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Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2

Introduction 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 Wav...

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Main Authors: Otieku, Evans, Patche, Cecilie Blenstrup, Katibeh, Marzieh, Awalime, Dziedzom, Mohammed Gyasi, Razak
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15316/1/270-Article%20Text-1500-1-10-20200901.pdf
http://journalarticle.ukm.my/15316/
http://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/27
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spelling my-ukm.journal.153162020-10-02T08:48:23Z http://journalarticle.ukm.my/15316/ Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2 Otieku, Evans Patche, Cecilie Blenstrup Katibeh, Marzieh Awalime, Dziedzom Mohammed Gyasi, Razak Introduction 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. Penerbit Universiti Kebangsaan Malaysia 2020 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15316/1/270-Article%20Text-1500-1-10-20200901.pdf Otieku, Evans and Patche, Cecilie Blenstrup and Katibeh, Marzieh and Awalime, Dziedzom and Mohammed Gyasi, Razak (2020) Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2. International Journal of Public Health Research, 10 (2). pp. 1219-1227. ISSN 2232-0245 http://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/27
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Introduction 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.
format Article
author Otieku, Evans
Patche, Cecilie Blenstrup
Katibeh, Marzieh
Awalime, Dziedzom
Mohammed Gyasi, Razak
spellingShingle Otieku, Evans
Patche, Cecilie Blenstrup
Katibeh, Marzieh
Awalime, Dziedzom
Mohammed Gyasi, Razak
Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
author_facet Otieku, Evans
Patche, Cecilie Blenstrup
Katibeh, Marzieh
Awalime, Dziedzom
Mohammed Gyasi, Razak
author_sort Otieku, Evans
title Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
title_short Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
title_full Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
title_fullStr Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
title_full_unstemmed Work history and diagnosed hypertension among older adults in Ghana: evidence from WHO SAGE Wave2
title_sort work history and diagnosed hypertension among older adults in ghana: evidence from who sage wave2
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2020
url http://journalarticle.ukm.my/15316/1/270-Article%20Text-1500-1-10-20200901.pdf
http://journalarticle.ukm.my/15316/
http://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/27
_version_ 1680321974305292288
score 13.211869

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