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Smart against ageism: an overview of age discrimination in Portugal
25-29Megtekintések száma:80Negative stereotypes, prejudices and discrimination on the ground of age, known as “ageism” have been shown to cause cardiovascular stress, lowered levels of self-efficacy and decreased productivity[1]. Across the EU, policies and practices still reflect ageist prejudices and deprioritise, disregard, or even exclude older adults in different ways.
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Local community practices to improve healthy aging in the North
25-26Megtekintések száma:78The governments of Finland, Denmark, Norway and Russia have developed national programs to address population ageing. There are also successful practices in healthy ageing at the local level in different countries, but they remain unknown among the global professional community and governmental authorities.
Healthy ageing has become an important policy issue at all levels of the society. The key international document is the World Health Organization’s (WHO) plan for a Decade of Healthy Ageing 2020–2030 which is the second action plan of the WHO ‘s Global strategy on ageing and health. The Plan consists of 10 years of concerted, catalytic, sustained collaboration to improve the lives of older people, their families, and their communities. Older people themselves are in the core of this plan, and it brings together variety of actors, including governments, civil society, international agencies, professionals, academia, the media, and the private sector. The Plan also notes that healthy ageing is not only a healthcare issue but also needs to engage many other sectors.
The aim of research was to search and introduce local community practices according the priority areas of WHO Decade of Healthy Aging action plan for gerontological policy in arctic countries.
Examples of good practices for the Priority 1 of the Plan: Change how we think, feel and act towards age and ageing
Fostering of Healthy Ageing requires fundamental shifts from existing stereotypes, prejudices, and discrimination towards older people. Older people should not be seen only as an economic burden for the welfare society, but as contributors to the state and communities, and as resourceful carriers of traditional values and wisdom. Governments eliminate age discrimination by variety of actions, such as legislative changes, and policies and programs which engage older people in decision-making.
Initiatives for Priority 2 of the Plan: Ensure that communities foster the abilities of older people
The environments which are built on decisions made not only by policy makers but involve citizens of all ages are better places to grow, play, live, work and retire. Even those people who have lost their capacity, shall be able to continue to enjoy everyday activities, to continue to develop personally and professionally, to participate and contribute to their communities while retaining their autonomy, dignity, health, and well-being.
Practices for Priority 3 of the Plan: Deliver person-centered, integrated care and primary health services to older people
Good-quality essential health services include prevention of diseases; promotion of healthy lifestyle; curative, rehabilitative, palliative and end-of-life care; safe, effective, good-quality essential medicines and vaccines; dental care; assistive technologies, while ensuring that the use of services does not cause the user financial hardship.
Local northern practices are mirrored against the recently released WHO Decade of Healthy Ageing 2020-2030 Action Plan with paying attention to indigenous elders. Based on these practices the national, regional, and municipal level authorities of the Nordic countries and Russia were suggested to consider the policy recommendations based of the research.
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Attitudes of Roma adults towards the care of their elderly relatives
21-24Megtekintések száma:84Caring for the elderly is a challenge for any society even if it is a family or institution related issue (Bánlaki 2006). Numerous researches on the care of the elderly have been published, which help to make the care of the elderly as effective as possible (Djellal, Gallouj 2006). Within the framework of our research, we undertook to examine the attitudes (Arlotti, Aguilar-Hendrickson 2017) and experiences of the Roma towards elderly care.
Our aim was to explore the opinions of adult Roma people on the topic, as well as to identify possible cultural peculiarities in this issue (Hajime et al 2006; Da Roit 2010; Kehusmaa et al. 2013; Szabóné 2018).Method:
We have selected Roma adult people living in Budapest as our target group, most of them perform manual labour, who in the near future are likely to face the issue of caring for their elderly relatives or are already facing it in the capital. We have chosen this target group because there is a wide range of social services in the capital, and this gives us an insight into the confidence or lack of confidence in the social care system. The situation of the Roma elderly in the Hungarian social context is discussed with a nuanced approach based on Roma studies. The opinions and thoughts of 20 Roma adults are highlighted in our presentation, with whom we interviewed. We compiled a semi-structured set of questions for the target group. We tried to capture the attitude of the Roma towards elderly care along different dimensions (Allport, Lindzey 1960; Örkény, Vári 2009): individual responsibility (Nárai 2019) patterns of the family (Bánlaky 2001), financial and other resources (Bourdieu 1999) - assistance, trust in the social care system, readiness for elderly care (Heimlich 2008). Our research was carried out in November 2021 in compliance with the measures associated witht he COVID-19 situation. The interviews took 40-75 minutes long on average per person.
We compare international trends within formation on elderly care in Hungary and data on the health status of elderly Roma in Hungary (Kodner, 2006).Results:
The uniqueness of our research lies in the fact that we present the strategies of the Roma related to care in the Hungarian social reality, we identify practical problems and challenges, which can even be a breeding ground for future social policy measures (Schwiter et al. 2015). Poverty among the Roma, as well as discrimination and lower life expectancy compared to non-Roma (KSH, 2015) all contribute to the decision-making of Roma adults regarding the care of their elderly relatives, which is confirmed by the answers found in the interviews and the possibilities and strategies formed by the elderly care system (Kovács 2006). Our results showed that access to various social benefits, such as home help and public health care among others is affected during elderly care, and also has a key role to play, but also information among the Roma. In addition to trust in the social care system, financial means or lack of the influence coping strategies for elderly care. The results obtained can be used even for prevention projects aimed at local health preservation, or for any program aimed at improving the health status of the Roma.References
Allport, G. W., Vernon, P. E., Lindzey, G. A. (1960): A study of values, 3rd ed., Boston, Houghton.Mifflin.
Barbara Da Roit (2010): Strategies of Care. Changing Elderly Care in Italy and the Netherlands. Care and Welfare
Bánlaky Pál (2001): Családszociológia. Wesley János Lelkészképző Főiskola, Budapest.
Bánlaky Pál (2006): A család belső működése – A családon belüli kapcsolatok dinamikája. In: Czibere Ibolya (szek.) (2006): Családszociológia szöveggyűjtemény. Debrecen.
Bourdieu, Pierre (1999): Gazdasági tőke, kulturális tőke, társadalmi tőke. In: Angelusz Róbert (szerk.): A társadalmi rétegződés komponensei. Budapest, Új Mandátum Könyvkiadó, 156-177.
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Karin Schwiter, Christian Berndt, Jasmine Truong (2015): Neoliberal austerity and the marketisation of elderly care. Social & Cultural Geography Volume 19, 2018 - Issue 3: Placing care in times of austerity
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Nárai Márta (2019): A lokális társadalmi szerepvállalás, felelősségvállalás szereplői – egyesületek, alapítványok a helyi közösségek/helyi társadalom szolgálatában, Ünnepi tanulmánykötet a 70 éves Gáspár Mátyás tiszteletére, Magánkiadás, 151-161.
Örkény Antal – Vári István: Szempontok és kérdőjelek a magyarországi roma kisebbség tanulmányozásához. Fundamentum, 2009. 2. szám, 5-15.
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Szabóné dr. Kármán Judit (2018): A magyarországi cigány/roma népesség kulturantropológiai és orvosantropológiai megközelítésben. Romológiai füzetek 2. DRHE, Debrecen, 5-76. -
Ageism as social pathology in geriatric medicine
31-32Megtekintések száma:5The main trend of modern geriatrics is to maintain a high functional ability, which consists of intrinsic capacity and environment. It is important to attach importance to the impact of the environment, including of its social component, when can promote the development of social pathology, for example loneliness or the consequences of ageism which can significantly reduce the quality of life.