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Bhatia P, McLaren H, Huang Y. Exploring Social Determinants of Mental Health of Older Unforced Migrants: A Systematic Review. THE GERONTOLOGIST 2024; 64:gnae003. [PMID: 38267817 PMCID: PMC11102009 DOI: 10.1093/geront/gnae003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Although the vulnerabilities stemming from the intersection of aging and migration are widely recognized, the migration contexts and the factors influencing the mental health of older unforced migrants have received scant attention. This review explores the drivers of unforced migrations in later life and the individual, relational, and structural factors influencing their mental health and well-being. RESEARCH DESIGN AND METHODS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic search of 7 databases for English peer-reviewed journal articles was conducted. A total of 21 studies were identified and analyzed inductively. RESULTS The review classified motivations for migration as push factors and pull factors: push factors such as escaping structural inequities in the homeland and pull factors included seeking better lifestyle opportunities and reuniting with family. The positive determinants of mental health included cordial family relationships, paid employment, the presence of a partner, and strong support networks. Advanced age, absence of a partner, lifestyle changes, lack of intergenerational support, poor language proficiency, unfavorable policies, lack of access to resources, and systemic biases negatively affected the mental health of older unforced migrants. DISCUSSION AND IMPLICATIONS The review highlights the need to recognize the diversity among older migrants to develop policies and programs that address their specific circumstances. Recognizing their strengths, rather than focusing solely on their vulnerabilities will help create a more positive and supportive environment, enabling them to thrive in their new communities.
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Affiliation(s)
- Pankhuri Bhatia
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Helen McLaren
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Yunong Huang
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
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Gallardo MO, Dela Torre J, Ebardo R. The Role of Initial Trust in the Behavioral Intention to Use Telemedicine Among Filipino Older Adults. Gerontol Geriatr Med 2024; 10:23337214231222110. [PMID: 38196939 PMCID: PMC10775724 DOI: 10.1177/23337214231222110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 12/03/2023] [Accepted: 12/05/2023] [Indexed: 01/11/2024] Open
Abstract
This study investigated the behavioral intention of Filipino older adults toward using telemedicine and the pivotal role of initial trust in influencing this intention. A cross-sectional method was employed, involving a questionnaire administered to 180 participants using convenience sampling. The structural model test results indicate that subjective norm, attitude, and notably, initial trust positively impact the behavioral intention to use telemedicine, whereas perceived behavioral control does not significantly affect intention. This underscores the significance of subjective norm and attitude in shaping behavioral intention, consistent with the Theory of Planned Behavior (TPB), while the extended construct of initial trust played a crucial role in influencing the attitude and intention of older adults, highlighting its importance in technology adoption. The study aligns with the trend of increased telemedicine adoption during the COVID-19 pandemic, emphasizing the need for trust in sensitive healthcare contexts. Establishing initial trust is vital for successful telemedicine implementation among Filipino older adults, enhancing healthcare accessibility and well-being.
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Affiliation(s)
- Maureen Olive Gallardo
- De La Salle University, Manila, Philippines
- Ateneo de Zamboanga University, Zamboanga City, Philippines
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Alam A, Nel E, Hill D, Bulloch H. Settling in New Zealand's Small Towns: Experiences of Minority Ethnic Immigrants. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2023:1-23. [PMID: 37360629 PMCID: PMC10161976 DOI: 10.1007/s12134-023-01044-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2023] [Indexed: 06/28/2023]
Abstract
Small town New Zealand has, in recent years, experienced an increasing number1 and diversity of immigrants, with visible yet under-researched impacts for less populated regions that historically have been dominated by Pākehā (New Zealanders of European descent) and Māori populations. Using qualitative interviews with three ethnic sub-groups in the Clutha District and Southland Region-the Filipino, Samoan, and Malay communities-we investigate their experiences of settling in small towns. While there is considerable variation in the experiences and aspirations of these ethnic minorities, for each community we demonstrate how local and regional contextual factors shape life aspirations, support infrastructures and settlement trajectories. Particularly drawing upon informal networks and social capital immigrants mediate the considerable challenges they face. Our study also demonstrates the limitations of current policy support and initiatives. Indeed, while local authorities clearly have a significant role in creating the conditions for enabling immigrant settlement in small centres in Southland-Clutha, now the role of government services and community-based support also needs to be considered.
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Affiliation(s)
- Ashraful Alam
- School of Geography, University of Otago, Dunedin, New Zealand
- Faculty of Architecture, Building and Planning, The University of Melbourne, Melbourne, Australia
| | - Etienne Nel
- School of Geography, University of Otago, Dunedin, New Zealand
| | - Douglas Hill
- School of Geography, University of Otago, Dunedin, New Zealand
| | - Hannah Bulloch
- School of Social Sciences, University of Otago, Dunedin, New Zealand
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Filipino Aging within Global North Diasporas: A Scoping Review. J Cross Cult Gerontol 2023; 38:39-81. [PMID: 36622513 DOI: 10.1007/s10823-022-09466-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2022] [Indexed: 01/10/2023]
Abstract
Drawing on international research, this article examines and navigates through the existing social gerontological and ethnogerontological literature to assess how Filipino aging is understood within Global North societies. A scoping review was conducted in 2018 and in 2022 to offer key insights into how Filipinos age in both the ancestral homeland and increasingly within Global North diasporas. While the existing literature on Filipino aging does mirror existing ethnogerontological literature, which heavily focuses on indicators of cognitive, physical and mental health, and access and provision to formal services, the Filipino-specific literature calls attention to emerging dynamics distinctly related to transnational aging, and renegotiated caring dynamics within intergenerational Filipino families and kinship networks. This paper considers a future research agenda of the growing realities for aging Filipino communities across Global North contexts.
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Qi X, Zhang W, Wang K, Pei Y, Wu B. Social isolation and psychological well-being among older Chinese Americans: Does resilience mediate the association? Int J Geriatr Psychiatry 2022; 37. [PMID: 35866312 DOI: 10.1002/gps.5791] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 07/11/2022] [Indexed: 11/08/2022]
Abstract
OBJECTIVES Social isolation imposes risks to an individual's psychological well-being. However, few studies have examined the role of resilience on these associations among older Chinese Americans, the fastest-growing aging population across all racial/ethnic groups in the United States. We aim to examine the associations of social isolation with indicators of psychological well-being and the mediating role of resilience in these associations. METHODS Data were derived from 398 Chinese older adults aged over 55 residing in Honolulu, Hawaii, in 2018. Psychological well-being was measured by psychological distress, life satisfaction, and happiness. Multivariate linear regressions and ordered logistic regressions were conducted. RESULTS Social isolation was positively associated with psychological distress and negatively associated with life satisfaction and happiness (all p < 0.05). By contrast, resilience was associated with lower levels of psychological distress and higher levels of life satisfaction and happiness (all p < 0.05). Moreover, the findings supported our hypothesis that resilience mediated the association between social isolation and psychological well-being. With regard to social isolation, resilience contributed to 32.0% of its association with distress, 24.9% of the association with life satisfaction, and 16.3% of the association with happiness. CONCLUSION Our findings revealed a significant association between social isolation and psychological well-being and the mediating role of resilience in the association of older Chinese Americans in Hawaii. The study findings expand our understanding of psychological resources in older Chinese Americans and emphasize the importance of developing intervention programs to foster social connection and resilience among an understudied population.
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Affiliation(s)
- Xiang Qi
- Rory Meyers College of Nursing, New York University, New York, New York, USA
| | - Wei Zhang
- Department of Sociology, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA
| | - Katherine Wang
- Trinity College of Arts and Sciences, Duke University, Durham, North Carolina, USA
| | - Yaolin Pei
- Rory Meyers College of Nursing, New York University, New York, New York, USA
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York, New York, USA
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Zhao IY, Holroyd E, Garrett N, Wright‐St Clair VA, Neville S. Chinese late‐life immigrants’ loneliness and social isolation in host countries: An integrative review. J Clin Nurs 2021; 32:1615-1624. [PMID: 37083151 DOI: 10.1111/jocn.16134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/19/2021] [Accepted: 11/01/2021] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVE To synthesise current international empirical evidence on loneliness and social isolation in Chinese late-life immigrants. BACKGROUND Loneliness causes adverse health consequences in Chinese late-life immigrants leading to increased utilisation of often increasingly limited healthcare resources. However, little is known about how Chinese late-life immigrants perceive and experience loneliness and social isolation in their host countries. DESIGN An integrative review methodology. METHODS Using a systematic search strategy, Google scholar and databases, such as Scopus, Web of Science, PubMed, CHNAHL, Medline and open access Theses were searched. No limitation was placed on publication date. Peer-reviewed studies published from the database inception to May 6, 2021 in the English language were included. The review process is reported according to PRISMA. RESULTS Eight articles met the criteria and were included in this review. Two themes resulting from the data synthesis process were identified. Firstly, 'disrupted social relations after late-life immigration' and secondly 'moving away from filial expectations'. CONCLUSION Loneliness and social isolation are commonly experienced by Chinese late-life immigrants when residing in host countries. Understanding and identification of the sources of loneliness and social isolation among late-life immigrants are essential prompts for healthcare professionals, particularly nurses, to engage sensitively with Chinese late-life immigrants. Nurses culturally relevant care delivery in a variety of settings may best serve recipients' social and health related needs. RELEVANCE TO CLINICAL PRACTICE This integrated review informs the planning of health and social services for addressing Chinese late-life immigrants' experiences of loneliness and social isolation. Focused attention on cultural responsiveness is an important component of providing quality and safe nursing care. This review of the recent evidence on socially-rooted health concerns affected by both immigration and ageing will help advance nursing practice in providing culturally responsive care interventions.
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Affiliation(s)
- Ivy Yan Zhao
- WHO Collaborating Centre for Community Health Services School of Nursing The Hong Kong Polytechnic University Hong Kong SAR China
- AUT Centre for Active Ageing School of Clinical Sciences Auckland University of Technology Auckland New Zealand
| | - Eleanor Holroyd
- Department of Nursing Centre for Migrant Refugee Health Research School of Clinical Sciences Auckland University of Technology Auckland New Zealand
| | - Nick Garrett
- Department of Biostatistics and Epidemiology Auckland University of Technology Auckland New Zealand
| | - Valerie A. Wright‐St Clair
- AUT Centre for Active Ageing School of Clinical Sciences Auckland University of Technology Auckland New Zealand
| | - Stephen Neville
- AUT Centre for Active Ageing School of Clinical Sciences Auckland University of Technology Auckland New Zealand
- Department of Nursing Centre for Migrant Refugee Health Research School of Clinical Sciences Auckland University of Technology Auckland New Zealand
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Effectiveness of a peer-based intervention on loneliness and social isolation of older Chinese immigrants in Canada: a randomized controlled trial. BMC Geriatr 2020; 20:356. [PMID: 32958076 PMCID: PMC7507625 DOI: 10.1186/s12877-020-01756-9] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 09/07/2020] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. METHODS Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n = 30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life). RESULTS The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group. CONCLUSIONS There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. TRIAL REGISTRATION ISRCTN, ISRCTN14572069 , Registered 23 December 2019 - Retrospectively registered.
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Montayre J, Ho MH. Factors Associated With ED Use Among New Asian Immigrants in New Zealand: A Cross-Sectional Analysis of Secondary Data. J Emerg Nurs 2020; 47:157-166.e4. [PMID: 32962840 DOI: 10.1016/j.jen.2020.07.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 07/14/2020] [Accepted: 07/15/2020] [Indexed: 11/17/2022]
Abstract
INTRODUCTION New Zealand has an ethnically diverse population and continues to host immigrants from different countries. The present study aimed to examine the factors associated with ED use among new Asian immigrants in New Zealand. METHODS A secondary analysis of 2016-2017 New Zealand Health Survey database. Univariate and multivariate logistic regression models were employed. A total of 414 new Asian immigrants were identified. RESULTS Asthma, diabetes, chronic pain, anxiety, hypertension, body mass index, waist measurement, perceived health status, and distress were associated with a significantly increased likelihood to ED visits. The multivariate logistic regression analysis revealed that asthma (adjusted odds ratio = 5.29, 95% confidence interval, 1.26-22.24) and perceived health status (adjusted odds ratio = 0.81, 95% confidence interval, 0.66-0.99) were factors associated with ED use among new Asian immigrants. CONCLUSION Asthma and perceived health status were the 2 key factors associated with ED use among new Asian immigrants in New Zealand. ED use among new Asian immigrants encompassed both chronic health conditions and mental health indicators.
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Adams J, Neville S. Exploring talk about sexuality and living gay social lives among Chinese and South Asian gay and bisexual men in Auckland, New Zealand. ETHNICITY & HEALTH 2020; 25:508-524. [PMID: 29447462 DOI: 10.1080/13557858.2018.1439893] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 01/24/2018] [Indexed: 06/08/2023]
Abstract
Objective: To identify ways Chinese and South Asian gay and bisexual men living in Auckland talk about issues related to sexuality and experiences of living 'gay social lives.' Results will be available to inform health policy and practice.Design: A qualitative design with individual interviews and thematic analysis was used. Semi-structured digitally recorded interviews were undertaken with 27 Chinese and 17 South Asian gay and bisexual men living in Auckland.Results: Four themes in the data related to talk about sexuality and living gay social lives are reported: (a) 'Happy in my skin': Being gay is Ok! (b) 'To come out or not': Managing sexual identity, (c) 'Places to go, people to see': Connecting with others, and (d) 'What's wrong with being Asian': Tolerating discrimination.Conclusion: There are many similarities in the ways these men talked about their identity and sexuality that can be usefully considered by health policy makers and service planners. The concept of gay (and bisexual) sexuality had some salience for the men interviewed, despite the adoption and acknowledgement of same-sex identity being a relatively new phenomenon in some Asian countries. This supports the use of these terms in local health interventions. However, as these men closely managed their gay identity and typically had not disclosed their sexuality to others, including healthcare professionals, interventions to address the skills and comfort of healthcare providers in addressing sexuality in clinical settings appear warranted to facilitate optimal healthcare. These men are not well connected with others and this has implications for HIV health promotion that is based on creating cultural norms among networks to encourage safe sex. Discrimination results in many Chinese and South Asian gay and bisexual men disengaging from connecting with others and should be addressed.
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Affiliation(s)
- Jeffery Adams
- SHORE & Whāriki Research, College of Health, Massey University, Auckland, New Zealand
| | - Stephen Neville
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
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Montayre J, Neville S, Wright-St Clair V, Holroyd E, Adams J. Older Filipino immigrants' reconfiguration of traditional filial expectations: a focus ethnographic study. Contemp Nurse 2019; 56:1-13. [PMID: 31271340 DOI: 10.1080/10376178.2019.1640621] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND One of the many socio-cultural issues impacting older immigrants in host countries is the cultural expectations of filial piety from their adult children. OBJECTIVE To understand older Filipino immigrants' beliefs and values towards filial expectations. DESIGN Focused ethnography. RESULTS Two major themes were identified. The first theme 'moving away from filial expectations' drew out older Filipino's changing views of cultural expectations from their adult children. The second theme 'maintaining cultural values through good family relationships' highlighted the importance of acknowledging the cultural values considered to be most important by older Filipinos, which was having harmonious relationships and avoiding family conflict. CONCLUSION The reconfigured expectation was salient with participants' who identified 'not being a burden' to their adult children and the ardent desire to maintain positive family relationships. Impact Statement: Nurses need to be aware of changes to our current understanding of filial piety when providing care to older Filipinos.
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Affiliation(s)
- Jed Montayre
- School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland, New Zealand
| | - Stephen Neville
- School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland, New Zealand
| | - Valerie Wright-St Clair
- School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland, New Zealand
| | - Eleanor Holroyd
- School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland, New Zealand
| | - Jeffery Adams
- SHORE & Whariki Research Centre, College of Health, Massey University, Level 7, 90 Symonds St, Auckland 1010, New Zealand
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Montayre J, De-Arth J, Shrestha-Ranjit J, Neville S, Holroyd E. Challenges and adjustments in maintaining health and well-being of older Asian immigrants in New Zealand: An integrative review. Australas J Ageing 2019; 38:154-172. [DOI: 10.1111/ajag.12616] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 11/15/2018] [Accepted: 12/12/2018] [Indexed: 01/21/2023]
Affiliation(s)
- Jed Montayre
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Jaden De-Arth
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Jagamaya Shrestha-Ranjit
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Stephen Neville
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Eleanor Holroyd
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
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Montayre J, Neville S, Wright-St Clair V, Holroyd E, Adams J. Late-life living and care arrangements of older Filipino New Zealanders. J Clin Nurs 2018; 28:480-488. [PMID: 30016574 DOI: 10.1111/jocn.14625] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 06/27/2018] [Accepted: 07/09/2018] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To explore the living and care arrangement plans of older Filipino immigrants in New Zealand. BACKGROUND New Zealand is rapidly becoming the host to an increasing number of ageing Filipino immigrants. Despite this sizeable population growth of ageing Filipinos in New Zealand, still very little is known about this ethnic group's care needs and living arrangement preferences in later life within the New Zealand context. DESIGN Qualitative descriptive approach. METHODS Data were collected from 15 older Filipinos who participated in face-to-face interviews. Data were analysed using a thematic analytical framework. RESULTS Two major themes were identified from the data analysis. The first theme "preferred living and care arrangements" is about older Filipinos' preferred plans for future residence and in receiving care when no longer able to function independently in their own homes. The second theme "negotiating readiness and acceptance" is about hypothetical situations that older Filipinos described and anticipated that will greatly facilitate their readiness and acceptance to living in aged care facilities. CONCLUSION The study results have implications for service delivery within the New Zealand residential aged care sector. Due to an increasing number of older Filipino immigrants requiring care, residential aged care facilities must ensure their care models meet the needs of this growing group of older people. RELEVANCE TO CLINICAL PRACTICE Nursing staff skill sets in the aged care sector require sensitivity to older immigrants' health needs without compromising cultural beliefs and practices while living in residential aged care facilities.
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Affiliation(s)
- Jed Montayre
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Stephen Neville
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | | | - Eleanor Holroyd
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Jeffery Adams
- SHORE & Whariki Research Centre, College of Health, Massey University, Auckland, New Zealand
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