Effect of self-rated health status on functioning difficulties among older adults in Ghana: Coarsened exact matching method of analysis of the World Health Organization’s study on global AGEing and adult health, Wave 2

Autor: Anita O. Yawson, Robert Kogi, George A. Mensah, John Tetteh, Alfred Yawson, Richard B. Biritwum
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Self-assessment
Male
Rural Population
Aging
Self-Assessment
Urban Population
Cross-sectional study
Physiology
Social Determinants of Health
Health Status
Emotions
Social Sciences
Datasets as Topic
Global Health
Ghana
Cultural Anthropology
Geographical Locations
0302 clinical medicine
Elderly
Sociology
Global health
Medicine and Health Sciences
Psychology
Health Status Indicators
Public and Occupational Health
030212 general & internal medicine
Location
Self-rated health
Aged
80 and over
Multidisciplinary
Middle Aged
Religion
Marital status
Medicine
Female
Underweight
medicine.symptom
0305 other medical science
Behavioral and Social Aspects of Health
Research Article
Science
03 medical and health sciences
Mental Health and Psychiatry
medicine
Humans
Geriatric Assessment
Aged
030505 public health
Biology and Life Sciences
Cross-Sectional Studies
Logistic Models
Socioeconomic Factors
Age Groups
Anthropology
People and Places
Africa
Population Groupings
Ordered logit
Physiological Processes
Organism Development
Demography
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 11, p e0224327 (2019)
ISSN: 1932-6203
Popis: Background Functional difficulty assessment has been proven as a key factor in the health evaluation of adults. Previous studies have shown a reduction in health and functional difficulties with increasing age. This analysis was conducted to quantify the effect of poor self-rated health on functional difficulty among older adults in Ghana. Method This analysis was based on the World Health Organization Study on Global AGEing and Adult Health in Ghana for older adults 50 years and above. Fifteen standard functioning difficulty tools were extracted and used for the analysis. Three predictive models with the Coarsened Exact Matching method involving Negative Binomial, Logistics and Ordered logistic regression were performed using Stata 14. Results Overall, the prevalence of poor Self-rated health was 34.9% and that of functional difficulties among older adults in Ghana was 69.4%. Female sex, increasing age, being separated, having no religious affiliation, not currently working and being underweight were associated with and significantly influence poor Self-rated health [AOR(95%CI)p-value = 1.41(1.08–1.83)0.011, 3.85(2.62–5.64)0.000, 1.45(1.08–1.94)0.013, 2.62(1.68–4.07)0.000, 2.4(1.85–3.12)0.000 and 1.39(1.06–1.81)0.017 respectively]. In addition, poor Self-rated health and geographical location (rural vs. urban)significantly influence functioning difficulties among older adults in Ghana as predicted by the three models [Negative Binomial: PR(95%CI) = 1.62(1.43–1.82), Binary logistic: AOR(95%CI) = 3.67(2.79–4.81) and ordered logistic: AOR(95%CI) = 2.53(1.14–2.03)]. Conclusion Poor SRH is more pronounced among older adult females in Ghana. Some determinants of poor SRH include; age, geographical location (urban vs. rural), marital status, religion, and employment status. This provides pointers to important socio-demographic determinants with implications on the social function of older adults in line with the theme of the national aging policy of 2010, ‘ageing with security and dignity’ and ultimately in the national quest to achieve the Sustainable Development Goals by 2030.
Databáze: OpenAIRE
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