Socioeconomic and Ethnic Inequalities in the Progress of Multimorbidity and the Role of Health Behaviors

Mira, R; Newton, Tim; Sabbah, Wael

doi:10.1016/j.jamda.2023.01.009

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Living in poverty has been associated with malnutrition (Dufe Turkson et al, 2022), greater functional limitation (Boggatz et al, 2010), higher mortality rates and an increased number and duration of hospital readmissions (Landon et al, 2023; Minhas et al, 2023). Living in poverty can also increase the prevalence of multiple chronic conditions (Choi et al, 2020; Minhas et al, 2023; Mira et al, 2023) and antibiotic prescribing rates (Tarkhashvili, 2023). In addition, it is known that living in poverty hinders older adults' ability to implement self‐care behaviours and manage their conditions autonomously (Nwadiugwu, 2021).…”

Section: Introductionmentioning

confidence: 99%

Experiences of poverty amongst low‐income older adults living in a high‐income country: A qualitative study

Dobarrio‐Sanz,

Chica‐Pérez,

Martínez‐Linares

et al. 2023

Journal of Advanced Nursing

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AimTo understand the experience of low‐income older adults living in poverty in a high‐income country.DesignA qualitative study based on Gadamer's hermeneutic phenomenology.MethodsA 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.ResultsThree 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’.ConclusionLiving 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.Implications for the Profession and/or Patient CareNursing 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.ImpactLiving 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.Reporting MethodThe study has been conducted following the COREQ guidelines.Patient or Public ContributionThere has been no public or patient involvement in the design or development of the study.

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