Structural Resilience Across the Life Course: Perspectives From Older Adults Racialized as Black.

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-09-16 DOI:10.1111/jan.70222

Boeun Kim,Alicia K Cooke,Tiffany J Riser,Melissa D Hladek,Paris B Adkins-Jackson,Laura J Samuel,Roland J Thorpe,Sarah L Szanton

{"title":"Structural Resilience Across the Life Course: Perspectives From Older Adults Racialized as Black.","authors":"Boeun Kim,Alicia K Cooke,Tiffany J Riser,Melissa D Hladek,Paris B Adkins-Jackson,Laura J Samuel,Roland J Thorpe,Sarah L Szanton","doi":"10.1111/jan.70222","DOIUrl":null,"url":null,"abstract":"AIM(S)\r\nThis study explored perceptions of older adults racialised as Black on structural resilience across the life course.\r\n\r\nDESIGN\r\nA qualitative descriptive study.\r\n\r\nMETHODS\r\nUsing purposive sampling, we recruited 15 Black adults aged 50 and older residing in Baltimore, Maryland, including individuals possessing historical or current knowledge of the community. Semi-structured interviews were conducted to elicit participants' experiences with structural resources during childhood, adulthood and late adulthood. Interviews were audio-recorded, transcribed verbatim and analysed using content analysis.\r\n\r\nRESULTS\r\nOf the 15 participants, three identified as male (20.0%) and 12 as female (80.0%), with an average age of 70.9 ± 8.2 years. The analysis identified nine categories of structural resilience, confirming its multifaceted and dynamic nature. Common categories present across all life stages included: Built environment, civic engagement, food and housing, healthcare, and social capital and cohesion. Life stage-specific categories included child and family services, educational supports, and workforce development supports during childhood and adulthood, and financial support during adulthood and late adulthood.\r\n\r\nCONCLUSION\r\nThese categories were interdependent and spanned across life stages, illustrating the dynamic, cumulative and relational qualities of structural resilience. Furthermore, structural resources were identified as key to safeguarding, empowering and restorative responses to adversity.\r\n\r\nIMPACT\r\nThese findings contribute to the development of a nuanced, life course-informed framework of structural resilience and highlight the need for ecological strategies that address structural forces shaping health and well-being, particularly among older adults racialised as Black.\r\n\r\nREPORTING METHOD\r\nThis study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist.\r\n\r\nPATIENT OR PUBLIC CONTRIBUTION\r\nNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jan.70222","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

AIM(S) This study explored perceptions of older adults racialised as Black on structural resilience across the life course. DESIGN A qualitative descriptive study. METHODS Using purposive sampling, we recruited 15 Black adults aged 50 and older residing in Baltimore, Maryland, including individuals possessing historical or current knowledge of the community. Semi-structured interviews were conducted to elicit participants' experiences with structural resources during childhood, adulthood and late adulthood. Interviews were audio-recorded, transcribed verbatim and analysed using content analysis. RESULTS Of the 15 participants, three identified as male (20.0%) and 12 as female (80.0%), with an average age of 70.9 ± 8.2 years. The analysis identified nine categories of structural resilience, confirming its multifaceted and dynamic nature. Common categories present across all life stages included: Built environment, civic engagement, food and housing, healthcare, and social capital and cohesion. Life stage-specific categories included child and family services, educational supports, and workforce development supports during childhood and adulthood, and financial support during adulthood and late adulthood. CONCLUSION These categories were interdependent and spanned across life stages, illustrating the dynamic, cumulative and relational qualities of structural resilience. Furthermore, structural resources were identified as key to safeguarding, empowering and restorative responses to adversity. IMPACT These findings contribute to the development of a nuanced, life course-informed framework of structural resilience and highlight the need for ecological strategies that address structural forces shaping health and well-being, particularly among older adults racialised as Black. REPORTING METHOD This study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.

查看原文本刊更多论文

整个生命过程的结构弹性：从被种族化为黑人的老年人的视角。

目的：本研究探讨了被种族化为黑人的老年人在整个生命过程中对结构弹性的看法。设计定性描述性研究。方法采用有目的的抽样方法，我们招募了15名居住在马里兰州巴尔的摩的50岁及以上的黑人成年人，包括具有社区历史或当前知识的个人。采用半结构化访谈的方式，了解被试在童年、成年和成年后期对结构性资源的体验。访谈录音，逐字转录，并使用内容分析进行分析。结果15例患者中，男性3例（20.0%），女性12例（80.0%），平均年龄70.9±8.2岁。分析确定了九类结构弹性，确认了其多面性和动态性。所有生命阶段的常见类别包括：建筑环境、公民参与、食品和住房、医疗保健、社会资本和凝聚力。特定生命阶段的类别包括儿童和家庭服务、儿童和成年期的教育支持和劳动力发展支持，以及成年期和成年后期的经济支持。结论这些类别是相互依存的，跨越了生命阶段，说明了结构弹性的动态性、累积性和关联性。此外，结构性资源被认为是保护、增强和恢复逆境反应的关键。这些发现有助于建立一个细致入微的、基于生命历程的结构弹性框架，并强调需要采取生态战略，解决塑造健康和福祉的结构性力量，特别是在被种族化为黑人的老年人中。报告方法本研究按照定性研究报告综合标准清单进行报告。病人或公众捐款：没有病人或公众捐款。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.