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The influence of religion and socio-economic status on coping with chronic diseases among older adults in Nigeria 宗教和社会经济地位对尼日利亚老年人应对慢性病的影响
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-11-14 DOI: 10.1080/15528030.2022.2143996
K. Mahmoud, C. Nwakasi, O. Oyinlola
ABSTRACT Although still regarded as a demographically young country, the increased life-expectancy in Nigeria has corresponded with increased rates of chronic diseases among older people. There is limited information about the strategies adopted by older people in dealing with chronic diseases. This study explored how religion and social support help older people cope with their chronic disease conditions, while accounting for the prevailing socio-cultural and economic circumstances in Nigeria. This qualitative study was conducted in two state-owned medical institutions, in a city in the North-Central part of Nigeria. In-depth interviews were conducted among 19 purposively selected chronically ill persons aged between 50 years and over, during clinic days, after receiving treatment from the medical doctors. Recurring themes include: ‘God as Bestower and Reliever,’ Disease as Frustration and Disruption,’ ‘Financial Strain and Drain,’ and ‘Times are Hard.’ The study revealed that religion is central to peoples’ understanding and acceptance of their chronic disease conditions as well as adherence to prescriptions. It also explored the dual burden of coping with chronic conditions as well as being financially responsible for themselves and their families. The study also highlighted the centrality of religion in understanding chronic conditions as well as adherence to physicians’ orders/prescriptions.
尽管尼日利亚仍然被认为是一个人口年轻的国家,但预期寿命的增加与老年人慢性病发病率的增加相对应。关于老年人在处理慢性病方面采取的战略的信息有限。这项研究探讨了宗教和社会支持如何帮助老年人应对慢性病,同时考虑到尼日利亚普遍的社会文化和经济环境。这项定性研究是在尼日利亚中北部一个城市的两家国有医疗机构进行的。在接受医生治疗后,在门诊期间对19名年龄在50岁及以上的慢性病患者进行了深入访谈。反复出现的主题包括:“上帝是赐予者和救济者”、“疾病是挫折和破坏”、“财政紧张和枯竭”以及“时局艰难”。研究显示,宗教是人们理解和接受慢性病的关键因素,也是人们遵医嘱服药的关键。它还探讨了应对慢性疾病以及为自己和家人承担经济责任的双重负担。该研究还强调了宗教在理解慢性疾病以及遵守医生的命令/处方方面的中心地位。
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引用次数: 0
A word from the editor 编辑的一句话
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-09-13 DOI: 10.1080/15528030.2022.2115659
J. Ellor
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引用次数: 0
Exploring the role of death and dying in shaping the identity of Hindu elderly people: a medico-religious approach 探索死亡和临终在塑造印度老年人身份中的作用:一种医学-宗教方法
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-08-18 DOI: 10.1080/15528030.2022.2114573
Renuka Singh
ABSTRACT This article specifically focuses on the dialectic of identity of elderly people in the context of religious, cultural, and medical epistemology of death and dying. By discussing traditional religious ideologies and contemporary medical practices appertain to death and dying, this article provides fresh insights into the discursive practices that shape elderly people’s sense of identity. This hermeneutic study explores the culture of medicalized death and spiritually oriented death in the philosophical framework of Hindu doxography which entails the process of shaping and making sense of identity of dying Hindu Elderly.
本文特别关注死亡与临终的宗教、文化和医学认识论背景下老年人身份的辩证法。通过讨论传统的宗教意识形态和当代医学实践与死亡和临终,本文提供了新的见解,塑造老年人的身份意识的话语实践。这一解释学研究探讨了医学死亡和精神导向死亡的文化,在印度文献的哲学框架中,这需要塑造和理解垂死的印度老人的身份。
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引用次数: 0
Does the intensity of religiosity and spirituality in later life improve mental well-being? Evidence from India 在以后的生活中,强烈的宗教信仰和灵性会改善心理健康吗?来自印度的证据
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-07-12 DOI: 10.1080/15528030.2022.2100560
Papai Barman, Amiya Saha, Manoj Dakua, Alok Roy
ABSTRACT The present study has investigated the multidimensional aspects of religion, spirituality, and mental well-being among Indian older adults in later life. After controlling for socioeconomic and health factors, it was found that those who practiced spirituality almost daily were 20% less likely to be depressed compared to their counterparts. Similarly, the adjusted likelihood of reported low cognitive functional health was less for those who almost daily practiced spirituality (OR = 0.82; p = <0.001) and religiosity (OR = 0.55; p = <0.001) compared to those who never practiced. However, religiosity and spirituality had significant effect on mental well-being. Further research is needed to elucidate these findings.
本研究调查了印度老年人在晚年生活中的宗教、灵性和心理健康的多维方面。在控制了社会经济和健康因素后,研究发现,那些几乎每天都进行精神练习的人比其他人抑郁的可能性低20%。同样,对于那些几乎每天都进行灵性练习的人来说,报告认知功能健康低下的调整可能性更小(OR = 0.82;p = <0.001)和宗教信仰(OR = 0.55;P = <0.001)。然而,宗教信仰和灵性对心理健康有显著影响。需要进一步的研究来阐明这些发现。
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引用次数: 5
A word from the editor 编辑的一句话
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-07-03 DOI: 10.1080/15528030.2022.2081297
J. Ellor
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引用次数: 0
The four-dimensional model of mindful sustainable aging: a holistic alternative 有意识的可持续老龄化的四维模型:一个整体的选择
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-06-09 DOI: 10.1080/15528030.2022.2083743
H. Nilsson
ABSTRACT This paper discusses a four-dimensional model of mindful sustainable aging (MSA) in the four biological, psychological, social, spiritual dimensions. The model is made up of eight components, activeness, bodily awareness, change processes, vigorousness, dynamism, mental alertness, social support and spiritual support. Modern western and traditional Buddhist notions of mindfulness/sati, and their utility in terms of improving the physical, mental and social lives of seniors, are explored, the uniqueness of MSA being in the provision of a construct that is more integrated, holistic, and multi-faceted than other current gerontological theories. This paper, by drawing attention to the four-dimensional MSA model, therefore attempts to demonstrate how mindfulness practices support these four dimensions (i.e., biological, psychological, social and spiritual dimensions).
摘要本文从生物、心理、社会、精神四个维度探讨了有意识的可持续老龄化(MSA)的四维模型。该模型由八个组成部分组成,即主动性、身体意识、变化过程、活力、动态性、精神警觉性、社会支持和精神支持。本文探讨了现代西方和传统佛教的正念/正念概念,以及它们在改善老年人身体、心理和社会生活方面的效用。与其他当前的老年学理论相比,MSA的独特性在于它提供了一个更综合、更全面、更多方面的结构。因此,本文通过对四维MSA模型的关注,试图证明正念练习如何支持这四个维度(即生物、心理、社会和精神维度)。
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引用次数: 1
The continuity of filial piety and its influence on the practice of eldercare institutions in Vietnam today – Through the case of eldercare institutions in Ho Chi Minh City 孝道的延续及其对当今越南养老机构实践的影响——以胡志明市养老机构为例
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-06-02 DOI: 10.1080/15528030.2022.2082625
C. T. Nguyen
ABSTRACT In Vietnam, under a population aging background, “elderly caregiver” is the prominent topic. Concerned with this, the traditional filial value has emerged. Traditionally, the filial piety profoundly influenced by agricultural tradition, Confucianism, Buddhism, has been the foundation of intergenerational bond and family-based eldercare. This paper’s goal is to explore how filial value has shaped eldercare culture, how its expressions have been expressed and how it has impacted the new type of elderly care institutions in Vietnam today. My findings revealed that filial piety has been persistently and profoundly remained. Based on this, although the care institutions began to be introduced and evaluated as necessary, their role is limited and subordinate. Accordingly, to consider the long-term elderly care system today in Vietnam, it is necessary to comprehensively explore the filial piety tradition. Through it, the family concept, the religious concept, the gender norm of Vietnamese people could be also observed.
在越南,在人口老龄化背景下,“老年人护理”是一个突出的话题。与此相关,传统的孝道价值观应运而生。传统上,孝道深受农业传统、儒家思想、佛教思想的影响,一直是代际纽带和家庭养老的基础。本文的目的是探讨孝道价值是如何塑造养老文化的,它的表达方式是如何表达的,以及它是如何影响越南今天的新型养老机构的。我的研究结果表明,孝道一直被持久而深刻地保留着。基于此,虽然护理机构开始作为必要的引入和评估,但它们的作用是有限的和从属的。因此,考虑今天越南的长期养老制度,有必要对孝道传统进行全面的探讨。通过它,也可以观察到越南人的家庭观念、宗教观念、性别规范。
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引用次数: 2
Subjective religiosity as resilience to stressful life events in middle-aged and older African Americans 主观宗教信仰对中老年非裔美国人压力生活事件的恢复力
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-05-31 DOI: 10.1080/15528030.2022.2082626
S. A. Brown, F. Floyd
ABSTRACT This study examined stressful life events, discrimination, and well-being among older African Americans. Through a risk and resilience framework we evaluate the role of subjective religiosity as a moderator. Stressful life events and discrimination represent a double jeopardy risk profile in which discrimination exacerbates the negative relationship between stressful life events and well-being. Subjective religiosity is a resilience resource that should buffer the effect of discrimination on the stress – well-being link. Stressful life events and discrimination predicted poorer well-being, discrimination exacerbated the negative effects of stressful life events on depression and life-satisfaction, but subjective religiosity reduced these effects.
本研究调查了老年非裔美国人的压力生活事件、歧视和幸福感。通过风险和弹性框架,我们评估了主观宗教信仰作为调节者的作用。压力生活事件和歧视表现出双重危险风险,其中歧视加剧了压力生活事件与幸福感之间的负相关关系。主观宗教信仰是一种弹性资源,可以缓冲歧视对压力-幸福感联系的影响。压力生活事件和歧视预示着较差的幸福感,歧视加剧了压力生活事件对抑郁和生活满意度的负面影响,但主观宗教信仰降低了这些影响。
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引用次数: 0
“People with faith-based objections might display homophobic behaviour or transphobic behaviour”: older LGBTQ people’s fears about religious organisations and staff providing long-term care “有信仰异议的人可能会表现出恐同行为或恐变性行为”:年长的LGBTQ人群对宗教组织和提供长期护理的工作人员的恐惧
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-05-02 DOI: 10.1080/15528030.2022.2070820
S. Westwood
ABSTRACT Older lesbian, gay, bisexual, trans and queer (LGBTQ) people are concerned that their needs will not be recognised, understood or met in older age care spaces. Some are especially worried about care provided by religious care organisations and/or staff with negative beliefs about LGBTQ people and their lives. While these issues have been raised at the margins of previous research, there has not, until now, been a study which has focussed upon them. This article reports on a recent UK preliminary scoping consultation research project, which explored older LGBTQ people’s views about possible care from religious organisations and/or carers. The findings highlight four key fears about: 1) inferior care quality; 2) a lack of affirmative, anti-oppressive care; 3) religious-based prejudice and discrimination; 4) religious conversion attempts. Each theme is considered in relation to social justice, i.e., equality of resources, recognition, representation, and relationality. The need for open dialogue and debate is highlighted and a research agenda is proposed. There is an urgent need to understand what happens in the delivery of care to LGBTQ people by religious care organisations and/or staff, place the concerns identified here in their proper context and determine the appropriate responses.
老年女同性恋、男同性恋、双性恋、跨性别和酷儿(LGBTQ)群体担心他们的需求在老年护理场所得不到认可、理解或满足。有些人尤其担心宗教护理机构和/或对LGBTQ人群及其生活持负面看法的工作人员提供的护理。虽然这些问题在以前的研究中被边缘化,但直到现在,还没有一项研究集中在它们上面。本文报道了最近英国初步范围咨询研究项目,该项目探讨了老年LGBTQ人群对宗教组织和/或护理人员可能提供的护理的看法。研究结果突出了四个主要的担忧:1)护理质量低下;2)缺乏积极的、反压迫性的关怀;3)基于宗教的偏见和歧视;4)企图改变宗教信仰。每个主题都与社会正义有关,即资源平等、承认、代表性和关系。会议强调了公开对话和辩论的必要性,并提出了一项研究议程。我们迫切需要了解宗教护理机构和/或工作人员在为LGBTQ人群提供护理的过程中发生了什么,将这里确定的问题置于适当的背景下,并确定适当的应对措施。
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引用次数: 0
Mindfulness meditation in residential aged care: what frail older people identified as beneficial for their spiritual care and well-being 居家老年护理中的正念冥想:体弱多病的老年人认为对他们的精神护理和福祉有益的东西
IF 1.1 Q1 Arts and Humanities Pub Date : 2022-04-25 DOI: 10.1080/15528030.2022.2068732
Beate Steller
ABSTRACT Spiritual care in Residential Aged Care (RAC) is primarily concerned with meaning-making and residents’ wellness. This qualitative study evaluated what older people living in RAC thought were the benefits of participating in a mindfulness meditation group and how it enhanced spiritual growth/wellbeing. Thirteen residents attended a six-week group program and were interviewed at the beginning and end of the program. Four (4) themes were identified: 1) meaningfully connecting and sharing, 2) providing a supportive and reflective space, 3) practising mindfulness-meditation and 4) practising and expressing gratitude. Findings inform the provision of better emotional/spiritual support and invite further research.
【摘要】寄宿老年护理(RAC)中的精神关怀主要关注意义的创造和居民的健康。这项定性研究评估了居住在RAC的老年人认为参加正念冥想小组的好处,以及它如何促进精神成长/健康。13名住院医生参加了一个为期6周的小组项目,并在项目开始和结束时接受了采访。我们确定了四个主题:1)有意义的联系和分享,2)提供一个支持和反思的空间,3)练习正念冥想,4)练习和表达感激。研究结果为提供更好的情感/精神支持提供了依据,并引发了进一步的研究。
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引用次数: 0
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Journal of Religion Spirituality & Aging
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