晚年无家可归:引发行动和改变的定义。

IF 4.6 2区 医学 Q1 GERONTOLOGY Gerontologist Pub Date : 2024-11-01 DOI:10.1093/geront/gnae123
Amanda Grenier, Tamara Sussman
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引用次数: 0

摘要

背景和目标:对社会问题和人群的全面定义可以为制定应对政策和实践奠定基础。然而,尽管晚年无家可归现象有所抬头,但人们对这一现象的理解仍然很狭隘,定义也不明确:本文及其后的定义是基于对加拿大蒙特利尔市无家可归老年人(40 人)和服务提供者(20 人)进行的批判性人种学研究中获得的访谈数据的重新概念化:我们的分析表明,晚年无家可归的定义必须包括四个相互交叉的组成部分:1) 年龄、资格和获得服务的机会;2) 在生命过程中和不同时期的不利处境;3) 社会和空间的排斥过程,这些过程使得老年人必须在 "不理想 "的地方养老;以及 4) 因政策不作为和不回应而导致的未满足的需求:从这些结构性和关系性要素中得出的新定义捕捉到了早期著作中确定的服务差距和复杂需求是如何通过交付系统和实践形成的,其影响随着时间的推移而加剧。它为制定更好的应对措施以解决晚年无家可归问题提供了经验基础和坚实的概念基础。
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Late-Life Homelessness: A Definition to Spark Action and Change.

Background and objectives: Comprehensive definitions of social issues and populations can set the stage for the development of responsive policies and practices. Yet despite the rise of late-life homelessness, the phenomenon remains narrowly understood and ill-defined.

Research design and methods: This article and the definition that ensued are based on the reconceptualization of interview data derived from a critical ethnography conducted in Montreal, Canada, with older homeless persons (N = 40) and service providers (N = 20).

Results: Our analysis suggests that definitions of late-life homelessness must include 4 intersecting components: (1) age, eligibility, and access to services; (2) disadvantage over the life course and across time; (3) social and spatial processes of exclusion that necessitate aging in "undesirable" places; and (4) unmet needs that result from policy inaction and nonresponse.

Discussion and implications: The new definition derived from these structural and relational components captures how the service gaps and complex needs identified in earlier works are shaped by delivery systems and practices whose effect is compounded over time. It provides an empirically grounded and conceptually solid foundation for the development of better responses to address homelessness in late life.

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来源期刊
Gerontologist
Gerontologist GERONTOLOGY-
CiteScore
11.00
自引率
8.80%
发文量
171
期刊介绍: The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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