{"title":"\"I feel like a caged pig in here\": Language, Race, and Ethnic Identity in a Case Study Hmong Nursing Home Resident Quality of Life.","authors":"Mai See Thao, Heather Davila, Tetyana Shippee","doi":"10.1177/07334648241271896","DOIUrl":null,"url":null,"abstract":"<p><p>Racial disparities in nursing home (NH) quality of life (QOL) are well established, yet, little is understood about actual experiences shaping QOL for Black, indigenous, and people of color (BIPOC) residents in NHs. This gap extends to BIPOC residents with limited English proficiency (LEP). Drawing on Kane's (2001) and Zubristky's (2013) QOL frameworks, this case study examined QOL experiences for Hmong NH residents, an ethnic and refugee group from Southeast Asia, in a NH with a high proportion of BIPOC residents. Methods include four months of observation, interviews with eight Hmong residents and five NH staff, and one community focus group. Thematic analysis revealed significant challenges in QOL. Exacerbated by language barriers and racism, many residents reported neglect, limited relationships, lack of meaningful activities, and dissatisfaction with food. These experiences fostered a sense of resignation and diminished QOL among Hmong residents, highlighting the need for additional supports for this group.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"267-275"},"PeriodicalIF":2.2000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Applied Gerontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/07334648241271896","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Racial disparities in nursing home (NH) quality of life (QOL) are well established, yet, little is understood about actual experiences shaping QOL for Black, indigenous, and people of color (BIPOC) residents in NHs. This gap extends to BIPOC residents with limited English proficiency (LEP). Drawing on Kane's (2001) and Zubristky's (2013) QOL frameworks, this case study examined QOL experiences for Hmong NH residents, an ethnic and refugee group from Southeast Asia, in a NH with a high proportion of BIPOC residents. Methods include four months of observation, interviews with eight Hmong residents and five NH staff, and one community focus group. Thematic analysis revealed significant challenges in QOL. Exacerbated by language barriers and racism, many residents reported neglect, limited relationships, lack of meaningful activities, and dissatisfaction with food. These experiences fostered a sense of resignation and diminished QOL among Hmong residents, highlighting the need for additional supports for this group.
养老院（NH）生活质量（QOL）中的种族差异已得到公认，然而，人们对养老院中黑人、原住民和有色人种（BIPOC）居民的 QOL 实际体验却知之甚少。这一空白延伸到了英语水平有限（LEP）的黑人、原住民和有色人种居民。本案例研究借鉴了 Kane（2001 年）和 Zubristky（2013 年）的 QOL 框架，考察了苗族 NH 居民的 QOL 体验，苗族是一个来自东南亚的少数民族和难民群体，他们居住在黑人、原住民和有色人种居民比例较高的 NH 中。研究方法包括四个月的观察、对八名苗族居民和五名疗养院工作人员的访谈以及一个社区焦点小组。专题分析显示了在 QOL 方面存在的重大挑战。语言障碍和种族主义加剧了这一问题，许多居民表示受到忽视、人际关系有限、缺乏有意义的活动以及对食物不满意。这些经历助长了苗族居民的逆反心理，降低了他们的 QOL，凸显了为这一群体提供额外支持的必要性。
期刊介绍：
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
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