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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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  • Kofi Awuviry-Newton
  • Kylie Wales
  • Meredith Tavener
  • Julie Byles

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.

Suggested Citation

  • Kofi Awuviry-Newton & Kylie Wales & Meredith Tavener & Julie Byles, 2020. "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 G," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-15, May.
    • Handle: RePEc:plo:pone00:0233541
    DOI: 10.1371/journal.pone.0233541
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    References listed on IDEAS

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    1. Isabella Aboderin, 2004. "Decline in Material Family Support for Older People in Urban Ghana, Africa: Understanding Processes and Causes of Change," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(3), pages 128-137.
    2. Fen Li & Xinye Fang & Jiechun Gao & Hansheng Ding & Changying Wang & Chunyan Xie & Yitong Yang & Chunlin Jin, 2017. "Determinants of formal care use and expenses among in-home elderly in Jing’an district, Shanghai, China," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-10, April.
    3. Collin F Payne & James Mkandawire & Hans-Peter Kohler, 2013. "Disability Transitions and Health Expectancies among Adults 45 Years and Older in Malawi: A Cohort-Based Model," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-15, May.
    4. Andrew Kingston & Joanna Collerton & Karen Davies & John Bond & Louise Robinson & Carol Jagger, 2012. "Losing the Ability in Activities of Daily Living in the Oldest Old: A Hierarchic Disability Scale from the Newcastle 85+ Study," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-7, February.
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