Influences on quality of life: a qualitative investigation of ethnic differences among older people in england

Grewal, Ini; Nazroo, James; Bajekal, Madhavi; Blane, David; Lewis, Jane

doi:10.1080/13691830410001699595

Cited by 41 publications

(42 citation statements)

References 19 publications

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“…Disparities in terms of HRQoL between ethnic groups were observed in the present study, which is consistent with previous studies from the United Kingdom (34, 35), United States (36), and Singapore (37). When interpreting the results of disparities between ethnic groups, the minimum important differences (MID) in health status need to be addressed.…”

Section: Discussionsupporting

confidence: 93%

Gender and ethnic health disparities among the elderly in rural Guangxi, China: estimating quality-adjusted life expectancy

Zhang

Shi

Huang

et al. 2016

Global Health Action

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BackgroundEthnic health inequalities for males and females among the elderly have not yet been verified in multicultural societies in developing countries. The aim of this study was to assess the extent of disparities in health expectancy among the elderly from different ethnic groups using quality-adjusted life expectancy.DesignA cross-sectional community-based survey was conducted. A total of 6,511 rural elderly individuals aged ≥60 years were selected from eight different ethnic groups in the Guangxi Zhuang Autonomous Region of China and assessed for health-related quality of life (HRQoL). The HRQoL utility value was combined with life expectancy at age 60 years (LE60) data by using Sullivan's method to estimate quality-adjusted life expectancy at age 60 years (QALE60) and loss in quality-adjusted life years (QALYs) for each group.ResultsOverall, LE60 and QALE60 for all ethnic groups were 20.9 and 18.0 years in men, respectively, and 24.2 and 20.3 years in women. The maximum gap in QALE60 between ethnic groups was 3.3 years in males and 4.6 years in females. The average loss in QALY was 2.9 years for men and 3.8 years for women. The correlation coefficient between LE60 and QALY lost was −0.53 in males and 0.12 in females.ConclusionWomen live longer than men, but they suffer more; men have a shorter life expectancy, but those who live longer are healthier. Attempts should be made to reduce suffering in the female elderly and improve longevity for men. Certain ethnic groups had low levels of QALE, needing special attention to improve their lifestyle and access to health care.

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Section: Discussionsupporting

confidence: 93%

Gender and ethnic health disparities among the elderly in rural Guangxi, China: estimating quality-adjusted life expectancy

Zhang

Shi

Huang

et al. 2016

Global Health Action

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“…However, research suggests there is considerable consistency in the factors influencing quality of life across different ethnic groups but these operate differently in the context of people's lives. For example, being independent seems to be important across ethnic groups even though this is interpreted in different ways (Grewal et al, 2004). Applicability of the study findings to wider and more diverse populations of older people is one possible direction for further research.…”

Section: Discussion and Implications For Practicementioning

confidence: 90%

Starting with Lives

Tanner

2007

Journal of Social Work

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A recent summary of research findings concluded that social policy and practice should use older people's lives as the starting point to plan and evaluate services (Joseph Rowntree Foundation, 2004). Based on the findings of a small-scale qualitative study and related research, this article explores the strategies and ways of coping used by older people to manage changes and difficulties that accompany ageing.• Findings: It is suggested that older people's strategies and ways of coping can be understood as efforts to sustain a sense of self in later life and a model of some key processes involved is presented. The empirical findings of the study are related to theoretical models of ageing and identity management. Attention is directed to the interaction between structural resources and constraints, dominant cultural norms and values, and older people's individual capacities for reflexivity and interpretation. • Applications: It is argued that this understanding has significant implications for the planning and delivery of social work and social care services that aim to promote the well-being of older people. In particular, practitioners need to understand the meaning and significance that difficulties and different approaches to managing them have for individuals. Interventions should be sensitive to, and seek to support, older people's cognitive ways of coping, as well as their practical strategies.

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“…The fastest increases in numbers is in the "oldest old" group, those aged 85 years and over, who represent over two per cent of the population (Dunnell 2008). By 2020 it is estimated that ethnic minority people will comprise 5 per cent of the 60-plus population, compared with about 1.7 per cent in 1991 (Grewal et al 2004). As a result, increasing government policy attention has been given to the implications of an ageing population for future services for older people (see for example Department of Health 2001, 2007, Social Exclusion Unit 2006.…”

Section: Introductionmentioning

confidence: 99%

The experiences and expectations of care and support among older migrants in the UK

Giuntoli¹,

Cattan²

2012

European Journal of Social Work

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This paper reports and critically discusses, against the literature on culturally sensitive and cultural competency practices, the findings of a qualitative study which explored the needs and expectations of older people and their carers from eight different migrant communities and the White British majority. The study investigated the accessibility and acceptability of care and support services in Bradford, UK, a city with a large migrant population. A total of 167 study participants were recruited from February 2008 to October 2008; of these 134 were older people and 33 carers. The age ranged from 25 to 90 years. The study found that older migrants and their carers described expectations of services as complex constructions of "abstract expectations", the study participants" general beliefs regarding what services should be about, and "pragmatic expectations", their specific views about how they would like to receive care and access services. All groups, irrespective of their ethnic background, expressed three "abstract expectations": high standards of good practice; cultural understanding; responsiveness to individual expectations. This similarity did not imply a similarity in their preferences for how services should provide for their "abstract expectations". Dignity was a central expectation for all older people in the care of their bodies. However, a number of culturally specific "pragmatic expectations" emerged in the Gianfranco Giuntoli and Mima Cattan 2 practices that older people and carers associated with maintaining dignity in older age. Nevertheless, differences could not always be explained as an outcome of different cultural backgrounds, but were rather linked to individual characteristics and life experiences. This study indicates that whether and how older migrants" knowledge systems inform their expectations of care and support should be object of investigation rather than taken for granted, as implied in some literature on culturally sensitive practices. Exploration of older migrants" knowledge systems may help us to understand if older migrants" expectations differ with regard to what they expect to receive from a certain service, their "abstract expectations", and/or how they expect to receive it, their "pragmatic expectations". This Keywords: cultural competency; cultural sensitivity; older migrants; elderly care; emotional needs IntroductionIn recent years, research has shown a rapid growth in the number of migrants ageing in Europe, with higher rates of increase in the middle-old and oldest-old age groups (Fenton, 1987, Blakemore 1999, White 2006. Despite some variations in countries and migrant communities (White 2006), this phenomenon is common to the five types of older international migrants identified in the literature: older forced migrants, European labour The purpose of this article is to explore these latter issues and their relevance for culturally sensitive practices. It does so by describing and discussing the findings from a study which set out to explore commonalities and ...

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Influences on quality of life: a qualitative investigation of ethnic differences among older people in england

Cited by 41 publications

References 19 publications

Gender and ethnic health disparities among the elderly in rural Guangxi, China: estimating quality-adjusted life expectancy

Gender and ethnic health disparities among the elderly in rural Guangxi, China: estimating quality-adjusted life expectancy

Starting with Lives

The experiences and expectations of care and support among older migrants in the UK

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