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- Genre: Doctoral Dissertation
Description
Approximately 89 million Americans will be age 65 and older by 2050 in the United States. This older adult population is especially vulnerable to loneliness as a result of numerous age-related risk factors including loss of social support and declining health. In addition to these common risk factors, refugee older adults may face increased loneliness as a consequence of war-related trauma, loss, and marginalized cultural values in their host country. Despite their heightened vulnerabilities to loneliness, the experiences of refugee older adults remain understudied.
This is the first study aimed at understanding the loneliness experiences of community-dwelling Hmong older adults, an ethnic group resettled in the United States as refugees over 40 years ago. A constructivist grounded theory method guided by an intersectionality framework was used to address three aims: 1) to understand the concept of loneliness among community-dwelling Hmong older adults, 2) to explore the premigration, displacement, and postmigration experiences of loneliness among community-dwelling Hmong older adults, and 3) to examine how community-dwelling Hmong older adults cope with loneliness. Semi-structured individual interviews were conducted with 17 Hmong older adults age 65 and older residing in Sacramento and Fresno, California. Analysis of the data was an iterative process between coding the data, generating focused codes, and connecting the categories to establish a conceptual pattern.
Participants conceptualized loneliness as a negative experience represented through physical and emotional expressions and intensity, which were influenced by an intersectional identity. Factors that influenced their experiences of loneliness in the premigration, displacement, and postmigration phase were discussed as trust, loss, aging-related issues, isolation, sense of community, access to cultural community, instability, violence, and cultural adjustments. Their narratives offered several coping mechanisms including religious and spiritual beliefs, social support, wandering, activity engagement, and control and avoidance. These findings informed a conceptual model of loneliness that incorporated an intersectional identity, influencing factors, and coping mechanisms. Overall, the results provide nuanced cultural meanings and insight into the loneliness experiences of Hmong older adults. Implications for social work research, practice, and policy suggests the need for greater culturally- and linguistically-competent services informed by Hmong older adults.
This is the first study aimed at understanding the loneliness experiences of community-dwelling Hmong older adults, an ethnic group resettled in the United States as refugees over 40 years ago. A constructivist grounded theory method guided by an intersectionality framework was used to address three aims: 1) to understand the concept of loneliness among community-dwelling Hmong older adults, 2) to explore the premigration, displacement, and postmigration experiences of loneliness among community-dwelling Hmong older adults, and 3) to examine how community-dwelling Hmong older adults cope with loneliness. Semi-structured individual interviews were conducted with 17 Hmong older adults age 65 and older residing in Sacramento and Fresno, California. Analysis of the data was an iterative process between coding the data, generating focused codes, and connecting the categories to establish a conceptual pattern.
Participants conceptualized loneliness as a negative experience represented through physical and emotional expressions and intensity, which were influenced by an intersectional identity. Factors that influenced their experiences of loneliness in the premigration, displacement, and postmigration phase were discussed as trust, loss, aging-related issues, isolation, sense of community, access to cultural community, instability, violence, and cultural adjustments. Their narratives offered several coping mechanisms including religious and spiritual beliefs, social support, wandering, activity engagement, and control and avoidance. These findings informed a conceptual model of loneliness that incorporated an intersectional identity, influencing factors, and coping mechanisms. Overall, the results provide nuanced cultural meanings and insight into the loneliness experiences of Hmong older adults. Implications for social work research, practice, and policy suggests the need for greater culturally- and linguistically-competent services informed by Hmong older adults.
ContributorsVang, Cindy (Author) / Jackson, Kelly F (Thesis advisor) / Lee, Serge (Committee member) / Lopez, Kristina (Committee member) / Arizona State University (Publisher)
Created2019
Description
Advances in health care have resulted in an increase in life expectancy causing a rapid growth in the number of older adults at a global level. At the same time, socioeconomic development is transitioning family structures and social relationships. With reduced family engagement, many older adults are more at risk for physical and psychological health issues including loneliness, which is considered a public health issue affecting their quality of life and well-being. This descriptive, exploratory study aims to describe the significance of loneliness in three northern regions of the Sultanate of Oman. The purpose of this study is to examine the prevalence and correlates of loneliness and the relationship of loneliness to health statuses among older Omani adults aged 60 years and above. A demographic data questionnaire, the UCLA loneliness scale, and SF-12-v-1 health status instruments were used for data collection. The sample includes 113 Omani older adults, male (n = 36) and female (n = 77), who experienced a mixture from low to high and severe levels of loneliness. Among these older adults, 34.5% perceived low level, 34.5% moderate level, 22.1% high, and 8.8% were severely lonely. The main demographic factors that were associated with the older adults level of loneliness were female gender, older age 80 years and above, living with others who were not a family member, and being unemployed. When controlling for demographic and environmental factors loneliness was a significant predictor (p < .001) for lower mental health status but not for physical health status (p > .05).
ContributorsAl Yazeedi, Salma Abdullah (Author) / marek, karen D (Thesis advisor) / Shin, Cha-Nam (Committee member) / Komnenich, Pauline (Committee member) / Hawkins, Paul (Committee member) / Arizona State University (Publisher)
Created2019
Description
How does a university serve the needs of students in the face of a global pandemic? In truly unprecedented times, administrators were pushed to perform in new modalities and under very different circumstances. For many months, change was the only constant and student support needs were a whole new world to navigate. The purpose of this phenomenological action research study was to conduct outreach and implement wellness programming as an intervention to reduce loneliness in college students experiencing isolation or quarantine due to COVID-19. Four theoretical frameworks guided the study, including the work of Astin (1975, 1984, 1993, 2001), Kuh (2001), Hawkley and Cacioppo (2010), and Fullan (2001). In this qualitative study, data pertaining to student well-being, loneliness and motivation to persist were collected through the use of pre- and post-intervention semi-structured interviews as well as participant journal entries. Study participants were undergraduate students who had tested positive for COVID-19 or had been exposed to COVID-19 and were therefore in isolation or quarantine, respectively. The intervention extended the length of the semester and involved implementation of outreach and wellness programming initiatives for each participant.
Through the findings provided, one can see the impact of isolation or quarantine on college students as well as the influence of the intervention on student well-being, connection, and persistence to graduation. The discussion of this work will describe the implications of this study as well as the lessons learned.
ContributorsSmith, Courtney Taylor Spivak (Author) / Giorgis, Cyndi (Thesis advisor) / Vogel, Joanne (Committee member) / Torres, Maritza (Committee member) / Arizona State University (Publisher)
Created2021