Social capital, access to healthcare, and health-related quality of life in urban Ghana

Padmore Adusei AMOAH*, Moses ADJEI

*Corresponding author for this work

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

4 Citations (Scopus)


This study examines the status and relationship amongst social capital, access to healthcare and health-related quality of life (HRQoL) of urban residents in Ghana. It also explores the moderating role of social capital in the association between access to healthcare and HRQoL of urban residents in Ghana. Data from 1,233 adults were derived from a cross-sectional survey on social epidemiology in five regions and were analyzed using ordinal logistic regression models. Approximately 24.1% of the respondents had low access to healthcare. We found that 41.8% and 10.1% of them rated their health as average and poor, respectively. Access to healthcare (B = 0.777, p < .001) and bridging social capital (B = 0.281, p < .01) were positively associated with HRQoL. However, linking social capital was negatively related to HRQoL (B = −0.199, p < .01). Bridging social capital (B = 0.435, p < .01) positively moderated the association between access to healthcare and HRQoL. The study expands our understanding of social determinants of health outcomes. It proffers that universal health coverage interventions in urban Ghana should actively but cautiously leverage available social resources to improve population health.
Original languageEnglish
Pages (from-to)570-589
Number of pages20
JournalJournal of Urban Affairs
Issue number3
Early online date11 Oct 2021
Publication statusPublished - 2023

Bibliographical note

Funding Information:
The data on which this study is based was funded by the Lingnan University Faculty Research Grant (Grant No. 102159). The study also received funding support from Lingnan University through the Lam Woo Research Fund-Individual Grant (Grant code: LWI20014). Both funding sources were offered to the first author. The funders played no role in the design of the study; in the data collection and analyses; writing of the manuscript, and the decision to publish the results.

Publisher Copyright:
© 2021 Urban Affairs Association.


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