Social Norms About Handling Financial Challenges in Relation to Health-Protective Capacity Among Low-Income Older Adults.
Social Norms About Handling Financial Challenges
in Relation to Health-Protective Capacity Among
Low-Income Older Adults.
复制标题
关于处理财务挑战的社会规范——与低收入老年人的健康保护能力有关。
DOI：
10.1093/geront/gnac061
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Szanton,SarahL
中科院分区：
文献类型：
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作者：
Samuel,LauraJ;Wright,Rebecca;Taylor,Janiece;RobertsLavigne,LakenC;Szanton,SarahL
背景和目的尽管有证据表明老年人健康状况不佳与经济挑战有关，但缺乏有效的干预措施。本研究探讨了生活与财务挑战的经验，有用的策略来处理它们，和社会规范，可能会限制选项和decision-making.Research Design and MethodsThis两个阶段的定性研究招募低收入的老年人从美国巴尔的摩城市地区。首先，半结构化的个人访谈研究了老年人的经验和用于处理财务挑战的策略。然后，基于小插曲的焦点小组研究了相关的社会规范。成绩单进行编码，并使用主题分析和层次的主题进行了描述。首先，与财务挑战相关的社会规范都有一个共同的基本假设，即个人责任。其次，关于个人责任的社会规范与面临财务挑战的老年人的经历不一致，他们通常无法控制自己的情况，并面临预防和处理财务挑战的结构性障碍。与规范和个人责任有关的陈述之间的差异在六个次主题中被发现，包括如何处理财务以防止财务挑战，财务挑战的原因，寻求社区资源的帮助，导航社区资源，获得家庭的帮助，和削减以应对财务挑战。讨论和含义之间的脱节社会规范和现实的财务挑战之间的老年人可以解释为什么这么多老年人削减到上述必需品的地步。迫切需要加强社会安全网，消除提供服务的规范性障碍。
Background and ObjectivesDespite evidence linking financial challenges to poor health among older adults, effective interventions are lacking. This study examined the experience of living with financial challenges, useful strategies to handle them, and social norms that may constrain options and decision-making.Research Design and MethodsThis two-staged qualitative study recruited low-income older adults from the United States Baltimore City area. First, semistructured individual interviews examined older adults’ experiences and strategies used to handle financial challenges. Then, vignette-based focus groups examined relevant social norms. Transcripts were coded, and hierarchical themes were described using thematic analysis.ResultsTwo themes were generated. First, the social norms relevant to financial challenges share a common underlying assumption of personal responsibility. Second, social norms about personal responsibility are inconsistent with the experiences of older adults facing financial challenges, who typically lack control over their situation and face structural barriers to preventing and handling financial challenges. Differences between statements related to norms and personal responsibility were found across six subthemes, including how finances should be handled to prevent financial challenges, the causes of financial challenges, asking for help from community resources, navigating community resources, getting help from family, and cutting back to handle financial challenges.Discussion and ImplicationsThe disconnect between social norms and the reality of financial challenges among older adults may explain why so many older adults cut back to the point of foregoing necessities. There is an urgent need to strengthen the social safety net and remove normative barriers to services.