The Intersection of Gender, Culture and Society for Caregivers of Older Adults Ageing in Place in Ontario, Canada

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-04-14 DOI:10.1111/hex.70259

Danielle Jacobson, Tashani Parker, Lauren Cadel, Elizabeth Mansfield, Kerry Kuluski

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引用次数: 0

Abstract

Background

It is reported that women are more likely to be caregivers than men, experience a higher burden of care and increased emotional health sequelae as a result. Social location (a person's gender, culture, ethnicity, etc.) is known to influence caregiving experiences. However, there is limited work that draws attention to how cultural and linguistic diversity shapes the experiences and expectations of informal caregivers.

Objective

The authors aimed to study how to reallocate health and social service resources to better support older adults ageing in place. However, some participants felt strongly about the role of gender. This report addresses the gap for better understanding (1) how gender influences informal caregiving for older adults ageing at home in Ontario, Canada, and (2) how culture may influence gendered caregiving expectations for this population.

Design

A critical social justice paradigm and balance of care framework guided the research. Focus groups (15) and one-one-one interviews (7) were carried out. A collaborative approach to codebook thematic analysis was conducted.

Setting and Participants

This study was carried out in Peel, a diverse region in Ontario, Canada. 42 individuals participated in the study (14 older adults, 10 caregivers and 18 healthcare providers).

Findings

Four themes were found regarding the role of gender in caregiving: (1) women caregivers as catalysts for ageing in place, (2) gender norms, generational standards and the societal expectation for women to be caregivers, (3) the intersection of culture and gender on caregiving for older adults and (4) health service workforce as women-dominant and linguistically diverse.

Discussion and Conclusion

Service needs not currently met by Canada's healthcare system often become absorbed by women caregivers who facilitate ageing in place. Further research is required to better understand: (1) how a larger breadth of communities experience the intersection of gender and culture in the care of older adults in Ontario, Canada, and (2) how to better harness the diversity within Canada's homecare workforce to allow for cultural, linguistic and/or gender alignment with older adult clients.

Patient or Public Contribution

Patients and caregivers were research participants; however, the focus groups were co-design sessions, in which participants built and shaped personas and care packages.

查看原文本刊更多论文

性别、文化和社会在加拿大安大略省老年人照顾者中的交集

背景据报道，女性比男性更有可能成为照顾者，因此承受更大的照顾负担和更多的情绪健康后遗症。众所周知，社会位置（一个人的性别、文化、种族等）会影响照顾经验。然而，关注文化和语言多样性如何影响非正式照顾者的经历和期望的工作有限。目的研究如何重新配置卫生和社会服务资源，更好地支持本地老年人老龄化。然而，一些参与者强烈认为性别的作用。本报告解决了这一差距，以便更好地理解(1)性别如何影响加拿大安大略省老年人在家中的非正式护理，以及(2)文化如何影响对这一人口的性别护理期望。设计一个批判性的社会正义范式和护理平衡框架来指导研究。进行了焦点小组（15）和一对一访谈(7)。采用协作方法对密码本主题进行分析。背景和参与者本研究在加拿大安大略省皮尔市一个多元化的地区进行，共有42人参与了研究（14名老年人，10名护理人员和18名医疗保健提供者）。关于性别在护理中的作用，我们发现了四个主题：(1)女性护理者是老龄化的催化剂；(2)性别规范、代代性标准和社会对女性护理者的期望；(3)文化和性别在老年人护理中的交集；(4)卫生服务队伍中女性占主导地位和语言多样化。讨论和结论加拿大医疗保健系统目前不满足的服务需求往往被妇女照顾者吸收，她们促进了老龄化。需要进一步的研究来更好地理解：(1)在加拿大安大略省的老年人护理中，更广泛的社区如何体验性别和文化的交集；(2)如何更好地利用加拿大家庭护理劳动力的多样性，以允许与老年人客户的文化，语言和/或性别一致。患者和护理人员为研究参与者；然而，焦点小组是共同设计会议，参与者建立和塑造人物角色和关怀包。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.