Aging in place or aging out of place? Family caregivers' perspectives on care for older Pakistani migrants in Norway.

IF 3.7 2区 社会学 Q1 GERONTOLOGY European Journal of Ageing Pub Date : 2024-11-11 DOI:10.1007/s10433-024-00832-y
Sunita Shrestha, Sanjana Arora, Alistair Hunter, Jonas Debesay
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Abstract

The aging population in Europe is increasing, with growing ethnic diversity among older individuals due to migration. Public policies emphasize 'aging in place' to address financial challenges and reduce the burden on the healthcare system. However, research often overlooks the heterogeneity among older people, especially non-European migrants. Also, research on family caregivers' role in enabling 'aging in place' for older relatives with migrant backgrounds is limited, despite many older non-European migrants' preference for family care in comparison to long-term institutional care. This study aims to explore the experiences and perspectives of family caregivers in the context of formal and informal care and their preferences regarding the place of care for older family members with migrant backgrounds, particularly the Pakistani Ahmadiyya community in Norway. Eighteen semi-structured individual interviews and two group interviews were conducted in Urdu and English with nineteen female family caregivers of older relatives, ages 25-62, residing in Norway. The analysis yielded three main themes: (1) "Nursing homes are not for the ones who love their parents", (2) Preferences for home with the possibility of sharing care, and (3) Mismatch between family care needs and formal care. Family caregivers' perception of health services has a decisive impact on their older relatives' demand and use of formal health services, emphasizing the need for trust. Even though home care services were seen as a viable option, they should be adapted so that the family caregivers can use them and feel supported in enabling 'aging in place' for older migrants.

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老有所养还是老无所养?家庭照顾者对照顾挪威巴基斯坦老年移民的看法。
欧洲的老龄人口不断增加,由于人口迁移,老年人的种族多样性也日益增加。公共政策强调 "居家养老",以应对财政挑战并减轻医疗系统的负担。然而,研究往往忽视了老年人,尤其是非欧洲移民的异质性。此外,尽管许多老年非欧洲移民与长期机构护理相比更倾向于家庭护理,但有关家庭护理者在帮助有移民背景的老年亲属实现 "居家养老 "方面所起作用的研究却很有限。本研究旨在探讨家庭照顾者在正规和非正规照顾方面的经验和观点,以及他们对有移民背景的老年家庭成员的照顾场所的偏好,特别是挪威的巴基斯坦艾哈迈迪耶社区。研究人员用乌尔都语和英语对居住在挪威的十九位女性老年亲属家庭照顾者进行了十八次半结构化个人访谈和两次小组访谈,她们的年龄在25-62岁之间。分析得出了三大主题:(1)"养老院不适合爱自己父母的人";(2)倾向于可以共同护理的家庭;以及(3)家庭护理需求与正规护理之间的不匹配。家庭照顾者对医疗服务的看法对老年亲属对正规医疗服务的需求和使用有着决定性的影响,这强调了信任的必要性。尽管家庭护理服务被视为一种可行的选择,但仍应加以调整,以便家庭护理人员能够使用这些服务,并在实现老年移民 "居家养老 "的过程中感受到支持。
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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
期刊最新文献
Cohort and gender differences in the association between childlessness and social exclusion in old age. Prevention of frailty in relation with social out-of-home activities in older adults: results from the Survey of Health, Ageing, and Retirement in Europe. Aging in place or aging out of place? Family caregivers' perspectives on care for older Pakistani migrants in Norway. Job satisfaction declines before retirement in Germany. Cost-effectiveness analysis of the digital fall preventive intervention Safe Step among community-dwelling older people aged 70 and older.
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