旧金山湾区患有认知障碍的拉美独居老人不稳定的特殊文化特征。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone
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引用次数: 0

摘要

目标:拉美裔罹患认知障碍的几率大约是其他族裔的两倍。从文化上讲,拉美裔家庭中应该有孝顺和家庭观念。然而,在美国约有百分之二十的拉美人独自生活。本研究的目的是利用不稳定性框架,探讨有认知障碍的独居拉美老年人的关注点和优先事项:我们对有认知障碍的独居拉美老年人进行了 22 次居家访谈,并对老年人的社交圈成员和服务提供者进行了访谈,作为访谈的补充。影响独居拉美裔老年人不稳定状况的主题是通过不稳定状况视角的主要领域来组织的:1)对认知障碍的认识有限;2)认知障碍的自我管理;3)缺乏针对认知障碍的定制服务:结果:拉美文化渗透并交织在患有认知障碍的独居参与者的生活经历中。所有参与者的生活中都普遍存在不确定性,而家庭主义与认知障碍的结合则加剧了这种不确定性:研究结果表明,参与者分享的经历具有不稳定性。参与者的叙述揭示了拉美文化如何与认知障碍患者独居时的不稳定体验相交织,特别是在家庭主义的期望下,家庭所扮演的角色。然而,考虑到就业和养家糊口的艰难要求,家庭主义更像是一种目标而非实践。为了更好地了解如何缩小这些有认知障碍的拉美裔独居老年人、他们的家庭和正规服务之间的差距,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area.

Objectives: Latinos are about twice as likely to develop cognitive impairment. Culturally, filial support and familismo are expected within Latino families. Yet approximately twenty percent of Latinos live alone in the United States. The purpose of this study is to explore the concerns and priorities of older Latinos living alone with cognitive impairment, using a precarity framework.

Method: We conducted 22 in-home interviews with older Latinos living alone with cognitive impairment, and we supplemented the interviews with interviews with members of the older adults' social circle and providers. Themes influencing the precarity of Latino older adults living alone were organized through the major areas of the precarity lens; 1) Limited awareness of cognitive impairment; 2) Self-management of cognitive impairment; and 3) Lacking tailored services for cognitive impairment.

Results: Latino culture permeated and intersected across the lived experiences of participants living alone with cognitive impairment. Precarity was prevalent in all participants' lives and was exacerbated by familismo combined with cognitive impairment.

Conclusion: Findings showed precarity in the experiences the participants shared. Participant narratives reveal how the Latino culture intersects with the experience of precarity while living alone with cognitive impairment, especially in reference to the role that family plays through the expectation of familismo. However, given the difficult demands of employment and raising their own families, familismo can become more like a goal than a practice. Further research is needed to better understand how to bridge the gap between the needs of these older Latino adults living alone with cognitive impairment, their families, and formal services.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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