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

doi:10.1177/07334648211028391

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 Publications › Journal Article (refereed) › peer-review

10 Citations (Scopus)

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 language	English
Pages (from-to)	671-679
Number of pages	9
Journal	Journal of Applied Gerontology
Volume	41
Issue number	3
Early online date	5 Jul 2021
DOIs	https://doi.org/10.1177/07334648211028391
Publication status	Published - 1 Mar 2022

Bibliographical note

Funding Information:
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.

Publisher Copyright:
© The Author(s) 2021.

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/07334648211028391

http://journals.sagepub.com/doi/10.1177/07334648211028391

Cite this

@article{fc5442e4ef5a4e67b4d7d6958ca69c57,

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

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.",

keywords = "oral health, oral health services, social capital, socioeconomic status, health literacy, older persons, Ghana",

author = "AMOAH, {Padmore Adusei} and KODUAH, {Adwoa Owusuaa} and GYASI, {Razak M.} and NYAMEKYE, {Kingsley Atta} and PHILLIPS, {David R.}",

note = "Funding Information: 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. Publisher Copyright: {\textcopyright} The Author(s) 2021.",

year = "2022",

month = mar,

day = "1",

doi = "10.1177/07334648211028391",

language = "English",

volume = "41",

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journal = "Journal of Applied Gerontology",

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Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital. / AMOAH, Padmore Adusei; KODUAH, Adwoa Owusuaa; GYASI, Razak M. et al.
In: Journal of Applied Gerontology, Vol. 41, No. 3, 01.03.2022, p. 671-679.

Research output: Journal Publications › Journal Article (refereed) › peer-review

TY - JOUR

T1 - Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital

AU - AMOAH, Padmore Adusei

AU - KODUAH, Adwoa Owusuaa

AU - GYASI, Razak M.

AU - NYAMEKYE, Kingsley Atta

AU - PHILLIPS, David R.

N1 - Funding Information: 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. Publisher Copyright: © The Author(s) 2021.

PY - 2022/3/1

Y1 - 2022/3/1

N2 - 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.

AB - 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.

KW - oral health

KW - oral health services

KW - social capital

KW - socioeconomic status

KW - health literacy

KW - older persons

KW - Ghana

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U2 - 10.1177/07334648211028391

DO - 10.1177/07334648211028391

M3 - Journal Article (refereed)

C2 - 34225501

SN - 0733-4648

VL - 41

SP - 671

EP - 679

JO - Journal of Applied Gerontology

JF - Journal of Applied Gerontology

IS - 3

ER -

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

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Other files and links

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Social Epidemiology, Universal Health Coverage and Health and Well-Being

Cite this

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

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Projects

Social Epidemiology, Universal Health Coverage and Health and Well-Being

Cite this