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Embraced by the past, hopeful for the future: meaning of health to ageing persons who have migrated from the Western Balkan region to Sweden

Published online by Cambridge University Press:  20 January 2015

QARIN LOOD ,
GRETA HÄGGBLOM-KRONLÖF  and
LISEN DELLENBORG
QARIN LOOD*
Affiliation:
Institution of Neuroscience and Physiology, Section for Health and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Sweden.
GRETA HÄGGBLOM-KRONLÖF
Affiliation:
Institution of Neuroscience and Physiology, Section for Health and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Sweden.
LISEN DELLENBORG
Affiliation:
Institution of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
*
Address for correspondence: Qarin Lood, The Sahlgrenska Academy, Institution of Neuroscience and Physiology, Section for Health and Rehabilitation, University of Gothenburg, Box 455, 405 30 Gothenburg, Sweden E-mail: [email protected]
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Abstract

Previous research has often visualised ageing and migration as risk factors for poor health, pointing to a need for targeting health-promoting efforts towards ageing persons who are born abroad. However, most research has been conducted from an objective and poor health perspective, losing the broader picture of health in the context of ageing and migration. A key issue left unexplored is the meaning of health from a subjective perspective with focus upon persons who constitute the target groups for health promotion and other health-care services. A large number of people are now ageing in countries other than their country of birth. Therefore, studying the meaning of health in relation to this part of the population is of growing importance. As part of a larger health promotion project, the aim of this study was to explore the meaning of health to ageing persons who have migrated from the Western Balkan region to Sweden. Data were collected by individual interviews, conducted in the participants' mother tongue. Inspired by Ricoeur's hermeneutic approach, health was interpreted as a retrospective and prospective process of exercising control over one's own life, daily activities and social commitments. This interpretation is discussed in relation to how a person-centred approach to health-care services could bridge health inequities in an ageing and globalising society.

Keywords

immigrantshealth equityhealth promotionolder personsperson-centred carequalitative research
Type
Articles
Information
Ageing & Society , Volume 36 , Issue 3 , March 2016 , pp. 649 - 665
Copyright
Copyright © Cambridge University Press 2015 

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References

Antonovsky, A. 1987. Unravelling the Mystery of Health: How People Manage Stress and Stay Well. Jossey-Bass, San Francisco.Google Scholar
Bircher, J. 2005. Towards a dynamic definition of health and disease. Medicine Health Care and Philosophy, 8, 3, 335–41.CrossRefGoogle ScholarPubMed
Bloch, A. and Schuster, L. 2002. Asylum and welfare: contemporary debates. Critical Social Policy, 22, 3, 393–414.CrossRefGoogle Scholar
Braveman, P. and Gruskin, S. 2003. Defining equity in health. Journal of Epidemiology and Community Health, 57, 4, 254–8.CrossRefGoogle ScholarPubMed
Eriksson, M. and Lindström, B. 2006. Antonovsky's Sense of Coherence Scale and its relation with health: a systematic review. Journal of Epidemiology and Community Health, 60, 5, 376–81.CrossRefGoogle ScholarPubMed
Eriksson, M. and Lindström, B. 2008. A salutogenic interpretation of the Ottawa charter. Health Promotion International, 23, 2, 190–9.CrossRefGoogle ScholarPubMed
Evans, T., Whitehead, M., Diderichsen, F., Bhuiya, A. and Wirth, M. (eds) 2001. Challenging Inequities in Health: From Ethics to Action. Oxford University Press, Oxford.CrossRefGoogle Scholar
Fiscella, K., Franks, P., Gold, M. R. and Clancy, C. M. 2000. Inequality in quality: addressing socioecononic, racial, and ethnic disparities in health care. Journal of the American Medical Association, 283, 19, 2579–84.CrossRefGoogle Scholar
Glass, T. and McAtee, M. 2006. Behavioral science at the crossroads in public health: extending horizons, envisioning the future. Social Science & Medicine, 62, 7, 1650–71.CrossRefGoogle ScholarPubMed
Hocking, C. 2009. The challenge of occupation: describing the things people do. Journal of Occupational Science, 16, 3, 140–50.CrossRefGoogle Scholar
Hung, L.-W., Kempens, G. I. J. M. and De Vries, N. K. 2010. Cross-cultural comparison between academic and lay views of healthy ageing: a literature review. Ageing & Society, 30, 8, 1373–1391.CrossRefGoogle Scholar
Jackson, S., Birn, A.-E., Fawcett, S. B., Poland, B. and Schultz, J. A. 2013. Synergy for health equity: integrating health promotion and social determinants of health approaches in and beyond the Americas. Pan American Journal of Public Health, 34, 6, 473–80.Google ScholarPubMed
Johansson, K., Rudman, D. L., Mondaca, M., Park, M., Luborsky, M., Josephsson, S. and Asaba, E. 2013. Moving beyond ‘aging in place’ to understand migration and aging: place making and the centrality of occupation. Journal of Occupational Science, 20, 2, 108–19.CrossRefGoogle ScholarPubMed
Kulla, G., Ekman, S.-L., Heikkilä, A. K. and Sarvimäki, A. M. 2010. Differences in self-rated health among older immigrants – a comparison between older Finland-Swedes and Finns in Sweden. Scandinavian Journal of Public Health, 38, 1, 25–31.CrossRefGoogle ScholarPubMed
Kulla, G., Ekman, S.-L. and Sarvimäki, A. 2010. Experiential health from an ageing and migration perspective: the case of older Finland-Swedes. Journal of Immigrant and Minority Health, 12, 1, 93–9.CrossRefGoogle ScholarPubMed
Kupiszewski, M., Kicinger, C., Kupiszewska, D. and Flinterman, F. H., for The Central European Forum for Migration and Population Research (CEFMR) 2009. Labour Migration Patterns, Policies and Migration Propensity in the Western Balkans. Strém Kiadóház, Budapest.Google Scholar
Lanari, D. and Bussini, O. 2012. International migration and health inequalities in later life. Ageing & Society, 32, 6, 935–62.CrossRefGoogle Scholar
Laverack, G. 2004. Health Promotion Practice: Power and Empowerment. Sage, London.CrossRefGoogle Scholar
Lood, Q., Dahlin-Ivanoff, S., Dellenborg, L. and Mårtensson, L. 2014. Health-promotion in the context of ageing and migration: a call for person-centred integrated practice. International Journal of Integrated Care, 14, e004.CrossRefGoogle Scholar
Mollica, R. F., McInnes, K., Sarajlić, N., Lavelle, J., Sarajlić, I. and Massagli, M. P. 1999. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. Journal of the American Medical Association, 282, 5, 433–9.CrossRefGoogle ScholarPubMed
Patton, M. 2002. Qualitative Research and Evaluation Methods. Sage, Thousand Oaks, California.Google Scholar
Phillipson, C. 2007. The ‘elected’ and the ‘excluded’: sociological perspectives on the experience of place and community in old age. Ageing & Society, 27, 3, 321–42.CrossRefGoogle Scholar
Prevc, P. and Topič, M. 2009. Age identity, social influence and socialization through physical activity in elderly people living in a nursing home. Collegium Antropologicum, 33, 4, 1107–14.Google ScholarPubMed
Pudaric, S., Sundquist, J. and Johansson, S.-E. 2003. Country of birth, instrumental activities of daily living, self-rated health and mortality: a Swedish population-based survey of people aged 55–74. Social Science & Medicine, 56, 12, 2493–503.CrossRefGoogle ScholarPubMed
Ricoeur, P. 1976. Interpretation Theory: Discourse and the Surplus of Meaning. Christian University Press, Fort Worth, Texas.Google Scholar
Ricoeur, P. 1981. Hermeneutics and the Human Sciences: Essays on Language, Action and Interpretation. Editor and translator Thompson, J. B.. Cambridge University Press, Cambridge.Google Scholar
Ricoeur, P. 1992. Oneself as Another. University of Chicago Press, Chicago.Google Scholar
Shemirani, F. and O'Connor, D. 2006. Aging in a foreign country: voices of Iranian women aging in Canada. Journal of Women & Aging, 18, 2, 73–90.CrossRefGoogle Scholar
Silveira, E., Skoog, I., Sundh, V., Allebeck, P. and Steen, B. 2002. Health and well-being among 70-year-old migrants living in Sweden – results from the H 70 gerontological and geriatric population studies in Göteborg. Social Psychiatry & Psychiatric Epidemiology, 37, 1, 13–22.CrossRefGoogle Scholar
Statistics Sweden 2014. Befolkningsstatistik [Population Statistics]. Available online at http://www.statistikdatabasen.scb.se [Accessed 19 August 2014].Google Scholar
Torres, S. 2006. Different ways of understanding the construct of successful aging: Iranian immigrants speak about what aging well means to them. Journal of Cross-cultural Gerontology, 21, 1/2, 1–23.CrossRefGoogle Scholar
Ulin, P., Robinson, E. and Tolley, E. 2005. Qualitative Methods in Public Health. A Field Guide for Applied Research. Jossey-Bass, San Francisco.CrossRefGoogle Scholar
Warnes, A., Friedrich, K., Kellaher, L. and Torres, S. 2004. The diversity and welfare of older migrants in Europe. Ageing & Society, 24, 3, 307–26.CrossRefGoogle Scholar
Westman, J., Martelin, T., Härkänen, T., Koskinen, S. and Sundquist, K. 2008. Migration and self-rated health: a comparison between Finns living in Sweden and Finns living in Finland. Scandinavian Journal of Public Health, 36, 7, 698–705.CrossRefGoogle Scholar
Wiking, E., Johansson, S.-E. and Sundquist, J. 2004. Ethnicity, acculturation, and self reported health. A population based study among immigrants from Poland, Turkey, and Iran in Sweden. Journal of Epidemiology and Community Health, 58, 7, 574–82.CrossRefGoogle Scholar
World Health Organization (WHO) 1948. Preamble to the Constitution of the World Health Organization as Adopted by the International Health Conference. WHO, New York.Google Scholar
World Health Organization (WHO) 1986. Ottawa Charter for Health Promotion. WHO, Geneva.Google Scholar
World Health Organization (WHO) 2012. Social Determinants of Health. Available online at http://www.who.int [Accessed 19 August 2014].Google Scholar