BMC Public Health
(Accessed 21 March 2015)
http://www.biomedcentral.com/bmcpublichealth/content

Research article
Impact of socioeconomic status and medical conditions on health and healthcare utilization among ageing Ghanaians
Bashiru II Saeed12*, Zhao Xicang1, Alfred Edwin Yawson3, Samuel Blay Nguah4 and Nicholas NN Nsowah-Nuamah5
Author Affiliations
BMC Public Health 2015, 15:276 doi:10.1186/s12889-015-1603-y
Published: 20 March 2015
Abstract (provisional)
Background
This study attempts to examine the impact of socioeconomic and medical conditions in health and healthcare utilization among older adults in Ghana. Five separate models with varying input variables were estimated for each response variable.
Methods
Data (Wave 1 data) were drawn from the World Health Organization Global Ageing and Adult Health (SAGE) conducted during 2007–2008 and included a total of 4770 respondents aged 50+ and 803 aged 18–49 in Ghana. Ordered logits was estimated for self-rated health, and binary logits for functional limitation and healthcare utilization.
Results
Our results show that the study provides enough grounds for further research on the interplay between socioeconomic and medical conditions on one hand and the health of the aged on the other. Controlling for socioeconomic status substantially contributes significantly to utilization. Also, aged women experience worse health than men, as shown by functioning assessment, self-rated health, chronic conditions and functional limitations. Women have higher rates of healthcare utilization, as shown by significantly higher rates of hospitalization and outpatient encounters.
Conclusion
Expansion of the national health insurance scheme to cover the entire older population- for those in both formal and informal employments- is likely to garner increased access and improved health states for the older population.