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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Women’s health status in urban Ghana: dimensions and differentials using short form 36

Authors: Faustina Frempong-Ainguah, Claire E. Bailey, Allan G. Hill

Published in: Health and Quality of Life Outcomes | Issue 1/2018

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Abstract

Background

Global discourse on population, health and development have placed women’s health issues at the top of development agenda. Women’s reproductive health has received some attention in Ghana since the mid-1990s. However, studies on women’s general health status, dimensions and the differentials in a rapidly growing urban setting is poorly understood and under-researched.
This study sought to examine the various pathways in which individual socio-demographic factors, economic characteristics and endowment influence self-assessed health status among women living in the city of Accra, Ghana.

Methods

The paper draws on a cross-sectional study carried out in 2008 and 2009 using a representative sample of urban women 20 years and older (n = 2814). Multivariate stepwise linear regression models were performed to investigate the influence of socio-demographic, economic and health indicators on health-related quality of life, measured by eight sub-scales of the Short Form-36 (SF-36). Interaction effects between some demographic and socio-economic variables were also performed.

Results

The analyses show diverse relationships between demographic, socio-economic and health indicators and health outcomes assessed using eight SF-36 sub-scales. Education, disease symptoms and age of the respondent were the most significant factors influencing good overall health status. Interestingly, age has no significant effect on mental health after controlling for all other explanatory variables.

Conclusions

The findings show that health issues are multi-faceted requiring socio-cultural, health and economic policy interventions. Investing in women’s education is important to improve health status. There is also the need for more effective collaboration across various sectors to improve the health and well-being of women in general. Ageing has increasing relationship with poor physical health status and the elderly should be given needed attention and support.
Literature
1.
Murray CJL, Chen LC. Understanding morbidity change. Popul Dev Rev. 1992;18(3):481–503.CrossRef
2.
O'Donnell O, van Doorslaer E, Wagstaff A, Lindelow M. Analyzing health equity using household survey data: a guide to techniques and their implementation. Washington: The World Bank; 2008.
3.
Ariana P, Naveed A. Health. In: Deneulin S, Shahani L, editors. An introduction to the human development and capability approach: freedom and agency. London: Earthscan; 2009.
4.
Molla MT, Madans JH, Wagener DK, Crimmins EM. Summary measures of population health: report of findings on methodologic and data issues. Hyattsville: National Center for Health Statistics; 2003.
5.
OECD. How's life? Measuring well-being. Paris: OECD Publishing; 2011.
6.
Mathers CD, Salomon JA, Murray CJL. Infant mortality is not an adequate summary measure of population health. J Epidemiol Commun Health. 2003;57(5):319.CrossRef
7.
World Health Organization. Preamble to the constitution of the World Health Organization as adopted by the international health conference, vol. 2. New York: World Health Organization; 1948. p. 100.
8.
Jenkinson C, McGee H. Health status measurement: a brief but critical introduction. United Kingdom: Radcliffe Medical Press; 1998.
9.
Kind P, Gudex C. The HQM: measuring health status in the community. York: Woodcock and Pearson; 1991.
10.
Biritwum R, Mensah G, Yawson A, Minicuci N. Study on global AGEing and adult health (SAGE), wave 1: the Ghana national report. Geneva: Switzerland; 2013. p. 111.
11.
Twumasi PA. Medical systems in Ghana: a study in medical sociology. Tema: Ghana Publishing; 1975.
12.
Gyapong JO, Gyapong M, Yellu N, Anakwah K, Amofah G, Bockarie M, Adjei S. Integration of control of neglected tropical diseases into health-care systems: challenges and opportunities. Lancet. 2010;375(9709):160–5.CrossRefPubMed
13.
Ministry of Health. National health policy: creating wealth through health. Accra: Ministry of Health; 2007.
14.
Twumasi PA. Colonialism and international health: a study in social change in Ghana. Soc Sci Med. 1981;15B:147–51.
15.
Boadi K, Kuitunen M, Raheem K, Hanninen K. Urbanisation without development: environmental and health implications in African cities. Environ Dev Sustain. 2005;7(4):465–500.CrossRef
16.
Wang'ombe JK. Public health crises of cities in developing countries. Soc Sci Med. 1995;41(6):857–62.CrossRefPubMed
17.
Songsore J. ‘Urbanization and health in Africa: exploring the interconnections between poverty, inequality and the burden of disease’. Forschungsberichte working papers, 28. Germany: Johann Wolfgang Goethe-Universität Frankfurt; 2000.
18.
WHO. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009. p. 62.
19.
Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF International. Ghana Demographic and Health Survey 2014. Rockville: GSS, GHS, and ICF International; 2015.
20.
Danquah I, Bedu-Addo G, Terpe KJ, Micah F, Amoako YA, Awuku YA, Dietz E, van der Giet M, Spranger J, Mockenhaupt FP. Diabetes mellitus type 2 in urban Ghana: characteristics and associated factors. BMC Public Health. 2012;12(1):210.CrossRefPubMedPubMedCentral
21.
Pobee JOM. The heart of the matter: community profile of cardiovascular disease of a sub-Saharan African country: the Ghanaian paradigm: the mamprobi cardiovascular health project 1975-1983. Commercial Associates Limited: Accra; 2006.
22.
Sinha R, van den Heuvel WJA, Arokiasamy P. Validity and reliability of MOS short form health survey (SF-36) for use in India. Indian J Community Med. 2013;38(1):22–6.CrossRefPubMedPubMedCentral
23.
Ghana Statistical Service. Population and housing census: provisional results. Accra: Ghana Statistical Service; 2010. p. 2012.
24.
Ghana Statistical Service. 2000 population and housing census: summary report. Accra: Ghana Statistical Service; 2002.
25.
Alirol E, Getaz L, Stoll B, Francois C, Loutan L. Urbanisation and infectious diseases in a globalised world. Lancet Infect Dis. 2011;11(2):131–41.CrossRefPubMed
26.
Moore M, Gould P, Keary BS. Global urbanization and impact on health. Int J Hyg Environ Health. 2003;206(4-5):269–78.CrossRefPubMed
27.
van de Poel E, O'Donnell O, van Doorslaer E. Urbanization and the spread of diseases of affluence in China. Econ Hum Biol. 2009;7(2):200–16.CrossRefPubMed
28.
Antai D, Moradi T. Urban area disadvantage and under-5 mortality in Nigeria: the effect of rapid urbanization. Environ Health Perspect. 2010;118(6):877–83.CrossRefPubMedPubMedCentral
29.
Arku G, Luginaah I, Mkandawire P, Baiden P, Asiedu AB. Housing and health in three contrasting neighbourhoods in Accra, Ghana. Soc Sci Med. 2011;72(11):1864–72.CrossRefPubMed
30.
Patterson KD. Health in urban Ghana: the case of Accra 1900-1941 [1]. Soc Sci Med. 1979;13B(4):251–68.
31.
Songsore J, McGranahan G. Environment, wealth and health: towards an analysis of intra-urban differentials within the Greater Accra metropolitan area, Ghana. In: Satterthwaite, D. (ed.) Environment and urbanization: health and wellbeing in cities. Nottingham: Russell Press. 1993; 5(2) 10-34.
32.
World Health Organization. Women’s mental health: evidenced based review. Geneva: World Health Organization; 2000. p. 121.
33.
34.
Borrell C, Muntaner C, Benach J, Artazcoz L. Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour? Soc Sci Med. 2004;58(10):1869–87.CrossRefPubMed
35.
Lloyd-Evans S, Potter RB. Third world cities: Elsevier Ltd. United Kingdom: University of Reading, Reading. 2009. p. 247–55.
36.
37.
Asenso-Okyere WK, Anum A, Osei-Akoto I, Adukonu A. Cost recovery in Ghana: are there any changes in health care seeking behaviour? Health Policy Plan. 1998;13(2):181–8.CrossRefPubMed
38.
39.
Arnadottir SA, Gunnarsdottir ED, Stenlund H, Lundin-Olsson L. Determinants of self-rated health in old age: a population-based, cross-sectional study using the international classification of functioning. BMC Public Health. 2011;11(1):670.CrossRefPubMedPubMedCentral
40.
Kanagae M, Abe Y, Honda S, Takamura N, Kusano Y, Takemoto T-I, Aoyagi K. Determinants of self-rated health among community –dwelling women aged 40 years and over in Japan. Tohoku J Exp Med. 2006;210(1):11–9.CrossRefPubMed
41.
McCrea R, Marans RW, Stimson R, Western J. Subjective measurement of quality of life using primary data collection and the analysis of survey data. In: Marans RW, Stimson RJ, editors. Investigating quality of urban life: theory, methods, and empirical research. Netherlands: Springer; 2011. p. 55–74.CrossRef
42.
World Health Organization. Women’s health: a stategy for the African region. South Africa: World Health Organization; 2005.
43.
World Health Organization. Measurement of healthy lif expectancy and wellbeing. Geneva: World Health Organization; 2012.
44.
Daniels R, van Rossum E, Beurskens A, van den Heuvel W, de Witte L. The predictive validity of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2012;12(1):69.CrossRefPubMedPubMedCentral
45.
Goldman N, Glei DA, Chang M-C. The role of clinical risk factors in understanding self-rated health. Ann Epidemiol. 2003;14(1):49–57.CrossRef
46.
The WHSA writing team. Women’s health study of Accra wave II (WHSA-II). ISSER technical publication series. Accra: ISSER. 2011;112.
47.
Ware JE, Sherbourne CD. The MOS 36-item short-form health survey: I. Concept and framework and item selection. Med Care. 1992;30(6):473–83.CrossRefPubMed
48.
Saris-Baglama RN, Dewey CJ, Chisholm GB, Plumb E, Kosinski M, Bjorner JB, Ware JE, Jr. (Qualitymetric health outcomes scoring software 3.0 user guide). 2009.
49.
StataCorp. Stata statistical software: release 12 (SE). College Station: StatCorp LP; 2011.
50.
Frempong-Ainguah F, Hill AG. Reliability, validity and responsiveness of the short form-36 health survey: findings from the women’s health study of Accra, Ghana. Revue Quetelet/ Quetelet J. 2014;2(2):7–29.CrossRef
51.
Pappa E, Kontodimopoulos N, Papadopoulos AA, Niakas D. Assessing the socio-economic and demographic impact on health-related quality of life: evidence from Greece'. International Journal of Public Health. 2009;54(4):241–9.
52.
Butterworth P, Crosier T. The validity of the SF-36 in an Australian national household survey: demonstrating the applicability of the household income and labour dynamics in Australia (HILDA) survey to examination of health inequalities'. BMC Public Health. 2004;4(1):44.
53.
Denton M, Prus S, Walters V. Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health'. Social Science and Medicine. 2004;58(12):2585–600.
Metadata
Title
Women’s health status in urban Ghana: dimensions and differentials using short form 36
Authors
Faustina Frempong-Ainguah
Claire E. Bailey
Allan G. Hill
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-0894-y

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