Abstract
Introduction: Although optimal wellbeing of young adults (YA) is a vital asset for productivity and measurable and sustainable development, there is a dearth of information on the wellbeing status of YA, especially after the COVID-19 lockdown in Ghana. The study has established the post-lockdown wellbeing status of YA in the COVID-19 pandemic epicenters of Ghana.
Methods: The wellbeing status of 1783 (24.49 ± 4.62 year) Ghanaian YA from Kumasi, Accra, and Kasoa (known epicentres of COVID) was assessed in this cross-sectional study. Body mass index (BMI) was calculated, and physical, social, emotional, spiritual and intellectual states were assessed.
Results: More females were found to be overweight (315, 17.7%) and obese (160, 9.0%) compared to males. The majority (714; 40.0%) of the young adults were between the ages 25-30 years and overweight, with a mean BMI of 25.46 ± 4.67 kg/m2. Overall, 157 (8.8%) had poor, 755 (42.3%) average, 479 (26.9%) good, while 392 (22.0%) had outstanding wellbeing. Specifically, the average grade was recorded for physical (29.07 ± 6.67), spiritual (29.32 ± 6.80), and intellectual (28.29 ± 6.56), while ‘good grade’ was obtained for social (32.16 ± 5.13) and emotional (31.54 ± 5.07) dimensions of wellbeing.
Conclusion: Average Ghanaian YA in the study were overweight (BMI value) and had average wellbeing, which may suggest the risk of cardiovascular diseases. Educational and physical activity interventions with meticulous dietary control and proper understanding of family history, age and genetic factors will help to improve the wellbeing of Ghanaian YA.
Graphical Abstract
[1]
Braimah AI. On the politics of lockdown and lockdown politics in Africa: COVID-19 and Partisan Expedition in Ghana. J Polit Sci Int Rel 2020; 3(3): 44-55.
[2]
Greyling T, Rossouw S, Adhikari T. The good, the bad and the ugly of lockdowns during COVID-19. PLoS One 2021; 16(1): e0245546.
[http://dx.doi.org/10.1371/journal.pone.0245546] [PMID: 33481848]
[http://dx.doi.org/10.1371/journal.pone.0245546] [PMID: 33481848]
[3]
Zheng C, Huang WY, Sheridan S, Sit CHP, Chen XK, Wong SHS. COVID-19 pandemic brings a sedentary lifestyle in young adults: a cross-sectional and longitudinal study. Int J Environ Res Public Health 2020; 17(17): 6035.
[http://dx.doi.org/10.3390/ijerph17176035] [PMID: 32825092]
[http://dx.doi.org/10.3390/ijerph17176035] [PMID: 32825092]
[4]
Wallace KJ, Kim MK, Rogers A, Jago M. Classifying human wellbeing values for planning the conservation and use of natural resources. J Environ Manage 2020; 256:: 109955.
[http://dx.doi.org/10.1016/j.jenvman.2019.109955] [PMID: 31989981]
[http://dx.doi.org/10.1016/j.jenvman.2019.109955] [PMID: 31989981]
[5]
Peçanha T, Goessler KF, Roschel H, Gualano B. Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. Am J Physiol Heart Circ Physiol 2020; 318(6): H1441-6.
[http://dx.doi.org/10.1152/ajpheart.00268.2020] [PMID: 32412779]
[http://dx.doi.org/10.1152/ajpheart.00268.2020] [PMID: 32412779]
[6]
Zacher H, Rudolph CW. Individual differences and changes in subjective wellbeing during the early stages of the COVID-19 pandemic. Am Psychol 2021; 76(1): 50-62.
[http://dx.doi.org/10.1037/amp0000702] [PMID: 32700938]
[http://dx.doi.org/10.1037/amp0000702] [PMID: 32700938]
[7]
Sonnentag S. Dynamics of well-being. Annu Rev Organ Psychol Organ Behav 2015; 2(1): 261-93.
[http://dx.doi.org/10.1146/annurev-orgpsych-032414-111347]
[http://dx.doi.org/10.1146/annurev-orgpsych-032414-111347]
[8]
Tov W. Well-being concepts and components. In: Handbook of well-being. Salt Lake City, UT: DEF Publishers 2018; pp. 1-15.
[9]
Gieck DJ, Olsen S. Holistic wellness as a means to developing a lifestyle approach to health behavior among college students. J Am Coll Health 2007; 56(1): 29-36.
[http://dx.doi.org/10.3200/JACH.56.1.29-36] [PMID: 17711823]
[http://dx.doi.org/10.3200/JACH.56.1.29-36] [PMID: 17711823]
[10]
Strout KA, Howard EP. The six dimensions of wellness and cognition in aging adults. J Holist Nurs 2012; 30(3): 195-204.
[http://dx.doi.org/10.1177/0898010112440883] [PMID: 22713605]
[http://dx.doi.org/10.1177/0898010112440883] [PMID: 22713605]
[11]
Dalton AG, Logomarsino JV. The relationship between dietary intake and the six dimensions of wellness in older adults. Int J Wellbeing 2014; 4(2): 45-99.
[http://dx.doi.org/10.5502/ijw.4i2.4]
[http://dx.doi.org/10.5502/ijw.4i2.4]
[12]
Raghupathi V, Raghupathi W. The influence of education on health: an empirical assessment of OECD countries for the period 1995-2015. Arch Public Health 2020; 78(1): 20.
[http://dx.doi.org/10.1186/s13690-020-00402-5] [PMID: 32280462]
[http://dx.doi.org/10.1186/s13690-020-00402-5] [PMID: 32280462]
[13]
Wilson OWA, Holland KE, Elliott LD, Duffey M, Bopp M. The impact of the COVID-19 pandemic on US college students’ physical activity and mental health. J Phys Act Health 2021; 18(3): 272-8.
[http://dx.doi.org/10.1123/jpah.2020-0325] [PMID: 33601332]
[http://dx.doi.org/10.1123/jpah.2020-0325] [PMID: 33601332]
[14]
Copeland WE, McGinnis E, Bai Y, et al. Impact of COVID-19 pandemic on college student mental health and wellness. J Am Acad Child Adolesc Psychiatry 2021; 60(1): 134-141.e2.
[http://dx.doi.org/10.1016/j.jaac.2020.08.466] [PMID: 33091568]
[http://dx.doi.org/10.1016/j.jaac.2020.08.466] [PMID: 33091568]
[15]
Shepherd HA, Evans T, Gupta S, et al. The impact of COVID-19 on high school student-athlete experiences with physical activity, mental health, and social connection. Int J Environ Res Public Health 2021; 18(7): 3515.
[http://dx.doi.org/10.3390/ijerph18073515] [PMID: 33805249]
[http://dx.doi.org/10.3390/ijerph18073515] [PMID: 33805249]
[16]
Roman NV, Mthembu TG, Hoosen M. Spiritual care – ‘A deeper immunity’ – A response to COVID-19 pandemic. Afr J Prim Health Care Fam Med 2020; 12(1): e1-3.
[http://dx.doi.org/10.4102/phcfm.v12i1.2456] [PMID: 32634003]
[http://dx.doi.org/10.4102/phcfm.v12i1.2456] [PMID: 32634003]
[17]
Ghana: Authorities impose lockdown on two regions due to COVID-19 from March 30/update 3. 2020. Available from: https://www.garda.com/crisis24/news-alerts/327316/ghana-authorities-impose-lockdown-on-two-regions-due-to-COVID-19-from-march-30-update-3
[18]
COVID 19 –The Ghana Case. 2020. Available from: https://media. africaportal.org/documents/Covid19_the_Ghana_case.pdf
[19]
Diop BZ, Ngom M, Pougué Biyong C, Pougué Biyong JN. The relatively young and rural population may limit the spread and severity of COVID-19 in Africa: a modelling study. BMJ Glob Health 2020; 5(5): e002699.
[http://dx.doi.org/10.1136/bmjgh-2020-002699] [PMID: 32451367]
[http://dx.doi.org/10.1136/bmjgh-2020-002699] [PMID: 32451367]
[20]
For Immediate Release: Ghana Confirms Two Cases of COVID-19. 2020. Available from: https://www.ghanahealthservice.org/covid19/downloads/COVID_19_first_confirmed_GH.pdf
[21]
Andoh D. Halting COVID-19 spread: Noguchi urges lockdown, mass testing. 2020. Available from: https://www.graphic.com.gh/news/general-news/halting-covid-19-spread-noguchiurges-lockdown-mass-testing.html
[22]
Suska K, Gashynova K, Dmytrychenko V. Overweight patients with bronchiectasis: does it matter for sputumculture? Chest 2020; 158(4): A345.
[http://dx.doi.org/10.1016/j.chest.2020.08.342]
[http://dx.doi.org/10.1016/j.chest.2020.08.342]
[23]
Afrifa D, Nsiah K, Appiah CA, Moses OM. Dietary intake and body composition characteristics of national football league players. Int J Sport Stud Health 2020; 3(1): :e104103.
[http://dx.doi.org/10.5812/intjssh.104103]
[http://dx.doi.org/10.5812/intjssh.104103]
[24]
Roscoe LJ. Wellness: A review of theory and measurement for counselors. J Couns Dev 2009; 87(2): 216-26.
[http://dx.doi.org/10.1002/j.1556-6678.2009.tb00570.x]
[http://dx.doi.org/10.1002/j.1556-6678.2009.tb00570.x]
[25]
Alseraty WH, Amin FM. Effects of chronic disease self–management program on quality of life and wellbeing among chronic ill adolescents at Majmaah university female Colleges, KSA. GJMEDPH 2015; 4: 1-12.
[26]
Beauchemin JD, Facemire SD, Pietrantonio KR, Yates HT, Krueger D. Solution-focused wellness coaching: a mixed methods, longitudinal study with college students. Soc Work Ment Health 2021; 19(1): 41-59.
[http://dx.doi.org/10.1080/15332985.2020.1861165]
[http://dx.doi.org/10.1080/15332985.2020.1861165]
[27]
Veldsman D, Van Aarde N. The impact of COVID-19 on an employee assistance programme in a multinational insurance organisation: Considerations for the future. SA J Ind Psychol 2021; 47(0): a1863.
[http://dx.doi.org/10.4102/sajip.v47i0.1863]
[http://dx.doi.org/10.4102/sajip.v47i0.1863]
[28]
Boukrim M, Obtel M, Kasouati J, Achbani A, Razine R. COVID-19 and confinement: effect on weight load, physical activity and eating behavior of higher education students in southern Morocco. Ann Glob Health 2021; 87(1): 7.
[http://dx.doi.org/10.5334/aogh.3144] [PMID: 33505866]
[http://dx.doi.org/10.5334/aogh.3144] [PMID: 33505866]
[29]
Ofori-Asenso R, Agyeman AA, Laar A, Boateng D. Overweight and obesity epidemic in Ghana-a systematic review and meta-analysis. BMC Public Health 2016; 16(1): 1239.
[http://dx.doi.org/10.1186/s12889-016-3901-4] [PMID: 27938360]
[http://dx.doi.org/10.1186/s12889-016-3901-4] [PMID: 27938360]
[30]
Remus Popa A, Fratila O, Rus M, et al. Risk factors for adiposity in the urban population and influence on the prevalence of overweight and obesity. Exp Ther Med 2020; 20(1): 129-33.
[PMID: 32509005]
[PMID: 32509005]
[31]
Moses MO, Emikpe AO, Moses MK, Emikpe BO. Combating COVID-19 lockdown inactivity in the african population: Use of cultural practices and one health approach. Niger J Physiol Sci 2020; 35(1): 4-9.
[PMID: 33084622]
[PMID: 33084622]
[32]
Village A, Francis LJ. Faith in lockdown: Experiences of rural Church of England clergy and laity during the COVID-19 pandemic. Rural. Rural Theology 2020; 18(2): 79-86.
[http://dx.doi.org/10.1080/14704994.2020.1818385]
[http://dx.doi.org/10.1080/14704994.2020.1818385]
[33]
Orgilés M, Morales A, Delvecchio E, Mazzeschi C, Espada JP. Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. Front Psychol 2020; 11:: 579038.
[http://dx.doi.org/10.3389/fpsyg.2020.579038] [PMID: 33240167]
[http://dx.doi.org/10.3389/fpsyg.2020.579038] [PMID: 33240167]
[34]
Rauschenberg C, Schick A, Goetzl C, et al. Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey. Eur Psychiatry 2021; 64(1): :e20.
[http://dx.doi.org/10.1192/j.eurpsy.2021.17] [PMID: 33686930]
[http://dx.doi.org/10.1192/j.eurpsy.2021.17] [PMID: 33686930]
[35]
Liang L, Ren H, Cao R, et al. The effect of COVID-19 on youth mental health. Psychiatr Q 2020; 91(3): 841-52.
[http://dx.doi.org/10.1007/s11126-020-09744-3] [PMID: 32319041]
[http://dx.doi.org/10.1007/s11126-020-09744-3] [PMID: 32319041]
[36]
Emerson E, Fortune N, Llewellyn G, Stancliffe R. Loneliness, social support, social isolation and wellbeing among working age adults with and without disability: Cross-sectional study. Disabil Health J 2021; 14(1): 100965.
[http://dx.doi.org/10.1016/j.dhjo.2020.100965] [PMID: 32843311]
[http://dx.doi.org/10.1016/j.dhjo.2020.100965] [PMID: 32843311]
[37]
Cherepanov D, Palta M, Fryback DG, Robert SA, Hays RD, Kaplan RM. Gender differences in multiple underlying dimensions of health-related quality of life are associated with sociodemographic and socioeconomic status. Med Care 2011; 49(11): 1021-30.
[http://dx.doi.org/10.1097/MLR.0b013e31822ebed9] [PMID: 21945974]
[http://dx.doi.org/10.1097/MLR.0b013e31822ebed9] [PMID: 21945974]
[38]
Alaei S, Zabihi R, Ahmadi A, Doosti A, Saberi S. Emotional intelligence, spiritual intelligence, self-esteem and self-control of substance abuse. Int Neuropsychiatr Dis J 2017; 9(4): 1-8.
[http://dx.doi.org/10.9734/INDJ/2017/33461]
[http://dx.doi.org/10.9734/INDJ/2017/33461]
[39]
Cunha GFMD, Manso MMFG, Villela MJCS, Bom GC, Mondini CCDSD, Trettene ADS. Religiosity, spirituality, and self-esteem in adolescents with cleft lip and palate: a correlational study. Esc Enferm USP 2021; 55: e03782.
[http://dx.doi.org/10.1590/s1980-220x2020030503782] [PMID: 34190897]
[http://dx.doi.org/10.1590/s1980-220x2020030503782] [PMID: 34190897]
[40]
Nolen-Hoeksema S, Hilt LM. Gender differences in depression Handbook of depression. The Guilford Press 2009; pp. 386-404.
[41]
Mueller CE, Winsor DL. Depression, suicide, and giftedness: Disentangling risk factors, protective factors, and implications for optimal growth. In: Handbook of giftedness in children. Cham: Springer 2018; pp. 255-84.
[http://dx.doi.org/10.1007/978-3-319-77004-8_15]
[http://dx.doi.org/10.1007/978-3-319-77004-8_15]
