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|Title: ||Predictors of healthcare utilisation among poor older people under the livelihood empowerment against poverty programme in the Atwima Nwabiagya District of Ghana|
|Authors: ||Agyemang-Duah, Williams|
|Keywords: ||Healthcare use|
Social and behavioural determinants
Poor older people
|Issue Date: ||27-Feb-2020|
|Publisher: ||BMC Geriatrics|
|Abstract: ||Background: Like many other low- and middle-income countries (LMICs), the Ghanaian healthcare system remains
poor which is likely to affect the utilisation of healthcare services, especially among poor older people who are
faced with multiple health problems. Yet, factors that explain healthcare use among poor older people in LMICs,
particularly Ghana remain largely unexplored. Understanding the predictors of healthcare use among poor older
people could have a huge impact on health policies in LMICs including Ghana. This study, therefore, examined
factors associated with healthcare use among poor older people under the Livelihood Empowerment Against
Poverty (LEAP) programme in the Atwima Nwabiagya District of Ghana.
Methods: Cross-sectional data were obtained from an Ageing, Health, Lifestyle and Health Services (AHLHS) study
conducted between 1 and 20 June 2018 (N = 200) in Atwima Nwabiagya District, Ghana. Sequential logistic
regression models were performed to estimate the variables that predict healthcare use among poor older people.
All test results were considered significant at 0.05 or less.
Results: The fully adjusted model showed that respondents aged 85–89 years (AOR = 0.094, CI: 0.007–1.170),
acquired basic education (AOR =0.251, CI: 0.085–0.987), received no family support (AOR = 0.771, CI: 0.120–0.620),
with no past illness records (AOR = 0.236, CI: 0.057–0.197) and who were not diagnosed of chronic noncommunicable diseases (AOR = 0.418, CI: 0.101–0.723) were significantly less likely to utilise health facility compared
with their respective counterparts. Moreover, those with no disability (AOR = 19.245, CI: 2.415–29.921) and who
consumed low fruits (AOR = 1.435 = CI: 0.552–8.740) and vegetables (AOR = 1.202 = CI: 0.362–10.20) had a higher
likelihood to use healthcare.
Conclusion: The study has outlined multiple factors influencing utilisation of healthcare among poor older people
under the LEAP programme in Ghana. The results, therefore, validate the importance of social and behavioural
determinants of healthcare use in the Ghanaian poor older population. We highlight the need for health planners
and stakeholders to consider demographic, socio-economic, health-related and lifestyle factors when formulating
health policy for poor older people in Ghana|
|Appears in Collections:||College of Architecture and Planning|
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