Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels
Abstract Background Research to date suggests that frailty is higher in women and is associated with functional difficulty. This study builds on the evidence by examining the association between frailty and functional difficulty between low- and higher-income groups and between older men and women i...
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BMC
2024-11-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05534-9 |
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| author | Nestor Asiamah Emelia Danquah Edgar Ramos Vieira Peter Hjorth Reginald Arthur-Mensah Jnr Simon Mawulorm Agyemang Hafiz T. A. Khan Cosmos Yarfi Faith Muhonja |
| author_facet | Nestor Asiamah Emelia Danquah Edgar Ramos Vieira Peter Hjorth Reginald Arthur-Mensah Jnr Simon Mawulorm Agyemang Hafiz T. A. Khan Cosmos Yarfi Faith Muhonja |
| author_sort | Nestor Asiamah |
| collection | DOAJ |
| description | Abstract Background Research to date suggests that frailty is higher in women and is associated with functional difficulty. This study builds on the evidence by examining the association between frailty and functional difficulty between low- and higher-income groups and between older men and women in these income groups. Methods This study adopted a cross-sectional design that complied with the STROBE checklist and included steps against confounding and common methods bias. The population was community-dwelling older adults aged 50 years or older in two urban neighbourhoods in Accra, Ghana. Participants were either in the low-income group in a low socioeconomic neighbourhood (n = 704) or the higher-income group in a high socioeconomic neighbourhood (n = 510). The minimum sample necessary was calculated, and the hierarchical linear regression analysis was utilised to analyse the data. Results Frailty was positively associated with functional difficulty in the low- and higher-income samples, but this association was stronger in the higher-income sample. Frailty was positively associated with frailty in men and women within the low- and higher-income samples. Conclusion The association of frailty with functional difficulty was consistent between low- and higher-income samples, although the strength of the relationship differed between these samples. In both income samples, the foregoing relationship was consistent between men and women, although the strength of the relationship differed between men and women. |
| format | Article |
| id | doaj-art-f25e91581d8345d7a5ed7fa63be7b6a2 |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-f25e91581d8345d7a5ed7fa63be7b6a22024-11-17T12:47:36ZengBMCBMC Geriatrics1471-23182024-11-0124111010.1186/s12877-024-05534-9Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levelsNestor Asiamah0Emelia Danquah1Edgar Ramos Vieira2Peter Hjorth3Reginald Arthur-Mensah Jnr4Simon Mawulorm Agyemang5Hafiz T. A. Khan6Cosmos Yarfi7Faith Muhonja8Division of Interdisciplinary Research and Practice, School of Health and Social Care, Colchester Department of Gerontology and Geriatrics, Africa Centre for EpidemiologyDepartment of Physical Therapy, Florida International UniversityNicole Wertheim College of Nursing & Health SciencesInternational UniversityInstitute of Regional Health Research, University of Southern DenmarkDepartment of Nursing and Midwifery, Faculty of Health and Allied Sciences, Pentecost UniversityDepartment of Science/Health, Physical Education and Sports, E/R, Abetifi Presbyterian College of EducationCollege of Nursing, Midwifery, and Healthcare, University of West LondonDepartment of Physiotherapy and Rehabilitation Sciences, University of Health and Allied SciencesSchool of Public Health, Department of Community Health, Amref International UniversityAbstract Background Research to date suggests that frailty is higher in women and is associated with functional difficulty. This study builds on the evidence by examining the association between frailty and functional difficulty between low- and higher-income groups and between older men and women in these income groups. Methods This study adopted a cross-sectional design that complied with the STROBE checklist and included steps against confounding and common methods bias. The population was community-dwelling older adults aged 50 years or older in two urban neighbourhoods in Accra, Ghana. Participants were either in the low-income group in a low socioeconomic neighbourhood (n = 704) or the higher-income group in a high socioeconomic neighbourhood (n = 510). The minimum sample necessary was calculated, and the hierarchical linear regression analysis was utilised to analyse the data. Results Frailty was positively associated with functional difficulty in the low- and higher-income samples, but this association was stronger in the higher-income sample. Frailty was positively associated with frailty in men and women within the low- and higher-income samples. Conclusion The association of frailty with functional difficulty was consistent between low- and higher-income samples, although the strength of the relationship differed between these samples. In both income samples, the foregoing relationship was consistent between men and women, although the strength of the relationship differed between men and women.https://doi.org/10.1186/s12877-024-05534-9FrailtyFunctional difficultyOlder adultsGenderIncomeGhana |
| spellingShingle | Nestor Asiamah Emelia Danquah Edgar Ramos Vieira Peter Hjorth Reginald Arthur-Mensah Jnr Simon Mawulorm Agyemang Hafiz T. A. Khan Cosmos Yarfi Faith Muhonja Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels BMC Geriatrics Frailty Functional difficulty Older adults Gender Income Ghana |
| title | Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels |
| title_full | Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels |
| title_fullStr | Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels |
| title_full_unstemmed | Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels |
| title_short | Association of frailty with functional difficulty in older Ghanaians: stability between women and men in two samples with different income levels |
| title_sort | association of frailty with functional difficulty in older ghanaians stability between women and men in two samples with different income levels |
| topic | Frailty Functional difficulty Older adults Gender Income Ghana |
| url | https://doi.org/10.1186/s12877-024-05534-9 |
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