Journal article
Financial inclusion and sleep problems in later stages of life: estimating mediation by emotional pain and food insecurity
Aging & mental health, Vol.30(1), pp.44-54
2026
PMID: 40684286
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Abstract
Objectives: Financial inclusion has been linked with health outcomes. However, the association between financial inclusion and sleep problems (SP) is limited in old age and the mediators of this association are largely unknown. This study examines the association of financial inclusion with SP among older adults in Ghana. It also explores how food insecurity and emotional pain explain this association.
Method: A multi-stage cluster sample ( = 1201) from the AgeHeaPsyWel-HeaSeeB study was analyzed. We measured financial inclusion using the eight-item Financial Instrument Questionnaire Scale, and SP was assessed using nighttime/daytime challenges over the last 30 days. To estimate the associations, we fitted multiple OLS models and employed bootstrapping procedures using the PROCESS macro.
Results: Data from 1201 individuals aged 50 years or older were analyzed (mean age, 66.1 years; 63.3% female). After adjustment, financial inclusion was negatively associated with SP ( = -0.079, < 0.01), food insecurity ( = -0.076, < 0.001), and emotional pain ( = -0.033, < 0.01). These associations were significant in males and females. In the mediation models, food insecurity (63.9%) and emotional pain (24.1%) significantly explained the association between financial inclusion and SP.
Conclusion: Reducing SP in old age may require interventions addressing financial hardship, food insecurity, and emotional pain.
Details
- Title
- Financial inclusion and sleep problems in later stages of life: estimating mediation by emotional pain and food insecurity
- Creators
- Razak M Gyasi - African Population and Health Research CenterLydia Osei-Amankwah - University of Skills Training and Entrepreneurial DevelopmentVictoria Mensah Nyamadi - University of Skills Training and Entrepreneurial DevelopmentCaiphas Kwame Kenney - University of Skills Training and Entrepreneurial DevelopmentFoster Frempong - Kwame Nkrumah University of Science and TechnologyPrince Peprah - Macquarie UniversityGilbert Kwabena Amoako - Kumasi Technical UniversityAnokye M Adam - University of Cape CoastAndré Hajek - University Medical Center Hamburg-Eppendorf
- Publication Details
- Aging & mental health, Vol.30(1), pp.44-54
- Publisher
- Taylor & Francis
- Identifiers
- 991013298355602368
- Copyright
- © 2025 informa UK limited, trading as Taylor & Francis group
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article