Search results for ‘Subject term:"older people"’ Sort:
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Ethnic elders
- Author:
- EBRAHIM Shah
- Journal article citation:
- British Medical Journal, 7.9.96, 1996, pp.610-612.
- Publisher:
- British Medical Association
The numbers of elderly people from ethnic groups within Britain is rising rapidly as postwar immigrants age. Ethnic elders face problems owing to age-associated increased risks of common chronic diseases, racial discrimination, and poor access to many health services and social services. This disadvantage will be alleviated through increased understanding of health beliefs held by ethnic elders and ensuring better access to services through mechanisms such as employment of more staff from ethnic minority groups in senior positions, better training of staff, and more appropriate and sensitive environments. The myths that family care is sufficient, that no use of services implies no need, and that assimilation into the majority population will occur must be discounted.
Multicultural health care and rehabilitation of older people
- Editor:
- SQUIRES Amanda
- Publisher:
- Edward Arnold,|Age Concern
- Publication year:
- 1991
- Pagination:
- 224p.,tables,bibliogs.
- Place of publication:
- Sevenoaks
Collection of papers examining the history and background of minority groups in Britain and identifying and discussing special issues for individual minority groups and for different disciplines within the health care professions including social work.
The black and ethnic minority elders in Britain: health needs and access to services
- Authors:
- GLENDENNING Frank, PEARSON Maggie
- Publisher:
- Health Education Authority
- Publication year:
- 1988
- Pagination:
- 72p., bibliog.
- Place of publication:
- London
Review of the major issues of health maintenance, promotion and response of services to the needs of elders from ethnic groups.
Negotiating candidacy: ethnic minority seniors' access to care
- Author:
- KOEHN Sharon
- Journal article citation:
- Ageing and Society, 29(4), May 2009, pp.585-608.
- Publisher:
- Cambridge University Press
The ‘Barriers to Access to Care for Ethnic Minority Seniors’ (BACEMS) study in Vancouver, British Columbia, found that immigrant families torn between changing values and the economic realities that accompany immigration cannot always provide optimal care for their elders. Ethnic minority seniors further identified language barriers, immigration status, and limited awareness of the roles of the health authority and of specific service providers as barriers to health care. The configuration and delivery of health services, and health-care providers' limited knowledge of the seniors' needs and confounded these problems. To explore the barriers to access, the BACEMS study relied primarily on focus group data collected from ethnic minority seniors and their families and from health and multicultural service providers. The applicability of the recently developed model of ‘candidacy’, which emphasises the dynamic, multi-dimensional and contingent character of health-care access to ethnic minority seniors, was assessed. The candidacy framework increased sensitivity to ethnic minority seniors' issues and enabled organisation of the data into manageable conceptual units, which facilitated translation into recommendations for action, and revealed gaps that pose questions for future research. It has the potential to make Canadian research on the topic more co-ordinated.
The effects of race and ethnicity on use of health services by older Americans
- Authors:
- LUM Yat-Sang, CHANG Hong Jer, OZAWA Martha N.
- Journal article citation:
- Journal of Social Service Research, 25(4), 1999, pp.15-42.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examines racial and ethnic differences in use of health services by white, African American and Hispanic elderly people. Results of the sample found that African American and Hispanic elderly were more likely to make physician visits, Hispanic elderly made more visits than white elderly. Results also found the effects of factors affecting use of health services varied by race and ethnicity.
Primary health care for elderly people from black and minority ethnic communities
- Author:
- PHAROAH Catherina
- Publisher:
- HMSO/Age Concern Institute of Gerontology
- Publication year:
- 1995
- Pagination:
- 153p.,tables,bibliog.
- Place of publication:
- London
Research study looking at the extent to which GPs address the particular needs of older people from black and minority ethnic communities.
Older migrants’ access to healthcare: a thematic synthesis
- Authors:
- ARORA Sanjana, et al
- Journal article citation:
- International Journal of Migration Health and Social Care, 14(4), 2018, pp.425-438.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to synthesise data from the existent literature on the experiences of non-western older migrants in Europe in accessing and using healthcare services. Design/methodology/approach: In total, 1,606 records were reviewed and 12 studies were selected. A thematic synthesis using Thomas and Harden’s approach was conducted. Findings: The findings resulted in the three overarching themes: traditional discourses under new circumstances; predisposed vulnerabilities of older migrants and the healthcare system; and the conceptualization of health and the roles of healthcare professionals. The authors found that older migrants’ experience of accessing healthcare is influenced by many factors, such as health literacy, differences in healthcare beliefs and language barriers, and is not limited to cultural and traditional discourses of care. Findings reveal that there is a limited body of knowledge on barriers experienced by older migrant women. Research limitations/implications: The geographical scope of the study and subsequent type of healthcare systems should be taken into account while understanding barriers to care. Another limitation is that although the authors studied different migrant groups, the authors synthesised barriers experienced by all. Future research could study migrants as separate groups to better understand how previous experiences with healthcare in their home country and specific social, cultural and economic circumstances shape them. Originality/value: This paper provides a synthesis of the experiences of migrants from non-western countries who moved to a host country with a very different language, culture and healthcare system. (Edited publisher abstract)
Correlates and predictors of psychological distress among older Asian immigrants in California
- Authors:
- CHANG Miya, MOON Ailee
- Journal article citation:
- Journal of Gerontological Social Work, 59(2), 2016, pp.77-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Psychological distress occurs frequently in older minority immigrants because many have limited social resources and undergo a difficult process related to immigration and acculturation. Despite a rapid increase in the number of Asian immigrants, relatively little research has focused on subgroup mental health comparisons. This study examines the prevalence of psychological distress, and relationship with socio-demographic factors, and health care utilisation among older Asian immigrants. Weighted data from Asian immigrants 65 and older from 5 countries (n = 1,028) who participated in the California Health Interview Survey (CHIS) were analysed descriptively and in multiple linear regressions. The prevalence of psychological distress varied significantly across the 5 ethnic groups, from Filipinos (4.83%) to Chinese (1.64%). General health status, cognitive and physical impairment, and health care utilisation are all associated (p < .05) with psychological distress in multiple linear regressions. These findings are similar to those from previous studies. The findings reinforce the need to develop more culturally effective mental health services and outreach programmes (Edited publisher abstract)
Revealing the shape of knowledge using an intersectionality lens: results of a scoping review on the health and health care of ethnocultural minority older adults
- Authors:
- KOEHN Sharon, et al
- Journal article citation:
- Ageing and Society, 33(3), 2013, pp.437-464.
- Publisher:
- Cambridge University Press
This paper uses an intersectionality theoretical lens to interrogate selected findings of a scoping review of published and grey literature on the health and health-care access of ethnocultural minority older adults. The review focuses on Canada and countries with similar immigrant populations and health-care systems (United Kingdom (UK), Australia, and New Zealand, and to a lesser extent, the USA). Approximately 3,300 source documents were reviewed covering the period 1980–2010: 816 met the eligibility criteria; 183 were Canadian. Summarised findings were presented to groups of older adults and care providers for critical review and discussion. This article discusses the extent to which the literature accounts for the complexity of categories such as culture and ethnicity, recognises the compounding effects of multiple intersections of inequity that include social determinants of health as well as the specificities of immigration, and places the experience of those inequities within the context of systemic oppression. The review found that Canada's two largest immigrant groups – Chinese and South Asians – had the highest representation in Canadian literature but, even for these groups, many topics remain unexplored and the heterogeneity within them is inadequately captured. Some qualitative literature, particularly in the health promotion and cultural competency domains, essentialises culture at the expense of other determinants and barriers, whereas the quantitative literature suffers from oversimplification of variables and their effects often due to the absence of proportionally representative data that captures the complexity of experience in minority groups. (Edited publisher abstract)
The influence of African American elders' belief systems on health interactions
- Author:
- BLACK Helen K.
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 31(3), July 2012, pp.226-243.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It has long been acknowledged that religious and spiritual beliefs have an effect on African-American health and well-being. This study investigated how African-American elders' cultural and religious belief systems informed elders' perceptions of their healthcare encounters, quality of healthcare received and, relationships with providers. Interviews were held with 60 African American elders, 60 years and older, in a north-eastern city. Open-ended interview questions concerned elders' perceptions of how their age, gender, race, and belief systems impacted quality of healthcare interactions. Three interrelated themes linked elders' responses: desire for connectedness; sense of marginality; and reliance on God and cultural traditions. The authors highlight the value of social workers designing assessments, programmes, and interventions that qualitatively explored African American elders' beliefs. Implications for future social work practice are discussed.