Background: The recent decline in mortality, increase in life expectancy and technological and scientific advancements have led to an increasingly ageing population. About 727 million people globally were aged 65 or more in 2020, and 1 in 6 people will be age 65 years or above by 2050. About 7% of Ghana’s population was over 60 years in 2010, and projected to be 12% by 2050. However, the aged are confronted with degenerative conditions that translate into difficulty with mobility. The study was conducted to investigate the difficulty with mobility among the aged in Ghana. Methods: The study utilised a cross-sectional dataset of the 2014/2015 (wave 2) Study on Global Ageing and Adult Health and included 1,848 participants aged ≥50 years. The survey command was applied to adjust for sampling biases and the design of the study. At 5% alpha level, a chi-square test of independence was conducted to determine the association between dependent and independent variables. At 95% confidence interval and 5% alpha level, three-level multilevel logistic regression models were performed. The fixed-effects were presented in odds ratio and the random effects were presented using the Intra-Class Correlation. All analysis were performed using STATA statistical software version 16.0. Results: Out of the 1,848 participants, 62.3% had difficulty with mobility. Additionally, age (80 and above) [AOR=4.70, 95%CI=2.34 – 9.43], difficulty performing household activities [AOR=6.96, 95%CI=5.03 – 9.64], experiencing bodily pains [AOR=3.21, 95%CI=1.81 – 5.60] and bodily discomfort [AOR=3.39, 95%CI=1.91 – 5.99] and difficulty with vision [AOR=1.70, 95%CI=1.18 – 2.43] had higher odds of difficulty with mobility. However, engaging in vigorous activities [AOR=0.44, 95%CI=0.32 – 0.63] and having good health [AOR=0.41, 95%CI=0.19 – 0.88] were protective of difficulty with mobility. Conclusion:  The study concludes that the aged in Ghana had higher prevalence (62.3%) of difficulty with mobility which is associated with age (80 and above), difficulty performing household activities, bodily pains and discomfort, and difficulty with vision. This suggests the need to provide support and assistive devices for the aged and provide geriatric care including recreational fields and care homes to address the health and physical needs of the aged in Ghana

Background About 23.5% and 13.2% of female and male students respectively ever attempted suicide in 2017 in Bolivia. The annual prevalence of drugs usage such as marijuana has increased in Bolivia. Studies have highlighted that substance abuse correlates with suicidal behaviours. The association between drug use and suicidal behaviour is less explored in Bolivia. This study aimed at investigating the association between drug use and suicidal behaviour among in-school students in Bolivia. Methods The study relied on a dataset obtained from the 2018 Bolivian Global School-Based Student Health Survey (BGSHS). The survey followed a two-stage cluster sampling procedure and in all, a total of 7,931 in-school students were interviewed yielding a response rate of 79%. However, this study was restricted to 4,684 in-school students who have complete data about variables of interest analysed in the study. Suicidal behaviour and drug use were the outcome variable and main explanatory variables, respectively. At 95% confidence interval, two models were built using logistic regression. Model I assessed the association between the outcome variable and the main explanatory variable and Model II controlled the influence of covariates on suicidal behaviour. The results for Model II were presented in adjusted Odds Ratio (aOR). Results Generally, 17% (weighted N = 813; CI = 0.16–0.18) of students indulged in suicidal behaviour. Inferentially, those who ever used drugs were over two-fold likelihood to indulge in suicidal behaviour compared with those who were not on drugs in the unadjusted model [OR = 2.59, CI = 2.08–3.21] and this persisted in the adjusted model [aOR = 1.52, CI = 1.07–2.17]. Females [aOR = 3.02, CI = 2.51–3.63], those whoever had difficulties sleeping [aOR = 2.23, CI = 1.70–2.89], ever used alcohol [aOR = 1.57, CI = 1.30–1.90] and whose parents go through their things [aOR = 1.48, CI = 1.24–1.76] had higher odds of suicidal behaviour. The likelihood of suicidal behaviour reduced among those whose parents understand their problem [aOR = 0.55, CI = 0.45–0.68] and know their free time [aOR = 0.62, CI = 0.50–0.78] or were not bullied [aOR = 0.57, CI = 0.47–0.68]. Conclusion The study revealed that drugs use was associated with suicidal behaviour among in-school students in Bolivia. Other findings were that alcoholism, poor parental concern, bullying and having a history of physical attacks were associated with suicidal behaviour. The Government of Bolivia through its law enforcement agencies should strengthen their strategies targeted at controlling drug usage among in-school students. Parents should extend emotional support and care to in-school students so that their wards can properly cope and manage their emotional challenges appropriately.