Razak M Gyasi1, David R Phillips2. 1. Department of Sociology and Social Policy, Lingnan University, Hong Kong. Electronic address: rgyasi@LN.edu.hk. 2. Department of Sociology and Social Policy, Lingnan University, Hong Kong.
Abstract
OBJECTIVE: This paper examines the association between self-rated health (SRH) and functional decline (FD) in older Ghanaian cohorts and investigates whether the effect differs by gender and also modified by marital status. METHODS: The study used cross-sectional survey data (N = 1200) from an Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) study conducted in between August 2016 and January 2017. A four-level gendered-stratified logit modeling estimated the SRH-FD association and the interaction terms. RESULTS: Overall, 23% of male respondents and 34% of women revealed significant FD (p < 0.001). The fully-adjusted model showed that SRH status was a strong predictor of FD across genders but the effect was most pronounced among men. Compared with excellent/very good SRH, fair and poor SRH (β = 0.160; p < 0.05) and (β = 1.700; p < 0.001) for women and (β = 2.202; p < 0.001) and (β= 2.356; p < 0.001) for men respectively were significantly associated with increased FD. However, good (β = - 1.760; p < 0.001), fair (β = - 2.800; p < 0.001) and poor SRH (β = -2.088; p < 0.001) decreased FD if an older woman was married compared with unmarried women with excellent/very good SRH. CONCLUSION: The strength of SRH-FDs association largely differed with gender and also moderated by marital status for women. Improving the SRH and marital quality could be protective of functional abilities, independence and quality of life for older people.
OBJECTIVE: This paper examines the association between self-rated health (SRH) and functional decline (FD) in older Ghanaian cohorts and investigates whether the effect differs by gender and also modified by marital status. METHODS: The study used cross-sectional survey data (N = 1200) from an Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) study conducted in between August 2016 and January 2017. A four-level gendered-stratified logit modeling estimated the SRH-FD association and the interaction terms. RESULTS: Overall, 23% of male respondents and 34% of women revealed significant FD (p < 0.001). The fully-adjusted model showed that SRH status was a strong predictor of FD across genders but the effect was most pronounced among men. Compared with excellent/very good SRH, fair and poor SRH (β = 0.160; p < 0.05) and (β = 1.700; p < 0.001) for women and (β = 2.202; p < 0.001) and (β= 2.356; p < 0.001) for men respectively were significantly associated with increased FD. However, good (β = - 1.760; p < 0.001), fair (β = - 2.800; p < 0.001) and poor SRH (β = -2.088; p < 0.001) decreased FD if an older woman was married compared with unmarried women with excellent/very good SRH. CONCLUSION: The strength of SRH-FDs association largely differed with gender and also moderated by marital status for women. Improving the SRH and marital quality could be protective of functional abilities, independence and quality of life for older people.
Authors: John Tetteh; Robert Kogi; Anita Ohenewa Yawson; George Mensah; Richard Biritwum; Alfred Edwin Yawson Journal: PLoS One Date: 2019-11-05 Impact factor: 3.240
Authors: Emmanuel Mawuli Abalo; Charlotte Monica Mensah; Williams Agyemang-Duah; Prince Peprah; Hayford Isaac Budu; Razak M Gyasi; Philomina Donkor; Jones Amoako Journal: Gerontol Geriatr Med Date: 2018-09-04
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