Community-level factors that contribute to First Nations and Inuit older adults feeling supported to age well in a Canadian city
Community-level factors that contribute to First Nations and Inuit older adults feeling supported to age well in a Canadian city
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DOI：
10.1016/j.jaging.2019.01.001
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发表时间：
2019-03-01
影响因子：
2.3
通讯作者：
Flaherty, Martha
中科院分区：
文献类型：
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作者：
Brooks-Cleator, Lauren A.;Giles, Audrey R.;Flaherty, Martha
尽管加拿大有大量高龄友好型城市，旨在帮助老年人安享晚年，但老年人群体之间仍然存在许多不平等，特别是在经历殖民主义持续影响的土著老年人与非土著老年人之间，这也是本文所关注的。更好地了解导致这些不平等的因素将有助于制定更好地支持土著老年人安享晚年的政策和计划，从而有助于改善他们所面临的不平等。本文采用基于社区的参与式研究方法，结合后殖民理论视角，探讨了以下问题：“哪些社区层面的因素导致了渥太华市的土著老年人（55岁及以上）感到得到了良好的支持？”我们特别研究了这个问题与老年友好社区框架的关系，该框架指导渥太华市的老年人计划。对32名原住民和因纽特老年人进行的半结构化访谈、焦点小组和照片语音的主题分析显示，参与者既觉得有支持，也觉得没有支持，都能很好地老去。更具体地说，他们认为有两个主要领域可以更好地支持他们老去：社会环境和物理环境。社会环境主题有三个分主题：响应性保健和社区支助服务、尊重和承认、沟通和信息。在物理环境主题中有四个子主题：交通、住房、可达性和聚会空间。结果表明，尽管参与者认为他们需要支持的领域与老年人计划重点关注的领域存在相似之处，但如果老龄井倡议领域不能更好地解释殖民主义的影响，它们就不太可能有效地支持土著老年人的健康和福祉。
Despite the proliferation of age-friendly cities in Canada that are intended to support older adults to age well, there are still many inequalities between groups of older adults, particularly, and of concern for this paper, between Indigenous older adults, who experience colonialism's ongoing impacts, and non-Indigenous older adults. A better understanding of factors that inform these inequalities will help in the development of policies and programs that better support Indigenous older adults to age well and, thus, will contribute to ameliorating the inequalities that they face. Using a community-based participatory research approach, informed by a postcolonial theoretical lens, in this paper we addressed the question, "what community-level factors contribute to Indigenous older adults (aged 55 years and over) feeling supported to age well in the city of Ottawa?" We specifically examined this question in relation to the age-friendly communities framework, which guides the City of Ottawa's Older Adult Plan. Thematic analysis of semi-structured interviews, focus groups, and photovoice with 32 First Nations and Inuit older adults revealed that the participants felt both supported and unsupported to age well. More specifically, there were two main areas in which they felt they could be better supported to age well: the social environment and physical environment. There were three subthemes within the social environment theme: responsive health and community support services, respect and recognition, and communication and information. Within the physical environment theme there were four subthemes: transportation, housing, accessibility, and gathering space. The results demonstrate that despite there being similarities in the areas that the participants felt they needed support and the areas on which the Older Adult Plan focuses, if the domains of aging well initiatives do not better account for the impacts of colonialism, it is unlikely that they will be effective in supporting Indigenous older adults' health and well-being.