Social support, physical activity and psychological distress among community-dwelling older Ghanaians

Razak Mohammed GYASI

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

    3 Citations (Scopus)

    Abstract

    Objective: Physical activity (PA) has often been linked with improved mental health outcomes among older people but the subject has received limited attention in sub-Saharan African context. This paper examines the moderating effect of social support (SS) on the association between PA and psychological distress (PD) among community-dwelling older persons in Ghana. Methods: Individuals 50 years or older (N = 1200) who participated in a 2016/2017 Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) were included. PD outcome, measured by the Kessler Psychological Distress Scale (KPDS-K10) was regressed on PA levels, SS and the interaction term. Results: Findings suggest that regular PA (OR = 0.824; 95%CI: 0.610–0.913) and higher levels of SS (OR = 0.475; 95%CI: 0.360–0.626) were associated with reduced PD outcomes after adjusting for theoretically relevant confounding variables. More importantly, the inclusion of the interaction term (PA × SS) showed a significant negative relationship of regular PA with the PD outcome as SS levels increased (OR = 0.651; 95%CI: 0.376–0.727). Conclusions: Although regular PA potentially contributes to reducing PD among older persons, the relationship is even stronger for those embedded in a higher constellation of SS. Policy and practical interventions seeking to improve regular PA engagement such as old-age friendly environment and psychological resources for socially isolated older persons are warranted.

    Original languageEnglish
    Pages (from-to)142-148
    Number of pages7
    JournalArchives of Gerontology and Geriatrics
    Volume81
    DOIs
    Publication statusPublished - 1 Mar 2019

    Fingerprint

    Independent Living
    Social Support
    social support
    Psychology
    community
    study behavior
    Ghana
    Confounding Factors (Epidemiology)
    Health
    Interpersonal Relations
    interaction
    old age
    health
    Mental Health
    mental health
    inclusion

    Keywords

    • Old-age friendly environment
    • Older people
    • Physical activity
    • Psychological distress
    • Psychological resources
    • Social support

    Cite this

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    title = "Social support, physical activity and psychological distress among community-dwelling older Ghanaians",
    abstract = "Objective: Physical activity (PA) has often been linked with improved mental health outcomes among older people but the subject has received limited attention in sub-Saharan African context. This paper examines the moderating effect of social support (SS) on the association between PA and psychological distress (PD) among community-dwelling older persons in Ghana. Methods: Individuals 50 years or older (N = 1200) who participated in a 2016/2017 Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) were included. PD outcome, measured by the Kessler Psychological Distress Scale (KPDS-K10) was regressed on PA levels, SS and the interaction term. Results: Findings suggest that regular PA (OR = 0.824; 95{\%}CI: 0.610–0.913) and higher levels of SS (OR = 0.475; 95{\%}CI: 0.360–0.626) were associated with reduced PD outcomes after adjusting for theoretically relevant confounding variables. More importantly, the inclusion of the interaction term (PA × SS) showed a significant negative relationship of regular PA with the PD outcome as SS levels increased (OR = 0.651; 95{\%}CI: 0.376–0.727). Conclusions: Although regular PA potentially contributes to reducing PD among older persons, the relationship is even stronger for those embedded in a higher constellation of SS. Policy and practical interventions seeking to improve regular PA engagement such as old-age friendly environment and psychological resources for socially isolated older persons are warranted.",
    keywords = "Old-age friendly environment, Older people, Physical activity, Psychological distress, Psychological resources, Social support",
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    Social support, physical activity and psychological distress among community-dwelling older Ghanaians. / GYASI, Razak Mohammed .

    In: Archives of Gerontology and Geriatrics, Vol. 81, 01.03.2019, p. 142-148.

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

    TY - JOUR

    T1 - Social support, physical activity and psychological distress among community-dwelling older Ghanaians

    AU - GYASI, Razak Mohammed

    PY - 2019/3/1

    Y1 - 2019/3/1

    N2 - Objective: Physical activity (PA) has often been linked with improved mental health outcomes among older people but the subject has received limited attention in sub-Saharan African context. This paper examines the moderating effect of social support (SS) on the association between PA and psychological distress (PD) among community-dwelling older persons in Ghana. Methods: Individuals 50 years or older (N = 1200) who participated in a 2016/2017 Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) were included. PD outcome, measured by the Kessler Psychological Distress Scale (KPDS-K10) was regressed on PA levels, SS and the interaction term. Results: Findings suggest that regular PA (OR = 0.824; 95%CI: 0.610–0.913) and higher levels of SS (OR = 0.475; 95%CI: 0.360–0.626) were associated with reduced PD outcomes after adjusting for theoretically relevant confounding variables. More importantly, the inclusion of the interaction term (PA × SS) showed a significant negative relationship of regular PA with the PD outcome as SS levels increased (OR = 0.651; 95%CI: 0.376–0.727). Conclusions: Although regular PA potentially contributes to reducing PD among older persons, the relationship is even stronger for those embedded in a higher constellation of SS. Policy and practical interventions seeking to improve regular PA engagement such as old-age friendly environment and psychological resources for socially isolated older persons are warranted.

    AB - Objective: Physical activity (PA) has often been linked with improved mental health outcomes among older people but the subject has received limited attention in sub-Saharan African context. This paper examines the moderating effect of social support (SS) on the association between PA and psychological distress (PD) among community-dwelling older persons in Ghana. Methods: Individuals 50 years or older (N = 1200) who participated in a 2016/2017 Aging, Health, Psychological Wellbeing and Health-seeking Behavior Study (AHPWHB) were included. PD outcome, measured by the Kessler Psychological Distress Scale (KPDS-K10) was regressed on PA levels, SS and the interaction term. Results: Findings suggest that regular PA (OR = 0.824; 95%CI: 0.610–0.913) and higher levels of SS (OR = 0.475; 95%CI: 0.360–0.626) were associated with reduced PD outcomes after adjusting for theoretically relevant confounding variables. More importantly, the inclusion of the interaction term (PA × SS) showed a significant negative relationship of regular PA with the PD outcome as SS levels increased (OR = 0.651; 95%CI: 0.376–0.727). Conclusions: Although regular PA potentially contributes to reducing PD among older persons, the relationship is even stronger for those embedded in a higher constellation of SS. Policy and practical interventions seeking to improve regular PA engagement such as old-age friendly environment and psychological resources for socially isolated older persons are warranted.

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    KW - Older people

    KW - Physical activity

    KW - Psychological distress

    KW - Psychological resources

    KW - Social support

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    M3 - Journal Article (refereed)

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    JO - Archives of Gerontology and Geriatrics

    JF - Archives of Gerontology and Geriatrics

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