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‘We want a peaceful life here and hereafter’: healthy ageing perspectives of older Malays in Malaysia

Published online by Cambridge University Press:  18 May 2011

NOORLAILI TOHIT*
Affiliation:
Department of Family Medicine, University Kebangsaan Malaysia Medical Centre, Malaysia.
COLETTE JOY BROWNING
Affiliation:
Primary Care Research, Monash University, Victoria, Australia.
HARRIET RADERMACHER
Affiliation:
Primary Care Research, Monash University, Victoria, Australia.
*
Address for correspondence: Noorlaili Tohit, Department of Family Medicine, University Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, 56000, Cheras, Kuala Lumpar, Malaysia. E-mail: [email protected]

Abstract

Healthy ageing concepts have been extensively studied in Western societies but few studies have explored the perceptions of older people from other cultural backgrounds. The aim of the study was to explore the conceptualisations of healthy ageing and perceived influences on ageing well amongst relatively healthy older Malays, a major ethnic group in Malaysia. Eight focus groups were conducted, with 38 participants recruited via community groups and leaders. Six themes were identified: spirituality, physical health and function, peace of mind, financial independence, family, and living environment. In this paper, we focus on the role of spirituality in healthy ageing which was a core resource in participants' lives. Participants reported that good physical health was an important resource that facilitated commitment to their spiritual activities. Furthermore, deteriorating functional ability appeared to provide an opportunity to optimise their spirituality, rather than hinder it. Participants wished for a ‘peaceful life’ and experienced this by enhancing their spirituality. Other ingredients for a peaceful life were financial independence, living in a place they love and having family members who live in harmony. In this community where religious affiliation is a tradition, spirituality can be fundamental for healthy ageing and its inclusion in aged care policy is imperative. However, further exploration on the diversity of individual expression of spirituality is important.

Type
Articles
Copyright
Copyright © Cambridge University Press 2011

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References

Ahmadi, F. and Thomas, L. 2000. Gerotranscendence and life satisfaction: studies of religious and secular Iranian and Turks. Journal of Religious Gerontology, 12, 1, 1741.Google Scholar
Ardelt, M. and Koenig, C. S. 2006. The role of religion for hospice patients and relatively healthy older adults. Research on Aging, 28, 2, 184215.CrossRefGoogle Scholar
Baltes, P. B. and Baltes, M. M. 1990. Psychological perspectives on successful ageing: the model of selective optimization with compensation. In Baltes, P. B. and Baltes, M. M. (eds), Successful Ageing: Perspectives from the Behavioural Sciences. Cambridge University Press, Cambridge, 134.CrossRefGoogle Scholar
Bowling, A. and Dieppe, P. 2005. What is successful ageing and who should define it? British Medical Journal, 331, 1548–51.CrossRefGoogle Scholar
Bowling, A. and Iliffe, S. 2006. Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing. Age and Ageing, 35, 6, 607–14.CrossRefGoogle ScholarPubMed
Braun, V. and Clarke, V. 2006. Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 2, 77101.CrossRefGoogle Scholar
Browning, C. and Kendig, H. 2004. Maximising health and well-being in older people. In Moodie, R. and Hulme, A. (eds), Hands on Health Promotion. IP Communications, Melbourne, 374–88.Google Scholar
Coleman, P. G. 2005. Spirituality and ageing: the health implications of religious belief and practice. Age and Ageing, 34, 4, 318–9.CrossRefGoogle ScholarPubMed
Crowther, M. R., Parker, M. W., Achenbaum, W. A., Larimore, W. L. and Koenig, H. G. 2002. Rowe and Kahn's model of successful aging revisited: positive spirituality – the forgotten factor. Gerontologist, 42, 5, 613–20.CrossRefGoogle ScholarPubMed
Dalby, P. 2006. Is there a process of spiritual change or development associated with ageing? A critical review of research. Aging & Mental Health, 10, 1, 412.CrossRefGoogle ScholarPubMed
Department of Statistics Malaysia 2008. Key Statistics. Available online at http://www.statistics.gov.my [Accessed 16 February 2011].Google Scholar
Erikson, E. H. 1985. The Life Cycle Completed: A Review. W. W. Norton & Co., New York.Google Scholar
Erikson, E. H. 1997. The Life Cycle Completed: A Review – Extended Version. W. W. Norton & Co., New York.Google Scholar
Esposito, N. 2001. From meaning to meaning: the influence of translation techniques on non-English focus group. Qualitative Health Research, 11, 4, 568–79.CrossRefGoogle ScholarPubMed
Feldman, S., Radermacher, H., Browning, C., Bird, S. and Thomas, S. 2008. Challenges of recruitment and retention of older people from culturally diverse communities in research. Ageing & Society, 28, 4, 473–93.CrossRefGoogle Scholar
Fernández-Ballesteros, R., García, L., Blanc, D., Efklides, A., Kornfeld, R., Lerma, A. J., Mendoza, V., Mendoza, N., Orosa, T., Paul, C. and Patricia, S. 2008. Lay concept of aging well: cross-cultural comparisons. Journal of the American Geriatric Society, 56, 950–2.CrossRefGoogle ScholarPubMed
Guest, G., Bunce, A. and Johnson, L. 2006. How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 1, 5982.CrossRefGoogle Scholar
Hill, P. C. and Pargament, K. I. 2003. Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. American Psychologist, 58, 1, 6474.CrossRefGoogle ScholarPubMed
Hsu, H.-C. 2007. Exploring elderly people's perspectives on successful ageing in Taiwan. Ageing & Society, 27, 1, 87102.CrossRefGoogle Scholar
Iezzoni, L. I. 2006. Make no assumptions: communications between persons with disabilities and clinicians. Assistive Technology, 18, 2, 212–9.CrossRefGoogle ScholarPubMed
Inglehart, R. and Baker, W. 2000. Modernization, cultural change and the persistence of traditional values. American Sociological Review, 65, 1, 1951.CrossRefGoogle Scholar
Kirby, S. E., Coleman, P. G. and Daley, D. 2004. Spirituality and well-being in frail and nonfrail older adults. Journals of Gerontology: Psychological Sciences and Social Sciences, 59B, 3, 123–9.CrossRefGoogle Scholar
Koenig, H. G. 2006. Religion, spirituality and aging. Aging and Mental Health, 10, 1, 13.CrossRefGoogle ScholarPubMed
Koenig, H. G. and Pritchett, J. 1998. Religion and psychotherapy. In Koenig, H. G. (ed.), Handbook of Religion and Mental Health. Academic Press, San Diego, California, 323–36.CrossRefGoogle Scholar
Krause, N. 2006. Gratitude toward God, stress, and health in late life. Research on Aging, 28, 2, 163–83.CrossRefGoogle Scholar
Liamputtong, P. and Ezzy, D. 2005. Qualitative Research Methods. Second edition, Oxford University Press, Melbourne.Google Scholar
Litwin, H. 2005. Correlates of successful aging: are they universal? International Journal of Aging and Human Development, 61, 4, 313–33.CrossRefGoogle ScholarPubMed
McCann Mortimer, P., Ward, L. and Winefield, H. 2008. Successful ageing by whose definition? Views of older, spiritually affiliated women. Australasian Journal on Ageing, 27, 4, 200–4.CrossRefGoogle ScholarPubMed
Mehta, K. K. 1997. The impact of religious beliefs and practices on aging: a cross-cultural comparison. Journal of Aging Studies, 11, 2, 101–14.CrossRefGoogle Scholar
Ministry of Health Malaysia 2006. Guideline for health care services for older people within health clinics and districts.Google Scholar
Mowat, H. 2006. Ageing, health care and the spiritual imperative: a view from Scotland. Journal of Religion, Spirituality & Aging, 18, 2, 317.CrossRefGoogle Scholar
Mowat, H. and Ryan, D. 2002. Spiritual issues in health and social care: practice into policy? Journal of Religious Gerontology, 14, 1, 5167.CrossRefGoogle Scholar
Musick, M. A., Traphagan, J. W., Koenig, H. G. and Larson, D. B. 2000. Spirituality in physical health and aging. Journal of Adult Development, 7, 2, 7386.CrossRefGoogle Scholar
Nagalingam, J. 2007. Understanding successful aging: a study of older Indian adults in Singapore. Care Management Journals, 8, 1, 1825.CrossRefGoogle ScholarPubMed
Ng, T. P. 2009. Determinants of successful ageing using a multidimensional definition among Chinese elderly in Singapore. The American Journal of Geriatric Psychiatry, 17, 5, 407–16.CrossRefGoogle ScholarPubMed
Ong, F. S. 2002. Ageing in Malaysia: a review of national policies and programmes. In Phillips, D. R. and Chan, A. C. M. (eds), Ageing and Long-term Care: National Policies in the Asia-Pacific. Institute of Southeast-Asian Studies, Singapore and IDRC, Ottawa, 107–49.Google Scholar
Pargament, K. I. and Brant, C. R. 1998. Religion and coping. In Koenig, H. G. (ed.), Handbook of Religion and Mental Health. Academic Press, San Diego, California, 111–28.CrossRefGoogle Scholar
Parker, M. W., Bellis, J. M., Bishop, P., Harper, M., Allman, R. M., Moore, C. and Thompson, P. 2002. A multidisciplinary model of health promotion incorporating spirituality into a successful aging intervention with African American and white elderly groups. Gerontologist, 42, 3, 406–15.CrossRefGoogle ScholarPubMed
Parker, M. W., Fuller, G. F., Koenig, H. G., Bellis, J. M., Vaitkus, M. A., Barko, W. F. and Eitzen, J. 2001. Soldier and family wellness across the life course: a developmental model of successful aging, spirituality, and health promotion, Part II. Military Medicine, 166, 7, 561–70.CrossRefGoogle ScholarPubMed
Parker, M., Roff, L. L., Klemmack, D. L., Koenig, H. G., Baker, P. and Allman, R. M. 2003. Religiosity and mental health in southern, community-dwelling older adults. Aging and Mental Health, 7, 5, 390–97.CrossRefGoogle ScholarPubMed
Patton, M. Q. 2001. Qualitative Research and Evaluation Methods. Third edition, Sage, Thousand Oaks, California.Google Scholar
Phelan, E. A., Anderson, L. A., LaCroix, A. Z. and Larson, E. B. 2004. Older adults' views of ‘successful aging’ – how do they compare with researchers' definitions? Journal of the American Geriatrics Society, 52, 2, 211–6.CrossRefGoogle ScholarPubMed
Pope, C., Ziebland, S. and Mays, N. 2000. Qualitative research in health care – analysing qualitative data. British Medical Journal, 320, 114–6. (Reprinted from Qualitative Research in Health Care.)CrossRefGoogle Scholar
Rowe, J. W. and Kahn, R. L. 1997. Successful aging. The Gerontologist, 37, 4, 433–40.CrossRefGoogle ScholarPubMed
Sadler, E. and Biggs, S. 2006. Exploring the links between spirituality and ‘successful ageing’. Journal of Social Work Practice, 20, 3, 267–80.CrossRefGoogle Scholar
Shapiro, J., Mosqueda, L. and Botros, D. 2003. A caring partnership: expectations of ageing persons with disabilities and their primary care doctors. Family Practice, 20, 6, 635–42.CrossRefGoogle ScholarPubMed
Stewart, D. W., Shamdasani, P. N. and Rook, D. W. 2007. Focus Groups: Theory and Practice. Second edition, Sage, Thousand Oaks, California.CrossRefGoogle Scholar
Teshuva, K., Kendig, H. and Stacey, B. 1997. Spirituality, health and health promotion in older Australians. Health Promotion Journal of Australia, 7, 3, 180–4.Google Scholar
Tornstam, L. 1997. Gerotranscendence: the contemplative dimension of aging. Journal of Aging Studies, 11, 2, 143–54.CrossRefGoogle Scholar
World Health Organization 2006. Malaysia. Available online at http://www.who.int/countries/mys/en/ [Accessed 19 December 2006].Google Scholar