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Piracha NZ, Nickel LB, Quryshi A, Salah R, Padela AI. Muslims and End-of-Life Healthcare in Non-Muslim Majority Nations: A Systematic Literature Review. J Pain Symptom Manage 2024; 67:e299-e312. [PMID: 38218412 PMCID: PMC10939778 DOI: 10.1016/j.jpainsymman.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 12/08/2023] [Accepted: 01/03/2024] [Indexed: 01/15/2024]
Abstract
CONTEXT As Muslim populations in non-Muslim majority nations grow and age, they will increasingly require culturally appropriate healthcare. Delivering such care requires understanding their experiences with, as well as preferences regarding, end-of-life healthcare. OBJECTIVES To examine the experiences, needs, and challenges of Muslim patients and caregivers with end-of-life, hospice, and palliative care. METHODS A systematic literature review using five databases (MEDLINE, Scopus, Web of Science, CINAHL, Cochrane Library) and key terms related to Islam and end-of-life healthcare. Papers were limited to English-language empirical studies of adults in non-Muslim majority nations. After removing duplicates, titles, abstracts, and articles were screened for quality and reviewed by a multidisciplinary team. RESULTS From an initial list of 1867 articles, 29 articles met all inclusion criteria. Most studies focused on end-of-life healthcare not related to palliative or hospice services and examined Muslim patient and caregiver experiences rather than their needs or challenges. Content analysis revealed three themes: (1) the role of family in caregiving as a moral duty and as surrogate communicators; (2) gaps in knowledge among providers related to Muslim needs and gaps in patient/family knowledge about advance care planning; and (3) the influence of Islam on Muslim physicians' perspectives and practices. CONCLUSION There is scant research on Muslim patients' and caregivers' engagement with end-of-life healthcare in non-Muslim majority nations. Existing research documents knowledge gaps impeding both Muslim patient engagement with end-of-life care and the delivery of culturally appropriate healthcare.
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Affiliation(s)
- Natasha Z Piracha
- Division of Critical Care and Hospital Medicine, Department of Pediatrics (N.Z.P.), Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian, New York, New York, USA; Adult Palliative Care Service, Department of Medicine (N.Z.P.), Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian, New York, New York, USA
| | - Lauren B Nickel
- Department of Emergency Medicine (L.B.N., A.Q., A.I.P.), Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
| | - Afiya Quryshi
- Department of Emergency Medicine (L.B.N., A.Q., A.I.P.), Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Harvard University (A.Q.), Cambridge, Massachusetts, USA
| | - Ramy Salah
- Department of Palliative Medicine (R.S.), Palo Alto Medical Foundation, San Mateo, California, USA
| | - Aasim I Padela
- Department of Emergency Medicine (L.B.N., A.Q., A.I.P.), Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Initiative on Islam and Medicine (A.I.P.), Glendale Heights, Illinois, USA
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Influence of social participation and support on self-rated health among Chinese older adults: Mediating role of coping strategies. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02727-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ekoh PC, Agbawodikeizu PU, George EO, Ezulike CD, Okoye UO. More invisible and vulnerable: the impact of COVID-19 on older persons in displacement in Durumi IDP camp Abuja, Nigeria. QUALITY IN AGEING AND OLDER ADULTS 2021. [DOI: 10.1108/qaoa-10-2020-0049] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Purpose
The novel coronavirus disease (COVID-19) pandemic has further intensified the vulnerability of older persons in displacement and rendered them more unseen. This study aims at exploring the impact of COVID-19 on older people in displacement.
Design/methodology/approach
Data were obtained using semi-structured interviews from 12 older persons at Durumi IDP camp Abuja, while observing strict infection control measures. The data were inductively coded with Nvivo and analysed thematically.
Findings
Findings revealed that the economic and psychosocial fallout of the COVID-19 pandemic has increased older persons in displacement poverty, psychological stress and placed them at risk of ageism, social isolation and may subsequently lead to secondary displacement, thereby losing all progress, development and resilience built after initial displacement.
Social implications
This paper concluded by encouraging the need for all stakeholders to pay more attention to this invisible yet vulnerable group to ensure no one is left behind as people fight through this pandemic and its social implications.
Originality/value
To the best of the authors’ knowledge, this study is the first to explore the impact of COVID-19 on older people in displacement in Nigeria. This is because they have been relatively invisible to research endeavours.
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Changes in family structures and roles, and its impact on older people in displacement in Abuja, Nigeria. JOURNAL OF POPULATION AGEING 2021. [DOI: 10.1007/s12062-021-09332-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Malak MZ, Abu Adas M, Al-Amer R, Yousef NN, Ali RM. Evaluation of Fatigue among Older Population in Jordan. Exp Aging Res 2021; 47:464-477. [PMID: 33792513 DOI: 10.1080/0361073x.2021.1908764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objective: Fatigue among older adults has not received empirical attention in the Arabic region. Thus, this study aimed to assess the levels of fatigue and its related psychosocial factors and examine the predictors of fatigue in older Jordanians aged 60 years and more.Methods: This study used a cross-sectional design and our sample was 250 older adults receiving health services at comprehensive healthcare centers in Amman Governorate, the capital of Jordan. The study used the following scales: Fatigue scale, Rosenberg Self-Esteem Scale, Perceived Stress Scale, Multidimensional Social Support Scale, and sociodemographic and lifestyle behaviors datasheet.Results: The results showed that approximately 57% of the participants experienced severe fatigue. Nearly 90% of the older adults reported having moderate to high levels of stress, around 97% experienced moderate and high levels of social support, and almost 68% had normal self-esteem. The significant predictors of the total fatigue scores were, consuming soft drinks, practicing exercise, perceived levels of stress, and social support levels.Conclusions: Awareness of the magnitude and the factors predicting fatigue among elderlies in Jordan should inform the practice and encourage clinicians to implement individualized care plans that include fatigue reduction strategies, to elderlies visiting healthcare centers.
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Affiliation(s)
- Malakeh Z Malak
- Asso'ciate Professor, Community Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | - Mohammed Abu Adas
- Community Health Nursing, College of Nursing-Khamis Mushait, King Khalid University, Ahba, Kingdom of Saudi Arabia
| | - Rasmieh Al-Amer
- Psychiatric Health Nursing, Faculty of Nursing, Isra University, Amman, Jordan; Adjunct Fellow, Western Sydney University, School of Nursing and Midwifery, Sydney, NSW, Australia
| | - Nancy N Yousef
- Marj Al-Hamam Health Center, Registered Nurse, Adult Health Nursing, Ministry of Health, Amman, Jordan
| | - Raed M Ali
- Clinical Instructor, Adult Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
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Saber M, Rashedi V, FadakarDavarani MM, Borhaninejad V. Social Support, Happiness, and Self-Rated Health among Older Adults: A Population-Based Study. ADVANCES IN GERONTOLOGY 2021; 11:22-28. [DOI: 10.1134/s2079057021010471] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 06/09/2020] [Accepted: 06/15/2020] [Indexed: 10/10/2024]
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Cheng Y, Xi J, Rosenberg MW, Gao S. Intergenerational differences in social support for the community-living elderly in Beijing, China. Health Sci Rep 2018; 1:e96. [PMID: 30623048 PMCID: PMC6242366 DOI: 10.1002/hsr2.96] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 08/07/2018] [Accepted: 09/20/2018] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND AND AIMS The combination of the rapid process of social-economic development, urbanization, and population ageing brings many challenges for care providers and quality of life of the community-living elderly in Beijing, China. This research aims to understand the intergenerational differences of social support for the elderly in the socio-cultural context of Beijing. METHODS AND RESULTS To answer this research question, we collected 30 semi-structured in-depth interviews from elders aged 60 and over in three communities in Beijing. The constant comparative method was used for analysis. The results show that the young-old (people aged 60 to 74) received more formal social support and less informal social support compared to their parents' generation. The formal social support they received was not much different but they received less informal social support compared to the older-old (people aged 75 and over) living in the same communities. The young-old expect to receive more formal social support when they become the older-old, as the informal social support from their children would be reduced due to the one-child policy and socio-cultural changes. CONCLUSIONS Intergenerational differences of social support for the elderly do exist in the form of instrumental, financial, and emotional support. The findings help us understand how socio-economic development and urbanization processes affect the daily life and social support of the community-living elderly from different age groups, and also provides knowledge for improving the quality of life for the elderly in Beijing.
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Affiliation(s)
- Yang Cheng
- Faculty of Geographical ScienceBeijing Normal UniversityBeijingP. R. China
| | - Jing Xi
- Faculty of Geographical ScienceBeijing Normal UniversityBeijingP. R. China
| | - Mark W. Rosenberg
- Department of Geography and Planning, Queen's University, K7L 3N6OntarioCanada
| | - Siyao Gao
- Faculty of Geographical ScienceBeijing Normal UniversityBeijingP. R. China
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Nyholm N, Halvorsen I, Mygind A, Christensen U, Kristiansen M. Diversity in cancer care: exploring social categories in encounters between healthcare professionals and breast cancer patients. Scand J Caring Sci 2018; 32:1108-1117. [DOI: 10.1111/scs.12556] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 12/07/2017] [Indexed: 02/01/2023]
Affiliation(s)
- Nanna Nyholm
- Section for Health Services Research; Center for Healthy Aging; Department of Public Health; University of Copenhagen; Copenhagen Denmark
| | - Ida Halvorsen
- Section for Health Services Research; Center for Healthy Aging; Department of Public Health; University of Copenhagen; Copenhagen Denmark
| | - Anna Mygind
- Research Unit for General Practice; University of Aarhus; Aarhus Denmark
| | - Ulla Christensen
- Section of Social Medicine; Department of Public Health; University of Copenhagen; Copenhagen Denmark
| | - Maria Kristiansen
- Section for Health Services Research; Center for Healthy Aging; Department of Public Health; University of Copenhagen; Copenhagen Denmark
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Dai Y, Zhang CY, Zhang BQ, Li Z, Jiang C, Huang HL. Social support and the self-rated health of older people: A comparative study in Tainan Taiwan and Fuzhou Fujian province. Medicine (Baltimore) 2016; 95:e3881. [PMID: 27310979 PMCID: PMC4998465 DOI: 10.1097/md.0000000000003881] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Revised: 05/12/2016] [Accepted: 05/16/2016] [Indexed: 11/27/2022] Open
Abstract
The lack of social support in elderly populations incurs real societal costs and can lead to their poor health. The aim of this study is to investigate the self-rated health (SRH) and social support among older people as well as its associated factors.We conducted a cross-sectional study among 312 urban community-dwelling elderly aged 65 to 90 years in Tainan Taiwan and Fuzhou Fujian Province from March 2012 to October 2012. A Spearson correlation test, independent t test, a Pearson χ test, a linear regression analysis, and a multiple-level model were performed to analyze the results.The participants identified children as the most important source of objective and subjective support, followed by spouse and relatives. Tainan's elderly received more daily life assistance and emotional support, showed stronger awareness of the need to seek help, and maintained a higher frequency of social interactions compared with the elderly in Fuzhou. The mean objective support, subjective support, and support utilization scores as well as the overall social support among Tainan's elderly were significantly high compared with the scores among Fuzhou's elderly. Further, Tainan's elderly rated better SRH than Fuzhou's elderly. Correlation analysis showed that social support was significantly correlated with city, age, living conditions, marital status, and SRH. Multiple linear regression analysis, with social support as a dependent variable, retained the following independent predictors in the final regression model: city (4.792, 95% confidence interval [CI]: 3.068-6.516, P = 0.000), age (-0.805, 95% CI: -1.394 to -0.135, P = 0.013), marital status (-1.260, 95% CI: -1.891 to -0.629, P = 0.000), living conditions (4.069, 95% CI: 3.022-5.116, P = 0.000), and SRH -1.941, 95% CI: -3.194 to -0.688, P = 0.003). The multiple-level model showed that city would impact older people's social support (χ = 5.103, P < 0.001). Marital status (-2.133, 95% CI: -2.768 to -1.499, P = 0.000), education (1.697, 95% CI: 0.589-2.805 P = 0.003), living conditions (4.20, 95% CI: 1.762-6.638, P = 0.000), and SRH (-3.144, 95% CI: -4.502 to -1.727, P = 0.000) were the associated factors. Thus, city, age, marital status, education, living conditions, and SRH might be the associated factors for social support among older people.This study presents some feasible implications for social support improvement in China and in other nations worldwide.
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Affiliation(s)
- Yue Dai
- Department of Health Management, School of Public Health, Fujian Medical University, Fuzhou Fujian Province
- Department of Healthcare Management, School of Public Health, Central South University, Changsha Hunan Province
| | - Chen-Yun Zhang
- Department of Health Policy and Law, School of Public Health, Fujian Medical University
| | - Bao-Quan Zhang
- Department of Neonatology, Fujian Maternal and Child Health, Fuzhou Fujian Province
| | | | - Caixiao Jiang
- Department of Epidemiology and Statistics, School of Public Health, Central South University, Changsha Hunan Province
| | - Hui-Ling Huang
- Department of Gerontology, Union Hospital of Fujian Medical University, Fuzhou Fujian Province, China
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