Do factors across the World Health Organisation's International Classification of Functioning, Disability and Health framework relate to caregiver availability for community-dwelling older adults in Ghana?
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
05
12
2019
accepted:
25
04
2020
entrez:
30
5
2020
pubmed:
30
5
2020
medline:
18
8
2020
Statut:
epublish
Résumé
In Ghana, the care needs of older adults in the later years has become a critical issue given population ageing and increased proportions of older adults with difficulties with functional abilities. However, factors related to caregiver availability is unknown. The purpose of this study was to examine how the World Health Organisation's International Classification of Functioning, Disability and Health (WHO-ICF) framework relates to caregiver availability for community-dwelling older adults in Ghana. This evidence will strengthen our understanding of the perceived unmet care needs of older adults in Ghana in Africa. A hospital-based survey was conducted among 400 consecutively recruited older adult in-patients using a questionnaire at Komfo Anokye Teaching Hospital in southern Ghana. Multivariate logistic regression tested associations between caregiver availability and other factors as related to the WHO-ICF conceptual framework. Eighty-six per cent of the participants reported having an available caregiver. In the final parsimonious model, the environmental factors were highly related to caregiver availability, seconded by personal factors, and then health conditions. Body function and structure, activity, and participation variables were not statistically significant. Overall, the variables that were associated with caregiver availability were age, being a widow, having a single chronic condition, being hardly understood by friends and family, receiving no neighbourhood support, and having 2-4 children. Interaction existed between being a widow and living as a couple in relation to caregiver availability. Caregiver availability is associated with variables under the personal, health and environmental components of the WHO-ICF. Increased effort to strengthen the current and future welfare programs, including the health of older adults and their caregivers is relevant.
Identifiants
pubmed: 32469915
doi: 10.1371/journal.pone.0233541
pii: PONE-D-19-33768
pmc: PMC7259767
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0233541Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Glob Health Action. 2010 Sep 27;3:
pubmed: 20963186
J Cross Cult Gerontol. 2002;17(2):139-54
pubmed: 14617970
J Gerontol B Psychol Sci Soc Sci. 2001 Sep;56(5):S302-10
pubmed: 11522812
J Health Soc Behav. 2009 Mar;50(1):31-48
pubmed: 19413133
Int J Epidemiol. 2012 Dec;41(6):1639-49
pubmed: 23283715
Health Soc Care Community. 2020 May 6;:
pubmed: 32378297
Lancet. 2015 Nov 28;386(10009):2145-91
pubmed: 26321261
J Gerontol A Biol Sci Med Sci. 2003 Jan;58(1):70-5
pubmed: 12560415
PLoS One. 2017 Apr 27;12(4):e0176548
pubmed: 28448628
Arch Gerontol Geriatr. 2019 May - Jun;82:8-14
pubmed: 30710847
J Aging Health. 2004 Jun;16(3):355-74
pubmed: 15155067
Bull World Health Organ. 2015 Jan 1;93(1):47-51
pubmed: 25558107
Gerontologist. 2007 Dec;47(6):721-9
pubmed: 18192626
Gerontologist. 2018 Nov 3;58(6):1021-1032
pubmed: 28637266
Gerontologist. 2006 Jun;46(3):344-56
pubmed: 16731873
J Gerontol B Psychol Sci Soc Sci. 2004 May;59(3):S128-37
pubmed: 15118018
Maturitas. 2016 Sep;91:8-18
pubmed: 27451316
Glob Health Action. 2013 Jun 11;6:20096
pubmed: 23759325
PLoS Med. 2013;10(5):e1001435
pubmed: 23667343
PLoS One. 2012;7(2):e31665
pubmed: 22355385
J Am Geriatr Soc. 2017 Aug;65(8):1821-1828
pubmed: 28426910
Gerontologist. 1999 Apr;39(2):167-76
pubmed: 10224713
Ann Acad Med Singapore. 2013 Jul;42(7):338-49
pubmed: 23949263
J Am Geriatr Soc. 2006 Nov;54(11):1784-9
pubmed: 17087709
J Am Geriatr Soc. 2014 May;62(5):836-42
pubmed: 24801657
Int J Equity Health. 2019 Jul 3;18(1):105
pubmed: 31269953