Addai-Dansoh Stephen, Dai Baozhen, Larnyo Ebenezer, Aseye Nutakor Jonathan, Osei-Kwakye Jeremiah, Arboh Francisca, Owusu Prince, Yeboah Boahemaa Priscilla, Boadu Bright
Department of Health Policy and Management, School of Management, Jiangsu University, Zhenjiang, Jiangsu Province, China.
School of Public Health, Southeast University, Nanjing, Jiangsu Province, China.
J Gerontol Soc Work. 2024 Aug-Sep;67(6):756-775. doi: 10.1080/01634372.2024.2340732. Epub 2024 Apr 10.
This study examines the effects of various factors, including socioeconomic status, built environment, access to healthcare, educational level, social participation, and economic stability, on older adults' psychological health. The current study analyzed a nationally representative sub-sample of 2,577 respondents aged 50 and above from the World Health Organization's Study on Global AGEing and Adult Health (WHO SAGE) Wave 2. WHO SAGE Wave 2 is cross-sectional data collected via in-person structured interviews. Ordinal least square (OLS) was used to measure the average effect of social determinants of health (SDoH), and quantile regression analysis was used to determine the effects of SDoH on older adults' psychological health at different quantiles, specifically 10, 50, and 90 percentiles. Significant determinants of psychological health across all quantiles included age, healthcare access, marital status, economic stability, and neighborhood and built environment. However, the degrees of significance for residence, gender, educational level, chronic diseases, and social participation varied between quantiles, showing differing effects on older adults with high or low psychological health. Religion was insignificant across all quantiles. This study highlights the need for governments and public health agencies to develop targeted interventions and strategies that support the psychological well-being of older adults in the country.
本研究考察了社会经济地位、建成环境、医疗保健可及性、教育水平、社会参与和经济稳定性等多种因素对老年人心理健康的影响。当前研究分析了来自世界卫生组织全球老龄化与成人健康研究（WHO SAGE）第二轮的2577名年龄在50岁及以上的全国代表性子样本受访者。WHO SAGE第二轮是通过面对面结构化访谈收集的横断面数据。采用有序最小二乘法（OLS）来衡量健康的社会决定因素（SDoH）的平均效应，并使用分位数回归分析来确定SDoH在不同分位数（具体为第10、50和90百分位数）对老年人心理健康的影响。所有分位数上心理健康的显著决定因素包括年龄、医疗保健可及性、婚姻状况、经济稳定性以及邻里和建成环境。然而，居住地、性别、教育水平、慢性病和社会参与的显著程度在不同分位数之间有所不同，对心理健康水平高或低的老年人显示出不同的影响。宗教在所有分位数上均不显著。本研究强调政府和公共卫生机构需要制定有针对性的干预措施和策略，以支持该国老年人的心理健康。
