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SOCIO-ECONOMIC DETERMINANTS OF THE UTILIZATION OF GERIATRIC HEALTH SERVICES AMONG THE AGED IN NIGERIA

🗓️ October 3, 2026 📚 The Multidisciplinary Review Vol. 1 Issue 3
Faith Fedoje ABALAKA1✉,Hanson Thomas ESHIET1,Julius Olugbenga OWOYEMI, Ph. D2,Muhammed AUDU, Ph. D2
1 Department of Sociology and Anthropology, Faculty of Social Sciences, University of Uyo, Nigeria
2 Department of Sociology, Faculty of Social Sciences, Prince Abubakar Audu University Anyigba, Kogi State Nigeria
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Abstract

In an ageing global population, the demand for geriatric health services has become an important public health concern because of the increasing proportion of older adults and the health conditions associated with ageing. This paper examined the socioeconomic determinants of the utilisation of geriatric health services in Nigeria. The study adopted a secondary method of data collection, involving a review of relevant journal articles and internet-based scholarly materials on geriatric healthcare utilisation and its socioeconomic determinants. The paper was anchored on Andersen's Behavioural Model of Health Services Use, which explains healthcare utilisation in relation to predisposing, enabling and need factors. The review found that many older adults in Nigeria do not utilise geriatric health services optimally because of socioeconomic and demographic factors, including income, age, ethnicity, family support, place of residence and educational attainment. Limited financial resources, inadequate family support, geographical barriers and restricted access to appropriate healthcare facilities were identified as important constraints on the utilisation of geriatric services. The paper concludes that the utilisation of geriatric health services among older adults in Nigeria remains inadequate and is substantially influenced by socioeconomic conditions. It recommends that the Nigerian government should implement geriatric-specific health policies, including appropriate health insurance coverage for older adults; expand geriatric healthcare services beyond tertiary institutions through dedicated units at primary and secondary healthcare levels; support nationwide research on geriatric healthcare utilisation; and strengthen the training of doctors, nurses and other healthcare professionals in geriatric care to improve the delivery of quality health services to older adults.
Keywords: Aged, Geriatric Health Services, Utilization of Health Services, Nigeria.

References

  1. Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208–220.
  2. Adebowale, S. A., Atte, O., & Ayeni, O. (2018). Factors associated with the healthcare-seeking behaviour of older people in Nigeria. Archives of Gerontology and Geriatrics, 79, 1–7.
  3. Ajiboye, O. (2011). Gender differentials in health status and socioeconomic wellbeing of older persons in Lagos State, Nigeria. Gender and Behaviour, 9(2), 4052–4071.
  4. Akoria, O. A. (2017). Establishing geriatric medicine in Nigeria: A personal experience. Annals of African Medicine, 16(1), 13–18.
  5. Akpunne, B. C. (2018). Socio-economic determinants of geriatric healthcare-seeking behavior in Lagos, Nigeria. International Journal of Science and Research, 7(9), 57–64.
  6. Andersen, R. (1968). A behavioral model of families' use of health services. Center for Health Administration Studies, University of Chicago.
  7. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.
  8. Assi, V., & Ukommi, A. (2018). Health practices and longevity: A study of the elderly in Akwa Ibom State, Nigeria. The Nigerian Journal of Sociology and Anthropology, 16(1), 253–262.
  9. Awoyemi, T. T., Obayelu, O. A., & Opaluwa, H. I. (2017). Factors determining the utilization of healthcare facilities in a semi-urban setting in Kwara State, Nigeria. Anthropological Researches and Studies, 7, 80–91.
  10. Chhetri, Y., Khatri, D., & Gahatraj, N. R. (2023). Health service utilization and its determinants among senior citizens in the semiurban area of Western Nepal: A cross-sectional study. Journal of Aging Research, 2023, Article 3655259. https://doi.org/10.1155/2023/3655259
  11. Edberg, M. C. (2007). Essentials of health behavior: Social and behavioral theory in public health. Jones & Bartlett Learning.
  12. Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., Conroy, S. P., Kircher, T., Somme, D., Saltvedt, I., Wald, H., O'Neill, D., Robinson, D., & Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, 2017(9), Article CD006211. https://doi.org/10.1002/14651858.CD006211.pub3
  13. Folorunsho, S. (2025). Aging, poverty, and healthcare access and affordability in Nigeria: Implications for policy. Public Health Challenges, 4(3), Article e70125. https://doi.org/10.1002/puh2.70125
  14. Gulliford, M., Figueroa-Muñoz, J., Morgan, M., Hughes, D., Gibson, B., Beech, R., & Hudson, M. (2002). What does “access to health care” mean? Journal of Health Services Research & Policy, 7(3), 186–188. https://doi.org/10.1258/135581902760082517
  15. Nnadi, H. C., Ossai, O. G., & Nwokocha, V. C. (2024). Urbanization factors and the vagaries of the rural health care industry in Nigeria: An analysis of the accessibility of healthcare services by older adults in the Nsukka Local Government Area. Humanities and Social Sciences Communications, 11, Article 1355. https://doi.org/10.1057/s41599-024-03799-4
  16. Oche, O. M., Ezenwoko, A. Z., Danmadami, A. M., Ahmadu, N. S., Salihu, A., & Muhammad, U. (2024). Assessment of health-seeking behaviour of the elderly in a rural community of Sokoto State, Nigeria. Central African Journal of Public Health, 10(1), 30–41. https://doi.org/10.11648/j.cajph.20241001.15
  17. Osuchukwu, N. C., Inde, M. U., Osuchukwu, E. C., Eko, J. E., O'Neill, M. E., Osonwa, O. K., & Ekpo, E. I. (2015). Determinants of health services utilization among the elderly in Calabar Municipality, Cross River State, Nigeria. European Journal of Preventive Medicine, 3(5), 129–136. https://doi.org/10.11648/j.ejpm.20150305.11
  18. Peters, M. I., & Udom, S. D. (2024). Determinants of healthcare services utilization among the elderly in Mbo Local Government Area of Akwa Ibom State, Nigeria. [Publication details not independently verified].
  19. Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433–440.
  20. Thompson, A. E., Anisimowicz, Y., Miedema, B., Hogg, W., Wodchis, W. P., & Aubrey-Bassler, K. (2016). The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC study. BMC Family Practice, 17, Article 38. https://doi.org/10.1186/s12875-016-0440-0
  21. Ujunwa, F. A., Onwujekwe, O., & Chinawa, J. M. (2014). Health services utilization and costs of the insured and uninsured under the formal sector social health insurance scheme in Enugu metropolis, South East Nigeria. Nigerian Journal of Clinical Practice, 17(3), 331–335. https://doi.org/10.4103/1119-3077.130235
  22. Wahab, E. O. (2013). Pension challenges facing the older persons in Nigeria. European Scientific Journal, 9(8). https://doi.org/10.19044/esj.2013.v9n8p%p
  23. World Health Organization. (2022). Ageing and health. World Health Organization.
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