Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter?

Autor:	Abalo EM; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Mensah CM; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Agyemang-Duah W; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Peprah P; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Budu HI; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Gyasi RM; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.; Lingnan University, Tuen Mun, Hong Kong SAR., Donkor P; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Amoako J; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Jazyk:	angličtina
Zdroj:	Gerontology & geriatric medicine [Gerontol Geriatr Med] 2018 Sep 04; Vol. 4, pp. 2333721418796663. Date of Electronic Publication: 2018 Sep 04 (Print Publication: 2018).
DOI:	10.1177/2333721418796663
Abstrakt:	Studies have constantly reported mixed evidence on the associations between rural/urban differences and self-rated health (SRH) status among older populations. More importantly, the roles of other relevant sociodemographic characteristics such as gender and educational levels in these associations are mostly overlooked. The current study examines the geographical differences in SRH of older cohorts in Kumasi Metropolis and Bosomtwe District of Ghana. Data from a Spatial Health and Healthcare Study (SHHS) were analyzed using chi-square test and ordinal logistic regression models. Although the study discovered a statistically significant difference in SRH between the rural and urban samples, the multivariate analysis found insignificant effect in SRH between urban and rural samples after adjusting for theoretically relevant covariates. However, the interactions indicated that this association significantly strengthens for rural dwellers who were highly educated. Moreover, age, average monthly income, reporting sickness in the past 90 days, and not noticing any change in health status in retrospective to 12 months were independent predictors of SRH. Effective interventions through collaborative efforts by the Ghanaian sociopolitical structure and micro-level dynamics are needed to ensure holistic improvements in health outcomes among vulnerable older persons. Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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