Journal of Cross-Cultural Gerontology最新文献

Leisure is essential to support quality of life following retirement. In India, there is limited research on the leisure participation of older adults. In collective cultures such as India, family members may also influence older adults' leisure participation. Therefore, the present study aimed to understand the experiences and perspectives of Indian older adults and their family members regarding leisure participation following retirement. The present study used an interpretative phenomenological approach with in-depth interviews. The participants were eight dyads of older adults and their family members residing in Mumbai, an Indian metropolis. The findings suggest that older adults described activities that gave them satisfaction as leisure, such as preretirement hobbies, work-related activities, volunteering, and activities for and with family, including household chores. The study also identified personal, familial, and contextual factors influencing older adults' leisure participation. The findings of this study can inform the provision of contextually relevant interventions to support meaningful leisure participation in older adults and healthy aging.

Māori are the indigenous people of Aotearoa New Zealand. Cognitive Stimulation Therapy (CST) was initially developed in the UK, lacking in Māori cultural content and values. Cultural adaptation is needed to ensure Māori with dementia can benefit from this evidence-based treatment. This paper reports the outcome of a project aimed to adapt CST for Māori. We followed the five phases of international guidelines using the formative method for adapting CST to other cultures, including a critical cultural examination of the 18 CST principles. We piloted two CST-Māori programmes and collected pre- and post-outcome measures using the RUDAS and the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire. Written qualitative feedback was sought from participants and their family at the end of the CST-Māori programme. A total of 15 Māori (female: 53.3%) participated in the two programmes. Their mean age was 75.9 years (SD = 6.6) and mean baseline RUDAS scores was 17.7 (SD = 2.3). There was a statistically significant improvement in cognition (RUDAS: pre = 17.7, post = 19.4, p = 0.003) and in the WHOQOL subscales of physical (pre = 75.9, post = 88.5, p = 0.003), psychological (pre = 72.7, post = 81.3, p = 0.024) and environment (pre-80.6, post = 88.0, p = 0.006). Written feedback confirmed the acceptability of this culturally adapted programme by Māori living with dementia and their whanau (families). CST was successfully adapted for Māori with dementia. It is a culturally acceptable cognitive intervention and preliminary data confirmed the effectiveness of CST-Māori in improving cognition and quality of life.

Japanese people make up a small proportion of the population in Canada, and there are limited resources to meet their specific needs. Thus, older Japanese Canadians were particularly affected by disrupted support and service systems when COVID-19 public health orders were implemented. The objective of this study was to explore how Japanese older immigrants cultivated resilience in overcoming challenges during the COVID-19 pandemic and how a community service agency supported the process. In this qualitative study, seven community-dwelling Japanese older immigrants and five agency staff participated in semi-structured interviews. Interviews were thematically analyzed using a conceptual lens of resilience, which refers to the ability to survive and thrive in the face of adverse life experiences. Our analysis yielded three themes: (1) Challenges and concerns associated with digital literacy, English literacy, COVID-19, and the future; (2) Individual sources of physical, mental, and social resilience; and (3) Agency-supported sources of resilience that enable management of health, safety, and daily life, connection, and belonging. The findings advance our understanding of the ways in which older immigrants cultivate resilience in the face of adversity and how programs and services can help older immigrants cope with adversity to meet their needs. Implications for service provision include ensuring systems are in place to digitally connect older adults to programs, support home maintenance and housekeeping, and engage older adults in the development of new programs.

Nigeria's growing population of older adults and limited social security have continued to overstretch the informal care networks. More so, the alterations in the filial value for older adults in Nigeria have further threatened the availability and reliance on informal care arrangements. Exploring the experiences of rural-dwelling older adults on the availability of informal care is crucial in strengthening and sustaining the informal care system. Our study explored the perspective of older adults residing in rural parts of southeast Nigeria on their experiences with informal care. Data was collected using a qualitative phenomenological approach from 10 older adults aged 65 and above through semi-structured interviews. The data collected were coded inductively using NVivo 12 and analysed thematically. The findings of our study show that older adults preferred informal care because it provides a customised approach to care, especially in meeting dietary and medication needs. Issues such as economic hardship, declining filial value for older people, and migration of adult children were found to affect the provision of informal care to older adults in Nigeria. Thus, our study strongly recommends preserving filial values for older adults in Nigeria, improving and strengthening family-oriented care, establishing well-equipped and adequately funded care facilities for older adults in rural communities, and developing comprehensive social security for older adults in Nigeria.

Identify the association between multimorbidity and depressive symptoms (DS) with self-reported health (SRH) and life satisfaction in a national sample of Mexican ≥ 50 years older adults. Data are drawn from the Mexican Health and Aging Study (MHAS), a cross-sectional study conducted in 2018 involving 14,230 older adults aged 50 years and older living in urban and rural areas of Mexico. Depressive symptoms were measured using the Center for Epidemiological Studies depression scale (CES-D) and life satisfaction using the Life Satisfaction Scale (LSS), examined both as a categorical and continuous variable. Logistic and Poisson regression analyses were used to assess the association adjusting for confounders. The prevalence of multimorbidity was 25.8%. Age (≥ 65 years) was significantly associated with increased odds of fair/poor SRH [OR = 1.17 (95% CI 1.09-1.27)]. Older adults with multimorbidity and high DS were more likely to present fair/poor SRH [OR = 7.83 (95% CI 6.48-9.45)]. Older adults with multimorbidity and high DS were 37% [RR = 1.37 (95% CI 1.35-1.40)] more likely to present low life satisfaction than those that did not present multimorbidity. Multimorbidity and high DS were found to be associated with fair/poor SRH and low life satisfaction. The early identification of factors related to multimorbidity, DS, and low life satisfaction are important in order to reduce possible complications and improve quality of life.

Older people's immigration to a different country can place them in a vulnerable situation. Research on the legal rights and access to justice for older immigrants and immigrants with dementia seeking care and support is scarce in Finland. This study addresses this gap in the research and employs semi-structured qualitative interviews with professionals offering services to this target group. Inductive and deductive qualitative content analysis approaches were used to analyze the data. The themes created from the data were analyzed from the perspective of an Elder Law theory, namely, Doron's Multidimensional Model of Elder Law. According to the findings of this study, the major challenges to accessing care and support include linguistic barriers, lack of digital skills, lack of information and knowledge, loneliness, and cultural differences. Some of the strategies that can be adopted to address these challenges include developing culturally sensitive services, dissemination of information about the available services in different languages and employing more bilingual staff.

Parkinson's Disease (PD), the second most prevalent neurodegenerative disorder globally, often carries stigma for those affected; however, stigma's impact on PD caregivers is not well understood. This study investigates PD stigma and its interplay with cultural values, as well as explores the role of depressive symptomatology in shaping help-seeking attitudes among individuals with PD and the provision of support by PD caregivers. Using cross-sectional data collected from people living with PD and their caregivers, this study examines how adherence to Asian values influences the link between self-stigma and help-seeking tendencies in PD patients, as well as how affiliate stigma is linked to caregivers' willingness to help. Further, the mediational role of depression was explored. Among Chinese Parkinson's Disease (PD) patients, stronger adherence to Asian values heightens the negative effect of self-stigma on help-seeking from both professional and non-professional sources, with this process mediated by levels of depression. Similarly, caregivers exhibit the influence of affiliate stigma on help provision, which is accentuated by a higher adherence to Asian values; however, depression was not found to be a significant mediator in this context. This study underscores the need for culturally sensitive interventions tailored to Asian PD-affected families, highlighting its significance in both patient and caregiver contexts.

The older population is diversifying. Extensive research has shown the preference of older adults to age in place. Recent research shows that older migrants also prefer to age in place. However, not much is known about their reasons for doing so. Therefore, this paper focuses on older migrants who are ageing in placee and explores their home experiences both in the material and immaterial setting of home. In-depth interviews using photo-elicitation with older migrants (n = 23) from Limburg, Belgium were conducted. The results depart from older migrants' strong wish to age in place, which can be explained by the sense of familiarity the long-inhabited dwelling and neighbourhood provide, which concerns both a material and immaterial setting. However, the material setting of home can become a threat to ageing in place, as the interviews reveal, through physical obstacles and housing maintenance. Furthermore, the immaterial setting of home also comes into play as participants referred to their ethnic identity in discussing home experiences. The results further discuss the interrelatedness of material and immaterial settings of home. Interestingly, migration background did not always appear as relevant variable in older migrants home experiences. Instead, participants' interviews were more often imbued with age-related narratives. This shows the shifting influence of diverse variables (e.g. age, migration, gender), highlighting the importance of adopting an intersectional lens. Moreover, the results point to the dynamic nature of participants' sense of home, both in terms of 'age' (e.g. changing needs) and 'migration' (e.g. changing ethnic identity).

Life expectancy (LE) is a health indicator of a population's health and well-being. Modeling the trajectory of LE aligns with the objectives of Indonesia's Vision 2045 and Oman's Vision 2040. This study examines the influence of health status-resources (HSR), macroeconomic (ME), and sociodemographic (SD) factors on LE in Indonesia and Oman. These two nations navigate the challenges of the middle-income trap in the Organization of Islamic Cooperation. This study adopted a national-scale population-based approach that focuses on retrospective observations. We used partial least square structural equation models with World Bank data from 1980 to 2020 to analyze the relationship between the mentioned factors and the LE of Oman and Indonesia. For Indonesia's model, the results showed that ME has a total effect of β = 0.737 (p < 0.05) on LE, SD has a total effect of β = 0.675 (p < 0.05) on LE, and HSR has a total effect of β = 0.823 (p < 0.05) on LE. In Oman's model, ME has a total effect of β = 0.848 (p < 0.05) on LE, SD has a total effect of β = 0.755 (p < 0.05) on LE, and HSR has a total effect of β = 0.335 (p < 0.05) on LE. The findings underscore the need for policies that meld health and societal perspectives to improve public health in both nations. A shift in public health interventions and perceptions towards socioeconomic well-being and societal issues is pivotal for advancing LE growth, potentially steering these countries from the middle-income trap.