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Becoming Old as a ‘Pharmaceutical Person’: Negotiation of Health and Medicines among Ethnoculturally Diverse Older Adults*

Published online by Cambridge University Press:  25 May 2011

Peri J. Ballantyne ,
Raza M. Mirza ,
Zubin Austin ,
Heather S. Boon  and
Judith E. Fisher
Peri J. Ballantyne*
Affiliation:
Department of Sociology, Trent University Department of Pharmaceutical Science, University of Toronto
Raza M. Mirza
Affiliation:
Department of Pharmaceutical Science, University of Toronto
Zubin Austin
Affiliation:
Department of Pharmaceutical Science, University of Toronto
Heather S. Boon
Affiliation:
Department of Pharmaceutical Science, University of Toronto
Judith E. Fisher
Affiliation:
College of Pharmacy, Dalhousie University
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Peri J. Ballantyne, Ph.D. Department of Sociology Trent University 1600 West Bank Drive Peterborough, ON K9J 7B8 ([email protected])
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Abstract

Because medication prescribing and use have become a normative aspect of health care for older adults, we seek to understand how individuals navigate prescribed-medication use within the context of aging. We reasoned that, for those who are ambulatory, medication use is likely influenced by ethnocultural meanings of health and experiences with alternative approaches to health care. Accordingly, we conducted a qualitative study, with in-depth interviews, on a diverse sample of older adults in order to identify elderly persons’ perceptions and uses of medicines. Our findings depict older adults as active agents – who draw on a lifetime of experience and knowledge – who take responsibility for adherence (or non-adherence) to medicines and their associated effects on their own bodies. We represent the older person as a “pharmaceutical person” whose experiences of aging are inextricably tied up with the negotiation of medicine-reliant health care.

Résumé

Parce que la prescription et l’utilisation des médicaments sont devenus un aspect normatif des soins de santé pour les personnes âgées, nous cherchons à comprendre comment les individus gérer l’utilisation des médicaments d’ordonnance dans le contexte du vieillissement. Nous soutenons que, pour ceux qui sont ambulatoires, l’utilisation de médicaments est susceptible d’être influencée par des considérations ethno-culturelles en matière de la santé et des expériences avec d’autres approches aux soins de santé. En conséquence, nous avons méné une étude qualitative, avec des entrevues en profondeur, sur un échantillon diversifié de personnes âgées afin d’identifier leurs perceptions et utilisations de médicaments. Nos conclusions dépeignent les personne âgées comme des agents actifs – qui s’appuient sur une vie d’expérience et de connaissances – qui prennent la responsabilité de l’adhésion (our non-adhésion) aux médicaments et leurs effets liés sur leur propre corps. Nous représentons la personne âgée comme une « personne pharmaceutique » dont les expériences du vieillissement sont inextricablement liée à la négociation des soins de santé dépendent sur les médicaments.

Keywords

soins de santé pharmaceutiquesexpériences de patientsimmigrantsmigrationméthodes d’interprétationmédicamentspersonnes plus âgéespharmaceutical health carepatient experiencesimmigrantsmigrationinterpretive methodsmedicationolder people
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 30 , Issue 2 , June 2011 , pp. 169 - 184
Copyright
Copyright © Canadian Association on Gerontology 2011

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Footnotes

*

A version of this paper was presented at the 15th International Social Pharmacy Workshop, Queenstown, NZ, in July 2008.We thank the study participants and translators who made this research possible, and for their design and logistical support we thank our study partners at Scadding Court Community Centre, Toronto, Ontario. G. Bonter, L. Hulcoop, J. Orsetto, V. Iafolla, J. McIlwain, and L. Sule provided research assistance. We thank two anonymous reviewers for suggestions on the paper. Funded by the Social Sciences and Humanities Research Council of Canada Grant# 410-2005-0595.

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