Open AccessPrevalence and determinants of care needs among older people in Ghana
Author(s) -
Kofi Awuviry-Newton,
Kwadwo OforiDua,
Charles Selorm Deku,
Kwamina AbekahCarter,
Victoria Awortwe,
George Ofosu Oti
Publication year - 2022
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0263965
Subject(s) - activities of daily living , government (linguistics) , logistic regression , international classification of functioning, disability and health , long term care , medicine , gerontology , health care , multivariate analysis , cross sectional study , independent living , sample (material) , developing country , nursing , rehabilitation , psychiatry , physical therapy , linguistics , philosophy , chemistry , pathology , chromatography , economic growth , economics
Introduction Given the longevity noticed among older people in Ghana, and the potential occurrence of functional disability in later years of life, it has become essential to understand their care needs. This study examined the care needs in daily tasks and associated factors in Ghana, following the World Health Organisation International Classification of Functioning, Disability and Health framework. Materials and methods A cross-sectional survey was conducted among a sample of 400 older people from Komfo Anokye Teaching Hospital in Southern Ghana. Care need was assessed by one question; “Do you regularly need help with daily tasks because of long-term illness, disability, or frailty?” Multivariate logistic regression was used to test the association between care need and independent variables based on the WHO-ICF conceptual framework. Results Majority of the sample (81%), particularly women (54%) reported needing care in daily tasks. Per the WHO-ICF conceptual framework, functional disability—activity variable, (OR = 1.07 95%CI: 1.05–1.09, p<0.001), and absence of government support—an environmental factor, (OR = 3.96 95%CI: 1.90–8.25, p<0.001) were associated with care need. Conclusions The high prevalence of care needs among older people may offer an indication that majority of older people in Ghana could benefit from long-term care services. Functional disability and the absence of government support are the major issues that need to be prioritised in addressing the increased demand for care related to performing daily tasks among older people in Ghana.