Health and socioeconomic risk factors for overnight admission among older adults in Ghana

Ghana’s older adult population is growing significantly. However, there is limited knowledge or research on the effect of place, chronic health conditions, and socioeconomic status on the risk of overnight hospital admission or the frequency of hospitalisation among older adults in Ghana. Using the...

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Bibliographic Details
Published in:Journal of population ageing 2022-12, Vol.15 (4), p.961-979
Main Authors: Amegbor, Prince M., Rosenberg, Mark W.
Format: Article
Language:English
Subjects:
Adults
Age differences
Aging
Chronic illnesses
Demography
Functional impairment
Geriatrics/Gerontology
Health care access
Health services
Health status
Hospitalization
Medicine/Public Health
Older people
Regression analysis
Regression models
Residence
Risk analysis
Risk factors
Social Sciences
Socioeconomic factors
Socioeconomic status
Socioeconomics
Sociology
Vulnerability
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Summary:Ghana’s older adult population is growing significantly. However, there is limited knowledge or research on the effect of place, chronic health conditions, and socioeconomic status on the risk of overnight hospital admission or the frequency of hospitalisation among older adults in Ghana. Using the WHO SAGE (Wave 1) data, we examine the influence of place of residence, chronic health conditions, and socioeconomic status on overnight hospital admission, as well as, frequency of hospital admission among older adults in Ghana. Multivariate logistic regression and zero-inflated negative binomial regression models were used to study the influence of place, health conditions, and socioeconomic status on overnight hospital admission. The findings show that older adults with functional limitations and chronical health conditions were more likely to have experienced an overnight hospital admission. The expected number of overnight hospital admission was greater among chronically ill older adults than their healthy counterparts. However, the findings show that socioeconomically vulnerable older adults were less likely to have overnight hospital admission and they had lower admission rates. The presence of chronic health conditions is associated with overnight hospital admission, while poor socioeconomic status may imply underutilization or limited access to healthcare for the socioeconomically vulnerable.
ISSN:1874-7884
1874-7876
DOI:10.1007/s12062-020-09294-3