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

dc.contributor.authorTetteh, J.
dc.contributor.authorKogi, R.
dc.contributor.authorYawson, A.O.
dc.contributor.authorMensah, G.
dc.contributor.authorBiritwum, R.
dc.contributor.authorYawson, A.E.
dc.date.accessioned2019-12-10T15:35:27Z
dc.date.available2019-12-10T15:35:27Z
dc.date.issued2019-12-05
dc.descriptionResearch Articleen_US
dc.description.abstractBackground 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.en_US
dc.identifier.citationTetteh J, Kogi R, Yawson AO, Mensah G, Biritwum R, Yawson AE (2019) 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. PLoS ONE 14(11): e0224327. https://doi.org/10.1371/journal.pone.0224327en_US
dc.identifier.otherhttps://doi.org/10.1371/journal.pone.0224327
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/34106
dc.language.isoenen_US
dc.publisherPlos Oneen_US
dc.relation.ispartofseries14;11
dc.subjectWorld Health Organizationen_US
dc.subjectGhanaen_US
dc.subjectadult healthen_US
dc.subjectWave 2en_US
dc.titleEffect 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 2en_US
dc.typeArticleen_US

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