a potential contributor to changes in mental health. It is reported separately and
is not part of the calculation of the Mental Health Index™. The Mental Stress Change score
is (percentage reporting less mental stress + percentage reporting the same level of mental
stress *0.5) * -1 + 100. The data compares the current to the prior month. A Mental Stress
Change score of 50 reflects no change in mental stress from the prior month. Scores above
50 reflect an increase in mental stress, scores below 50 reflect a decrease in mental stress.
The range is from zero to 100. A succession of scores over 50, month over month, reflects
high risk.
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