Ma Mengxing, Joshi Gaurav
Department of Geography, University of Sheffield, Sheffield, UK.
Department of Social Work, University of Melbourne, Melbourne, Victoria, Australia.
Gerontologist. 2022 Aug 12;62(7):e402-e417. doi: 10.1093/geront/gnab033.
The intersection of population aging and international migration increases the ethnic and cultural diversity of the U.K. older population, which has significant implications for health and care services and requires social inclusion and equal access to welfare. This review aimed to explore the complexity of migrated older adults' lives and analyze how their multiple identity markers interweave and affect their lived experiences.
This review is a qualitative systematic review. Intersectionality was applied as a theoretical scaffold to inform the qualitative thematic synthesis of the data.
A total of 29 studies in the period 2000-2020 were included. Three themes, language barriers, racism and discrimination, and negotiating cultural influences, were identified as common challenges faced by migrated older adults. However, the degree of these challenges and the resources to buffer their effects vary dramatically given the significant differences in migrated older adults' gender, socioeconomic status (SES), cultural backgrounds, and migration pathways.
Rather than focusing on any single factor, it is required to consider the intersection of age, race, ethnicity, gender, SES, and migration status to understand and address inequality not only between migrated older adults and native older adults, among different migrated older adult groups but also within any certain group. This review calls for the acknowledgment and awareness of policymakers, care and service practitioners, and academics on the heterogeneity of migrated older adults.
人口老龄化与国际移民的交叉使得英国老年人口的种族和文化多样性增加，这对健康和护理服务具有重大影响，需要社会包容和平等获得福利的机会。本综述旨在探讨移民老年人生活的复杂性，并分析他们的多重身份特征如何相互交织并影响他们的生活经历。
本综述是一项定性系统综述。交叉性被用作理论框架，为数据的定性主题综合提供信息。
纳入了2000年至2020年期间的29项研究。语言障碍、种族主义和歧视以及应对文化影响这三个主题被确定为移民老年人面临的共同挑战。然而，鉴于移民老年人在性别、社会经济地位（SES）、文化背景和移民途径方面存在显著差异，这些挑战的程度以及缓冲其影响的资源差异很大。
需要考虑年龄、种族、民族、性别、社会经济地位和移民身份的交叉，而不是关注任何单一因素，以便不仅理解和解决移民老年人与本地老年人之间、不同移民老年人群体之间，而且在任何特定群体内部的不平等问题。本综述呼吁政策制定者、护理和服务从业者以及学者认识到移民老年人的异质性。
