了解 COVID-19 公共卫生措施和幸福感的体验:加拿大魁北克老年人定性研究》。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-03-05 DOI:10.1177/10497323241232928
Julie Karmann, Ingrid Handlovsky, Gregory Moullec, Katherine L Frohlich, Réjean Hébert, Olivier Ferlatte
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引用次数: 0

摘要

这项解释性描述研究探讨了加拿大魁北克省在第一波 COVID-19 大流行期间实施的公共卫生措施如何影响老年人的福祉。26 名年龄在 60-81 岁之间的参与者拍摄了照片,描述 COVID-19 公共卫生措施如何影响他们的幸福感,并受邀在虚拟焦点小组中讨论他们的照片。数据采用主题分析法进行分析。健康措施对参与者福祉的影响被归纳为三大主题。首先,参与者忍受着日益加剧的老龄歧视,感觉自己被削弱并被排斥在社交圈之外。其次,由于失去了与社区的联系,他们面临着孤独的负担,尤其是那些单身和无子女的人。第三,与会者强调了社会凝聚力下降的问题。这表现在公共和私人领域的紧张关系和不信任,以及对被认为不公正的规则的抵制行为。虽然公共卫生措施对于防止 COVID-19 的继续传播和死亡率至关重要,但它们对老年人的自我形象、孤独感和对社会的信任产生了负面影响。本研究主张重新思考针对老年人的公共卫生规范,以解决潜在的不平等根源。特别是,在大流行病期间,需要更加重视社会联系和满足老年人的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the Experiences of COVID-19 Public Health Measures and Well-Being: A Qualitative Study Among Older Adults in Quebec, Canada.

This interpretative descriptive study explores how public health measures implemented during the first wave of the COVID-19 pandemic in Quebec, Canada, affected the well-being of older adults. Twenty-six participants aged 60-81 took photographs to depict how COVID-19 public health measures affected their well-being and were invited to discuss their photographs in virtual focus groups. Data were analyzed using thematic analysis. The impacts of health measures on the well-being of participants were framed according to three overarching themes. First, participants endured an intensification of ageism, feeling diminished and excluded from their social spheres. Second, they faced a burden of loneliness due to the loss of connections with their communities, particularly for those who were single and without children. Third, participants highlighted navigating a degradation of social cohesion. This manifested through tensions and distrust in both the public and private spheres, as well as acts of resistance in response to rules deemed unjust. While public health measures were essential to prevent onward transmission of COVID-19 and mortality, they negatively impacted older adults' self-image, loneliness, and trust in society. This study argues for a rethinking of public health norms specific to older adults to address potential sources of inequality. In particular, a greater emphasis is needed on social connectedness and addressing the unique needs of older adults during pandemics.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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