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Migrants’ pathways to aged care: the role of local relationships of care in facilitating access for super-diverse older populations. AGEING & SOCIETY 2021. [DOI: 10.1017/s0144686x21001240] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
The literature on older migrants often focuses on identifying the characteristics of ethnic groups that constitute ‘barriers’ for members of these populations to access care. This paper offers an alternative conceptualisation of access to care, by combining relational approaches to place and the notion of super-diversity. From this perspective, ‘access to care’ is perceived as an outcome of an individual's embeddedness in relationships of care in urban places. The objective of the study is to identify relationships of care that facilitate access to aged care for older first-generation migrants. Thirty-two semi-structured interviews were conducted with older migrants who were residents of Nijmegen or The Hague, The Netherlands. All interviewees had accessed home care, home aid and/or day care. Both relationships with minority-specific services and informal relationships of care, particularly those within local minority communities, were found to facilitate access to aged care. Past experiences with health and social care were also found to influence current relationships with formal care providers. This study, therefore, suggests that policy makers and care organisations should build long-term positive relationships with new and incoming migrant groups. In addition, it argues that policy makers and care providers should identify locally relevant shared migration-related (rather than ethnic) identities around which communities can be mobilised and targeted with appropriate services.
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Klokgieters SS, van Tilburg TG, Deeg DJH, Huisman M. The Linkage Between Aging, Migration, and Resilience: Resilience in the Life of Older Turkish and Moroccan Immigrants. J Gerontol B Psychol Sci Soc Sci 2021; 75:1113-1123. [PMID: 30816945 PMCID: PMC7161371 DOI: 10.1093/geronb/gbz024] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES Older immigrants are affected by an accumulation of adversities related to migration and aging. This study investigates resilience in older immigrants by examining the resources they use to deal with these adversities in the course of their lives. METHODS Data from 23 life-story interviews with Turkish and Moroccan immigrants aged 60-69 years living in the Netherlands. RESULTS The circumstances under which individuals foster resilience coincide with four postmigration life stages: settling into the host society, maintaining settlement, restructuring life postretirement, and increasing dependency. Resources that promote resilience include education in the country of origin, dealing with language barriers, having two incomes, making life meaningful, strong social and community networks, and the ability to sustain a transnational lifestyle traveling back and forth to the country of origin. More resilient individuals invest in actively improving their life conditions and are good at accepting conditions that cannot be changed. DISCUSSION The study illustrates a link between conditions across life stages, migration, and resilience. Resilient immigrants are better able to accumulate financial and social and other resources across life stages, whereas less resilient immigrants lose access to resources in different life stages.
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Affiliation(s)
| | | | - Dorly J H Deeg
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, location VUmc, The Netherlands
| | - Martijn Huisman
- Department of Sociology, Vrije Universiteit, Amsterdam, The Netherlands.,Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, location VUmc, The Netherlands
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Berdai Chaouni S, Claeys A, van den Broeke J, De Donder L. Doing research on the intersection of ethnicity and old age: Key insights from decolonial frameworks. J Aging Stud 2020; 56:100909. [PMID: 33712097 DOI: 10.1016/j.jaging.2020.100909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 11/19/2020] [Accepted: 11/19/2020] [Indexed: 11/27/2022]
Abstract
Population aging and international migration are two of the most critical social trends shaping the world today. As a result, scholars across the globe have begun to investigate how to better incorporate ethnicity into gerontological research. The integration of insights from life-course theory, post-colonial, and feminist theories have resulted in valuable attempts to tackle issues related to ethnicity and old age. Inspired by these bodies of research, this paper explores how decolonial perspectives can strengthen social gerontological research at the intersection of ethnicity and old age. This theoretical paper advances four key insights drawn from decolonial perspectives that expose some current blind spots in gerontological research at the intersection of aging and ethnicity. Through a process of awareness and resistance decolonial perspectives reveal that: 1) colonial thinking is deeply embedded in research; 2) critical reflection about who is considered the "knower" in research is warranted; 3) alternative ways to generate, analyze, and publish knowledge exist; and 4) the places and systems of knowledge production are not neutral. To address these issues empirically, decolonial frameworks call us to actions that include decolonizing the conceptual underpinnings of the research enterprise, scholars themselves, research-in-action (through "epistemic disobedience"), and current knowledge systems and structures that reflect and reinforce colonialism. Potential applications of these insights are explored, but acknowledged as an essential first step on a nascent path. This paper concludes by arguing that decolonial perspectives offer a more genuine gaze by demanding nuanced reflections of contemporary realities aging persons embodying the intersection of aging and ethnicity, like racialized older migrants and ethnic minorities, while simultaneously revealing how historically-rooted power hierarchies that are often invisible constrain their aging experiences.
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Affiliation(s)
- Saloua Berdai Chaouni
- Vrije Universiteit Brussel, Department of Adult Educational Sciences, Pleinlaan 5, 1090 Brussels, Belgium; Erasmus University of Applied Sciences Brussels, Department of Media, Management and Society, Zespenningenstraat 70, 1000 Brussels, Belgium.
| | - Ann Claeys
- Vrije Universiteit Brussel, Department of Adult Educational Sciences, Pleinlaan 5, 1090 Brussels, Belgium; Erasmus University of Applied Sciences Brussels, Department of Health Care and Landscape Architecture, Laarbeeklaan 121, 1090 Brussels, Belgium.
| | | | - Liesbeth De Donder
- Vrije Universiteit Brussel, Department of Adult Educational Sciences, Pleinlaan 5, 1090 Brussels, Belgium.
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Prinjha S, Miah N, Ali E, Farmer A. Including 'seldom heard' views in research: opportunities, challenges and recommendations from focus groups with British South Asian people with type 2 diabetes. BMC Med Res Methodol 2020; 20:157. [PMID: 32539718 PMCID: PMC7296709 DOI: 10.1186/s12874-020-01045-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 06/09/2020] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The inclusion of 'seldom heard' groups in health and social care research is increasingly seen as important on scientific, policy and ethical grounds. British South Asians, the largest minority ethnic group in the United Kingdom (UK), are under-represented in health research yet over-represented in the incidence of certain conditions such as type 2 diabetes. With the growing requirement of patient involvement in research and the inclusion of diverse populations, methodological guidance on how to include, engage and conduct research with UK South Asian populations is essential if services and interventions are to be relevant and impactful. However, such guidance for researchers is limited. METHODS The aim of the paper is to reflect on our experiences of conducting focus groups with UK South Asian communities with type 2 diabetes, which involved experienced community partners and researchers working closely together. We discuss the factors that aided the successful delivery of the project, the challenges that we encountered, how we dealt with these, and recommendations. RESULTS Our study suggests ways to involve and conduct focus groups with UK South Asian populations. Key considerations are categorised under four headings: co-working with community partners; linguistic competency; cultural competency and awareness; and reflexivity, power and acknowledgement. Having an experienced team of researchers and community experts - with the relevant linguistic and cultural competencies and different kinds of knowledge and skills - was key to the successful delivery of the study. Working collaboratively enabled us to recruit a diverse sample, to navigate the challenges of recruitment, to be present at every discussion which helped contribute to data richness, and to reflect on our own roles in the research process. CONCLUSIONS Focus groups with UK South Asian communities can be a useful way of exploring new topics and involving seldom heard views. While a useful method, focus groups are only one way of exploring a research topic and provide an insight into context-specific attitudes and views. Future research should explore British South Asian participants' views on how they would like to be involved in research, including new methods of collecting data and coproducing research.
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Affiliation(s)
- Suman Prinjha
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG UK
| | - Nasima Miah
- Centre for BME Health, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW UK
| | - Ebrahim Ali
- Bangladesh Youth & Cultural Shomiti (BYCS), 30-32 Biddulph Street, Leicester, LE2 1BF UK
| | - Andrew Farmer
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG UK
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Establishing long-term research relationships with older people: exploring care practices in longitudinal studies. AGEING & SOCIETY 2018. [DOI: 10.1017/s0144686x18001538] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractDrawing on a recently completed longitudinal research project with 96 participants aged 55+, the paper provides insight into the challenges of carrying out ethical practices when engaged in longer-term research relationships with older people. It builds on a body of work that purposely records in detail the ethical dilemmas researchers face, the options available to them and the rationale guiding their reaction. The Co-Motion research, led by the University of York, examined the impact of major later-life transitions on mobility and wellbeing, and was therefore focused on times of change that were, for some participants, accompanied by suffering. Over three years, the project used a range of methods to explore with each individual the dynamic nature of lived experience: change, continuity, endurance, transition and causality. The paper addresses the negotiation of informed consent over the life of long-term research relationships; the ‘care work’ involved; contested understandings of vulnerability; and the need for ongoing ethical reflection. The paper concludes by calling for greater reflexivity and suggests a more participant-focused approach to ethics in the field, demanding both greater self-awareness from researchers and allowing the participants to have greater voice in the research processes.
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Generational (dis)agreements – family support, national law and older immigrants in extended households. AGEING & SOCIETY 2017. [DOI: 10.1017/s0144686x17001234] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
ABSTRACTAs detailed knowledge on multigenerational migrant families is sparse, this paper draws on quantitative and qualitative data to investigate intergenerational co-residence for older Turkish immigrants in Denmark. Registry data show that 23 per cent of Turkish immigrants in the 65–74 years age group live in intergenerational households – a level halfway between levels in Denmark and Turkey. These extended households are predominantly of the ‘culturally ideal’ type – formed by sons, sons’ wives and often the couple's children. One in five extended households, however, includes unwed sons and hence do not provide access to the labour power of daughters-in-law. Many factors seem to contribute to the observed pattern, including variable meanings of intergenerational co-habitation, high levels of poverty and limited housing options for extended families. Interviews with older Turkish immigrants point to another contributing factor, namely men's difficulties finding wives willing to live with parents-in-law. The sons’ hardships in this regard can be tied to a Danish immigration regime that bars marriage migrants from entering into extended households. While Turkish women raised in Denmark do not face such legal restrictions, such young women may reject marriage proposals entailing in-law co-habitation. The study thus adds new nuances to our understanding of how the dynamics of age, gender and immigration experience may shape the ways in which older immigrants live in Europe today.
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A Bicultural Researcher's Reflections on Ethical Research Practices With Muslim Immigrant Women: Merging Boundaries and Challenging Binaries. ANS Adv Nurs Sci 2017; 40:109-121. [PMID: 28368865 DOI: 10.1097/ans.0000000000000170] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Bicultural researchers are well positioned to identify tensions, disrupt binaries of positions, and reconcile differences across cultural contexts to ensure ethical research practices. This article focuses on a bicultural researcher's experiences of ethically important moments in research activities with Muslim immigrant women. Three ethical principles of respect, justice, and concern for welfare are highlighted, revealing the implications of binary constructions of identity, the value of situated knowledge in creating ethical research practices, and the need to recognize agency as a counterforce to oppressive narratives about Muslim women.
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ZUBAIR MARIA, NORRIS MERIEL. Perspectives on ageing, later life and ethnicity: ageing research in ethnic minority contexts. AGEING & SOCIETY 2015; 35:897-916. [PMID: 25937682 PMCID: PMC4396438 DOI: 10.1017/s0144686x14001536] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
This special issue focuses broadly upon questions and themes relating to the current conceptualisations, representations and use of 'ethnicity' (and ethnic minority experiences) within the field of social gerontology. An important aim of this special issue is to explore and address the issue of 'otherness' within the predominant existing frameworks for researching those who are ageing or considered aged, compounded by the particular constructions of their ethnicity and ethnic 'difference'. The range of theoretical, methodological and empirical papers included in this collection provide some critical insights into particular facets of the current research agendas, cultural understandings and empirical focus of ethnic minority ageing research. The main emphasis is on highlighting the ways in which ethnic cultural homogeneity and 'otherness' is often assumed in research involving older people from ethnic minority backgrounds, and how wider societal inequalities are concomitantly (re)produced, within (and through) research itself - for example, based on narrowly defined research agendas and questions; the assumed age and/or ethnic differences of researchers vis-à-vis their older research participants; the workings of the formalised ethical procedures and frameworks; and the conceptual and theoretical frameworks employed in the formulation of research questions and interpretation of data. We examine and challenge here the simplistic categorisations and distinctions often made in gerontological research based around research participants' ethnicity, age and ageing and assumed cultural differences. The papers presented in this collection reveal instead the actual complexity and fluidity of these concepts as well as the cultural dynamism and diversity of experiences within ethnic groups. Through an exploration of these issues, we address some of the gaps in existing knowledge and understandings as well as contribute to the newly emerging discussions surrounding the use of particular notions of ethnicity and ethnic minority ageing as these are being employed within the field of ageing studies.
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Affiliation(s)
- MARIA ZUBAIR
- School of Sociology and Social Policy, University
of Nottingham, UK
- Centre for Dementia, Institute of Mental Health,
University of Nottingham, UK
| | - MERIEL NORRIS
- College of Health and Life Sciences, Brunel
University London, UK
- Institute of Healthy Ageing, Brunel University
London, UK
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