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Building a social support network for informal caregivers of older adults: A case study of Carer Cafés in Hong Kong 为长者非正式照顾者建立社会支持网络:香港照顾者咖啡厅个案研究
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-01-24 DOI: 10.1016/j.jaging.2025.101310
Ka-yi Fung , Wing-sun Chan
This study addresses the social care issue of supporting older adults' informal caregivers at the community level. It assesses how community café initiatives, particularly the Carer Café project by the Hong Kong Federation of Women's Centres (HKFWC), develop support networks and enable access to embedded social capital. Utilizing the organizational brokerage model, this research analyzes the network characteristics formed around informal caregivers within the café. This qualitative study employs individual in-depth interviews, focus groups, and observations to collect data. We interviewed 26 informants and observed the operation of five Carer Cafés. Key findings indicate that support networks are deeply integrated with the organization's norms, influencing social interactions in terms of frequency, duration, outward focus, and collaboration. Caregivers benefit from various forms of social capital derived from the Carer Café's networks, which provide enduring support beyond the café setting. While the support networks have extended to the community, they remain embedded in the organization. This embeddedness helps staff take note of caregivers' situations and facilitates the flow of assistance from organizations to caregivers. The study highlights the importance of organizational embeddedness in shaping support networks, offering insights for improving caregiver services and informing policy development.
本研究探讨社区层面老年人非正式照护者的社会关怀问题。报告评估了社区咖啡馆活动,特别是香港妇女中心联会(HKFWC)的“照顾咖啡馆”项目,如何发展支持网络,并使人们能够获得嵌入的社会资本。本研究运用组织中介模型,分析了咖啡馆内非正式照顾者所形成的网络特征。本定性研究采用个人深度访谈、焦点小组和观察来收集数据。我们采访了26名举报人,并观察了5个护理中心的运作情况。主要研究结果表明,支持网络与组织规范深度整合,在频率、持续时间、外向焦点和协作方面影响社会互动。照顾者受益于从照顾者咖啡馆网络中获得的各种形式的社会资本,这些社会资本提供了咖啡馆环境之外的持久支持。虽然支持网络已扩展到社区,但它们仍然嵌入在组织中。这种嵌入性有助于员工注意到照顾者的情况,并促进从组织到照顾者的援助流动。该研究强调了组织嵌入性在形成支持网络方面的重要性,为改善护理服务和为政策制定提供信息提供了见解。
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引用次数: 0
On personhood in residential and long-term care centres 关于住宿和长期护理中心的人格
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-01-11 DOI: 10.1016/j.jaging.2025.101308
Eric Gagnon , Romane Marcotte
For many years, there has been a great deal of discussion about “personhood” in healthcare, particularly in long-term care. Intervention programs are designed to be person-centered. The quality of care and services is measured in terms of respect for the person. But what exactly does this concept mean? Drawing on ethnographic research conducted in long-term care facilities, we will examine four main meanings given by the caregivers and the residents to the word of personhood (the autonomous person, the vulnerable person, the unique person, and the good person) and how these meanings are expressed in behaviors and care. More specifically, we will focus on how the idea of personhood brings together broader values and its ethical dimensions. The goal of this study is to contribute to the understanding of the concept of personhood in contemporary western societies.
多年来,在医疗保健领域,特别是在长期护理领域,关于“人格”的讨论很多。干预方案的设计以人为本。护理和服务的质量是根据对人的尊重来衡量的。但是这个概念到底是什么意思呢?根据在长期护理机构中进行的民族志研究,我们将研究护理者和居民对人格这个词的四种主要含义(自主人,弱势人,独特人,好人)以及这些含义如何在行为和护理中表达。更具体地说,我们将关注人格的概念如何将更广泛的价值观及其伦理维度结合在一起。本研究的目的是促进对当代西方社会人格概念的理解。
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引用次数: 0
Priests aging well: The role of gerotranscendence and its relationships with perceived health status, and life satisfaction among Catholic priests 神职人员的长寿:天主教神职人员的长者超越作用及其与感知健康状况和生活满意度的关系
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-01-07 DOI: 10.1016/j.jaging.2024.101301
Jordan Orbe , Michiko Iwasaki , Anthony Isacco , Carolyn McNamara Barry , Molly Quigley , John Dimoff
Aging in the priesthood presents unique challenges in America. Due to the declining number of priests serving the growing U.S. Catholic population, many older priests delay retirement and continue to work while dealing with various physical, mental, and emotional challenges associated with aging. The present study examined predictors of life satisfaction in aging priests, using a combination of established predictors (age, spiritual transcendence, overall health) and three novel predictors corresponding to the three domains of gerotranscendence (cosmic, coherence, solitude) set out by Tornstam (1989, 2005). Survey data collected from 201 ordained Roman Catholic senior priests (between ages 50–93) revealed high levels of life satisfaction and satisfaction that was positively correlated with age, spiritual transcendence, and self-rated health. In addition, the combination of gerotranscendence predictors explained a statistically significant amount of the variance in life satisfaction, even when controlling for age, spiritual transcendence, and overall health. The coherence domain of gerotranscendence outperformed all other predictors in our model, suggesting that this may be an especially salient predictor of life satisfaction in aging priests. The present study lends support to the application of gerotranscendence when examining the wellbeing of older priests. Interventions aimed at fostering gerotranscendence appear crucial for enhancing priests' life satisfaction throughout their lives.
在美国,神职人员的老龄化带来了独特的挑战。由于为不断增长的美国天主教徒服务的牧师人数减少,许多年长的牧师推迟退休,继续工作,同时处理与衰老有关的各种身体,精神和情感挑战。本研究考察了老年牧师生活满意度的预测因素,使用了已建立的预测因素(年龄、精神超越、整体健康)和三个新的预测因素,这些预测因素对应于Tornstam(1989,2005)提出的老年超越的三个领域(宇宙、一致性、孤独)。从201位被任命的罗马天主教高级神父(年龄在50-93岁之间)中收集的调查数据显示,生活满意度和满意度与年龄、精神超越和自评健康呈正相关。此外,即使在控制年龄、精神超越和整体健康的情况下,老年超越预测因子的组合也解释了生活满意度在统计上的显著差异。在我们的模型中,年龄超越的相干域优于所有其他预测因子,这表明这可能是老年牧师生活满意度的一个特别显著的预测因子。目前的研究提供支持的应用老年超越时,检查福利的老牧师。旨在促进长者超越的干预措施似乎对提高牧师一生的生活满意度至关重要。
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引用次数: 0
Exploring sexual liberation in middle age: An intersectional analysis of homosexual women in Jackie Kay's short stories 探索中年性解放:对杰基短篇小说中同性恋女性的交叉分析
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-01-06 DOI: 10.1016/j.jaging.2025.101307
Verónica Vizcaíno
The aging experiences of non-heterosexual women are frequently overlooked and undervalued in contemporary society. Consequently, the prevailing perception of middle-aged women predominantly revolves around their roles as heterosexual partners or mothers. As a result, some homosexual women may feel compelled to conceal their sexual orientation, only revealing their identity later in life as they age. Researchers are increasingly moving beyond simplistic notions of aging and adopting an intersectional approach to explore the complex relationship between aging, gender, and sexuality, enabling a deeper understanding of the intricate dynamics of social division and identity (Almack et al., 2020). However, the majority of women's aging narratives primarily assume heterosexuality, creating a significant research gap and hindering our understanding of how patterns of successful aging may diverge among lesbian adults (Cruikshank, 2013; Van Wagenen et al., 2013).
This paper explores the intersection of sexuality, gender, and aging in homosexual women through an analysis of three short stories by the prominent Scottish writer Jackie Kay: “Physics and Chemistry” (2002), “Grace and Rose” (2012), and “The First Lady of Song” (2012). These stories contemplate the aging journey as a challenging but liberating process, where five protagonists embrace their sexual orientation in their middle age, boldly claiming their place in a society that excludes them. Framed within the interdisciplinary field of aging studies, this paper offers an intersectional analysis of these three fictional narratives. By delving into these stories, the study aims to deepen our comprehension of the challenges homosexual women face as they navigate the aging process, underscoring the need for a greater recognition of their experiences.
非异性恋女性的衰老经历在当代社会经常被忽视和低估。因此,对中年妇女的普遍看法主要围绕着她们作为异性伴侣或母亲的角色展开。因此,一些女同性恋者可能会被迫隐瞒自己的性取向,只有当她们变老时才会暴露自己的身份。研究人员越来越多地超越简单的老龄化概念,采用交叉方法探索老龄化、性别和性行为之间的复杂关系,从而更深入地了解社会分裂和身份的复杂动态(Almack et al., 2020)。然而,大多数女性的衰老叙事主要假设是异性恋,这造成了一个重大的研究空白,阻碍了我们对女同性恋成年人成功衰老模式的理解(Cruikshank, 2013;Van Wagenen et al., 2013)。本文通过对苏格兰著名作家杰基·凯的三篇短篇小说《物理与化学》(2002)、《格蕾丝与玫瑰》(2012)和《第一夫人之歌》(2012)的分析,探讨了同性恋女性在性、性别和衰老方面的交集。在这些故事中,五个主人公在中年时接受了自己的性取向,大胆地在一个排斥他们的社会中主张自己的地位,把衰老的旅程看作是一个充满挑战但又解放的过程。在老龄化研究的跨学科领域内,本文对这三种虚构的叙事进行了交叉分析。通过深入研究这些故事,这项研究旨在加深我们对同性恋女性在衰老过程中面临的挑战的理解,强调有必要更多地认识到她们的经历。
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引用次数: 0
Introduction to special edition: Gender and sexual aging in the history and culture of health and medicine 介绍特别版:性别和性老龄化的历史和文化的健康和医学
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.jaging.2024.101306
Alison Downham Moore , Sarah Lamb
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引用次数: 0
Climate transition and climate adaptation: The experiences of older immigrants from the former Soviet Union in Israel 气候转型与气候适应:前苏联老年移民在以色列的经历
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-12-17 DOI: 10.1016/j.jaging.2024.101304
Natalie Ulitsa, Liat Ayalon
Although immigrant adjustment has been widely studied, the impact of climate and environmental changes on immigrants' experiences, particularly among older immigrants, has received less attention. Older immigrants are especially vulnerable due to challenges arising from the intersection of advanced age and immigrant status, challenges that are further compounded by global climate change. This study addresses this gap by exploring the retrospective experiences and current perceptions of older immigrants from the Former Soviet Union (FSU) in Israel, focusing on their climate transition and adaptation processes. Drawing on the life course perspective and intersectionality approach as key theoretical frameworks, the study examines how past experiences and intersecting social identities influence adaptation to new climatic conditions and natural environment.
We employed a qualitative methodology, utilizing semi-structured interviews and focus groups with 28 older Israeli immigrants from the FSU who arrived in Israel during the 1990s. Thematic content analysis revealed three key themes: 1) the experience of climate transition upon initial arrival in Israel and over time; 2) nostalgia for the climatic and environmental conditions of the FSU; and 3) strategies for acclimating and finding comfort in the new climatic and natural environment of Israel.
The findings highlight the diverse and complex nature of climate transition experiences among older immigrants, shaped by various psychosocial factors. These insights emphasize the need for tailored support to assist older immigrants in adapting to new climate conditions, which is crucial as global climate change continues to impact vulnerable populations.
尽管移民适应已被广泛研究,但气候和环境变化对移民经历的影响,特别是对老年移民的影响,却很少受到关注。老年移民尤其容易受到高龄和移民身份交叉带来的挑战的影响,而全球气候变化进一步加剧了这一挑战。本研究通过探索以色列前苏联(FSU)老年移民的回顾性经历和当前看法,重点关注他们的气候转型和适应过程,解决了这一差距。该研究以生命历程视角和交叉性方法为关键理论框架,探讨了过去的经历和交叉的社会身份如何影响对新气候条件和自然环境的适应。我们采用了一种定性方法,利用半结构化访谈和焦点小组对28名来自FSU的20世纪90年代抵达以色列的年长以色列移民进行了调查。主题内容分析揭示了三个关键主题:1)初到以色列时和随着时间的推移气候转变的经验;2)怀念前苏联的气候和环境条件;3)适应和适应以色列新气候和自然环境的策略。研究结果强调了老年移民的气候转变经历的多样性和复杂性,受到各种社会心理因素的影响。这些见解强调了有必要为老年移民提供量身定制的支持,以帮助他们适应新的气候条件,这在全球气候变化继续影响弱势群体的情况下至关重要。
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引用次数: 0
I care a lot: A political economic approach to aging 我很关心:老龄化的政治经济方法
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-12-16 DOI: 10.1016/j.jaging.2024.101303
Elif Çevik , Orhan Çevik
In this scholarly investigation, the discourse revolves around the phenomenon of aging, a salient concern within the realm of social policy and social services, as elucidated through the portrayal of older individuals in the films I Care a Lot, I, Daniel Blake, Lun Lok Yan, and Bizi Hatırla. Employing a qualitative research approach, the study's research design was structured as a case study, with the thematic content analysis method being employed for data examination. The underpinning theoretical framework of this research hinged upon Carroll Estes' political economy model. This comprehensive model scrutinizes the overarching concept of aging on a macroscopic scale, delving into its ideological, state-related, gender-based, post-industrial capitalist, and globalized dimensions, while concurrently delving into the interwoven systems of subjugation at a micro level, which encompass class, race/ethnicity, gender, and citizenship. Primarily, the study delves into aging and its multifaceted dimensions, encompassing demographic, societal, and historical facets. Subsequently, it elucidates the challenges that manifest during the aging process and elucidates prominent social theories pertaining to older people. The political economy theory, coupled with Estes' model, is elaborated upon expansively. The concluding segment, centered on film analysis, subjects the selected film to a detailed examination, aligning with five research inquiries fashioned in consonance with the aforementioned theoretical framework. The findings thus gleaned evinced a congruence between the cinematic portrayal of aging experiences and the precepts of the political economy theory, thus lending support to Estes' perspectives.
在这一学术研究中,论述围绕着老龄化现象展开,老龄化是社会政策和社会服务领域的一个突出问题,正如电影《我很关心》、《我》、《丹尼尔·布莱克》、《伦洛克严》和《比兹Hatırla》中对老年人的刻画所阐明的那样。本研究采用定性研究方法,研究设计为个案研究,数据检验采用专题内容分析法。本研究的基础理论框架依赖于卡罗尔·埃斯蒂斯的政治经济学模型。这个综合模型在宏观尺度上审视了老龄化的总体概念,深入研究了其意识形态、国家相关、基于性别、后工业资本主义和全球化的维度,同时在微观层面上深入研究了交织在一起的征服系统,包括阶级、种族/民族、性别和公民身份。首先,该研究深入研究了老龄化及其多方面,包括人口、社会和历史方面。随后,它阐明了在老龄化过程中出现的挑战,并阐明了与老年人有关的重要社会理论。结合埃斯蒂斯的模型,对政治经济学理论进行了广泛的阐述。结论部分,以电影分析为中心,对选定的电影进行详细的检查,与上述理论框架一致的五项研究调查保持一致。因此,收集到的研究结果证明了电影对老龄化经历的描绘与政治经济学理论的原则之间的一致性,从而为埃斯蒂斯的观点提供了支持。
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引用次数: 0
Editorial for the special issue the growing older of humans, nonhumans, and more-than-humans 《人类、非人类和超人类的衰老》特刊社论
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-12-15 DOI: 10.1016/j.jaging.2024.101305
Michela Cozza , Anna Wanka
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引用次数: 0
Mobilities and leisure in later ages: The role of religious tourism in the lives of low-income older women in India 晚年的流动性和休闲:宗教旅游在印度低收入老年妇女生活中的作用
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-12-12 DOI: 10.1016/j.jaging.2024.101302
Prajwal Nagesh , Ajay Bailey , Sobin George , Lekha Subaiya

Background and objectives

With the expansion of low-income urban areas in low and middle-income countries (LMIC), the recognition of leisure opportunities for older women remains under-researched. This study uses a mobility framework to explore access to leisure for older adults in a low-income neighbourhood in Bengaluru, India.

Research design and methods

This ethnographic study included participant observations, 33 in-depth interviews with older adults, and key informants, supplemented by archival research to explore leisure mobility. The paper specifically focuses on a religious tour through rural Tamil Nadu, India, which the primary researcher undertook with a group of older women from one of Bengaluru's oldest low-income neighbourhoods.

Results

We found that community mobilities, such as the annual religious tours, enabled older women to temporarily escape urban hardships and offered them a phase of agency to plan their travel and leisure. Everyday mobility opportunities for travel unrelated to work were often not age-friendly or accessible. The religious tour on the rented bus became a theatre of devotion, a platform for performing spirituality, and a safe environment to sing, dance, and enjoy commensality.

Discussion and implications

The study contributes to the literature on how the social lives of economically disadvantaged older women are constrained by local cultural norms and limited opportunities for mobility. The religious tour, along with the process of organising and carrying it out, can be seen as an act of resilience by older women. Policies promoting inclusive ageing and transport infrastructure in low- and middle-income countries must be attuned to forms of mobility that do not neatly fit into categories such as leisure, social, spiritual, or religious.
背景和目的随着低收入和中等收入国家(LMIC)低收入城市地区的扩大,对老年妇女休闲机会的认识仍未得到充分研究。本研究使用流动性框架来探索印度班加罗尔低收入社区老年人的休闲机会。研究设计和方法本人种学研究包括参与者观察、33位老年人和关键信息提供者的深度访谈,并辅以档案研究来探索休闲出行。这篇论文特别关注了印度泰米尔纳德邦农村的宗教之旅,这是首席研究员与一群来自班加罗尔最古老的低收入社区之一的老年妇女一起进行的。结果我们发现,社区流动,如每年一次的宗教旅游,使老年妇女暂时逃离城市的艰辛,并为她们提供了一个阶段的代理计划自己的旅行和休闲。与工作无关的日常出行机会往往不适合老年人,也不方便使用。租来的巴士上的宗教之旅变成了一个虔诚的剧院,一个表演灵性的平台,一个唱歌、跳舞和享受共生的安全环境。讨论与启示本研究对经济上处于不利地位的老年妇女的社会生活如何受到当地文化规范和有限的流动机会的限制的文献作出了贡献。宗教之旅,以及组织和实施的过程,可以被视为老年妇女的一种恢复能力的行为。在低收入和中等收入国家促进包容性老龄化和交通基础设施的政策,必须与不能完全归入休闲、社会、精神或宗教等类别的各种流动形式相适应。
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引用次数: 0
Reassessing the goals of musical activities for people living with dementia: Supporting joint agency, selfhood and couplehood with an embodied and relational approach 重新评估痴呆症患者音乐活动的目标:用体现和关系的方法支持联合机构、自我身份和夫妻身份
IF 1.8 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.jaging.2024.101289
Justin Christensen, Renee Timmers, Jennifer MacRitchie
A risk present in medically informed psychosocial interventions for dementia, including musical interventions, is the potential to overly prioritise the reduction of cognitive decline, which can inadvertently emphasise deterioration and loss of skills and capacities. This focus can lead to disempowering people living with dementia rather than supporting and building on the skills that remain. In this paper, we present approaches linked with a more positive outlook on dementia, examining the strengths that continue in people living with dementia, as evidenced by how they engage in musical activities. We pay specific attention to how people living with dementia use embodied and relational ways of being and interacting with others, as well as the benefits that musical engagement can provide to selfhood, couplehood and agency in a context of change and adaptation due to the development of the condition. We propose a shift in perspective that takes advantage of music's affordances for embodied communication and connection, recognising people living with dementia as active agents with strengths in habituated ways of acting. With this shift we examine how couples can scaffold each other's abilities to reach towards a balanced sense of reciprocity. To further support this balanced reciprocity through embodied and relational aspects of musical participation, we make a proposal for the design of assistive music technologies that will support notions of we-perspective, joint agency and joint action, with each of these providing wellbeing benefits for people living with dementia and their carers. Drawing on the potential effects that embodiment and relationality have on agency, selfhood and couplehood in musical engagement, we present a case for reassessing the goals and design of musical activities and the technologies to support them.
以医学为依据的痴呆症社会心理干预(包括音乐干预)中存在的一个风险是,可能会过度优先考虑减少认知能力的衰退,从而无意中强调了技能和能力的退化和丧失。这种侧重点可能会削弱痴呆症患者的能力,而不是支持和发扬他们所保留的技能。在本文中,我们介绍了与对痴呆症更积极的看法相关联的方法,研究了痴呆症患者身上持续存在的优势,这些优势可以从他们如何参与音乐活动中得到证明。我们特别关注痴呆症患者如何使用体现性和关系性的方式与他人相处和互动,以及在因病情发展而变化和适应的背景下,参与音乐活动能为自我身份、夫妻身份和代理权带来的益处。我们建议转变视角,利用音乐在身体交流和联系方面的优势,承认痴呆症患者是积极的行为主体,在习惯的行为方式方面具有优势。通过这种转变,我们研究了夫妻双方如何为彼此的能力提供支架,以实现平衡的互惠感。为了通过音乐参与的体现和关系方面进一步支持这种平衡的互惠,我们提出了设计辅助音乐技术的建议,这些技术将支持 "我们-视角"、"共同代理 "和 "共同行动 "的概念,其中每一个概念都能为痴呆症患者及其照顾者带来福祉。根据体现和关系性对音乐参与中的代理、自我身份和情侣身份的潜在影响,我们提出了重新评估音乐活动的目标和设计以及支持这些活动的技术的理由。
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引用次数: 0
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Journal of Aging Studies
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