Oduro Joseph Kojo, Oduro Mary Ama
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Ghana.
BMC Geriatr. 2025 May 27;25(1):379. doi: 10.1186/s12877-025-06036-y.
Globally, the number of older people is rising. However, few studies have examined well-being as the pathway to higher life satisfaction of older persons in Ghana.
The study used longitudinal data from the 2014/15 Study of Global Ageing and Adult Health (SAGE) Wave 2 to investigate factors of high life satisfaction among older persons in Ghana. The data was analysed using a multilevel logistic regression model, taking into account both individual-level characteristics and community-level variables. The model's output was presented as odds ratios (OR), to show the likelihood of high life satisfaction based on various well-being measures, revealing which components of well-being have the greatest influence on life happiness in older persons.
High levels of emotional (OR=1.67, 95% CI=1.25, 2.23), psychological (OR=1.60, 95% CI=1.21, 2.12), and spiritual (OR=2.36, 95% CI=1.72, 3.25) well-being were associated with higher odds of high life satisfaction. Conversely, a high level of physical well-being was linked to lower odds of high life satisfaction (OR=0.75, 95% CI=0.56, 1.01).
The higher the levels of emotional, psychological, and spiritual well-being, the higher the life satisfaction of older persons 60 years and older. However, the higher the level of self-reported physical well-being, the less likely to experience high life satisfaction. Emphasis should be on high physical well-being, promoting high life satisfaction and healthy ageing among older persons in Ghana.
在全球范围内，老年人数量正在增加。然而，在加纳，很少有研究将幸福感作为老年人获得更高生活满意度的途径进行考察。
本研究使用了2014/15年全球老龄化与成人健康研究（SAGE）第二轮的纵向数据，以调查加纳老年人中高生活满意度的影响因素。数据采用多水平逻辑回归模型进行分析，同时考虑个体层面特征和社区层面变量。模型输出以比值比（OR）呈现，以显示基于各种幸福感指标的高生活满意度的可能性，揭示幸福感的哪些组成部分对老年人的生活幸福感影响最大。
高水平的情绪幸福感（OR = 1.67，95%置信区间 = 1.25，2.23）、心理幸福感（OR = 1.60，95%置信区间 = 1.21，2.12）和精神幸福感（OR = 2.36，95%置信区间 = 1.72，3.25）与高生活满意度的较高几率相关。相反，高水平的身体健康与高生活满意度的较低几率相关（OR = 0.75，95%置信区间 = 0.56，1.01）。
60岁及以上老年人的情绪、心理和精神幸福感水平越高，其生活满意度越高。然而，自我报告的身体健康水平越高，体验高生活满意度的可能性越小。应重视提高身体健康水平，促进加纳老年人的高生活满意度和健康老龄化。
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