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Aurizki GE, Efendi F, Indarwati R, Andriani F, Sari DW, Noguchi-Watanabe M. The Perceptions and Experiences of Older People Living in the Aftermath of Lombok Earthquakes, Indonesia: A Qualitative Study. Int J Older People Nurs 2024; 19:e12640. [PMID: 39148351 DOI: 10.1111/opn.12640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 07/11/2024] [Accepted: 07/29/2024] [Indexed: 08/17/2024]
Abstract
INTRODUCTION Despite the growing knowledge of people's vulnerability following natural disasters, the perspective of older people has received limited attention. This study aimed to explore the perceptions and experiences of older people encountering the 2018 Lombok earthquakes. METHODS This exploratory qualitative study involved 16 older people living in one of the villages most affected by the 2018 earthquakes in Lombok Island, Nusa Tenggara Barat, Indonesia. The data were collected in June 2019 using semi-structured interviews. Participants' responses were digitally recorded and transcribed verbatim for analysis. The data were analysed using qualitative content analysis managed in NVivo. RESULTS From older people's perspectives, three themes were generated: surviving the disaster, dealing with life changes and navigating through challenges and hope. Each theme comprised two categories, which reflected the journey of older people from the early to the later phase of the disaster. CONCLUSIONS Older people experienced critical conditions and difficulties both physically and mentally. They also experienced various emotional responses before accepting living situations following a disaster. Nurses should play a role in fulfilling the physical and mental health needs of older people in post-disaster conditions. IMPLICATIONS FOR PRACTICE This study can inform nurses and other key stakeholders about the needs of older people during and after natural disasters. Nurses need to be equipped with the skills and abilities to identify and meet the needs of older people in difficult situations and with limited resources.
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Affiliation(s)
- Gading Ekapuja Aurizki
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester, UK
| | - Ferry Efendi
- Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
- School of Nursing and Midwifery, La Trobe University, Melbourne, Australia
| | - Retno Indarwati
- Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
| | - Firma Andriani
- Governor Team for Regional Development Acceleration of Nusa Tenggara Barat (TGP2D NTB), Mataram, NTB, Indonesia
| | - Dianis Wulan Sari
- Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
| | - Maiko Noguchi-Watanabe
- Department of Home Health and Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Prina M, Khan N, Akhter Khan S, Caicedo JC, Peycheva A, Seo V, Xue S, Sadana R. Climate change and healthy ageing: An assessment of the impact of climate hazards on older people. J Glob Health 2024; 14:04101. [PMID: 38783708 PMCID: PMC11116931 DOI: 10.7189/jogh.14.04101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024] Open
Abstract
Background Climate change not only directly impacts older people's longevity but also healthy ageing, which is the process of maintaining physical and mental capacities while optimising functional abilities. The urgency to address both population ageing and climate change necessitates a rethink and assessment of the impact of climate change on older people. This includes identifying what can be done to anticipate, mitigate and adapt to climate change and engage older persons. Methods A review of climate change and healthy ageing forms the basis of evidence in this report. We developed a comprehensive search to assess current literature, combining terms related to ageing and climate change across four major data sets and assessing articles published up to the end of 2021. Results We summarised the current and future impact of climate change on older people and developed a framework identifying climate change impacts on older persons, recognising social and environmental determinants of healthy ageing. Major hazards and some key exposure pathways include extreme temperatures, wildfire, drought, flooding, storm and sea level rise, air quality, climate-sensitive infectious diseases, food and water insecurities, health and social care system displacement, migration, and relocation. Strategies to address climate change require interventions to improve systems and infrastructure to reduce vulnerability and increase resilience. As a heterogeneous group, older people's perceptions of climate change should be integrated into climate activism. Increasing climate change literacy among older people and enabling them to promote intergenerational dialogue will drive the development and implementation of equitable solutions. Pathways may operate via direct or indirect exposures, requiring longitudinal studies that enable assessment of exposures and outcomes at multiple time points, and analyses of cumulative impacts of hazards across the life course. Conclusions The lack of systematic reviews and primary research on the impact of most climate hazards, except for heat, on older people is apparent. Future research should include outcomes beyond mortality and morbidity and assess how older people interact with their environment by focusing on their capacities and optimising abilities for being and doing what they value.
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Affiliation(s)
- Matthew Prina
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, England, UK
| | - Nusrat Khan
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, England, UK
| | - Samia Akhter Khan
- Department of Global Health & Social Medicine, King’s College London, London, England, UK
- Department of Health Service & Population Health, King’s College London, London, England, UK
| | | | - Anna Peycheva
- Department of Child and Adolescent Psychiatry, King’s College London, London, England, UK
| | - Veri Seo
- Department of Psychiatry, Cambridge Health Alliance, Cambridge, Massachusetts, USA
| | - Siqi Xue
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Ritu Sadana
- World Health Organization, Geneva, Switzerland
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Zander KK, Sibarani R, Abunyewah M, Erdiaw-Kwasie MO, Moss SA, Lassa J, Garnett ST. Community resilience across Australia towards natural hazards: an application of the Conjoint Community Resiliency Assessment Measurement. DISASTERS 2024; 48:e12590. [PMID: 37192426 DOI: 10.1111/disa.12590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Natural hazards can turn into disasters when not managed well. An important part of disaster risk reduction is to understand how well communities are prepared for natural hazards and how well they can cope with and recover from shocks in the long term. This research assesses self-reported community resilience and asks what makes a community resilient, using Australia as a case study. It reports on an Australian-wide online survey which included questions related to the Conjoint Community Resiliency Assessment Measurement, a subjective indicator, as well as questions about risk perception, well-being, and self-efficacy. Community resilience was found to be moderately high but scores for community leadership and preparedness were low. Perceived community resilience was positively correlated with age and those with high scores for self-efficacy and well-being. There was, as expected, an inverse relationship between reliance on external support during natural hazards and self-efficacy. The results complement previous studies which used different measures of community resilience.
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Affiliation(s)
- Kerstin K Zander
- Associate Professor at the Northern Institute, Charles Darwin University, Australia
| | - Rifka Sibarani
- PhD student at the Northern Institute, Charles Darwin University, Australia
| | - Matthew Abunyewah
- Outstanding Future Researcher at the Australasian Centre for Resilience Implementation for Sustainable Communities, Charles Darwin University, Australia
| | | | - Simon A Moss
- Dean of Graduate Research at the Research and Innovation Division, University of Wollongong, Australia
| | - Jonatan Lassa
- Senior Lecturer at the Northern Institute, Charles Darwin University, Australia
| | - Stephen T Garnett
- Professor at the Research Institute for the Environment and Livelihoods, Charles Darwin University, Australia
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Hinds J, Greaves N, Harewood H. Diabetes self-management and social support during the COVID-19 pandemic: Perspectives of older adults living in Barbados. DIALOGUES IN HEALTH 2023; 2:100111. [PMID: 36778667 PMCID: PMC9904847 DOI: 10.1016/j.dialog.2023.100111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 02/04/2023] [Accepted: 02/05/2023] [Indexed: 02/09/2023]
Abstract
Purpose Diabetes mellitus (diabetes) is a major health concern in Barbados. In 2013, the reported prevalence (18.7%) was double global levels, with diabetes accounting for 10.4% of total deaths in 2016. Barbados has a rapidly aging population and older adults living with diabetes are more at risk of developing complications. Poorly managed diabetes represents a high burden for individuals and society due to direct healthcare costs for treatment, and to indirect costs due to loss of productivity from disability and premature mortality. Good diabetes self-management promotes glycemic control. Self-management is enhanced by social support and challenged by external shocks. This study explored the role of social support in diabetes self-management among older people in Barbados during the COVID-19 pandemic. Methods Qualitative secondary thematic analysis of semi-structured individual telephone interviews with adults aged 65-84 years living with diabetes in Barbados during a partial COVID-19 lockdown period. Sampling was purposive, aided by gatekeepers who provide services to elderly people. Verbatim interview transcripts coded using an inductive method were subjected to thematic analysis by three qualitative researchers using NVIVO software. Results Four organising themes: "Balance", "Social Capital", "Resilience", and "Adaptations to COVID-19", informed the global theme "Adaptive Diabetes Self-Management Response", which captures resilience mechanisms of older adults who balanced facilitators including self-reliance and religious faith, and barriers such as perceived ageist discrimination in workplace policies designed to reduce COVID-19 exposure. Accordingly, elderly Barbadians living with diabetes were resilient, selectively incorporating available social support mechanisms to maintain self-management and overall well-being during the COVID-19 pandemic. Conclusion The emergent evidence for resilience among older persons in this setting is important for informing health system interventions to improve quality of life for PLWD. The views of the elderly should be explicitly considered in policies designed to enhance the self-management of chronic health conditions.
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Affiliation(s)
| | | | - Heather Harewood
- Corresponding author at: Department of Preclinical and Health Sciences, Faculty of Medical Sciences, Office of Graduate Affairs, Leslie Robinson Building, The University of the West Indies, Cave Hill Campus, Bridgetown BB11000, Barbados
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Coping With Disasters and Pandemics Through Experience and Community: How African American Older Adults Navigate Disaster Planning, Response, and Recovery. Disaster Med Public Health Prep 2023; 17:e291. [PMID: 36594253 DOI: 10.1017/dmp.2022.254] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE Studies have reported that minorities are disproportionately impacted by the COVID-19 pandemic. Few studies have elucidated the lived experiences of African American older adults, and the resiliency displayed in combatting the COVID-19 pandemic and other disasters. METHODS This study used 4 recorded focus groups with 26 African American older adults who have spent most of their lives living in Houston, Texas to assess safety, economic, and health concerns related to the pandemic and similarities or differences with other types of disasters that are specific to Houston/ the Gulf Region of Texas, such as Hurricane Harvey. RESULTS Key themes emerged from the thematic analysis: 1) previous disasters provided important coping and preparation skills, although each occurrence was still a major stressor, 2) while telehealth was a significant benefit, regular health maintenance and chronic disease management were not completed during the COVID-19 pandemic, 3) information from the federal and state authorities were inconsistent and spurred fear and anxiety, 4) participants experienced few to no disruptions to their income but were heavily called on to support family members, and 5) participants experienced anxiety and isolation, but many used existing social connections to cope. CONCLUSIONS These findings demonstrate how African American older adults navigate disaster response and recovery through experience and community. Providing unambiguous information to older adults could prove useful in preparing for future disaster events and coping with disasters.
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Ribeiro-Gonçalves JA, Costa PA, Leal I. Loneliness, ageism, and mental health: The buffering role of resilience in seniors. Int J Clin Health Psychol 2023; 23:100339. [PMID: 36168598 PMCID: PMC9485034 DOI: 10.1016/j.ijchp.2022.100339] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 08/19/2022] [Indexed: 11/19/2022] Open
Abstract
Introduction Ageism and loneliness are two relevant public health phenomena because of their negative impact on the senior's mental health. With the increase in average life expectancy, these tend to co-occur, which may increase the psychological distress (PD) of seniors. Resilience has been shown to be an important protective factor of seniors mental health, although its potential buffering role of public health risk factors with cumulative impact on mental health, such as loneliness and ageism, needs to be more studied. Aim To assess the potential mediator role of resilience between the effects of ageism and loneliness on PD in seniors. Methods A sample of 349 Portuguese seniors aged 60 years and over was collected through an online survey and during the COVID-19 pandemic period. Seniors completed the Kessler Psychological Distress Scale (K6), the Short-Form of UCLA Loneliness Scale (USL-6), the Ambivalent Ageism Scale (AAS) and the Connor-Davidson Resilience Scale (CD-RISC-10). A mediation analysis model was developed with resilience as a mediating variable. Results There were moderate to high levels of PD and moderate levels of ageism, loneliness and resilience. Resilience fully mediated the effect of ageism on PD and partially mediated the effect of loneliness on PD. Conclusions Resilience was an important protective factor of mental health against the effects of ageism, and partially protected mental health from the effects of loneliness among seniors. It is suggested that resilience be considered as a factor to be integrated in future intervention programs for mental health. The practical applicability of this study is discussed.
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Affiliation(s)
- José Alberto Ribeiro-Gonçalves
- Corresponding author at: William James Center for Research, ISPA - University Institute, Rua Jardim do Tabaco, n° 34, 1149-041 Lisboa, Portugal.
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Oppenheimer-Lewin D, Ortega-Palavecinos M, Núñez-Cortés R. [Resilience in older people during the first wave of the COVID-19 pandemic in Chile: Perspective from the social determinants of health]. Rev Esp Geriatr Gerontol 2022; 57:264-268. [PMID: 36109252 PMCID: PMC9399176 DOI: 10.1016/j.regg.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 07/27/2022] [Accepted: 08/18/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To assess the association between social determinants of health (SDH) and resilience in older people during the first period of confinement in the COVID-19 pandemic in Chile. MATERIALS AND METHODS An observational study with a cross-sectional design was conducted using a nationally representative survey data-set. In this survey, using a systematic randomization process, a subsample of people aged ≥60 years from the community were interviewed by telephone during the first wave of the COVID-19 pandemic in Chile. Resilience was assessed using the Brief Resilient Coping Scale (BRCS) and depressive symptoms using the Patient Health Questionnaire (PHQ-9) scale. The SDH considered were: age, sex, educational level, employment status, social isolation, loneliness, discontent with housing and health care needs. RESULTS A total sample of 582 persons was obtained. The mean age was 71 years (SD: 7.64; 69% women). A significant association was obtained between low resilience and the following conditions: loneliness (OR: 1.776 [95% CI: 1.146-2.751]), high risk of social isolation (OR: 1.667 [95% CI: 1.149-2.419]), and depressive symptoms (OR: 2.602 [95% CI: 1.795-3.774]). Female gender was a protective factor (OR: 0.589 [95% CI: 0.406-0.855]). CONCLUSION The SDH, such as loneliness and social isolation, are factors associated with low resilience in older people during the COVID-19 pandemic and may be taken into account in planning public health intervention strategies.
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Affiliation(s)
| | - Maritza Ortega-Palavecinos
- Unidad de Atención Integral al Usuario de Urgencias y Trabajo Social, Hospital Dra. Eloísa Díaz Insunza, La Florida, Región Metropolitana, Chile
| | - Rodrigo Núñez-Cortés
- Departamento de Kinesiología, Facultad de Medicina, Universidad de Chile, Santiago, Chile
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Timalsina R, Songwathana P, Sae-Sia W. Resilience and its associated factors among older disaster survivors. Geriatr Nurs 2021; 42:1264-1274. [PMID: 34555569 DOI: 10.1016/j.gerinurse.2021.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 08/08/2021] [Accepted: 08/09/2021] [Indexed: 11/17/2022]
Abstract
Resilience is a valuable resource in attaining a productive life as well as successful and healthy aging. Little is known about how older people who have experienced the impacts of disasters have fared, especially after earthquakes, in the long term. This cross-sectional analytical study aimed to identify resilience and its associated factors among 324 older disaster survivors. Accordingly, participants reported having an intermediate level of resilience (48.5%), followed by low (28.7%) and high (22.8%) levels. Age, marital status, literacy status, current regular personal income, current health problem, frequent visits to health care centers, perceived quality of life changes after earthquakes, and perceived social support had a statistically significant association with resilience accounting for 33% of the variance in resilience. Nurses, mental health professionals, and other health care practitioners should consider these findings for promoting the resilience of older disaster survivors and develop multidimensional interventions for their disaster preparedness.
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Affiliation(s)
| | | | - Wipa Sae-Sia
- Faculty of Nursing, Prince of Songkla University, Thailand
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da Silva-Sauer L, de la Torre-Luque A, Smith BW, C M C Lins M, Andrade S, Fernández-Calvo B. Brief Resilience Scale (BRS) Portuguese Version: validity and metrics for the older adult population. Aging Ment Health 2021; 25:1554-1563. [PMID: 32299220 DOI: 10.1080/13607863.2020.1753015] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVE This study aims to analyze the psychometric properties of the new Brazilian-Portuguese version of the Brief Resilience Scale (B-BRS) in older adults. METHOD A sample of 1251 participants (54.20% women; M = 68.02 years, SD = 6.52) completed the B-BRS and seven scales on successful aging and mental health. Confirmatory factor analysis was used to study the B-BRS dimensionality. Convergent and divergent validity was analyzed by means of examining the relationships of B-BRS with scales on successful aging and mental health. RESULTS The results supported the unidimensionality of the B-BRS after controlling for wording method, as well as satisfactory reliability (ω = .79). B-BRS structure remained invariant across education level and income groups. B-BRS scores positively correlated with successful aging factors and negatively with psychopathology symptoms. CONCLUSION To conclude, our findings provide some evidence on the reliability and validity of the B-BRS, as well as its validation for use in the senior population.
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Affiliation(s)
- Leandro da Silva-Sauer
- Laboratory of Aging and Neurodegeneration, Department of Psychology, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Alejandro de la Torre-Luque
- Center for Biomedical Research in Mental Health (CIBERSAM). Department of Psychiatry, Autonomous University of Madrid, Madrid, Spain
| | - Bruce W Smith
- Department of Psychology, University of New Mexico, Albuquerque, NM, USA
| | - Mônica C M C Lins
- Laboratory of Aging and Neurodegeneration, Department of Psychology, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Suellen Andrade
- Laboratory of Aging and Neurodegeneration, Department of Psychology, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Bernardino Fernández-Calvo
- Laboratory of Aging and Neurodegeneration, Department of Psychology, Federal University of Paraiba, Joao Pessoa, Brazil
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