Understanding unmet health-care need among older Ghanaians: A gendered analysis

Vincent Z. Kuuire, Eric Y. Tenkorang, Prince M. Amegbor, Mark Rosenberg

Research output: Contribution to journalArticlepeer-review


Health insurance schemes are important for bridging gaps in health-care needs between the rich and poor, especially in contexts where poverty is higher among seniors (persons aged 65 years and above). In this study we examined (a) gender-based predictors of unmet health-care need among seniors and (b) whether access was influenced by wealth status (measured by income quintiles). Gender-specific negative log-log regression models were fitted to data from the Study on Global Ageing and Health to examine associations between unmet health-care need and health insurance status controlling for theoretically relevant covariates. Insurance status was an important determinant of men and women's unmet health-care need but the relationship was moderated by income quintile for women and not men. While occupation was important for men, religion, marital status and income quintile were significantly associated with women's unmet health-care need. Based on the observed gender differences, we recommend the implementation of programmes aimed at improving the economic situation of older people, particularly women.

Original languageEnglish (US)
Pages (from-to)1748-1769
Number of pages22
JournalAgeing and Society
Issue number8
StatePublished - Aug 2021


  • Ghana
  • ageing
  • gender
  • health insurance
  • unmet health-care need

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Arts and Humanities (miscellaneous)
  • Geriatrics and Gerontology
  • Public Health, Environmental and Occupational Health


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