Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter?
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 a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-09-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721418796663 |
| _version_ | 1818845422021509120 |
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| author | Emmanuel Mawuli Abalo BA (Hons) Charlotte Monica Mensah PhD Williams Agyemang-Duah BA (Hons) Prince Peprah BA (Hons) Hayford Isaac Budu MN, BA (Hons), RMN Razak M Gyasi PhD Philomina Donkor BA (Hons) Jones Amoako BA (Hons) |
| author_facet | Emmanuel Mawuli Abalo BA (Hons) Charlotte Monica Mensah PhD Williams Agyemang-Duah BA (Hons) Prince Peprah BA (Hons) Hayford Isaac Budu MN, BA (Hons), RMN Razak M Gyasi PhD Philomina Donkor BA (Hons) Jones Amoako BA (Hons) |
| author_sort | Emmanuel Mawuli Abalo BA (Hons) |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T05:29:24Z |
| format | Article |
| id | doaj.art-10582933b9194631bf38b6f355af51f2 |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-19T05:29:24Z |
| publishDate | 2018-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-10582933b9194631bf38b6f355af51f22022-12-21T20:34:16ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142018-09-01410.1177/2333721418796663Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter?Emmanuel Mawuli Abalo BA (Hons)0Charlotte Monica Mensah PhD1Williams Agyemang-Duah BA (Hons)2Prince Peprah BA (Hons)3Hayford Isaac Budu MN, BA (Hons), RMN4Razak M Gyasi PhD5Philomina Donkor BA (Hons)6Jones Amoako BA (Hons)7Kwame Nkrumah University of Science and Technology, Kumasi, GhanaKwame Nkrumah University of Science and Technology, Kumasi, GhanaKwame Nkrumah University of Science and Technology, Kumasi, GhanaKwame Nkrumah University of Science and Technology, Kumasi, GhanaKwame Nkrumah University of Science and Technology, Kumasi, GhanaLingnan University, Tuen Mun, Hong Kong SARKwame Nkrumah University of Science and Technology, Kumasi, GhanaKwame Nkrumah University of Science and Technology, Kumasi, GhanaStudies 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.https://doi.org/10.1177/2333721418796663 |
| spellingShingle | Emmanuel Mawuli Abalo BA (Hons) Charlotte Monica Mensah PhD Williams Agyemang-Duah BA (Hons) Prince Peprah BA (Hons) Hayford Isaac Budu MN, BA (Hons), RMN Razak M Gyasi PhD Philomina Donkor BA (Hons) Jones Amoako BA (Hons) Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? Gerontology and Geriatric Medicine |
| title | Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? |
| title_full | Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? |
| title_fullStr | Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? |
| title_full_unstemmed | Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? |
| title_short | Geographical Differences in Perceived Health Status Among Older Adults in Ghana: Do Gender and Educational Status Matter? |
| title_sort | geographical differences in perceived health status among older adults in ghana do gender and educational status matter |
| url | https://doi.org/10.1177/2333721418796663 |
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