Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study
Abstract Background The burden of non-communicable diseases (NCDs), such as diabetes, hypertension, and obesity, is increasing globally, particularly in low- and middle-income countries. This has implications for physical, psychological and social aspects of health and wellbeing among individuals li...
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2025-03-01
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| author | Kafui Adjaye-Gbewonyo Irene Akwo Kretchy Leonard Baatiema Carlos S. Grijalva-Eternod Olutobi Adekunle Sanuade Samuel Amon Hassan Haghparast-Bidgoli Raphael Baffour Awuah Swaib Abubaker Lule Sedzro Kojo Mensah Sandra Boatemaa Kushitor Mawuli Komla Kushitor Daniel Kojo Arhinful Edward Fottrell |
| author_facet | Kafui Adjaye-Gbewonyo Irene Akwo Kretchy Leonard Baatiema Carlos S. Grijalva-Eternod Olutobi Adekunle Sanuade Samuel Amon Hassan Haghparast-Bidgoli Raphael Baffour Awuah Swaib Abubaker Lule Sedzro Kojo Mensah Sandra Boatemaa Kushitor Mawuli Komla Kushitor Daniel Kojo Arhinful Edward Fottrell |
| author_sort | Kafui Adjaye-Gbewonyo |
| collection | DOAJ |
| description | Abstract Background The burden of non-communicable diseases (NCDs), such as diabetes, hypertension, and obesity, is increasing globally, particularly in low- and middle-income countries. This has implications for physical, psychological and social aspects of health and wellbeing among individuals living with NCDs. This study sought to examine relationships between NCDs, quality of life (QoL) and psychosocial wellbeing in the urban community of Ga Mashie, Accra, Ghana. Methods A representative household survey was conducted among adults aged 25 years and over in Ga Mashie. Data were collected on self-reported NCD diagnoses and objectively measured random blood glucose, blood pressure and anthropometrics; sociodemographic characteristics; and health-related QoL and psychosocial wellbeing. Relationships between QoL, psychosocial wellbeing and diabetes, hypertension and obesity were examined using bivariate analyses and multivariable regressions comparing outcomes to those who did not have any of these conditions or any other self-reported NCD diagnosis. Results Data were gathered from 854 adults. Individuals with diabetes, hypertension and obesity had significantly reduced measures of QoL outcomes compared to those without these conditions or any other reported NCD. In particular, they were significantly less likely to report being satisfied or very satisfied with their health [Risk Ratios: 0.79 (95% CI: 0.63–0.98), 0.87 (95% CI: 0.79–0.95) and 0.87 (95% CI: 0.77–0.97) for diabetes, hypertension, and obesity, respectively]. They also had lower scores in the physical health domain of QoL compared to those with no known NCD [diabetes β -8.27 (95% CI: -13.55– -2.99); hypertension − 2.32 (95% CI: -4.84–0.21) and obesity − 2.74 (95% CI: -5.15– -0.32)]. Compared to the healthy comparison group, differences were more pronounced among those with a prior diagnosis of diabetes or hypertension than among those identified with raised blood glucose or raised blood pressure in our survey, but no prior diagnosis. Differences in indicators of psychosocial wellbeing such as social support, and psychological distress were not observed. Conclusion Diabetes, hypertension and obesity were associated with reduced QoL in Ga Mashie, Ghana. Further studies are needed to understand factors that influence health-related QoL among adults with NCDs, how these change over time, and to identify potential coping mechanisms that may influence this association. |
| format | Article |
| id | doaj-art-f573c20dd2fd48229cbe2e838d2b40d7 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-f573c20dd2fd48229cbe2e838d2b40d72025-08-20T03:40:02ZengBMCBMC Public Health1471-24582025-03-0125111110.1186/s12889-025-22227-zNon-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional studyKafui Adjaye-Gbewonyo0Irene Akwo Kretchy1Leonard Baatiema2Carlos S. Grijalva-Eternod3Olutobi Adekunle Sanuade4Samuel Amon5Hassan Haghparast-Bidgoli6Raphael Baffour Awuah7Swaib Abubaker Lule8Sedzro Kojo Mensah9Sandra Boatemaa Kushitor10Mawuli Komla Kushitor11Daniel Kojo Arhinful12Edward Fottrell13Institute for Lifecourse Development, University of GreenwichDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, University of GhanaDepartment of Health Policy, Planning and Management, School of Public Health, University of GhanaInstitute for Global Health, University College LondonDepartment of Population Health Sciences, Division of Health System Innovation and Research, Spencer Fox Eccles School of Medicine, University of UtahDepartment of Health Policy, Planning and Management, School of Public Health, University of GhanaInstitute for Global Health, University College LondonVital StrategiesInstitute for Global Health, University College LondonNoguchi Memorial Institute for Medical Research, University of GhanaDepartment of Community Health, Ensign Global CollegeDepartment of Health Policy, Planning and Management (HPPM), Fred N. Binka School of Public Health, University of Health and Allied Sciences (UHAS)Noguchi Memorial Institute for Medical Research, University of GhanaInstitute for Global Health, University College LondonAbstract Background The burden of non-communicable diseases (NCDs), such as diabetes, hypertension, and obesity, is increasing globally, particularly in low- and middle-income countries. This has implications for physical, psychological and social aspects of health and wellbeing among individuals living with NCDs. This study sought to examine relationships between NCDs, quality of life (QoL) and psychosocial wellbeing in the urban community of Ga Mashie, Accra, Ghana. Methods A representative household survey was conducted among adults aged 25 years and over in Ga Mashie. Data were collected on self-reported NCD diagnoses and objectively measured random blood glucose, blood pressure and anthropometrics; sociodemographic characteristics; and health-related QoL and psychosocial wellbeing. Relationships between QoL, psychosocial wellbeing and diabetes, hypertension and obesity were examined using bivariate analyses and multivariable regressions comparing outcomes to those who did not have any of these conditions or any other self-reported NCD diagnosis. Results Data were gathered from 854 adults. Individuals with diabetes, hypertension and obesity had significantly reduced measures of QoL outcomes compared to those without these conditions or any other reported NCD. In particular, they were significantly less likely to report being satisfied or very satisfied with their health [Risk Ratios: 0.79 (95% CI: 0.63–0.98), 0.87 (95% CI: 0.79–0.95) and 0.87 (95% CI: 0.77–0.97) for diabetes, hypertension, and obesity, respectively]. They also had lower scores in the physical health domain of QoL compared to those with no known NCD [diabetes β -8.27 (95% CI: -13.55– -2.99); hypertension − 2.32 (95% CI: -4.84–0.21) and obesity − 2.74 (95% CI: -5.15– -0.32)]. Compared to the healthy comparison group, differences were more pronounced among those with a prior diagnosis of diabetes or hypertension than among those identified with raised blood glucose or raised blood pressure in our survey, but no prior diagnosis. Differences in indicators of psychosocial wellbeing such as social support, and psychological distress were not observed. Conclusion Diabetes, hypertension and obesity were associated with reduced QoL in Ga Mashie, Ghana. Further studies are needed to understand factors that influence health-related QoL among adults with NCDs, how these change over time, and to identify potential coping mechanisms that may influence this association.https://doi.org/10.1186/s12889-025-22227-zNon-communicable diseasesQuality of lifePsychosocial wellbeingDiabetesHypertensionObesity |
| spellingShingle | Kafui Adjaye-Gbewonyo Irene Akwo Kretchy Leonard Baatiema Carlos S. Grijalva-Eternod Olutobi Adekunle Sanuade Samuel Amon Hassan Haghparast-Bidgoli Raphael Baffour Awuah Swaib Abubaker Lule Sedzro Kojo Mensah Sandra Boatemaa Kushitor Mawuli Komla Kushitor Daniel Kojo Arhinful Edward Fottrell Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study BMC Public Health Non-communicable diseases Quality of life Psychosocial wellbeing Diabetes Hypertension Obesity |
| title | Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study |
| title_full | Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study |
| title_fullStr | Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study |
| title_full_unstemmed | Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study |
| title_short | Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana: analysis from a community-based cross-sectional study |
| title_sort | non communicable diseases psychosocial wellbeing and quality of life in ga mashie accra ghana analysis from a community based cross sectional study |
| topic | Non-communicable diseases Quality of life Psychosocial wellbeing Diabetes Hypertension Obesity |
| url | https://doi.org/10.1186/s12889-025-22227-z |
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