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Globalization and Health
Published in: Globalization and Health 1/2020

Open Access 01-12-2020 | Research

Social capital is associated with improved subjective well-being of older adults with chronic non-communicable disease in six low- and middle-income countries

Authors: Aaron K. Christian, Olutobi Adekunle Sanuade, Michael Adu Okyere, Kafui Adjaye-Gbewonyo

Published in: Globalization and Health | Issue 1/2020

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Abstract

Background

Non-communicable diseases (NCDs) are increasingly contributing to the morbidity and mortality burden of low and-middle income countries (LMIC). Social capital, particularly participation has been considered as a possible protective factor in the prevention and management of chronic conditions. It is also largely shown to have a negative effect on the well-being of patients. The current discourse on the well-being of individuals with NCDs is however focused more on a comparison with those with no NCDs without considering the difference between individuals with one chronic condition versus those with multiple chronic conditions (MCC).

Method and objective

We employed a multinomial logit model to examine the effect of social capital, particularly social participation, on the subjective well-being (SWB) of older adults with single chronic condition and MCC in six LMIC.

Findings

Social capital was associated with increased subjective well-being of adults in all the six countries. The positive association between social capital and subjective well-being was higher for those with a single chronic condition than those with multiple chronic conditions in India and South Africa. Conversely, an increase in the likelihood of having higher subjective well-being as social capital increased was greater for those with multiple chronic conditions compared to those with a single chronic condition in Ghana.

Discussion

The findings suggest that improving the social capital of older adults with chronic diseases could potentially improve their subjective well-being. This study, therefore, provides valuable insights into potential social determinants of subjective well-being of older adults with chronic diseases in six different countries undergoing transition. Additional research is needed to determine if these factors do in fact have causal effects on SWB in these populations.
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Metadata
Title
Social capital is associated with improved subjective well-being of older adults with chronic non-communicable disease in six low- and middle-income countries
Authors
Aaron K. Christian
Olutobi Adekunle Sanuade
Michael Adu Okyere
Kafui Adjaye-Gbewonyo
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2020
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/s12992-019-0538-y

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