Irish Centre for Social Gerontology, NUI Galway, Galway, Ireland.
Institut für Soziologie, Universität Wien, Wien, Austria.
Health Soc Care Community. 2021 Sep;29(5):e97-e106. doi: 10.1111/hsc.13249. Epub 2020 Dec 7.
Major transitions in older people's lives can give rise to multifaceted forms of social exclusion, with subsequent impacts for later life health and well-being. With place now a central concept within policy on ageing and community care, there is the potential that it may offer new pathways to support older people undergoing these critical life transitions (CLTs). However, how policy and practice stakeholders working with and on behalf of these population groups understand, conceptualise and capitalise on the involvement of place in CLTs has not been investigated. This paper aims to address this deficit and explores the perspectives of key national and local actors on three CLTs-dementia, bereavement and forced migration-and their relationship with place and exclusion. The analysis involved 18 semi-structured interviews with stakeholders from policy, practice and advocacy spheres related to the CLTs and ageing in general. Interviews highlighted the differences across stakeholders in perceived exclusionary impacts, and the different degrees to which place is conceptualised in relation to these transitions. Findings illustrate the lack of a holistic policy approach to the needs of older people experiencing CLTs that impedes our capacity to truly harness place in supporting older people. The article concludes by arguing for a more nuanced reconstruction of place and its meanings in the context of CLTs.
老年人生活中的重大转变可能会导致多方面的社会排斥,进而对晚年的健康和福祉产生影响。随着地方现在成为老龄化和社区关怀政策的核心概念,它有可能为正在经历这些关键生活转变的老年人提供新的支持途径。然而,与这些人群合作并代表他们的政策和实践利益相关者如何理解、概念化和利用地方在生活转变中的参与,这一点尚未得到调查。本文旨在弥补这一不足,探讨关键的国家和地方利益相关者对三种生活转变(痴呆症、丧亲之痛和被迫迁移)及其与地方和排斥的关系的看法。分析涉及与生活转变和老龄化相关的政策、实践和宣传领域的利益相关者的 18 次半结构化访谈。访谈突出了利益相关者在感知排斥影响方面的差异,以及在多大程度上与这些转变相关的地方概念化。研究结果表明,缺乏针对经历生活转变的老年人需求的整体政策方法,这阻碍了我们真正利用地方来支持老年人的能力。本文最后认为,需要更细致地重建地方及其在生活转变背景下的意义。