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?

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Independent Living* ; International Classification of Functioning, Disability and Health*; Caregivers/*statistics & numerical data; Aged ; Female ; Ghana ; Humans ; Male ; Surveys and Questionnaires
    • Abstract:
      Introduction: 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.
      Materials and Methods: 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.
      Results: 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.
      Conclusions: 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.
      Competing Interests: The authors have declared that no competing interests exist.
    • References:
      Glob Health Action. 2010 Sep 27;3:. (PMID: 20963186)
      J Cross Cult Gerontol. 2002;17(2):139-54. (PMID: 14617970)
      J Gerontol B Psychol Sci Soc Sci. 2001 Sep;56(5):S302-10. (PMID: 11522812)
      J Health Soc Behav. 2009 Mar;50(1):31-48. (PMID: 19413133)
      Int J Epidemiol. 2012 Dec;41(6):1639-49. (PMID: 23283715)
      Health Soc Care Community. 2020 May 6;:. (PMID: 32378297)
      Lancet. 2015 Nov 28;386(10009):2145-91. (PMID: 26321261)
      J Gerontol A Biol Sci Med Sci. 2003 Jan;58(1):70-5. (PMID: 12560415)
      PLoS One. 2017 Apr 27;12(4):e0176548. (PMID: 28448628)
      Arch Gerontol Geriatr. 2019 May - Jun;82:8-14. (PMID: 30710847)
      J Aging Health. 2004 Jun;16(3):355-74. (PMID: 15155067)
      Bull World Health Organ. 2015 Jan 1;93(1):47-51. (PMID: 25558107)
      Gerontologist. 2007 Dec;47(6):721-9. (PMID: 18192626)
      Gerontologist. 2018 Nov 3;58(6):1021-1032. (PMID: 28637266)
      Gerontologist. 2006 Jun;46(3):344-56. (PMID: 16731873)
      J Gerontol B Psychol Sci Soc Sci. 2004 May;59(3):S128-37. (PMID: 15118018)
      Maturitas. 2016 Sep;91:8-18. (PMID: 27451316)
      Glob Health Action. 2013 Jun 11;6:20096. (PMID: 23759325)
      PLoS Med. 2013;10(5):e1001435. (PMID: 23667343)
      PLoS One. 2012;7(2):e31665. (PMID: 22355385)
      J Am Geriatr Soc. 2017 Aug;65(8):1821-1828. (PMID: 28426910)
      Gerontologist. 1999 Apr;39(2):167-76. (PMID: 10224713)
      Ann Acad Med Singapore. 2013 Jul;42(7):338-49. (PMID: 23949263)
      J Am Geriatr Soc. 2006 Nov;54(11):1784-9. (PMID: 17087709)
      J Am Geriatr Soc. 2014 May;62(5):836-42. (PMID: 24801657)
      Int J Equity Health. 2019 Jul 3;18(1):105. (PMID: 31269953)
    • Publication Date:
      Date Created: 20200530 Date Completed: 20200817 Latest Revision: 20200817
    • Publication Date:
      20240105
    • Accession Number:
      PMC7259767
    • Accession Number:
      10.1371/journal.pone.0233541
    • Accession Number:
      32469915