Sihto Tiina, Van Aerschot Lina
Department of Social Sciences and Philosophy, University of Jyväskylä, Jyväskylä, Finland.
Front Sociol. 2021 Apr 29;6:637799. doi: 10.3389/fsoc.2021.637799. eCollection 2021.
Older adults face inequalities in care. The concept of care poverty has been developed to point out how unmet care needs are not just an individual issue but a phenomenon linked to social and economic disadvantage and societal inequality. In this paper, we approach the question of care poverty by focusing on its intertwinement with emotions and the home space. We analyze how the presence, or more commonly absence, of care shapes interviewees' descriptions of emotional experiences tied to the home space. Our data consists of 12 semi-structured interviews conducted in 2019 and 2020 with customers of outreach work for older adults in Finland. These customers typically face a situation that can be characterized as care poverty: their care needs are not (or have not been) met by either the service system or informal sources. When analyzing the data, we followed the guidelines for thematic analysis proposed by Braun and Clarke. Our analysis shows how care and lack of care transform interviewees' emotional connections with the home space, highlighting particularly three main themes: insecurity, isolation and belongingness. Our analysis reveals how lack of care can transform the home into an unsafe place; a space characterized by isolation, or a space where one sometimes ceases to feel at ease or "like oneself." The emotional experience of home and being adequately cared for is also tied to the sense of (not) belonging to a place. Based on our analysis, we argue that as an experience, care poverty is not just about individual unmet needs and/or a scarcity of resources at the societal level; it should also be understood as deeply relational-born and shaped in interactions (or the lack of interactions) among people, and lived in and through relationships with others. Furthermore, we highlight the importance of a sense of belonging to the feeling of being adequately cared for.
老年人在护理方面面临不平等。护理贫困这一概念的提出是为了指出未得到满足的护理需求不仅是个人问题,而且是一种与社会经济劣势和社会不平等相关的现象。在本文中,我们通过关注护理贫困与情感及家庭空间的交织来探讨这一问题。我们分析了护理的存在(或更常见的是不存在)如何塑造受访者对与家庭空间相关的情感体验的描述。我们的数据包括2019年和2020年对芬兰老年人外展工作客户进行的12次半结构化访谈。这些客户通常面临一种可被描述为护理贫困的情况:他们的护理需求未得到服务系统或非正式来源的满足(或从未得到满足)。在分析数据时,我们遵循了布劳恩和克拉克提出的主题分析指南。我们的分析表明护理和缺乏护理如何改变受访者与家庭空间的情感联系,特别突出了三个主要主题:不安全感、孤独感和归属感。我们的分析揭示了缺乏护理如何能将家变成一个不安全的地方;一个以孤独为特征的空间,或者一个让人有时不再感到自在或“不像自己”的空间。家庭的情感体验以及得到充分护理也与归属感(或缺乏归属感)相关。基于我们的分析,我们认为,作为一种体验,护理贫困不仅仅关乎个人未得到满足的需求和/或社会层面资源的匮乏;它还应被理解为深深植根于人际关系之中,在人与人之间的互动(或缺乏互动)中产生并形成,并通过与他人的关系来体验。此外,我们强调归属感对于充分护理感受的重要性。