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Interrelationships Among the Social Determinants of Health and Self-Care Practices of Older Persons in Ghana: Analysis of the Ghana 2021 Population and Housing Census
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DOI：10.1155/hsc/1229537.png)
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Abstract
En 中文
This study investigates the influence of social determinants of health (SDH) on the self-care practices of older adults in Ghana using data from the 2021 Ghana Population and Housing Census. Structural equation modelling (SEM) was used to assess both direct and indirect effects on self-care practices among individuals aged 60 years and older. Results indicate that healthcare access (beta = 0.93), education (beta = 0.75), economic stability (beta = 0.74) and social and community context (beta = 0.74) are the strongest predictors of self-care, directly and indirectly mediated by social and environmental factors. Findings highlight the interplay between these determinants and their critical roles in shaping the self-care of older adults. Findings highlight the need for targeted interventions to enhance support systems, healthcare and socioenvironmental conditions. These findings contribute to global ageing discussions, especially in resource-limited contexts such as Ghana.
Keywords:
Ghana
older persons
self-care
social determinants of health
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