EFFECTS OF HEALTH SUPPORT SERVICES ON THE PSYCHOLOGICAL WELL-BEING OF OLDER PERSONS IN LAGOS, NIGERIA: A MULTIDIMENSIONAL RELATIONSHIP STUDY

Chukwukere C.G.; Chukwukere P.A.

Chukwukere C.G.
Chukwukere P.A.

Keywords: Health support services, Psychological well-being, Access to healthcare, Medication management, Nutritional support, Mobility assistance

Abstract

The global population of older adults is increasing, with Nigeria experiencing a similar trend, yet health support services remain inadequate, particularly in urban areas across Nigeria. This study examined the relationship between health support services and the psychological well-being of older persons in Lagos State, Nigeria. Using Ryff's multidimensional paradigm, the six dimensions of psychological well-being autonomy, environmental mastery, personal development, positive relationships, purpose in life, and self-acceptance were examined. A cross-sectional survey was conducted with 400 older persons (65 years of age and older). Data was collected using a standardized questionnaire that assessed access to critical health support services, such as advocacy, mobility assistance, medication management, nutrition, medical social services, emotional support, and respite care. Multiple regression analysis was implemented to identify the factors that most significantly predicted psychological well-being. Findings from the study showed that psychological well-being was significantly influenced by access to healthcare, mobility assistance, and emotional support. Emotional support proved to be the most significant factor, emphasising the necessity of social and emotional support to older persons' psychological well-being. Other services, such as medication management and nutrition, exhibited moderate but significant influence. The study concluded that the accessibility and availability of comprehensive health support services significantly influence the psychological well-being of older persons. Based on these findings, the study recommends that policymakers, particularly those in government and healthcare organizations, prioritize the development of healthcare systems that are accessible and appropriate for the older population, as well as mobility infrastructure and emotional support.