Work history and diagnosed hypertension among older adults in Ghana: Evidence from WHO SAGE Wave2
- Author:
Otieku Evans
1
Author Information
1. Department of Public Health, Aarhus University and University of Ghana, West Africa
- Collective Name:Cecilie Blenstrup Patche; Marzieh Katibeh; Dziedzom Awalime; Razak Mohammed Gyasi
- Publication Type:Journal Article
- Keywords:
Hypertension;
Work History;
Older Adults
- From:International Journal of Public Health Research
2020;10(2):1219-1227
- CountryMalaysia
- Language:English
-
Abstract:
There is limited knowledge in the context of Africa on how work history
associates with hypertension at old age. Therefore, this paper analyses such an
association using Ghana as a case study.
Methods Data from the World Health Organisation Study on Global AGEing and Adult
Health Wave 2 was used to explore the relationship between work history and
diagnosed hypertension at old age. In the Wave2 study, a multistage cluster
sampling was used to select participants at the household level across
rural/urban areas in all administrative regions. A multifactor logit regression
analysis was performed. The paper also estimated diagnosed hypertension
prevalence across subgroups.
Results The mean age of the total of 3564 participants examined was 64 years (SD =
±10years). The overall prevalence of hypertension was 10.3% [95% CI = 9.4–
11.1]. The highest predicted rate was 41.1% [95% CI=38.0 – 49.2] among
those who stopped working before the statutory retirement age 60 years,
whereas it was only 4% [95% CI = 3.7 – 5.2] for those who retired from active
work at age 60 years. Those who retired at age <60years recorded the highest
risk of hypertension diagnosis [OR = 14.1; 95% CI=10.5-19.5]. There was also
a significant association between diagnosed hypertension and a history of
working <5 days per week [OR=1.6; 95% CI=1.1-2.3]. It emerged that those
with a history of informal sector employment were at significant risk of
hypertension at old age, if they worked <5days per week [OR=1.5; 95%
CI=1.0-2.3].
Conclusions Overall, retirement age emerged as a significant risk factor for diagnosed
hypertension at old age, followed by a history of less than five working days
per week.
.
- Full text:21.2020my0240.pdf
