Abstract
BackgroundThe number of older adults with different ethnic and socioeconomic background is steadily increasing. There is a need for community-based health promotion interventions for older adults that are responsive to ethnic and socioeconomic diversity among target populations. The aim of this study is to explore encounters between older adults living in disadvantaged areas and health care professionals in the context of community-based health promotion.MethodsQualitative methods were used involving interviews and focus groups with older adults (n = 22) and municipal health care professionals (n = 8), and multiple observations were conducted. Data were analyzed thematically.ResultsFindings show a gap between health promotion services and older adults due to a perception of services as being neither accessible nor acceptable in the context of complex health and psychosocial needs. Health care professionals reported trust, proximity and presence as fundamental factors for improving acceptability and accessibility of health promotion services.ConclusionsThere is a need to develop participatory approaches to engage older adults who live in disadvantaged areas in municipal health promotion services and to ensure that these services are relevant to these groups.
Highlights
An aging population is significantly changing the demographic landscape of Western societies [1]
Aim The aim of this multi-perspective study is to explore encounters between older adults living in disadvantaged areas and health care professionals in the context of community-based health promotion using the case of preventive home visits
Additional adaptation of the intervention focus on language barriers that are overcome through involvement of translators and translation of leaflets on preventive home visits and other material on municipal health promotion services, and courses in cultural competencies for municipal staff involved in the intervention
Summary
An aging population is significantly changing the demographic landscape of Western societies [1]. The increasing number of older adults with different ethnic and socioeconomic backgrounds in communities across Europe and North America underscores the need for rethinking health promotion in order to ensure acceptability of and accessibility to social and health care services for diverse groups of older adults [2, 3]. Studies have demonstrated that there is widespread social and ethnic inequality in the acceptability to and In this multi-perspective intervention study, we explore ways to adapt health promotion services to older adults by using the case of preventive home visits in Denmark. The change in the law intends to ensure that the promotion of health for older adults is responsive to the needs of diverse groups, including ethnic minorities and more socioeconomically vulnerable individuals, who often underutilize community-based health promotion services. There is a need for community-based health promotion interventions for older adults that are responsive to ethnic and socioeconomic diversity among target populations. The aim of this study is to explore encounters between older adults living in disadvantaged areas and health care professionals in the context of community-based health promotion
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