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Changing the course of health disparities in indigenous elder populations
9th Congress of the EUGMS / European Geriatric Medicine 4 (2013) S81–S141
the family’s participation as a care mediator. These professionals have the acuity to capture these women’s specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify. http://dx.doi.org/10.1016/j.eurger.2013.07.403 P340
Health and wealth awareness and assessment in rural Ontario F. Chang , J. Seguin , N.S. Gupta , C. Munoz , D. Stringer Gateway Rural Health Research Institute, University of Waterloo School of Pharmacy, Waterloo, Ontario, Canada Objectives.– Recent studies show higher prevalence for chronic diseases combined with lower incomes for rural residents. This study aims to identify gaps in health and financial knowledge in a pre-retirement rural population and develop effective strategies to address identified gaps. The objectives are to 1) determine health and financial status and knowledge level in a sample of preretirement rural residents, and 2) identify strategies and resources that can be used in a future education program. Methods.– Thirty rural residents aged 45–70 years living in Southwestern Ontario completed the Canadian Financial Capability Survey, a questionnaire, and a semi-structured interview. Results.– Twenty-five (83%) participants were female. Average age was 57 years and average time living in a rural community was 39 years. Most self-reported very good health. Over half of the participants reported an annual income of $27,000 to $77,000 and about 40% had an annual income over $77,000. More than 65% were confident they can maintain a desired standard of living post retirement, although half stated they were not sure how much money that would take. Overall, participants scored at or above national average for financial knowledge but were unfamiliar with the coverage provided by the provincial health and drug benefit plans. Self-employed, rural women, and low-income individuals were identified as in need of specialized resources. Conclusions.– This pre-retirement rural population has sufficient financial capability. However, knowledge gaps exist regarding government health plans and coverage of healthcare expenses related to chronic diseases. Increased awareness would help with retirement planning. http://dx.doi.org/10.1016/j.eurger.2013.07.404
S123
project - supported by the Swiss Academy of Medical Sciences - was realized in elderly homes of the canton Ticino (Switzerland), first interviewing about 12 residents and 10 caregivers, and then sharing by the means of focus groups the results of the interviews - with a grounded-theory oriented methodological approach - and the parallel study of cinematographic narratives about the topic. The condition of the “exposed self”, of vulnerability, of the exposed intimate sphere of old persons in elderly homes is obviously the cause of a closing and the impoverishment of the sphere of the “innermost self”, and the estranging from life. By means of confrontation with autobiographical narratives (interviews) and fictional narratives (movies) it is possible to make visible for the caregivers, some ways to improve the autonomy, and fulfilling life even for elderly instutitionalized people. http://dx.doi.org/10.1016/j.eurger.2013.07.405 P342
Changing the course of health disparities in indigenous elder populations L. Kaòpua , C. Browne University of Hawaii, College of Health Science and Social Welfare, Hawaii, USA Introduction.– In 70 Countries stretching across the vast expanse from the Arctic Region to the South Pacific Basin, there live an estimated 370 million native peoples whose ancestors were the first settlers of these areas prior to colonization. Subsequent waves of migrants coming from other parts of the globe lead to numerous socio-political and economic changes. One result of colonization is found in the poor health profile of indigenous elders around the globe. The vast majority of indigenous elders are disproportionately affected by varying social and health disparities that result in early disability rates, a number of chronic diseases, and increased risk for mortality across the life course. Method.– Using the case of Native Hawaiians, the indigenous people of Hawaii (the 50th state of the US), we summarize data from a mixed-method design collected over a six year period by Ha Kupuna, National Resource Center for Native Hawaiian Elders, University of Hawaii that aimed to identify their health and long-term care service needs. Results.– We present data on their health and service use profile, and also discuss cultural traditions prevalent in this and other indigenous elder populations that if integrated into traditional health care may offer the prospect of health equity for all. In the face of such disparities, we present information on a number of culturally-tailored health and community-based programs that offer promise for the alleviation of social and health disparities in indigenous older adults. http://dx.doi.org/10.1016/j.eurger.2013.07.406
P341
Dimensions of intimacy in old age homes – A medical humanities research G. Bernegger , G. Martignoni Observatory for Medical Humanities, Supsi, Manno, Switzerland
P343
Impact of social and family environment on aging: A lifecourse approach in 2,350 old people M. Herr a , J.M. Robine b , J.J. Arvieu c , J. Ankri a Laboratoire Santé-Environnement-Vieillissement (EA2506), Université Versailles Saint Quentin, Paris, France b INSERM U988 and U710, EPHE, Paris & Montpellier, France c AG2R La Mondiale, Direction des Études, Prévoyance Individuelle et IARD, Paris, France a
Text.– Dimensions of intimacy in old age homes - a Medical Humanities research The need of intimacy is a fairly neglected component of medical care in old age homes. The need of respect of the private sphere (privacy) elderly people is usually taken into account; less so is the need of a shared dimension of the sphere of the “innermost self”, which also determines the subjective experience of the quality of care. Elderly people living in institutions are in a state of an “exposed self”. The aim of this research-project is to elucidate which problems can arise, if one doesn’t consider the need of intimacy of elderly people in retirement homes. The research-
Introduction.– Health in old age is affected by exposures throughout life. This study aimed to assess the impact of social and family life on aging.
the family’s participation as a care mediator. These professionals have the acuity to capture these women’s specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify. http://dx.doi.org/10.1016/j.eurger.2013.07.403 P340
Health and wealth awareness and assessment in rural Ontario F. Chang , J. Seguin , N.S. Gupta , C. Munoz , D. Stringer Gateway Rural Health Research Institute, University of Waterloo School of Pharmacy, Waterloo, Ontario, Canada Objectives.– Recent studies show higher prevalence for chronic diseases combined with lower incomes for rural residents. This study aims to identify gaps in health and financial knowledge in a pre-retirement rural population and develop effective strategies to address identified gaps. The objectives are to 1) determine health and financial status and knowledge level in a sample of preretirement rural residents, and 2) identify strategies and resources that can be used in a future education program. Methods.– Thirty rural residents aged 45–70 years living in Southwestern Ontario completed the Canadian Financial Capability Survey, a questionnaire, and a semi-structured interview. Results.– Twenty-five (83%) participants were female. Average age was 57 years and average time living in a rural community was 39 years. Most self-reported very good health. Over half of the participants reported an annual income of $27,000 to $77,000 and about 40% had an annual income over $77,000. More than 65% were confident they can maintain a desired standard of living post retirement, although half stated they were not sure how much money that would take. Overall, participants scored at or above national average for financial knowledge but were unfamiliar with the coverage provided by the provincial health and drug benefit plans. Self-employed, rural women, and low-income individuals were identified as in need of specialized resources. Conclusions.– This pre-retirement rural population has sufficient financial capability. However, knowledge gaps exist regarding government health plans and coverage of healthcare expenses related to chronic diseases. Increased awareness would help with retirement planning. http://dx.doi.org/10.1016/j.eurger.2013.07.404
S123
project - supported by the Swiss Academy of Medical Sciences - was realized in elderly homes of the canton Ticino (Switzerland), first interviewing about 12 residents and 10 caregivers, and then sharing by the means of focus groups the results of the interviews - with a grounded-theory oriented methodological approach - and the parallel study of cinematographic narratives about the topic. The condition of the “exposed self”, of vulnerability, of the exposed intimate sphere of old persons in elderly homes is obviously the cause of a closing and the impoverishment of the sphere of the “innermost self”, and the estranging from life. By means of confrontation with autobiographical narratives (interviews) and fictional narratives (movies) it is possible to make visible for the caregivers, some ways to improve the autonomy, and fulfilling life even for elderly instutitionalized people. http://dx.doi.org/10.1016/j.eurger.2013.07.405 P342
Changing the course of health disparities in indigenous elder populations L. Kaòpua , C. Browne University of Hawaii, College of Health Science and Social Welfare, Hawaii, USA Introduction.– In 70 Countries stretching across the vast expanse from the Arctic Region to the South Pacific Basin, there live an estimated 370 million native peoples whose ancestors were the first settlers of these areas prior to colonization. Subsequent waves of migrants coming from other parts of the globe lead to numerous socio-political and economic changes. One result of colonization is found in the poor health profile of indigenous elders around the globe. The vast majority of indigenous elders are disproportionately affected by varying social and health disparities that result in early disability rates, a number of chronic diseases, and increased risk for mortality across the life course. Method.– Using the case of Native Hawaiians, the indigenous people of Hawaii (the 50th state of the US), we summarize data from a mixed-method design collected over a six year period by Ha Kupuna, National Resource Center for Native Hawaiian Elders, University of Hawaii that aimed to identify their health and long-term care service needs. Results.– We present data on their health and service use profile, and also discuss cultural traditions prevalent in this and other indigenous elder populations that if integrated into traditional health care may offer the prospect of health equity for all. In the face of such disparities, we present information on a number of culturally-tailored health and community-based programs that offer promise for the alleviation of social and health disparities in indigenous older adults. http://dx.doi.org/10.1016/j.eurger.2013.07.406
P341
Dimensions of intimacy in old age homes – A medical humanities research G. Bernegger , G. Martignoni Observatory for Medical Humanities, Supsi, Manno, Switzerland
P343
Impact of social and family environment on aging: A lifecourse approach in 2,350 old people M. Herr a , J.M. Robine b , J.J. Arvieu c , J. Ankri a Laboratoire Santé-Environnement-Vieillissement (EA2506), Université Versailles Saint Quentin, Paris, France b INSERM U988 and U710, EPHE, Paris & Montpellier, France c AG2R La Mondiale, Direction des Études, Prévoyance Individuelle et IARD, Paris, France a
Text.– Dimensions of intimacy in old age homes - a Medical Humanities research The need of intimacy is a fairly neglected component of medical care in old age homes. The need of respect of the private sphere (privacy) elderly people is usually taken into account; less so is the need of a shared dimension of the sphere of the “innermost self”, which also determines the subjective experience of the quality of care. Elderly people living in institutions are in a state of an “exposed self”. The aim of this research-project is to elucidate which problems can arise, if one doesn’t consider the need of intimacy of elderly people in retirement homes. The research-
Introduction.– Health in old age is affected by exposures throughout life. This study aimed to assess the impact of social and family life on aging.