Cross-cultural understandings of festival food-related activities for older women in Chiang Mai, Thailand, Eastern Kentucky, USA and Auckland, New Zealand

"I Go Upstairs and Eat in Front of the Television:" the Cooking and Eating Behaviors of Mexican Older Women Living Alone

The increasing tendency of older people living alone may pose a number of challenges including factors related to food insecurity, such as functional impairment, social isolation, and financial vulnerability. The purpose of this study was to explain the cooking and eating behaviors of Mexican older women living alone using a life course perspective. A qualitative research methodology was chosen and deductive thematic analysis was used to examine accounts given by 14 older women through one-on-one interviews. Findings showed that age-related transitions, role changes, and the social context in which older women are embedded have changed their cooking and eating behaviors. Participants mentioned the need to accept and adapt to changes in later life; however, the loss of commensality, cooking for one, economic constraints, a decline in health, and the disruption of family roles and rituals were identified as the negative aspects affecting the cooking and eating behaviors of older women.

Food activities and identity maintenance in old age: a systematic review and meta-synthesis

OBJECTIVES

Services provided to older people should be developed based on active ageing policies. Nutrition is one aspect of active ageing, but little is known about how food activities contribute to psychological well-being in later life. This is a systematic review of qualitative and quantitative research that answers the question 'What is known about the relationship between food activities and the maintenance of identities in old age?'.

METHODS

We followed the preferred reporting items for systematic reviews and meta-analyses guidelines and used quality assessment parameters to complete a systematic review and narrative synthesis. Academic Search Premier, MEDLINE, CINAHL Plus, and PsycINFO databases were searched.

RESULTS

We initially identified 8016 articles, of which 167 full-text articles were screened for inclusion. Twenty-two articles were included in the review. There was moderate evidence from nine qualitative and two quantitative studies, of variable quality, that food activities contribute to the maintenance of women's gendered identities, the ethnic identities of men and women, and community identities. There was moderate evidence from 10 qualitative studies, of variable quality, that a change in food choice and deteriorating health changed food activity participation. These changes threatened identities. Most studies included both younger adults and older adults.

CONCLUSION

In later life, there are many life experiences leading to change. Further research is needed to develop understanding of how identity and mental well-being are maintained, despite changes in everyday activities like cooking and eating. This may enable health care professionals to meet psychological needs alongside biological needs during nutritional interventions.