scholarly journals Where to Retire? Experiences of Older African Immigrants in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 455-455
Author(s):  
Manka Nkimbeng ◽  
Alvine Akumbom ◽  
Marianne Granbom ◽  
Sarah Szanton ◽  
Tetyana Shippee ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
African Immigrants ◽  
The United States ◽  
Political Climate ◽  
Structured Interviews ◽  
Family Responsibilities ◽  
Sociocultural Environment ◽  
Decision Making Factors ◽  
The U.S

Abstract The needs and conceptualization of age-friendliness likely vary for immigrant older adults compared to native-born older adults. For example, Hispanic immigrant older adults often return to their home country following the development of ill health. Doubling in size since the 1970’s, the aging needs of African immigrants are not fully understood. This qualitative study examined experiences of aging and retirement planning for African immigrant older adults in the United States (U.S.). Specifically, it explored the factors, processes, and ultimate decision of where these older adults planned to retire. We analyzed semi-structured interviews with 15 older African immigrants in the Baltimore-Washington Metropolitan area. Data were analyzed using thematic analyses in NVivo. The majority of participants were women, with a mean age of 64. We identified three overarching themes with ten sub-themes. The themes included: 1) cultural identity: indicating participant’s comfort with the U.S. society and culture; 2) decision making: factors that impact participants' choice of retirement location, and 3) decision made: the final choice of where participants would like to retire. Age-friendliness for immigrant older adults in the U.S. is complex and it includes the traditional domains such as physical and sociocultural environment (e.g. housing, transportation, and income). However, immigrant age-friendliness also needs to include wider contextual aspects such as political climate in their country of origin, immigrant status, family responsibilities, and acculturation in the U.S. More research is needed understand and facilitate age-friendly environments for transnational immigrant older adults.

scholarly journals Longer Residence in the United States is Associated With More Physical Function Limitations in African Immigrant Older Adults

2020 ◽  
pp. 073346482097760
Author(s):  
Manka Nkimbeng ◽  
Yvonne Commodore-Mensah ◽  
Jacqueline L. Angel ◽  
Karen Bandeen-Roche ◽  
Roland J. Thorpe ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
Confidence Interval ◽  
Physical Function ◽  
Racial Discrimination ◽  
African Immigrants ◽  
The United States ◽  
African Immigrant ◽  
High Discrimination ◽  
The Mean

Acculturation and racial discrimination have been independently associated with physical function limitations in immigrant and United States (U.S.)-born populations. This study examined the relationships among acculturation, racial discrimination, and physical function limitations in N = 165 African immigrant older adults using multiple linear regression. The mean age was 62 years ( SD = 8 years), and 61% were female. Older adults who resided in the United States for 10 years or more had more physical function limitations compared with those who resided here for less than 10 years ( b = −2.62, 95% confidence interval [CI] = [–5.01, –0.23]). Compared to lower discrimination, those with high discrimination had more physical function limitations ( b = −2.51, 95% CI = [–4.91, –0.17]), but this was no longer significant after controlling for length of residence and acculturation strategy. Residing in the United States for more than 10 years is associated with poorer physical function. Longitudinal studies with large, diverse samples of African immigrants are needed to confirm these associations.

The More Ethnic the Face, the More Important the Race: A Closer Look at Colorism and Employment Opportunities among Middle Eastern Women

2020 ◽  
pp. 016059762093288
Author(s):  
Ahzin Bahraini
Keyword(s):  
United States ◽  
Middle Eastern ◽  
The United States ◽  
Political Climate ◽  
Structured Interviews ◽  
Middle Eastern Women ◽  
Middle Eastern Population ◽  
The Face ◽  
Study Participants ◽  
Middle Easterners

Colorism is the intra- and interracial discrimination an individual experiences based on one’s phenotype. Current research focused on colorism among black Americans has found that “dark-skinned blacks have lower levels of education, income, and job status” in the United States. As bias against Middle Easterners rises in the United States, current research regarding this population is scarce. In the context of today’s political climate, the term Muslim has become a misnomer to refer to the Middle Eastern population, with the term Islamophobia specifically referring to Middle Easterners regardless of their religion rather than individuals from regions of the world who practice Islam. Participants ordered job applicants in terms of who they would hire, followed by interviews. Through 16 semi-structured interviews, this project identifies what participants believe are phenotypically Middle Eastern and Muslim facial features. Throughout the study, participants preferred to hire lighter Middle Eastern women.

Deploying Carbon Capture and Storage in Europe and the United States: A Comparative Analysis

2007 ◽  
Vol 4 (5) ◽  
pp. 343-352 ◽  
Author(s):  
Andrew J. Gibbons ◽  
Elizabeth JI. Wilson
Keyword(s):  
United States ◽  
Climate Policy ◽  
Carbon Capture ◽  
Carbon Capture And Storage ◽  
The United States ◽  
The European Union ◽  
Political Climate ◽  
Term Care ◽  
And Storage ◽  
The U.S

AbstractCarbon capture and storage could play an important role as a near-term bridging technology, enabling deep reductions from greenhouse gas emissions while still allowing use of inexpensive fossil fuels. However, filling this technological promise requires resolution of key regulatory and legal uncertainties surrounding both human and ecological health, integration within a larger climate policy, and clear assignment of responsibility and liability for long-term care. Deployment of CCS projects in the European Union (E.U.) and the United States (U.S.) may be technologically similar, but will be contextually different. In this paper, we explore the existing energy, policy, regulatory and legal climates that will necessitate different approaches for deployment. The high U.S. dependence on coal makes CCS very important if the U.S. is to achieve deep emissions reductions, while in the E.U. an established climate policy, the importance of off shore projects, and a supportive political climate are favorable to CCS deployment. Additionally, in Europe, regulators must clarify the classification of CO2 within E.U. and international regulations governing on and offshore projects, whereas in the U.S. subsurface property rights, abandoned wells, and state-level jurisdictional difference will play important roles.

scholarly journals Dementia Care in Diverse Older Adults in the U.S. Deep South and the Rest of the United States

2021 ◽  
pp. 1-13
Author(s):  
Maria Pisu ◽  
Roy C. Martin ◽  
Liang Shan ◽  
Giovanna Pilonieta ◽  
Richard E. Kennedy ◽  
...  
Keyword(s):  
United States ◽  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Drug Use ◽  
Ethnic Groups ◽  
The United States ◽  
Deep South ◽  
Racial Ethnic ◽  
The U.S

Background: Use of specialists and recommended drugs has beneficial effects for older adults living with Alzheimer’s disease and related dementia (ADRD). Gaps in care may exist for minorities, e.g., Blacks, and especially in the United States (U.S.) Deep South (DS), a poor U.S. region with rising ADRD cases and minority overrepresentation. Currently, we have little understanding of ADRD care utilization in diverse populations in this region and elsewhere in the U.S. (non-DS), and the factors that adversely impact it. Objective: To examine utilization of specialists and ADRD drugs (outcomes) in racial/ethnic groups of older adults with ADRD and the personal or context-level factors affecting these outcomes in DS and non-DS. Methods: We obtained outcomes and personal-level covariates from claims for 127,512 Medicare beneficiaries with ADRD in 2013–2015, and combined county-level data in exploratory factor analysis to define context-level covariates. Adjusted analyses tested significant association of outcomes with Black/White race and other factors in DS and non-DS. Results: Across racial/ethnic groups, 33%–43% in DS and 43%–50% in non-DS used specialists; 47%–55% in DS and 41%–48% in non-DS used ADRD drugs. In adjusted analyses, differences between Blacks and Whites were not significant. Vascular dementia, comorbidities, poverty, and context-level factor “Availability of Medical Resources” were associated with specialist use; Alzheimer’s disease and senile dementia, comorbidities, and specialist use were associated with drug use. In non-DS only, other individual, context-level covariates were associated with the outcomes. Conclusion: We did not observe significant gaps in ADRD care in DS and non-DS; however, research should further examine determinants of low specialist and drug use in these regions.

African-Born Female Academics in the U.S.

2019 ◽  
pp. 427-440
Author(s):  
Rosaire Ifedi
Keyword(s):  
Higher Education ◽  
United States ◽  
Phenomenological Study ◽  
The United States ◽  
Study Data ◽  
Immigrant Status ◽  
Structured Interviews ◽  
Gender And Migration ◽  
And Migration ◽  
The U.S

This paper was based, in part, on some findings related to the intersection of identity and career outcomes for some African-born female academics located in the United States. In the phenomenological study, data were collected through semi-structured interviews and revealed accounts of race and gendered challenges in their experiences. However, even though they faced similar kinds of marginalization as other Black and foreign women, these participants were confronted with unique questions of identification and experiences of double discrimination. Nonetheless, the findings also suggest a persistence that was reflected in their stories of access, inclusion, and exclusion as well as their perceived role as coalition-builders. An implication for immigrant female professors in the U.S. is that their immigrant status could both facilitate as well as challenge their career paths and economic outcomes, a point equally corroborated by research on gender and migration in higher education in Europe and elsewhere.

Characterising older adults’ engagement in age-friendly community initiatives: perspectives from core group leaders in the Northeast United States of America

2020 ◽  
pp. 1-20
Author(s):  
Emily A. Greenfield ◽  
Laurent Reyes
Keyword(s):  
United States ◽  
Older Adults ◽  
United States Of America ◽  
The United States ◽  
Community Change ◽  
Structured Interviews ◽  
Community Initiatives ◽  
Core Group ◽  
The Core ◽  
Group Members

Abstract Researchers and programme champions alike have identified older adults as key contributors to age-friendly community change efforts. There has been very little scholarship, however, to characterise the nature of older adults’ engagement in age-friendly community initiatives (AFCIs). To help address this gap, we drew on five waves of data from semi-structured interviews with core group members of eight AFCIs in a Northeast region of the United States of America. Interviews were conducted as part of a multi-year, community-engaged study on the development of philanthropically supported AFCIs. We iteratively coded segments of the interviews in which core group members described the involvement of older adults, as well as their efforts to engage older adults in the initiatives. This analysis resulted in an inductive-analytic typology with five qualitatively distinct categories, including older adults as: (a) consumers (receiving information, goods and services through the AFCI), (b) informants (sharing perspectives on ageing in the community with the core group), (c) task assistants (assisting with project-oriented tasks under the direction of the core group), (d) champions (contributing ideas and implementing action on their own initiative), and (e) core group members (holding primary responsibility for driving the work of the AFCI forward). We discuss implications of the typology for research on AFCI implementation and evaluation, as well as opportunities for AFCIs to enhance the engagement of older adults from historically marginalised groups.

Should They Stay or Should They Go? How the 2017 U.S. Travel Ban Affects International Doctoral Students

2019 ◽  
Vol 24 (4) ◽  
pp. 440-455
Author(s):  
Corina Todoran ◽  
Claudette Peterson
Keyword(s):  
United States ◽  
Doctoral Students ◽  
Research Question ◽  
The United States ◽  
Political Climate ◽  
Executive Orders ◽  
Muslim Majority ◽  
International Doctoral Students ◽  
The U.S ◽  
Job Prospects

In the wake of the U.S. government’s executive orders restricting travel from six Muslim-majority countries (Iran, Libya, Somalia, Sudan, Syria, and Yemen) in January 2017, we collected data from four focus groups consisting of international doctoral students aiming to provide insight on the following research question: How do international doctoral students make sense of the U.S. political climate on their lived experiences? This article contributes to the literature by discussing a timely issue concerning international students in the United States and points out that the 2017 travel ban has affected not only international doctoral students from those banned countries but has also alarmed students from other countries, who described the climate as stressful, confusing, and hostile. Several students changed their travel plans for conferences or family visits being worried that they might not be able to reenter the United States. Other students feared the immigration rules might suddenly change and affect their visa status. Students also expressed their concerns in regard to job prospects after graduation. This article derives from a larger qualitative study exploring the experiences of international doctoral students in the U.S. academic and cultural settings.

scholarly journals Back in the Saddle Again: Ethics, Visibility, and Aging on Screen

2015 ◽  
Vol 36 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Maruta Z. Vitols ◽  
Caitrin Lynch
Keyword(s):  
United States ◽  
Older Adults ◽  
Mass Media ◽  
The United States ◽  
Subjective Experiences ◽  
The U.S

This paper engages with filmic portrayals of older adults in the U.S. in order to ask questions about the impacts of mass media on reproducing, critiquing, or interrogating mainstream values and assumptions about aging. The study considers the recent Hollywood works The Expendables (2010) and R.E.D. (2010), as well as the independent documentary Young@Heart (2007). We forefront questions of visibility, invisibility, and recognition both in terms of what experiences and realities are rendered visible or invisible by mass media, but also in terms of the subjective experiences of many older adults in the United States.

scholarly journals Rural America’s Hospitals are Not Prepared to Protect Older Adults From a Surge in COVID-19 Cases

2020 ◽  
Vol 6 ◽  
pp. 233372142093616 ◽  
Author(s):  
Natalie M. Davoodi ◽  
Margaret Healy ◽  
Elizabeth M. Goldberg
Keyword(s):  
United States ◽  
Older Adults ◽  
Rural Communities ◽  
Older Adult ◽  
The United States ◽  
Rural America ◽  
Health News ◽  
Medical Supplies ◽  
Poor Outcomes ◽  
The U.S

Rural communities with predominantly older adult populations could be especially vulnerable to poor outcomes from COVID-19 due to lacking intensive care unit (ICU) capacity. Our objective is to describe the scope of the problem by summarizing population totals of older adults in rural America and their community’s ICU bed availability. We performed a review of peer-reviewed literature, in addition to hand searching non–peer-reviewed and governmental/non-governmental agency reports, using the Kaiser Health News data report to assess the number of ICU beds in 10 predominantly rural states with the highest older adult populations. We found that while 19% of the U.S. population lives in rural counties, these counties contain only 1% of the ICU beds in the United States. Counties particularly at risk for inadequate ICU capacity include Crittenden, Arkansas; Cass, Minnesota; and Sagadahoc, Maine. Solutions include building new delivery systems, reopening previously closed rural hospitals, and calling on local businesses to create medical supplies. In summary, the 10 million older adults in rural communities in the United States may face challenges with obtaining critical care treatment due to the increased need of ICU beds during the COVID-19 pandemic.

scholarly journals Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ogbonnaya I. Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Immigrant Health ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
African Immigrant ◽  
Healthcare Experiences ◽  
African Immigrant Health ◽  
The U.S

Abstract Background Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

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