scholarly journals Determinants of Chronic Illness Among Aged Population in Ghana: A Multinomial Logit Approach

2021 ◽  
Vol 21 (1) ◽  
pp. 68-75
Author(s):  
C. C. Nyarko ◽  
K. Agyarko ◽  
P. K. Nyarko ◽  
L. Brew

Generally, the constant change in demographic trends among the aged depict gradual increase in the size of the aged population globally. The aged population is often capitalised with degenerative conditions such as chronic illness which affect their ability to function effectively and often require special support. Despite the increase in the size of the aged population and their associated degenerative conditions, very few descriptive studies on the determinants of chronic illness among the aged has been researched especially in developing countries such as Ghana and there is no compelling evidence on the association of chronic illness and its determinants. Thus, this study seeks to analyse and predict the impact of age, gender, education, marital status, Quality of Life (QoL), social cohesion, settlement and depression on chronic illness among the aged population in Ghana. From the studies a Multinomial Logit Regression (MLR) was employed to analyse the data obtained from the Ghana Statistical Service (GSS) under, Ageing and Adult Health (SAGE), 2012. It was revealed that out of the 1384 sampled, 71% had no chronic illness whilst 22% and 7% had one and two or more chronic illness respectively. Again, it was observed that, Depression State, Gender, Marital Status and Settlement Type (rural or urban) play significant roles in determining the likelihood of the aged getting chronic illness while Physical Function, Social Cohesion, QoL, Age and Education Level were not statistically significant determinants of chronic illness. Our findings demonstrate that chronic illness among the aged is constantly increasing in Ghana especially in the urban communities and need to be addressed urgently through governmental policies and programs in the quest to help salvage the deteriorating conditions of the aged.   Keywords: Aged Population, Multinomial Logit Model, Chronic Illness

1995 ◽  
Vol 16 (5) ◽  
pp. 437-449 ◽  
Author(s):  
Bernice C. Yates ◽  
Lillian S. Bensley ◽  
Bernadette Lalonde ◽  
Frances Marcus Lewis ◽  
Nancy Fugate Woods

Author(s):  
Wei (David) Fan ◽  
Martin R. Kane ◽  
Elias Haile

The purpose of this paper is to develop a nominal response multinomial logit model (MNLM) to identify factors that are important in making an injury severity difference and to explore the impact of such explanatory variables on three different severity levels of vehicle-related crashes at highway-rail grade crossings (HRGCs) in the United States. Vehicle-rail and pedestrian-rail crash data on USDOT highway-rail crossing inventory and public crossing sites from 2005 to 2012 are used in this study. A multinomial logit model is developed using SAS PROC LOGISTICS procedure and marginal effects are also calculated. The MNLM results indicate that when rail equipment with high speed struck a vehicle, the chance of a fatality resulting increased. The study also reveals that vehicle pick-up trucks, concrete, and rubber surfaces were more likely to be involved in more severe crashes. On the other hand, truck-trailer vehicles in snow and foggy weather conditions, development area types (residential, commercial, industrial, and institutional), and higher daily traffic volumes were more likely to be involved in less severe crashes. Educating and equipping drivers with good driving habits and short-term law enforcement actions, can potentially minimize the chance of severe vehicle crashes at HRGCs.


2019 ◽  
Vol 5 (5) ◽  
pp. 550-562

Drawn upon field research in two peri-urban villages of Hanoi in 2014 and short re-visits recently, the research examines the widespread of gambling and other social issues in Hanoi’s urbanizing peri-urban communities which happened concurrently with the phenomenon of “land fever,” and at the time local villagers received compensation from land appropriation. The article aims to understand the impact of urbanization on these communities and the interface between urbanization and the increase of social problems. It argues that gambling, drug use, and other social problems have been existing in Vietnamese rural communities long before; however, when urbanization came, some people have higher chances to engage in these activities. Those are villagers who want to transform quickly into entrepreneurs or bosses by joining the “black credit” market and gambling. Together with middle-aged and old farmers who greatly relied on agricultural production and face difficulties in transforming their occupation, they formed the group of losers in the urbanization process. Received 6th January 2019; Revised 26th April 2019; Accepted 15th May 2019


2005 ◽  
Vol 2 (3) ◽  
pp. 366-382
Author(s):  
Dina Sensi

The European action named “Faiths and Social cohesion”. Building up Social Participation in Religious Difference: Local Muslim Communities inEurope» was assessed during the last six months of the project. The objective was to assess the impact of the actions taken. 


2014 ◽  
Vol 23 (11) ◽  
pp. 2023-2039 ◽  
Author(s):  
Paat Rusmevichientong ◽  
David Shmoys ◽  
Chaoxu Tong ◽  
Huseyin Topaloglu

Author(s):  
Candace Necyk ◽  
Jeffrey A. Johnson ◽  
Ross T. Tsuyuki ◽  
Dean T. Eurich

Background: In 2012, the Government of Alberta introduced a funding program to remunerate pharmacists to develop a comprehensive annual care plan (CACP) for patients with complex needs. The objective of this study is to explore patients’ perceptions of the care they received through the pharmacist CACP program in Alberta. Methods: We invited 3442 patients who received a pharmacist-billed CACP within the previous 3 months and 6888 matched controls across Alberta to complete an online questionnaire. The questionnaire consisted of the short version Patient Assessment of Chronic Illness Care (PACIC-11), with 3 additional pharmacy-specific assessment questions added. Additional questions related to health status and demographics were also included. Results: Overall, most patients indicated a low level of chronic illness care by pharmacists, with few differences noted between CACP patients and non-CACP controls. Of note, controls reported higher quality of care for 5 domains within the adapted PACIC-like tool compared with CACP patients ( p < 0.05 for all). Interestingly, only 79 (44%) of CACP patients reported that they had received a CACP, whereas only 192 (66%) of control patients reported that they did not receive a care plan. In a sensitivity analysis including only these respondents, individuals who received a CACP perceived a significantly higher quality of chronic illness care across all PACIC domains. Conclusion: Overall, chronic illness care incentivized by the pharmacist CACP program in Alberta is perceived to be moderate to low. When limited to respondents who explicitly recognized receiving the service or not, the perceptions of quality of care were more positive. This suggests that better implementation of CACP by pharmacists may be associated with improved quality of care and that some redesign is needed to engage patients more. Can Pharm J (Ott) 2021;154:xx-xx.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Idika E. Okorie ◽  
Ricardo Moyo ◽  
Saralees Nadarajah

AbstractWe provide a survival analysis of cancer patients in Zimbabwe. Our results show that young cancer patients have lower but not significant hazard rate compared to old cancer patients. Male cancer patients have lower but not significant hazard rate compared to female cancer patients. Race and marital status are significant risk factors for cancer patients in Zimbabwe.


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