Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults

Research output: Other Conference ContributionsPresentationPresentation

Abstract

Several aspects of social support networks have been linked to variations in health and well-being among older persons. However, it is unclear whether structural or functional social support is more influential in their healthcare use, especially in LAMICs where informal intergenerational social support is often dwindling. Ghana is experiencing considerable demographic ageing from fertility reduction and increases in life expectancy. However, a deteriorating health system seems unlikely to prove adequate for the health challenges presented by older adults, making identification of the roles of social support very important. This study examines multidimensional social support characteristics as predictors of health services utilisation among community-dwelling older Ghanaian adults (n =1,200; mean age 66.15±11.85) who participated in an Ageing, Health, Psychological Wellbeing and Health-seeking Behaviour Study. Multivariate logistic regression modelling indicated a high prevalence of 12-month healthcare use (89.3%), varied by gender across distinct components of social support (p˂0.001). Specific social support domains associated with health services use for all and by gender were number of children alive (odds ratio; OR = 2.29) (F: OR = 3.49; M = 2.02), receiving help from household (OR = 1.82) (F: OR = 1.13; M = 3.58) and remittances (OR = 1.65) (F: OR = 1.95; M = 1.98). Attending group/religious meetings was also associated with healthcare use (OR = 2.13), especially for women (OR = 3.26). Significant interactions were observed between attending social events (OR = 1.69; p˂0.05) and remittances (OR = 1.94; p˂0.05) whilst living with spouse among older women. Perceived structural and functional social supports thus appear influential in health services use among older adults in LAMICs. The study underscores the need for intervention programmes and social policies targeted at micro- and wider social- factors, including the novel area of remittances to older adults. The findings contribute significantly in achieving the health-related SDGs in LAMICs.
Original languageEnglish
Publication statusPublished - 9 Dec 2017
Event“Doing” Comparative Social Policy Analysis in Changing Global Context - Lingnan University, Tuen Mun, Hong Kong
Duration: 8 Dec 20179 Dec 2017
https://www.ln.edu.hk/ocpa/conference/social-policy/

Conference

Conference“Doing” Comparative Social Policy Analysis in Changing Global Context
CountryHong Kong
CityTuen Mun
Period8/12/179/12/17
Internet address

Fingerprint

Independent Living
Social Work
Social Support
Health Services
Health
Economics
Delivery of Health Care
Ghana
Group Processes
Population Dynamics
Public Policy
Life Expectancy
Spouses
Fertility
Logistic Models
Odds Ratio
Psychology

Cite this

GYASI, R. M., PHILLIPS, D. R., & AMOAH, P. A. (2017). Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults. “Doing” Comparative Social Policy Analysis in Changing Global Context, Tuen Mun, Hong Kong.
GYASI, Razak Mohammed ; PHILLIPS, David Rosser ; AMOAH, Padmore Adusei. / Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults. “Doing” Comparative Social Policy Analysis in Changing Global Context, Tuen Mun, Hong Kong.
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abstract = "Several aspects of social support networks have been linked to variations in health and well-being among older persons. However, it is unclear whether structural or functional social support is more influential in their healthcare use, especially in LAMICs where informal intergenerational social support is often dwindling. Ghana is experiencing considerable demographic ageing from fertility reduction and increases in life expectancy. However, a deteriorating health system seems unlikely to prove adequate for the health challenges presented by older adults, making identification of the roles of social support very important. This study examines multidimensional social support characteristics as predictors of health services utilisation among community-dwelling older Ghanaian adults (n =1,200; mean age 66.15±11.85) who participated in an Ageing, Health, Psychological Wellbeing and Health-seeking Behaviour Study. Multivariate logistic regression modelling indicated a high prevalence of 12-month healthcare use (89.3{\%}), varied by gender across distinct components of social support (p˂0.001). Specific social support domains associated with health services use for all and by gender were number of children alive (odds ratio; OR = 2.29) (F: OR = 3.49; M = 2.02), receiving help from household (OR = 1.82) (F: OR = 1.13; M = 3.58) and remittances (OR = 1.65) (F: OR = 1.95; M = 1.98). Attending group/religious meetings was also associated with healthcare use (OR = 2.13), especially for women (OR = 3.26). Significant interactions were observed between attending social events (OR = 1.69; p˂0.05) and remittances (OR = 1.94; p˂0.05) whilst living with spouse among older women. Perceived structural and functional social supports thus appear influential in health services use among older adults in LAMICs. The study underscores the need for intervention programmes and social policies targeted at micro- and wider social- factors, including the novel area of remittances to older adults. The findings contribute significantly in achieving the health-related SDGs in LAMICs.",
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GYASI, RM, PHILLIPS, DR & AMOAH, PA 2017, 'Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults' “Doing” Comparative Social Policy Analysis in Changing Global Context, Tuen Mun, Hong Kong, 8/12/17 - 9/12/17, .

Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults. / GYASI, Razak Mohammed ; PHILLIPS, David Rosser; AMOAH, Padmore Adusei.

2017. “Doing” Comparative Social Policy Analysis in Changing Global Context, Tuen Mun, Hong Kong.

Research output: Other Conference ContributionsPresentationPresentation

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T1 - Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults

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AU - PHILLIPS, David Rosser

AU - AMOAH, Padmore Adusei

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N2 - Several aspects of social support networks have been linked to variations in health and well-being among older persons. However, it is unclear whether structural or functional social support is more influential in their healthcare use, especially in LAMICs where informal intergenerational social support is often dwindling. Ghana is experiencing considerable demographic ageing from fertility reduction and increases in life expectancy. However, a deteriorating health system seems unlikely to prove adequate for the health challenges presented by older adults, making identification of the roles of social support very important. This study examines multidimensional social support characteristics as predictors of health services utilisation among community-dwelling older Ghanaian adults (n =1,200; mean age 66.15±11.85) who participated in an Ageing, Health, Psychological Wellbeing and Health-seeking Behaviour Study. Multivariate logistic regression modelling indicated a high prevalence of 12-month healthcare use (89.3%), varied by gender across distinct components of social support (p˂0.001). Specific social support domains associated with health services use for all and by gender were number of children alive (odds ratio; OR = 2.29) (F: OR = 3.49; M = 2.02), receiving help from household (OR = 1.82) (F: OR = 1.13; M = 3.58) and remittances (OR = 1.65) (F: OR = 1.95; M = 1.98). Attending group/religious meetings was also associated with healthcare use (OR = 2.13), especially for women (OR = 3.26). Significant interactions were observed between attending social events (OR = 1.69; p˂0.05) and remittances (OR = 1.94; p˂0.05) whilst living with spouse among older women. Perceived structural and functional social supports thus appear influential in health services use among older adults in LAMICs. The study underscores the need for intervention programmes and social policies targeted at micro- and wider social- factors, including the novel area of remittances to older adults. The findings contribute significantly in achieving the health-related SDGs in LAMICs.

AB - Several aspects of social support networks have been linked to variations in health and well-being among older persons. However, it is unclear whether structural or functional social support is more influential in their healthcare use, especially in LAMICs where informal intergenerational social support is often dwindling. Ghana is experiencing considerable demographic ageing from fertility reduction and increases in life expectancy. However, a deteriorating health system seems unlikely to prove adequate for the health challenges presented by older adults, making identification of the roles of social support very important. This study examines multidimensional social support characteristics as predictors of health services utilisation among community-dwelling older Ghanaian adults (n =1,200; mean age 66.15±11.85) who participated in an Ageing, Health, Psychological Wellbeing and Health-seeking Behaviour Study. Multivariate logistic regression modelling indicated a high prevalence of 12-month healthcare use (89.3%), varied by gender across distinct components of social support (p˂0.001). Specific social support domains associated with health services use for all and by gender were number of children alive (odds ratio; OR = 2.29) (F: OR = 3.49; M = 2.02), receiving help from household (OR = 1.82) (F: OR = 1.13; M = 3.58) and remittances (OR = 1.65) (F: OR = 1.95; M = 1.98). Attending group/religious meetings was also associated with healthcare use (OR = 2.13), especially for women (OR = 3.26). Significant interactions were observed between attending social events (OR = 1.69; p˂0.05) and remittances (OR = 1.94; p˂0.05) whilst living with spouse among older women. Perceived structural and functional social supports thus appear influential in health services use among older adults in LAMICs. The study underscores the need for intervention programmes and social policies targeted at micro- and wider social- factors, including the novel area of remittances to older adults. The findings contribute significantly in achieving the health-related SDGs in LAMICs.

M3 - Presentation

ER -

GYASI RM, PHILLIPS DR, AMOAH PA. Multidimensional Social Support and Health Services Use in LAMICs: Insights from Community-dwelling Older Ghanaian Adults. 2017. “Doing” Comparative Social Policy Analysis in Changing Global Context, Tuen Mun, Hong Kong.