Precarity, migration and ageing

2020 ◽  
pp. 115-146
Author(s):  
Karen Kobayashi ◽  
Mushira Mohsin Khan
Keyword(s):  
Older Adults ◽  
Political Economy ◽  
Future Research ◽  
Foreign Born ◽  
Older Immigrants ◽  
Health And Social Care ◽  
Care Policies ◽  
Significant Life ◽  
Global North ◽  
And Migration

The profile of older adults in the Global North is changing rapidly with increasing proportions of foreign-born ageing populations. Despite their demographic significance, very little research has been conducted on the complex and varied experiences of ageing, risk, and insecurity in this group, particularly with regard to significant life course events such as migration. Using the conceptual lens of precarity, this chapter presents a nuanced analysis of risk and vulnerability in the context of ageing and migration. We begin with a brief overview of the key economic, psychosocial, and cultural markers of precarity in older immigrants. Next, we highlight the ‘politics of precarity’ inherent in the larger political economy of immigration and the invisibility of racialized older immigrants in health and social care policies. We conclude with a discussion on the challenges to understanding precarity in the context of migration, and provide suggestions for future research.

scholarly journals Aging in Context: The Importance of Comparative Studies for Understanding the Lives of Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 561-561
Author(s):  
Allen Glicksman ◽  
Lauren Ring ◽  
Norah Keating
Keyword(s):  
Older Adults ◽  
Comparative Approach ◽  
Older Migrants ◽  
Migrant Populations ◽  
Use Patterns ◽  
Older Immigrants ◽  
Aging Services ◽  
Place Of Origin ◽  
And Migration ◽  
Policies And Programs

Abstract Access and use patterns of both formal and informal services for older migrants are often examined in a dyadic framework where one group of older persons (or their caregivers) is studied in relation to their use of a program or service. A comparative approach, that might also examine the reasons that some persons may (or may not) use a service, may yield important findings that place the dyadic studies within a larger social and policy context. By using a comparative approach, we can also consider influences of the culture of origin for older adults and their caregivers, as well as the policies and programs offered in the destination country. The four papers on this panel explore these issues. The first paper will frame the discussion, and the remaining three will focus on informal care, formal care, and the point of contact between aging services professionals and older immigrants. The first paper (Torres) takes a broad look at social exclusion mechanisms that bar access to services due to racism in the host societies. The second presentation (Diederich, et. al.) examines how place of origin can influence caregiving behavior. The third paper, (Thiamwong) examines a single program that is used to serve multiple ethnic minority/immigrant groups. Finally, (Ring et. al.,) will examine trust or its absence in the attitudes of older migrants toward use of formal aging services in two migrant populations. The four papers also demonstrate how different research methods (qualitative, quantitative, scoping review) can be used to illuminate these issues. International Aging and Migration Interest Group Sponsored Symposium.

scholarly journals Living Alone Among Older Adults in Canada and the U.S.

Healthcare ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 68 ◽  
Author(s):  
Sharon M. Lee ◽  
Barry Edmonston
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Well Being ◽  
The Elderly ◽  
Living Alone ◽  
Design And Technology ◽  
Foreign Born ◽  
Older Immigrants ◽  
The U.S ◽  
Acculturation Factors

Increasing proportions of people, including older adults, live alone. Studying living arrangements of the elderly is important because these affect and reflect general well-being of the elderly and inform communities’ response to elderly housing needs. We analyze data from the 2006 Canadian Census and the 2006 American Community Survey to examine living alone among non-married older adults aged 55 and older in Canada and the U.S. The paper has two parts. First, we compare native- and foreign-born elderly to see if immigrants are less likely to live alone. Second, we examine factors associated with living alone among older immigrants. While older immigrants in both countries are less likely to live alone, the large differences are substantially reduced once various explanatory variables are considered. Comparisons of four gender/country groups of older immigrants show the positive role of economic and acculturation factors on living alone among older immigrants. With few exceptions, predictors of living alone are similar for older immigrants in Canada and the U.S.: living alone is mainly explained by a combination of economic and acculturation factors, taking demographic variables into account. Findings underline the need for age-friendly housing with innovative design and technology that can accommodate older people who live alone, including older immigrants who may have different needs and cultural preferences.

scholarly journals AFFORDABLE SENIOR HOUSING AND HEALTH AMONG LOW-INCOME OLDER IMMIGRANTS: THE ROLE OF SERVICE USES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S948-S948
Author(s):  
Jihye Baek ◽  
Oejin Shin ◽  
Sojung Park ◽  
BoRin Kim ◽  
Byeongju Ryu
Keyword(s):  
Older Adults ◽  
Ethnic Minority ◽  
Low Income ◽  
Future Research ◽  
Service Needs ◽  
Senior Housing ◽  
Older Immigrants ◽  
Self Rated Health ◽  
Survey Interviews

Abstract Older immigrants in affordable senior housing face a unique set of challenges due to their demographic, social, economic, and cultural diversity. Existing knowledge about health among this unique but increasing aging subgroup population is extremely limited. Focusing on older immigrants subgroups (Asian and Russian older adults) in affordable senior housing in St.Louis, MO, this study aimed to examine to what extent different ethnic minority elders’ health varies by their uses of services available in the housing. Data came from the survey interviews at a subsidized independent senior housing in St. Louis (n=136). Hierarchical multiple regressions were used to examine ethnic differences in self-rated health and the role of services for the health of low-income ethnic minor elders in senior housing. Compared to the non-immigrants (White/African older adults), Asian (b=0.67, p<.05) and Russian residents (b=0.89, p<.05) were likely to have lower self-rated health. Interestingly, for both ethnic groups, they report a better self-rated health when they use supportive daily service (i.e. e.g. meal delivery, transportation, housekeeping and others) (b= -0.84, p<.05 for Asian, b=- 0.90, p<.05.for Russian) and social service (e.g. recreational, wellness, and exercise programs) (b= -0.73, p<.05 for Asian, b=- 0.83, p<.05.for Russian). Our findings point to an important role of services for the health of low-income ethnic minor elders in senior housing. As the first attempt to examine services that explicitly focus on ethnic minority elders, our study provides meaningful implications for future research on the health and service needs for older immigrant populations in senior housing.

scholarly journals How formal navigators interpret their roles supporting families

2019 ◽  
Vol 20 (1) ◽  
pp. 10-19
Author(s):  
Laura Funk ◽  
Wanda Hounslow
Keyword(s):  
Older Adults ◽  
Social Care ◽  
Service Providers ◽  
Dominant Strategy ◽  
Future Research ◽  
Service Access ◽  
Structural Barriers ◽  
Content Type ◽  
Formal Service ◽  
Health And Social Care

PurposeThe purpose of this paper is to examine how formal navigators interpret their roles supporting families of older adults.Design/methodology/approachThis study was an interpretive inquiry informed by critical gerontology and discourse analytic methods. Interview data were collected and analyzed from 22 formal service providers who helped older adults and their families navigate health and social care resources in one Western Canadian city.FindingsAlthough acknowledging structural barriers to service access, participants emphasized individual empowerment as their dominant strategy, interpreting their roles as providing information and education about services. In part, these interpretations may reflect the limited nature of their ability to help broker access or advocate; in part, they may also reflect the broader political and economic discourses surrounding care in Canada.Research limitations/implicationsWhen providers position navigation and access to care as individual problems, this can obscure structural burden as well as potential inequities among older adults. Future research should examine whether navigational role interpretations are similar or different to those of navigators in other regions. Navigators in other health and social care contexts may enact differing meanings in their work.Practical implicationsAlthough formal public navigators can play an important role, approaches that go beyond providing information may better meet families’ needs for support.Originality/valueThis is one of the first studies focused specifically on providers’ interpretations of the meaning of navigational work in health and social care for older adults, and to extend a critical gerontological gaze toward the issue of system navigation.

scholarly journals MEASUREMENT OF SOCIAL NETWORKS OF ELDERS USING TECHNOLOGIES IN THE CONTEXT OF HEALTH AND SOCIAL CARE: A SCOPING REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S72-S72
Author(s):  
Sijia Wei ◽  
Eleanor S McConnell ◽  
Kayla Wright-Freeman ◽  
Amanda Woodward ◽  
Bada Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Social Network ◽  
Scoping Review ◽  
Social Care ◽  
Well Being ◽  
Future Research ◽  
Digital Devices ◽  
Health And Social Care ◽  
Care Technology

Abstract Social networks impact the health and wellbeing of older adults. The importance of social networks drives the need to reliably measure social networks. Advancements and innovations in the internet, electronic and digital devices, social media and health care technology enriches our ability to collect social network and health data to overcome limitations in social network measurement. This scoping review will review approaches utilizing technology to assist the measurement and analysis of social networks among older adults in the context of health and social care. Joanna Briggs Institute methodology was followed; PubMed (MEDLINE), Sociological Abstracts, SocINDEX, CINAHL, and Web of Science were searched for related articles. Conference abstracts and proceedings were included. We discuss the gaps and advances in measurement of social networks of older adults using technology and implications for future research in social networks of older adults as a lever for improving health and well-being.

scholarly journals Oral Health, Immigrant Status, and Adult Children’s Support Among Chinese American Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 800-800
Author(s):  
Nan Jiang ◽  
Bei Wu ◽  
Wei Zhang
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Outcomes ◽  
Adult Children ◽  
Chinese American ◽  
Immigrant Status ◽  
Foreign Born ◽  
Chinese Older Adults ◽  
Health Outcomes Research ◽  
Older Immigrants

Abstract Adult children play an important role in older immigrants’ health outcomes. Research has indicated that older adults may benefit from adult children caregivers’ support for oral health. However, little is known about children’s support for improving oral health for older immigrants. Using the 2018 survey of 430 Chinese older adults age 55 and older in Honolulu, Hawai’i, we examine the associations among immigrant status, adult children’s support and perceived oral health for Chinese American older adults. Emotional support from adult children protects the self-rated oral health for the immigrant group, while financial support is linked to fewer oral health problems among the US-born group. Therefore, the current study underlines the importance of investigating different pathways among foreign-born and native-born Chinese older adults with regard to children’s support on their oral health outcomes. Part of a symposium sponsored by the Oral Health Interest Group.

Cultural Competence Interventions for Health Professionals Working with Racialized Foreign-born Older Adults: Protocol for a Systematic Review (Preprint)

2021 ◽  
Author(s):  
Diya Chowdhury ◽  
Leonardo Baiocco-Romano ◽  
Veronica Sacco ◽  
Karen El Hajj ◽  
Paul Stolee
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Cultural Competence ◽  
Health Professionals ◽  
Care Delivery ◽  
Future Research ◽  
Culturally Competent ◽  
Foreign Born ◽  
Person Centered Care ◽  
Centered Care

BACKGROUND Integrating culturally competent approaches in the provision of healthcare services is recognized as a promising strategy for improving health outcomes for racially and ethnically diverse populations. Person-centered care, which ensures patient values guide care delivery, necessitates cultural competence of healthcare providers in order to reduce racial/ethnic health disparities. Previous work has focused on interventions to improve cultural competence among healthcare workers generally; however, little investigation has been undertaken regarding current practices focused on racialized foreign-born older adults. OBJECTIVE We seek to synthesize evidence from existing literature in the field to gain a comprehensive understanding of culturally competent interventions for health professionals who work with racialized foreign-born older adults. The aim of this paper is to describe the protocol for this review. METHODS Our protocol will follow the PRISMA guidelines (PRISMA-P) for systematic review protocols. We will conduct a systematic search for relevant studies from three electronic databases that focus on health and social sciences (PubMed, CINAHL, and Scopus). After selecting relevant papers using the inclusion and exclusion criteria, data will be extracted, analyzed, and synthesized to yield recommendations for practice and for future research. RESULTS The systematic review is currently at the search phase where authors are refining the search strings for the selected databases. We expect that the systematic review will be completed within 18 months from the publication of the protocol paper. CONCLUSIONS This study will inform future development and implementation of interventions to support culturally competent, person-centered care of racialized immigrant older adults.

scholarly journals Combating Social Isolation among Older Immigrant Adults: A Qualitative Interpretive Meta-Synthesis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 971-972
Author(s):  
Vivian Miller ◽  
Betty Tonui ◽  
Dolapo Adeniji
Keyword(s):  
Mental Health ◽  
Social Isolation ◽  
Poor Mental Health ◽  
Future Research ◽  
Foreign Born ◽  
Social Interventions ◽  
Older Immigrants ◽  
Final Sample ◽  
Increased Risk ◽  
Linguistic Challenges

Abstract Older immigrants totaled 7.3 million in 2018, representing 13.9 percent of the population of seniors in the U.S. While this population is found to contribute significantly to society, along with new opportunities comes circumstantial challenges. Of these, one of the most salient issues for foreign-born older adults is social isolation. Additionally, this population may be at an increased risk for social isolation with poor mental health because migrating to a new country might results in resettlement challenges. Despite these concerns, less is known about the consequences of social isolation among older immigrant adults. Guided by the Population Interest Context (PICO) framework and the Qualitative Interpretive Meta-Synthesis (QIMS) guidelines, this study seeks to explore consequences of social isolation among older immigrant, as well as interventions to combat isolation. The final sample of six full text articles were published between 2011 and 2021, totaling 180 participants with ages ranging from 61 to 93 years old. Findings from the study indicated that older immigrants are at risk of social isolation and loneliness because they have fewer social connections due to leaving behind their familiar social group in the home country, encounter linguistic challenges that negatively contribute to greater social isolation and poor mental health. Despite these difficulties older immigrants reported various social interventions, i.e., access to senior centers, community programs and services to be of greater importance in building social networks. Authors discuss opportunities for future research, such as exploring evidence-based studies on interventions for social isolation and loneliness of older immigrant populations.

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

From Globalisation to Revolution? The Porfirian Political Economy: An Essay on Issues and Interpretations

2009 ◽  
Vol 41 (2) ◽  
pp. 347-368 ◽  
Author(s):  
PAOLO RIGUZZI
Keyword(s):  
Political Economy ◽  
Mexican Revolution ◽  
Future Research ◽  
The Political ◽  
Economic Relations ◽  
Future Research Agenda ◽  
Current State ◽  
International Economic Relations ◽  
Economic Strategies ◽  
State Finance

AbstractThis essay evaluates the political economy of Mexico during the Porfirian period (1876–1911), with the aim of discussing advances in scholarship and presenting an outline of the elements for a future research agenda. To this end, the essay examines the current state of knowledge on four crucial aspects of the Mexican economy: growth and its dimensions; the state, finance and economic strategies; the construction and functioning of the internal market; and the international economic relations of Mexico during the first period of globalisation. In particular, it assesses the arguments that link features of Porfirian economic organisation with the outbreak of the Mexican Revolution in 1910.

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