Experiences of poverty amongst low-income older adults living in a high-income country: A qualitative study.
experiences
health services accessibility
low-income
mental health
older adults
poverty
social isolation
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
12
05
2023
received:
25
02
2023
accepted:
10
06
2023
medline:
23
10
2023
pubmed:
26
6
2023
entrez:
26
6
2023
Statut:
ppublish
Résumé
To understand the experience of low-income older adults living in poverty in a high-income country. A qualitative study based on Gadamer's hermeneutic phenomenology. A convenience sample of twenty-seven low-income older adults were interviewed in-depth between September 2021 and January 2022. Fleming's method for conducting phenomenological qualitative studies was followed and ATLAS.ti software was used for data analysis. Three main themes were extracted from the analysis: (i) 'living in the shadow of poverty', (ii) 'unprotected by the 'social shield' of the welfare state' (iii) 'the struggle to attain good health'. Living in poverty affects all spheres of life. Older adults living in poverty feel excluded from social support policies and laws. This has a negative impact on the older adults' mental health and can lead to social isolation. Nursing interventions to promote health amongst older adults living in poverty should include an assessment of the patient's social determinants and a focus on increasing social participation. Older people living in poverty experience difficulties accessing formal social support so nurses should implement patient navigation interventions that aim to help them overcome the complexities of the system. Nursing interventions to improve mental health amongst older adults living in poverty are much needed. Living in poverty increases older adults' vulnerability. Older adults living in poverty suffer from mental health issues as they live under constant pressure to meet their basic needs and lack formal social support. These findings are important for nurses, who play a pivotal role in the design, implementation and evaluation of policies and interventions that promote health equity. The study has been conducted following the COREQ guidelines. There has been no public or patient involvement in the design or development of the study.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4304-4317Subventions
Organisme : Knowledge Transfer Programme from the University of Almería
ID : TRFE-SI-2021/004
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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