Household characteristics for older adults and study background from SAGE Ghana Wave 1.
Household characteristics for older adults and study background from SAGE Ghana Wave 1.
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DOI：
10.3402/gha.v6i0.20096
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发表时间：
2013-06-11
影响因子：
2.6
通讯作者：
Kowal P
中科院分区：
文献类型：
--
作者：
Biritwum RB;Mensah G;Minicuci N;Yawson AE;Naidoo N;Chatterji S;Kowal P
在全球范围内，预计到2050年，60岁及以上的人口将达到22%。在撒哈拉以南非洲，这一数字预计将超过8%，而在加纳，到2050年，老年人口将达到12%。生活安排和家庭特点是这一人口健康和福祉的基本决定因素，有关这方面的数据来源越来越多。2007年至2010年期间，世界卫生组织在中国、加纳、印度、俄罗斯联邦、墨西哥和南非进行了全球老龄化和成人健康研究第一波。2007/2008年，在具有全国代表性的50岁以上人群中开展了SAGE加纳第一波，沿着进行了面对面访谈，并与18-49岁年龄较小的人群进行了比较。住户信息包括住户名册，其中包括关于所有住户成员的健康保险覆盖范围、住户和社会人口特征、住所状况和经济状况的问题。重新访谈是在随机的10%的样本和代理访谈做了必要的。口头尸检进行了采访前24个月内发生在老年家庭成员的死亡。家庭总人口为27，270人，来自5，178户家庭。整体住户回应率为86%，住户合作率为98%。34%的家庭成员年龄在15岁以下，8.3%的家庭成员年龄在65岁以上。家庭成员超过11人的家庭在农村地区（57.2%）和收入最高的五分之一家庭（30.6%）更为常见。没有受过正规教育的家庭成员占样本的24.7%，北方和上东地区达到50%以上。只有26.8%的家庭成员有保险。硬地板家庭的比例从上西部的25.7%到阿散蒂地区的97.7%不等。总体而言，84.9%的家庭获得了改善的饮用水源，其中沃尔特地区的比例最低，为29.6%。获得改善的卫生设施的总体比例仅为14.9%。调查结果显示出显着的地区差异，与该国南部和中部地区相比，北方三个地区的教育、收入和卫生水平较差。家庭特征和家庭内部动态已被证明会影响健康和寻求健康的行为，在许多情况下和国家，并在加纳老年人的福祉中发挥根本作用。SAGE加纳是一项多国研究的一部分，该研究使用标准化问卷和经过测试的方法，提供家庭一级的数据，为加纳老年人口不断增长的政策提供信息。通过良好的回应率和为保证数据质量而制定的措施，本文展示了SAGE的高质量数据和研究方法。
Globally, the population aged 60 years and older is projected to reach 22% by 2050. In sub-Saharan Africa, this figure is projected to exceed 8%, while in Ghana, the older adult population will reach 12% by 2050. The living arrangements and household characteristics are fundamental determinants of the health and well-being of this population, data sources about which are increasingly available. The World Health Organization's Study on global AGEing and adult health (SAGE) Wave 1 was conducted in China, Ghana, India, Russian Federation, Mexico, and South Africa between 2007 and 2010. SAGE Ghana Wave 1 was implemented in 2007/08 using face-to-face interviews in a nationally representative sample of persons aged 50-plus, along with a smaller cohort aged 18–49 years for comparison purposes. Household information included a household roster including questions about health insurance coverage for all household members, household and sociodemographic characteristics, status of the dwelling, and economic situation. Re-interviews were done in a random 10% of the sample and proxy interviews done where necessary. Verbal autopsies were conducted for deaths occurring in older adult household members in the 24 months prior to interview. The total household population was 27,270 from 5,178 households. The overall household response rate was 86% and household cooperation rate was 98%. Thirty-four percent of household members were under 15 years of age while 8.3% were aged 65-plus years. Households with more than 11 members were more common in rural areas (57.2%) and in the highest income quintile (30.6%). Household members with no formal education formed 24.7% of the sample, with Northern and Upper East regions reaching more than 50%. Only 26.8% of the household members had insurance coverage. Households with hard floors ranged from 25.7% in Upper West to 97.7% in Ashanti region. Overall, 84.9% of the households had access to improved sources of drinking water, with the lowest at 29.6% in the Volta region. The overall rate of access to improved sanitation was just 14.9%. The findings show significant regional differences, with the three Northern Regions having worse education, income, and sanitation levels, compared to Southern and Central Regions of the country. Household characteristics and intra-household dynamics have been shown to influence health and health-seeking behaviors across a number of contexts and countries, and play a fundamental role in the well-being of older Ghanaians. SAGE Ghana is part of a multi-country study using standardized questionnaires and tested methodologies to provide household level data required to inform policy on the growing population of older adults in Ghana. With the good response rates and measures instituted to assure quality of data, this article demonstrates the high quality data and research methods of SAGE.