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A rewarding retirement: notes from an assembly of older BME people
- Author:
- MAWHINNEY Phil
- Journal article citation:
- Runnymede Bulletin, 368, Winter 2011, pp.9-10.
- Publisher:
- Runnymede Trust
As part of a 3-year programme of research into financial inclusion and older BME people, Runnymede brought together 50 older people from a range of ethnic backgrounds to share their knowledge and concerns on retirement. This article provides an overview of some of the issues, which include: poverty; the issue of not being eligible for a full state pension when returning to their country of birth on retirement; and the concern felt for younger generations facing high rates of unemployment.
Access for BME older people in multi-ethnic Britain
- Author:
- REYNOLDS Tracey
- Journal article citation:
- Runnymede Bulletin, 368, Winter 2011, p.18.
- Publisher:
- Runnymede Trust
Recent interviews with BME older people revealed a perceived inequality in the provision of social care in Lewisham. This article introduces the Access for BME Elders Project, a partnership between London South Bank University and Age Concern Lewisham and Southwark (ACLS), which will qualitatively investigate the type and nature of statutory and voluntary care services accessed by BME older people over 65 living in Lewisham and Southwark. It also notes that income poverty and the resulting limited mobility is an issue affecting many BME older people in these boroughs.
Over- and under-diagnosis of dementia in ethnic minorities: a nationwide register-based study
- Authors:
- NIELSEN T. R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(11), November 2011, pp.1128-1135.
- Publisher:
- Wiley
Professionals in several European countries have suggested that dementia is under-diagnosed and under-treated to a greater extent among ethnic minorities than the native population. This study compared the prevalence of register-based dementia diagnoses in the largest ethnic minority groups in Denmark with the prevalence of register-based dementia diagnoses in the general Danish population. Linking the Danish hospital registers with the Danish Civil Registration System, made it possible to identify dementia cases for three main ethnic minorities (ex-Yugoslavia, Turkey and Pakistan). Age- and gender-specific prevalence rates were calculated. The study population consisted of 68219 persons aged 20 and older. A total of 174 dementia cases were identified, with a mean age at diagnosis of 57.7 years. Compared to the general population, there was a higher prevalence of dementia among those below 60 years, and a markedly lower prevalence among those 60 years and older. The authors conclude that dementia is, as hypothesised, under-diagnosed to a greater extent among ethnic minorities in the age group 60 years and older but note that it is over-diagnosed in younger age group. They suggest factors that may contribute to this pattern, including cultural differences in help-seeking behaviour, and problems in navigating the health-care system. It is also noted that cross-cultural assessment of dementia can be difficult because of language barriers and cultural differences.
A guide for service providers on service provision for black and minority ethnic (BME) older people
- Author:
- EQUALITY SCOTLAND. Older People Services Development Project
- Publisher:
- Equality Scotland
- Publication year:
- 2011
- Pagination:
- 26p.
- Place of publication:
- Edinburgh
Service providers are dealing with a greater number of older black and minority ethnic (BME) people than ever before. The purpose of this guide is to show organisations providing services to the public how to instil best practice among staff and volunteers dealing with people from BME backgrounds. It aims to set out a framework for improving service provision, to provide advice on how to engage effectively with people from BME backgrounds, and to establish guidelines on how to instil good practice within an organisation. The guide explains why and where barriers exist in service provision for BME people, specifically looking at the issues of language, fear of authority, reliance of family members, and community networks. Establishing good practice within an organisation providing a service to the public requires: a thorough understanding of issues affecting older BME people; a commitment to change; regular and open-minded consultation with key stakeholder groups; widespread communication of standards and goals; regular performance monitoring; and regular and rigorous staff training. The guide concludes with a list of key recommendations for service providers.
The third-age African American seniors: benefits of participating in senior multipurpose facilities
- Authors:
- TAYLOR-HARRIS Davette, ZHAN Heying Jenny
- Journal article citation:
- Journal of Gerontological Social Work, 54(4), May 2011, pp.351-371.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Senior multipurpose facilities provide a wide range of services and activities for older adults including creative arts, exercise classes, recreation, nutritional meals, information and referrals, and paid work and volunteer opportunities. This purpose of this study was to examine the contexts and benefits of African American seniors' participation in multipurpose facilities. The research site was the Adell O. Stone Senior Multipurpose facility located in Atlanta, Georgia. Qualitative data was collected from 15 in-depth participant interviews, an interview with the multipurpose coordinator of the facility, and 6 months of on-site participant observations. The research revealed the physical, emotional, and social benefits that African American seniors reported as a result of their participation in various activities offered in the facility. The study presents a social context in which African American seniors constructed their new third age identities that is different from the wide-spread negative images depicted by the mainstream about this minority group. The policy implications of this research are discussed.
An interdisciplinary outreach model of African American recruitment for Alzheimer's disease research
- Authors:
- WILLIAMS Monique M., et al
- Journal article citation:
- Gerontologist, 51(S1), June 2011, pp.S134-S141.
- Publisher:
- Oxford University Press
The African American Outreach Satellite provides educational outreach to facilitate African American recruitment for longitudinal studies at the Washington University Alzheimer's Disease Research Center. This article describes its recruitment methods and strategic plan for community engagement, which included social marketing, training for health care providers, outreach literature and use of media. It discusses implementation of the plan and sets out the results of outreach and recruitment activities. It notes that following implementation of the recruitment initiative the number of African American participants in ADRC supported activities has increased considerably, and that establishment and maintenance of successful community partnerships is an essential component of effective African American outreach and recruitment efforts.
Recruitment and retention strategies among older African American women enrolled in an exercise study at a PACE program
- Authors:
- SULLIVAN-MARX Eileen M., et al
- Journal article citation:
- Gerontologist, 51(S1), June 2011, pp.S73-S81.
- Publisher:
- Oxford University Press
PACE (Program for All-Inclusive Care of Elders) is a US model of care for older people. The aim of this study was to examine the use of specific recruitment and retention strategies in a study evaluating outcomes of an exercise programme for older African American women with functional impairments who were members of a PACE, through which they were eligible for nursing home level of care while living at home in the community with family or other support. The strategies focused on partnership between researchers and participants, partnership between researchers and clinicians, overcoming administrative issues, and reducing burden on clinicians and participants. The exercise protocol consisted of strength and endurance activity 2 to 3 times a week for 16 weeks. The article reports on recruitment and retention methods used and the results of the study, including characteristics of completers and non-completers of the exercise programme and satisfaction outcomes. The project enrolled 52 women and 37 (71.2%) of them completed the exercise programme. The authors discuss the challenges of engaging frail older adult adults in exercise as a life habit and the need for a systematic team approach that includes rigorous processes and evaluation.
Building a registry of research volunteers among older urban African Americans: recruitment processes and outcomes from a community-based partnership
- Authors:
- CHADIHA Letha A., et al
- Journal article citation:
- Gerontologist, 51(S1), June 2011, pp.S106-S115.
- Publisher:
- Oxford University Press
In this article, the authors describe recruitment strategies for increasing older black and minority adults' participation in health research through health educational community outreach. The study used a community-based participatory research framework and examined a community-based partnership between academic researchers and older urban African-Americans. The recruitment activities were in the context of the Healthier Black Elders Center (part of the Michigan Center for Urban African American Aging Research, which provides community outreach health education to older African American residents of inner-city Detroit), and recruitment to a research volunteer registry. The article discusses the study's retrospective case design and methodology, evaluation of the recruitment process, procedures for building a registry of research volunteers, and the annual total of elderly enrollees in the volunteer registry from 2003 to 2009. It includes a logic model illustrating the recruitment processes and outcomes. The results showed that the annual total count of enrollees participating in the research volunteer registry grew each year over 7 years, increasing from 102 to 1,273.
Attempts to reach the oldest and frailest: recruitment, and adherence, and retention of urban elderly persons to a falls reduction exercise program
- Authors:
- STINEMAN Margaret G., et al
- Journal article citation:
- Gerontologist, 51(S1), June 2011, pp.S59-S72.
- Publisher:
- Oxford University Press
The Exercise and Training in Aging (EXTRA) protocol development study aimed to design a culturally appropriate intervention for elderly, mostly African American urban residents who suffered a fall of sufficient severity to need an emergency department visit. EXTRA included 2 elements: an intervention to reduce the risk of falls, and an intervention to increase adherence and retention, tailored to the socioeconomic, cultural and ethnic characteristics of the target community. This article describes the recruitment and retention of people aged 65 years and older from Philadelphia, and their adherence to the on-site and at-home components of an exercise programme, in a randomised controlled trial. Participants were taught exercises during on-site group classes and encouraged to continue exercising at home and to attend additional on-site classes. Trained community interventionists recruited from participants' neighbourhoods acted as primary contacts for participants, served as coaches, and made weekly phone calls to encourage participants. The article reports on the findings concerning adherence to on-site and at-home components. Adherence was better for the on-site than for the home-based exercise component. Living alone was a strong positive motivating factor to participation and depressed mood was a negative factor. The authors note that although it was possible to recruit and retain participants through development of a culturally appropriate protocol, the process was challenging and resource intensive.
The relationships between major lifetime discrimination, everyday discrimination, and mental health in three racial and ethnic groups of older adults
- Authors:
- AYALON Liat, GUM Amber
- Journal article citation:
- Aging and Mental Health, 15(5), July 2011, pp.587-594.
- Publisher:
- Taylor and Francis
This paper examined the relationship between exposure to discrimination and mental health in three racial groups in the United States. Data from the Health and Retirement Study identified 6,455 White, 716 Latino, and 1,214 Black participants who completed a self-report psychosocial questionnaire in 2006. Thirty per cent of the general population and 45% of Blacks reported at least one type of discrimination. Latinos were significantly less likely to report any everyday discrimination. Blacks reported the greatest frequency of everyday discrimination. Whites reported the highest levels of life satisfaction and the lowest levels of depressive symptoms. Relative to major lifetime discrimination, everyday discrimination had a somewhat stronger correlation with mental health indicators. The relationships between discrimination and mental health outcomes were stronger for White compared to Black older adults. While Black older adults experience the greatest number of discriminative events, they experienced weaker associated mental health outcomes; perhaps because they had become accustomed to these experiences or benefited from social or cultural resources that serve as buffers