scholarly journals Ko e talanoa fekau’aki pea moe mo’ui kakato ‘o e mātu’a Tonga nofo Nu’usila

2021 ◽  
Author(s):  
◽  
Siaosi Mafi
Keyword(s):  
New Zealand ◽  
Adult Population ◽  
Demographic Variables ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Qualitative Research Design ◽  
Belief In God ◽  
Older Adult Population ◽  
Multiple Health

<p>New Zealand’s older adult population is gradually increasing, in line with global increases in the number of older people. Pacific populations living in New Zealand currently have the least number of people aged 65 years and older in New Zealand (2.4% or 13,944 people), however; this is projected to increase in the next 20 years by 160%. After controlling for multiple health risks, socio-economic and demographic variables, ethnicity has been shown to have an independent role as a predictor of health and wellbeing. Research on the wellbeing of older Pacific peoples in New Zealand is limited, with none having been published that involves or relates to older Tongan people. Therefore, research exploring the perspectives and experiences of the psychosocial factors of wellbeing of older Pacific peoples in New Zealand is required.   This thesis describes the perspectives and experiences of nine older Tongan people from the Wellington region, and their consideration of what contributes to their wellbeing. The research aimed to describe wellbeing based on the participants’ own concepts of wellbeing, and also identify factors that either enabled or inhibited their wellbeing. A qualitative research design guided by Pacific models of the Talanoa methodology and the Kakala research framework was utilised. Talanoa were conducted with all participants, with the talanoa transcripts qualitatively analysed using content and thematic analysis.   The study found that wellbeing for older Tongan people is centred upon the quality of their mo’ui kakato (life in its entirety). It is multi-dimensional, interrelated and broader than just physical and mental health aspects. God was the overarching component, and their belief in God greatly influenced their views of wellbeing or their life as a whole. These findings will assist family members, churches, communities, health professionals and others to improve their practices and therefore support the improvement of older Pacific peoples’ wellbeing.   </p>

scholarly journals Ko e talanoa fekau’aki pea moe mo’ui kakato ‘o e mātu’a Tonga nofo Nu’usila

2021 ◽  
Author(s):  
◽  
Siaosi Mafi
Keyword(s):  
New Zealand ◽  
Adult Population ◽  
Demographic Variables ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Qualitative Research Design ◽  
Belief In God ◽  
Older Adult Population ◽  
Multiple Health

<p>New Zealand’s older adult population is gradually increasing, in line with global increases in the number of older people. Pacific populations living in New Zealand currently have the least number of people aged 65 years and older in New Zealand (2.4% or 13,944 people), however; this is projected to increase in the next 20 years by 160%. After controlling for multiple health risks, socio-economic and demographic variables, ethnicity has been shown to have an independent role as a predictor of health and wellbeing. Research on the wellbeing of older Pacific peoples in New Zealand is limited, with none having been published that involves or relates to older Tongan people. Therefore, research exploring the perspectives and experiences of the psychosocial factors of wellbeing of older Pacific peoples in New Zealand is required.   This thesis describes the perspectives and experiences of nine older Tongan people from the Wellington region, and their consideration of what contributes to their wellbeing. The research aimed to describe wellbeing based on the participants’ own concepts of wellbeing, and also identify factors that either enabled or inhibited their wellbeing. A qualitative research design guided by Pacific models of the Talanoa methodology and the Kakala research framework was utilised. Talanoa were conducted with all participants, with the talanoa transcripts qualitatively analysed using content and thematic analysis.   The study found that wellbeing for older Tongan people is centred upon the quality of their mo’ui kakato (life in its entirety). It is multi-dimensional, interrelated and broader than just physical and mental health aspects. God was the overarching component, and their belief in God greatly influenced their views of wellbeing or their life as a whole. These findings will assist family members, churches, communities, health professionals and others to improve their practices and therefore support the improvement of older Pacific peoples’ wellbeing.   </p>

scholarly journals A Risk Exchange: Health and Mobility in the Context of Climate and Environmental Change in Bangladesh—A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2629
Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Quality Of Care ◽  
Health Risks ◽  
Thematic Analysis ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Healthcare Environment

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.

The Use of Yoga for Physical and Mental Health Among Older Adults: A Review of the Literature

2009 ◽  
Vol 19 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Donna Wang
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Scientific Evidence ◽  
Adult Population ◽  
Well Being ◽  
Preliminary Evidence ◽  
Physical And Mental Health ◽  
Mental Health Benefits ◽  
Improve Sleep Quality ◽  
Older Adult Population

The older adult population may greatly benefit from the practice of Yoga. This article reviews the scientific evidence supporting the use of Yoga with older adults. Nine studies were identified that examined either physical or mental health outcomes in older adults following a Yoga intervention. There is growing evidence that Yoga can improve physical well-being, including balance, range of motion, blood pressure, pain, fatigue, and general health. There is less evidence available that examines the cognitive and mental health benefits of Yoga for older adults. However, there is preliminary evidence that Yoga can improve sleep quality and depression. Only three of the reviewed studies were randomized controlled trials, and more studies of high methodological quality are needed. Implications for further research and practice are offered.

scholarly journals Trajectories of material living standards, physical health and mental health under a universal pension

2020 ◽  
Vol 74 (4) ◽  
pp. 362-368
Author(s):  
Joanne Allen ◽  
Fiona M Alpass
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Short Form ◽  
Adult Population ◽  
Later Life ◽  
Well Being ◽  
Living Standards ◽  
Poor Health ◽  
Material Hardship ◽  
Physical And Mental Health

ObjectiveAged pension schemes aim to support material and non-material well-being of older populations. The current work aimed to describe dominant trajectories of material living standards in the decades prior to and following eligibility for an aged pension, and describe associated trajectories of physical and mental health.MethodsLongitudinal data on living standards and indices of health Short Form 12 were collected over 2–12 years follow-up from 4811 New Zealand adults aged 55–76. Growth mixture models were used to identify dominant trajectories of living standards with age. Latent growth curve models were used to describe trajectories of physical and mental health associated with each living standards trajectory class.ResultsA group characterised by good living standards with age (81.5%) displayed physical and mental health scores comparable to those of the general adult population. Smaller groups experienced hardship but increasing living standards (11.8%) and hardship and declining living standards (6.8%). While both groups in hardship experienced poor health in the decade prior pension eligibility, mental health improved among those with increasing living standards, while physical and mental health declined among those with declining living standards.ConclusionUnder the current policy settings, a majority of older adults in New Zealand maintain a good level of living standards and health in later life. However, significant proportions experience material hardship and poor health in the decade prior to pension eligibility. Alleviation of material hardship may reduce health inequalities in later life.

Aural Rehabilitation for Older Adults with Hearing Loss: Impacts on Quality of Life—A Systematic Review of Randomized Controlled Trials

2017 ◽  
Vol 28 (07) ◽  
pp. 596-609 ◽  
Author(s):  
Helen N. Michaud ◽  
Louise Duchesne
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hearing Loss ◽  
Adult Population ◽  
Effect Sizes ◽  
Bias Assessment ◽  
Aural Rehabilitation ◽  
Measuring Outcomes ◽  
Older Adult Population

AbstractFew systematic reviews have been conducted regarding aural rehabilitation for adults with hearing loss, with none specifically targeting the older adult population. With prevalence rates of hearing loss being highest in older adults, examining the effects of aural rehabilitation on this population is warranted.To evaluate the effects of aural rehabilitation on quality of life in an older adult population presenting with hearing loss.Studies with adults presenting with hearing loss, ≥50 yr of age, with or without hearing aids, receiving interventions such as auditory training, speech-reading, communication strategies training, speech tracking, counseling, or a combination of approaches, and measuring outcomes related to quality of life, in an individual or group format, with or without significant others and with no limitations as to year of publication.Searches in six databases, as well as results from hand-searching, gray literature, and cross-referencing of articles, yielded 386 articles. Of the 145 assessed as full-text articles for eligibility, 8 studies met inclusion criteria.A component-based risk of bias assessment, as recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.No effect sizes were found in group interventions measuring outcomes related to quality of life, such as mental and emotional functions, environmental factors, participation restrictions, and activity limitations. An intervention effect regarding participation was found for a self-administered home training program, but an effect size was unavailable. Small-to-medium effect sizes were found in one of two individual communication training programs, for which outcomes related to quality of life, such as emotional functions, activities, participation, and environmental factors were measured. The results of the component-based risk of bias assessment indicated that the quality of reporting was poor, thus compromising the internal validity of included primary studies.Our results indicate that the combined body of evidence in support of aural rehabilitation for older adults with hearing loss is not sufficient to draw any firm conclusions. We identify a need for more rigorous research to guide clinical decision-making.

scholarly journals A qualitative study about the mental health and wellbeing of older adults in the UK during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. R. McKinlay ◽  
D. Fancourt ◽  
A. Burton
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Sampling Methods ◽  
Life Experience ◽  
Coping Skills ◽  
Adult Population ◽  
Social Distancing ◽  
Health And Wellbeing ◽  
The Uk ◽  
Older Adult Population

Abstract Objectives The objective of this study was to examine factors that threatened and protected the wellbeing of older adults living in the UK during social distancing restrictions due to the COVID-19 pandemic. Methods Semi-structured telephone or video interviews with 20 adults aged over 70. Purposive sampling methods were used to increase diversity within the group. Transcripts were analysed using reflexive thematic analysis. Results Participants described potential threats to their wellbeing during the pandemic, including fears for mortality, grieving normal life, and concerns for the future. Participants also described activities and behaviours that helped to protect their mental health, including adopting a slower pace of life, maintaining routine, socialising, and using past coping skills. Many participants drew on their resilience and life experience to self-manage fear and uncertainty associated with the pandemic, using their time during lockdown to reflect or organise end-of-life affairs. Discussion This study provides UK-based evidence that while some older adults experienced challenges during the first wave of COVID-19, many were resilient throughout social distancing restrictions despite early reported concerns of mental health consequences among the older adult population. Our findings highlight the importance of maintaining access to essentials to promote feelings of normality and use of social support to help reduce uncertainty in times of pandemics.

scholarly journals COVID-19 and loneliness: A rapid systematic review

2021 ◽  
pp. 000486742110314
Author(s):  
Nagesh Pai ◽  
Shae-Leigh Vella
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Adult Population ◽  
Future Research ◽  
Inclusion Criteria ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
General Adult Population ◽  
Key Terms ◽  
The Impact

Background: Loneliness is known to be associated with both poorer physical and mental health, being associated with increased mortality. Responses throughout the world to the current COVID-19 pandemic all incorporate varying degrees of social distancing and isolation. There is an imperative to provide a timely review and synthesis of the impact of COVID-19 on loneliness in the general population. Methods: PubMed was searched using the key terms ‘COVID-19’, ‘coronavirus’, ‘SARS-COV2’ and ‘loneliness’. Fifty-four articles were identified and screened against the inclusion criteria. The inclusion criteria stipulated that the study needed to incorporate a measure of loneliness with participants being drawn from the general adult population. Twenty-four studies met the inclusion criteria. Results: The key data extracted from the 24 reviewed studies are presented and summarised with a focus on key demographics of participants, the research designs utilised, the measures of loneliness employed and the other variables assessed in the studies. Overall, the findings indicate that loneliness has been a significant issue during the current COVID-19 pandemic and loneliness is positively associated with mental health symptoms. However, there were inconsistencies in the results evident across studies. Conclusion: To our knowledge, this is the first systematic review of research investigating loneliness during the current COVID-19 pandemic in the general adult population. Despite the inconsistencies evident in some of the results across the studies, it is clearly apparent that loneliness is having an impact on the mental health and wellbeing of the general adult population. Furthermore, it is apparent that the current COVID-19 pandemic has had an impact on loneliness in the general adult population and that loneliness is significantly positively associated with mental illness symptomatology. Thus, there is an imperative to address loneliness through public policy and interventions. The limitations of this review are noted and directions given for future research.

An age-friendly city? LGBTQ and frail older adults

2021 ◽  
pp. 89-108
Author(s):  
Lindsay Herman ◽  
Ryan Walker ◽  
Mark W. Rosenberg
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Older Adult ◽  
Adult Population ◽  
Careful Consideration ◽  
World Health ◽  
Daily Experience ◽  
Health And Wellbeing ◽  
Aging Infrastructure ◽  
Older Adult Population

This chapter discusses the aging demographic in Saskatoon, Saskatchewan, and across Canada that is changing the way communities function. It examines the intersection of age and diversity that compound the daily experience of aging, which subject older adults to a 'double jeopardy' in accessing important spaces, services, and opportunities for health and wellbeing. It also mentions age-friendly community development, popularized by the World Health Organization's Age-Friendly Cities Guide, which encompasses an approach to the physical, social, and political fabric of cities and includes a careful consideration of older-adult lived experience. The chapter highlights the age-friendly development theory, which considers the social capital as a foundational component to healthy and sustainable aging infrastructure. It analyzes the experiences of two of the most at-risk or isolated communities among the overall older adult population in Saskatoon: the members of the LGBTQ community, and those experiencing physical or cognitive frailty.

scholarly journals Health-Related Quality of Life of an adult population sample in Barranquilla, Colombia

2018 ◽  
Vol 20 (6) ◽  
pp. 730-736
Author(s):  
Jorge Acosta-Reyes ◽  
Edgar Navarro Lechuga ◽  
Juan Camilo Benitez ◽  
Elsa Bravo ◽  
Eloina Goenaga ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Adult Population ◽  
Population Sample ◽  
Depression Scale ◽  
Health Related Quality ◽  
Physical And Mental Health ◽  
Mild Depression ◽  
Related Quality ◽  
Health Related

Objective The aim of this study was to estimate values of health-related quality of life (HRQOL) by focusing on the physical and mental health of an adult population sample in the city of Barranquilla, Colombia.Materials and methods Cross-sectional study with 368 adults representing an adult population. The questionnaires included the health-related quality of life “CDC-Healthy Days”, the Zung Self-Rating Depression Scale, and the Overall Disability Sum Score. The prevalence of fair or poor health status (FPH), frequent physical distress (FPD), frequent mental distress (FMD), and frequent activity limitation (FAL) was estimated according to socio-demographic characteristics, presence of depression, and physical disability.Results The mean age of 368 adults was 45.6 ± 18.3 years; 55.7% were males. Only 21% of this population considered their general health to be fair or poor. The prevalence of FPH, FPD, FMD and FAL was higher in women than in men, and increased with greater severity of depression and higher physical disability. Moreover, 12% of the population presented with mild depression, 3.8% with moderate depression, and less than 1% with severe depression. 94% of this population did not have an arms or legs disability.Discussion This study provides HRQOL values for an adult sample of the population of Barranquilla, Colombia. Overall, the HRQOL of this population, with subtle differences, is similar to other reports from Colombia. In general, women and people with depression and physical disabilities had a worse quality of life.

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