Multidimensional Social Support and Health Services Utilization Among Noninstitutionalized Older Persons in Ghana

Razak M. GYASI*, David R. PHILLIPS, Padmore Adusei AMOAH

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)

8 Citations (Scopus)

Abstract

This study examines multidimensional social supports as predictors of health services utilization among community-dwelling older Ghanaians. Method: Using data from a 2016/2017 Aging, Health, Psychological Wellbeing and Health-Seeking Behavior Study (N = 1,200), Poisson regression models estimated the associations of aspects of informal social support and health facility utilization among older people. Results: Findings suggest that regular contacts with family/close friends (odds ratio [OR] = 1.299; 95% confidence interval [CI] = [1.111, 1.519]), social participation (OR = 1.021; 95% CI = [1.140, 1.910]), and remittances from adult children (OR = 1.091; 95%CI = [1.086, 1.207]) were associated with increased health services utilization with some gender variations. Having caregivers increased health care use generally (OR = 1.108; 95% CI = [1.016, 1.209]) and among men (OR = 1.181; 95% CI = [1.015, 1.373]). However, we found decrease in health care use among those who received pecuniary assistance (OR = 0.893; 95% CI = [0.805, 0.990]). Discussion: Perceived structural and functional social support domains appear influential in health care utilization among older adults in Ghana. The findings underscore the need for intervention programs and social policies targeted at both micro-factors and wider social factors, including the novel area of remittances to older adults.
Original languageEnglish
JournalJournal of Aging and Health
DOIs
Publication statusE-pub ahead of print - 3 Dec 2018

Fingerprint

Ghana
Social Work
Social Support
Health Services
social support
health service
confidence
utilization
Odds Ratio
Confidence Intervals
health care
health
Patient Acceptance of Health Care
Economics
Social Participation
Delivery of Health Care
Independent Living
study behavior
social participation
Health Facilities

Keywords

  • health care utilization
  • informal social support
  • older persons
  • remittances
  • Social participation

Cite this

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title = "Multidimensional Social Support and Health Services Utilization Among Noninstitutionalized Older Persons in Ghana",
abstract = "This study examines multidimensional social supports as predictors of health services utilization among community-dwelling older Ghanaians. Method: Using data from a 2016/2017 Aging, Health, Psychological Wellbeing and Health-Seeking Behavior Study (N = 1,200), Poisson regression models estimated the associations of aspects of informal social support and health facility utilization among older people. Results: Findings suggest that regular contacts with family/close friends (odds ratio [OR] = 1.299; 95{\%} confidence interval [CI] = [1.111, 1.519]), social participation (OR = 1.021; 95{\%} CI = [1.140, 1.910]), and remittances from adult children (OR = 1.091; 95{\%}CI = [1.086, 1.207]) were associated with increased health services utilization with some gender variations. Having caregivers increased health care use generally (OR = 1.108; 95{\%} CI = [1.016, 1.209]) and among men (OR = 1.181; 95{\%} CI = [1.015, 1.373]). However, we found decrease in health care use among those who received pecuniary assistance (OR = 0.893; 95{\%} CI = [0.805, 0.990]). Discussion: Perceived structural and functional social support domains appear influential in health care utilization among older adults in Ghana. The findings underscore the need for intervention programs and social policies targeted at both micro-factors and wider social factors, including the novel area of remittances to older adults.",
keywords = "health care utilization, informal social support, older persons, remittances, Social participation",
author = "GYASI, {Razak M.} and PHILLIPS, {David R.} and AMOAH, {Padmore Adusei}",
year = "2018",
month = "12",
day = "3",
doi = "10.1177/0898264318816217",
language = "English",
journal = "Journal of Aging and Health",
issn = "0898-2643",
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T1 - Multidimensional Social Support and Health Services Utilization Among Noninstitutionalized Older Persons in Ghana

AU - GYASI, Razak M.

AU - PHILLIPS, David R.

AU - AMOAH, Padmore Adusei

PY - 2018/12/3

Y1 - 2018/12/3

N2 - This study examines multidimensional social supports as predictors of health services utilization among community-dwelling older Ghanaians. Method: Using data from a 2016/2017 Aging, Health, Psychological Wellbeing and Health-Seeking Behavior Study (N = 1,200), Poisson regression models estimated the associations of aspects of informal social support and health facility utilization among older people. Results: Findings suggest that regular contacts with family/close friends (odds ratio [OR] = 1.299; 95% confidence interval [CI] = [1.111, 1.519]), social participation (OR = 1.021; 95% CI = [1.140, 1.910]), and remittances from adult children (OR = 1.091; 95%CI = [1.086, 1.207]) were associated with increased health services utilization with some gender variations. Having caregivers increased health care use generally (OR = 1.108; 95% CI = [1.016, 1.209]) and among men (OR = 1.181; 95% CI = [1.015, 1.373]). However, we found decrease in health care use among those who received pecuniary assistance (OR = 0.893; 95% CI = [0.805, 0.990]). Discussion: Perceived structural and functional social support domains appear influential in health care utilization among older adults in Ghana. The findings underscore the need for intervention programs and social policies targeted at both micro-factors and wider social factors, including the novel area of remittances to older adults.

AB - This study examines multidimensional social supports as predictors of health services utilization among community-dwelling older Ghanaians. Method: Using data from a 2016/2017 Aging, Health, Psychological Wellbeing and Health-Seeking Behavior Study (N = 1,200), Poisson regression models estimated the associations of aspects of informal social support and health facility utilization among older people. Results: Findings suggest that regular contacts with family/close friends (odds ratio [OR] = 1.299; 95% confidence interval [CI] = [1.111, 1.519]), social participation (OR = 1.021; 95% CI = [1.140, 1.910]), and remittances from adult children (OR = 1.091; 95%CI = [1.086, 1.207]) were associated with increased health services utilization with some gender variations. Having caregivers increased health care use generally (OR = 1.108; 95% CI = [1.016, 1.209]) and among men (OR = 1.181; 95% CI = [1.015, 1.373]). However, we found decrease in health care use among those who received pecuniary assistance (OR = 0.893; 95% CI = [0.805, 0.990]). Discussion: Perceived structural and functional social support domains appear influential in health care utilization among older adults in Ghana. The findings underscore the need for intervention programs and social policies targeted at both micro-factors and wider social factors, including the novel area of remittances to older adults.

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KW - Social participation

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