Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital

Padmore Adusei AMOAH*, Adwoa Owusuaa KODUAH, Razak M. GYASI, Kingsley Atta NYAMEKYE, David R. PHILLIPS

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

Abstract

We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey (n = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status (B = 0. 0.117, p < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.
Original languageEnglish
Article number073346482110283
JournalJournal of Applied Gerontology
DOIs
Publication statusE-pub ahead of print - 5 Jul 2021

Bibliographical note

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Lingnan University Faculty Research Grant (Grant code: 102159) funded this study. The study also received funding support from Lingnan University through the Lam Woo Research Fund-Individual Grant (Grant code: LWI20014) in the preparation of the manuscript. The funders did not have any role in the design of the study, preparation of manuscript or in the decision to publish.

Keywords

  • oral health
  • oral health services
  • social capital
  • socioeconomic status
  • health literacy
  • older persons
  • Ghana

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