Disease Prevention and Control

Selgelid, Michael J.

doi:10.1007/978-3-319-23847-0_4

Cited by 2 publications

(2 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many innocent older people have been killed in the name of witchcraft and sorcery in early modern Europe ( 56 , 57 ). Elder mistreatment and their victimization have also a gender aspect in that older women are more vulnerable to such experiences than older men ( 55 , 58 ). In fact, it is a global challenge that women pass through unfavorable health-related experiences on the sole basis of gender ( 58 ).…”

Section: Discussionmentioning

confidence: 99%

Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues

Mussie

Setchell

Elger

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

IntroductionThe aging population is rapidly increasing globally, with 80% of the older population living in low- and middle-income countries. In Eastern African countries, there exists an incongruence between readiness–economically, structurally, politically, and culturally–to create a conducive environment for healthy aging, which implies public health as well as ethical concerns. The aim of this scoping review was to explore existing evidence addressing the various ethical issues in connection with elder care in the region of Eastern Africa.MethodsWe searched six databases (Africa-Wide Information, AgeLine, CINHAL, MEDLINE, APA PsycInfo, and SocINDEX) to identify peer-reviewed journal articles that could meet some eligibility criteria such as being a peer-reviewed journal article written in English, having been published in any year until July 2020, and focusing on ethical issues in the care of older people aged 60 years and older from Eastern Africa. We also searched for additional evidence in the references of included papers and web-based platforms. We included 24 journal articles and analyzed them using the inductive content analysis approach.ResultsThe included articles represent seven (38.9%) of the 18 countries in the Eastern African region. The articles covered six ethical concerns: lack of government attention to older persons (n = 14, 58.3%), inaccessibility of health care services (n = 13, 54.2%), loneliness and isolation (n = 11, 45.8%), gender inequalities in old age (n = 9, 37.5%), mistreatment and victimization (n = 8, 33.3%), and medical errors (n = 2, 8.3%).ConclusionThis scoping review summarized ethical issues arising in relation to providing care for older persons in the Eastern African context. In light of the rapid increase in the number of older persons in this region, it is critical for governments and responsible bodies to implement and accelerate efforts promptly to generate more evidence to inform programs and policies that improve the health and wellbeing of older persons. Further research is needed to inform global health efforts that aim at improving the lives of older persons, particularly in low- and middle-income countries.Clinical Trial Registrationhttps://osf.io/sb8gw, identifier: 10.17605/OSF.IO/SB8GW.

show abstract

Section: Discussionmentioning

confidence: 99%

Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues

Mussie

Setchell

Elger

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Stigma related to illicit substance use, homelessness, mental illness, HIV, Hepatitis C, often intersect with forms of discrimination including racism, classism, and gender bias [ 8 ]. These findings broaden the understanding of stigma as an ethical issue in healthcare beyond association with disease conditions to encompass poverty and substance use stigma [ 67 ]. Stigma and discrimination contribute to social exclusion, limit access to resources for health and exacerbate health inequities.…”

Section: Discussionmentioning

confidence: 99%

“The health equity curse”: ethical tensions in promoting health equity

et al. 2021

View full text Add to dashboard Cite

Background Public health (PH) practitioners have a strong moral commitment to health equity and social justice. However, PH values often do not align with health systems values, making it challenging for PH practitioners to promote health equity. In spite of a growing range of PH ethics frameworks and theories, little is known about ethical concerns related to promotion of health equity in PH practice. The purpose of this paper is to examine the ethical concerns of PH practitioners in promoting health equity in the context of mental health promotion and prevention of harms of substance use. Methods As part of a broader program of public health systems and services research, we interviewed 32 PH practitioners. Results Using constant comparative analysis, we identified four systemic ethical tensions: [1] biomedical versus social determinants of health agenda; [2] systems driven agendas versus situational care; [3] stigma and discrimination versus respect for persons; and [4] trust and autonomy versus surveillance and social control. Conclusions Naming these tensions provides insights into the daily ethical challenges of PH practitioners and an opportunity to reflect on the relevance of PH frameworks. These findings highlight the value of relational ethics as a promising approach for developing ethical frameworks for PH practice.

show abstract

Disease Prevention and Control

Cited by 2 publications

References 46 publications

Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues

Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues

“The health equity curse”: ethical tensions in promoting health equity

Contact Info

Product

Resources

About