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The Health of the “Older Women” in Accra, Ghana: Results of the Women’s Health Study of Accra

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Abstract

The health of women residing in the developing countries is not limited to reproductive health conditions or infectious diseases. While these illnesses remain serious threats to a healthy life, as the population ages, the prevalence of illnesses considered to be of significance only in industrialized nations also increasingly afflicts the residents of the developing worlds. The health and well-being of the older women was evaluated in the 2003 Women’s Health Study of Accra. This community based survey and clinical and laboratory examination of 1,328 women identified a significantly high prevalence of malaria and chronic, non-communicable diseases in all age groups without regard to education level or income. Hypertension, diabetes and obesity are significantly prevalent in women age 50 years and older. The prevalence of conditions which adversely affect health and quality of life, including impaired visual acuity, poor dentition, pain and limitations with mobility is significant in the women age 50 years and older. While these data are specific to Ghana, they have the potential to be generalizable to women in other urban areas in transition. As the life expectancy is increasing in developing countries, an increased awareness and treatment of chronic health conditions in the older women is critical to ensure a healthy life as they enter their golden years.

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References

  • American Heart Association. (2005). Heart Disease and Stroke Statistics. Statistical Fact Sheets. http://www.americanheart.org/downloadable/heart/1105390918119HDSStats2005Update.pdf.

  • Amoah, A. A., Owusu, S. K., & Adjei, S. (2002). Diabetes in Ghana: a community-based prevalence study in Greater Accra. Diabetes Research and Clinical Practice, 56, 1197–1205.

    Article  Google Scholar 

  • Avotri, J. Y., & Walters, V. (1999). “You just look at our work and see if you have any freedom on earth”: Ghanaian women’s accounts of their work and their health. Social Science and Medicine, 48, 1123–1133.

    Article  Google Scholar 

  • Bonow, R. O., Smaha, L. A., Smith, S. C., Mensah, G. A., & Lentant, C. (2002). World Heart Day 2002: the international burden of cardiovascular disease: responding to the emerging global epidemic. Circulation, 106, 1602–1605.

    Article  Google Scholar 

  • Chen, G. L., Hill, A. G., Seffah, J., Darko, R., Anarfi, J. K., & Duda, R. B. (2005). Epidemiology of cervical cancer and dysphasia in a cross-sectional of women in Accra, Ghana, http://www.medwellonline.net. International Journal of Tropical Medicine, 1, 7–11.

  • Duda, R. B., Darko, R., Adanu, R. M. K., Seffah, J., Anarfi, J. K., Gautam, S., et al. (2005a). HIV prevalence and risk factors in women in Accra, Ghana: results from the Women’s Health Study of Accra. The American Journal of Tropical Medicine and Hygiene, 73, 63–66.

    Google Scholar 

  • Duda, R. B., Chen, G. L., Hill, A. G., Darko, R., Adanu, R. M. K., Seffah, J., et al. (2005b). Screening for cervical cancer still not included as routine health care for women, http://www.medwellonline.net. International Journal of Tropical Medicine, 1, 1–6.

  • Duda, R. B., Kim, M. P., Darko, R., Adanu, R. M. K., Seffah, J., Anarfi, J. K., et al. (2007). Prevalence of elevated blood pressure in women residing in Accra, Ghana: report of the Women’s Health Study of Accra. International Journal of Cardiology, 117, 115–122.

    Article  Google Scholar 

  • Guralnik, J. M., Fried, L. P., Simonsick, E. M., Kasper, J. D., & Lafferty, M. E. (Eds.) (1995). The Women’s Health and Aging Study: Health and social characteristics of older women with disability. Bethesda, MD: National Institute on Aging, NIH Pub. No. 95-4009.

  • Hill, A. G., Darko, R., Seffah, J., Adanu, R. M. K., Anarfi, J. K., & Duda, R. B. (2007). Clinical findings from the Women’s Health Study of Accra. International Journal of Gynecology and Obstetrics, 99, 150–156.

    Article  Google Scholar 

  • King, H., Aubert, R. E., & Herman, W. H. (1998). Global burden of diabetes, 1995–2025: prevalence, numerical estimates and projections. Diabetes Care, 21, 1414–1431.

    Article  Google Scholar 

  • Kukull, W. A., Larson, E. B., Teri, L., Bowen, J., McCormick, W., & Pfanschmidt, M. L. (1994). The Mini-Mental State Examination score and the clinical diagnosis of dementia. Journal of Clinical Epidemiology, 47, 1061–1067.

    Article  Google Scholar 

  • Leventhal, E. A., Leventhal, H., Schaefer, P., & Easterling, D. (1993). Conservation of energy, uncertainty reduction, and swift utilization of medical care among the elderly. Journal of Gerontology, 48, 78–86.

    Google Scholar 

  • McGranahan, G., & Songsore, J. (1996). Wealth, health and the urban household: Weighing environmental burdens in Accra, Jakarta and Sao Paulo. Chapter 8. In Urban health research in developing countries. Oxford: CAB International.

  • Megill, D. (2002). Recommendations for designing master sample for Ghana Intercensal Household Survey Program. Ghana Statistical Service and US Bureau of the Census.

  • Murray, C. J. L., & Lopez, A. D. (Eds.). (1996). The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 projected to 2000. Cambridge: Harvard University Pres.

    Google Scholar 

  • Murray, C. J. L., & Lopez, A. (1998). Health dimensions of sex and reproduction. WHO: Global Burden of Disease series, vol. 3.

  • Norton, K., & Olds, I. (1996). Anthropometrica. A textbook of body measurement and health courses. Sydney: University of New South Wales Press.

    Google Scholar 

  • Roger, V. L., Turner, M. B., & American Heart Association Heart Disease and Stroke Statistics Writing Group. (2011). AHA Statistical Update: Heart disease and stroke statistics—2011 Update. A report from the American Heart Association. Circulation, 123, e18–1209. http://circ.ahajournals.org/cgi/content/full/123/4/e18.

    Google Scholar 

  • Smith, S. M., & Mensah, G. A. (2003). Population aging and implications for epidemic cardiovascular disease in Sub-Saharan Africa. Ethnicity & Disease, 13, S77–S80.

    Google Scholar 

  • UN Population Division. (2002). Population trends. New York: UN.

    Google Scholar 

  • UNICEF. (1999). Adjustment with a human face. New York: UNICEF.

    Google Scholar 

  • Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.

    Article  Google Scholar 

  • WHO. (2008). Causes of death 2008: data sources and methods. Global Burden of Disease Working Papers, 2008 World Health Report. www.who.int/healthinfo/global_burden_disease/cod_2008_sources_methods.pdf.

  • World Health Organization. (2002a). Global Burden of Disease Statistics. www.who.int/entity/healthinfo/bod/en/.

  • World Health Organization. (2002b). Integrated management of cardiovascular risk. Geneva, July, 2002. www.who.int.

  • World Health Organization. (2004). Atlas of heart disease and stroke. www.who.org.

  • World Health Organization/AFRO. (2002). World Health Report 2002. www.who.int/odp/epidemiology.html.

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Acknowledgements

The study was paid for by a consortium of funders including USAID/Ghana through the co-operative agreement for Applied Research on Child Health with Boston University School of Public Health; by the World Health Organization project on the Minimum Data Set on Ageing in Sub-Saharan Africa; by the Fulbright Program, Bureau of Educational and Cultural Affairs, US State Department; by grants in kind from the Ghana AIDS Commission; Beth Israel Deaconess Hospital; and institutional support from the Institute for Statistical, Social and Economic Research, University of Ghana; the Ghana Medical School; Korle Bu Teaching Hospital; the Noguchi Memorial Institute for Medical Research and the Harvard School of Public Health. The Office co-ordinator was Mrs. Christine Edusei-Mensah, the field co-ordinator was Mrs. Maame Odum; and the Field Supervisors included Raphael Arku, John K Cobbah, Grace Nyante, John M Yeyie and Samuel Sundong. We acknowledge the hard work and dedication of the 21 interviewers some of whom also served as counselors in the clinic. Research Assistants included Michael Cantey and Innocent Dennoo. We thank in addition the 28 physicians who examined the women.

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Correspondence to Rosemary B. Duda.

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Duda, R.B., Anarfi, J.K., Adanu, R.M.K. et al. The Health of the “Older Women” in Accra, Ghana: Results of the Women’s Health Study of Accra. J Cross Cult Gerontol 26, 299–314 (2011). https://doi.org/10.1007/s10823-011-9148-8

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