Quality of life of older adults in two contrasting neighbourhoods in Accra, Ghana
Bibliographic Data
| ID | 4597504 |
|---|---|
| Authors | Dominic A Alaazi (0000-0001-5513-2551, University of Alberta, corresponding author), D Menon (0000-0002-4172-8634, University of Alberta), Tania Stafinski (0000-0001-6679-7823, University of Alberta), Sheilagh Hodgin (0000-0001-8365-3311, University of Alberta), Gian S Jhangri (0000-0001-8608-2104, University of Alberta), Gian Jhangri |
| Year | 2021 |
| Volume | 270 |
| Pages | 113659 |
| Publication date | 2021-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2020.113659 |
| PMID | 33421917 |
| OpenAlex | W3116556237 |
| Language | EN |
| Citations received | 3 |
| References cited | 55 |
As is the case elsewhere in sub-Saharan Africa, Ghana is experiencing a rapid increase in the population of older adults. Despite their rising numbers, the living conditions and wellbeing of older Ghanaians remain woefully understudied. This paper presents the results of a study exploring the quality of life (QoL) of older adults in two contrasting neighbourhoods in Accra, Ghana. The objectives of the study were to: (1) explore and compare the QoL of older slum and non-slum dwellers in Ghana; and (2) determine the extent of QoL disparities between slum and non-slum older adults. To accomplish these objectives, we undertook a cross-sectional survey of older adults (N = 603) residing in a slum and non-slum neighbourhood. QoL was self-assessed in four domains - physical, psychological, social, and environment - using the World Health Organization (WHO) QoL assessment tool (WHOQoL-BREF). Multivariable linear regression analyses of the data revealed no statistically significant difference between the slum and non-slum respondents in physical (coeff: 0.5; 95% CI: -1.7, 2.8; p = 0.642) and psychological (coeff: -0.2; 95% CI: -3.0, 2.6; p = 0.893) QoL. However, the slum respondents reported significantly higher social QoL than the non-slum respondents (coeff: -3.2; 95% CI: -5.6, -0.8; p = 0.010), while the reverse was true in environmental QoL (coeff: 4.2; 95% CI: 2.3, 6.2; p < 0.001). The existence of strong social support systems in the slum and better housing and neighbourhood environmental conditions in the non-slum may have accounted for the observed variation in social and environmental QoL. Thus, contrary to popular discourses that vilify slums as health-damaging milieus, these findings offer a more nuanced picture, and suggest that some features of slums may constitute important health resources for older adults
Cross-sectional study · Environmental health · Neighbourhood (mathematics · Population · Quality of life (healthcare · Slum · Sociology · Demography · Health disparities and outcomes · Medicine · Migration, Aging, and Tourism Studies · Urban and Rural Development Challenges · Gerontology
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| Unique citing works | 3 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |