A study on the social status of elderlies (comparison between elderlies living home with those living nursing homes)

Document Type : Research Paper

Authors

1 Assistant Professor, Social Sciences Department, Literature and Humanities Faculty, Ferdowsi University of Mashad

2 Assistant Professor, Cultural Studies Department, Social Sciences Faculty, Allameh Tabataba’i University

3 PhD in Sociology of Economical Development, Ferdowsi University of Mashad;

Abstract

The population pyramid in Iran is changing so that there will be greater elderlies in the near future. The objective of this study is to identify the social status of elderlies living (1) in-home and (2) in nursing homes in Mashad. The central hypothesis is that there is a difference between these two groups on social status. For testing this hypothesis, we used a causal-comparative method and questionnaire. Firstly, we studied 276 people living in nursing homes and then based on their main traits, such as age, gender, job, etc.- we constituted a peer group of 283 people who lived in-home. After all, we did a path analysis. This study's other constructs were feelings about self-esteem, hopelessness, prosperity, and satisfaction with the services elderlies received of the nursing homes.
Findings showed that the feeling about social status, as an indicator for measuring social health in elderlies, is dependent on three mental health indicators, including the feeling of loneliness, the feeling of self-esteem, and the feeling of prosperity. Also, we found out that satisfaction with the services elderlies receive from nursing homes have a considerable impact on the social status of elderlies living there. For the other group, the greatest impact belongs to the feeling of loneliness. The feeling of loneliness directly impacts on other variables and finally impresses the feeling of social status. At last, we could say that the feeling of social status in elderlies living in nursing homes are significantly less than those living home.

Keywords


-         اباذری، یوسف؛ چاوشیان، حسن (1381). از طبقه تا سبک زندگی. فصلنامة علمی- پژوهشی نامةعلوماجتماعی، 10(20):  3-27.
-         امانی، رزیتا (۱۳۹۴). شادکامی در دوران سالمندی: نقش عزت‌نفس. مجلة روان‌شناسی پیری، ۲(۱): 73-80.
-         انوری، حسن (1382). فرهنگ فشردة سخن. تهران: انتشارات سخن.
-         اسکینر، بی. اف (1380). فراسویآزادیوشأن. ترجمه: علی‌اکبر سیف. تهران: انتشارات رشد.
-         اسماعیلی شیرازی، مرضیه (۱۳۷۹). روان‌شناسی اجتماعی و سالمندی. تهران: انتشارات تخت جمشید.
-         براندن، ناتانیل (۱۳۸۲). قدرت عزت‌نفس. ترجمه: مینا اعطامی. تهران: انتشارات پیوند.
-         بیرو، آلن (1374). فرهنگعلوماجتماعی. ترجمه: باقر ساروخانی. تهران: انتشارات کیهان.
-         رفیع‌پور، فرامرز (1389). آناتومی جامعه. تهران: نشر سهامی انتشار.
-         ریاحی، محمداسماعیل (1378). مطالعة تطبیقی موقعیت و جایگاه سالمندان در جوامع گذشته و معاصر. فصلنامة سالمندان، ۳(۹ و ۱۰): 10-21.
-         مرکز آمار ایران (۱۳۹۵). سالنامة آماری کشور. تهران: دفتر ریاست روابط عمومی و همکاری های بین الملل.
-         سرمد، زهره؛ بازرگان، عباس؛ حجازی، الهه (1379).روش‌های تحقیق در علوم رفتاری. تهران: انتشارات آگاه.
-         سیف‌الله، فرزانه؛ علیزاده، سمیه (۱۳۹۲). بررسی عوامل اجتماعی مؤثر بر سلامت اجتماعی سالمندان. فصلنامة مطالعات توسعة اجتماعی-فرهنگی، 2(۱): 183-208.
-         شتی، محسن (۱۳۹۸). ۱۰ درصد جمعیت کشور سالمند هستند. همایش مدیران سلامت جمعیت، خانواده و مدارس دانشگاه‌های علوم پزشکی کشور، مشهد. بازیابی از
-         شیخی، محمدتقی (۱۳۸۹). جامعه‌شناسی سالمندی. تهران: انتشارات حریر.
-         عباس‌زاده، محمد؛ علیزاده اقدم، محمدباقر؛ کوهی، کمال؛ علیپور، پروین (۱۳۹۱). انواع سرمایه‌ها، حلقة مفقوده در تبیین شادکامی. فصلنامة رفاه اجتماعی، ۱۳(۵۱): 125-244.
-         قربا‌ن‌پور، مسعود؛ اسماعیلی، علی (۱۳۹۱). تعیین اثربخشی معنادرمانی بر اضطراب مرگ در سالمندان. فرهنگ مشاوره و روان‌درمانی، ۹: 53-68.
-         کلدی، علیرضا (1383). جامعه‌شناسی سالمندان. تهران: نشر کلدی.
-         کوچکی، گلناز؛ حجتی، حمید؛ ثناگو، اکرم (۱۳۹۱). ارتباط احساس تنهایی با رضایت از زندگی در سالمندان. مجلة توسعة پژوهش در پرستاری و مامایی، ۹(۱): 61-68.
-         محسنی، منوچهر (1372). جامعه‌شناسی پزشکی و بهداشت. تهران: انتشارات طهوری.
-         ملک، حسن (1374). جامعهشناسیقشرهاونابرابریهایاجتماعی. تهران: انشارات دانشگاه پیام نور.
-         Anderberg, P.; Lepp, M.; Berglund, A. L., Segesten, K. (2007). Preserving dignity in caring for older adults: A concept analysis. Journal of Advance Nursing, 59(6), 635-643.
-         Andorno, R. (2011). The dual role of human dignity in bioethics. Medicine, Health Care, and Philosophy, 16(4): 967-973.
-         Asher, S. R.; Paquette J. A. (2003) Loneliness and peer relations in childhood. Current Directions in Psychological Science, 12(3): 75-78.
-         Berk, L. E. (2007). Development through the life span (4th ed.). Tehran: Arasbaran Publication.
-         Böhnke, P. (2005). First European quality of life survey: Life satisfaction, happiness and sense of belonging. European Foundation for the Improvement of Living and Working Conditions. Luxembourg. Office for Official Publications of the European Communities. Retrieved fron https://www.eurofound.europa.eu/publications/report/2005/quality-of-life/first-european-quality-of-life-survey-life-satisfaction-happiness-and-sense-of-belonging
-         Bond, J.; Colemean, P.; Peace, Sh. (1994). Aging in Society (2nd ed.). London: SAGE.
-         Casellas-Grau A.; Font A.; Vives, J. (2014). Positive psychology interventions in breast cancer: A systematic review. PsychoOncology, 23(1): 9-19.
-         Cohen, S.; Herbert, T. B. (1996). Health psychology: Psychological factorsand physical disease from the perspective of humanpsychoneuroimmunology. Review of Psychology, 47: 113-142.
-         Donder, L.; Dury, S.; De Witte, N.; Smetcoren, A. S.; Buffle, T.; Verte, D. (2012). Exploring social participation in Belgium participation rates, individual profiles of participants and thresholds to participate. Proceedings of  the 21 Nordic Congress of Gerontology: Dilemmas in Aging Societies, Denmark, Copenhagen
-         Gallagher, A.; Li, S.; Wainwright, P.; Jones, R.; Lee, D. (2008). Dignity in the care of older people: A review of the theoretical and empirical literature. Bio Medical Center Nursing, 7(11): doi: 10.1186/1472-6955-7-11
-         Hirai, H.; Kondo, K.; Kawachi, I. (2012). Social determinants of active aging: Differences in morality and the loss of healthy life between different income levels among older Japanese in the AGES cohort study. Current Gerentology and Geriatric Research, doi: 10.1155/2012/701583
-         Jacobson, N. (2007). Dignity and health: A review. Social Science Medicine, 64(2): 292-302. 
-         Jacobson, N. (2009). A taxonomy of dignity: A grounded theory study. Bio Medical Center International Health and Human Rights, 9(1): 32-37.
-         Keyes, C. L. M. (1998). Social well-bing. Sociology Psychology, 61(2): 121-140.
-         Lam, K. (2007). Dignity, respect for dignity, and dignity conserving in palliative care. Palliative Medicine, 30(8): 1-6.
-         Lymbmirsky, S.; Tkach, C.; Dimatteo, M. R. (2006). What are the differences between happiness and self-esteem? Social Indicators Research, 78: 363-404.
-         Masi, C. M.; Chen, H. Y.; Hawkley, L. C.; Cacioppo, J. T. (2010). A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15(3): 219–266
-         Myers, D. G. (2002). Exploring psychology (3rd ed.). New York: Worth Publishers.
-         Sutham, N.; Chutigai, T.; Chokchai, M.; Phitaya, C. (2009). Factors influencing life happiness among elderly female in Rayong province, Thailand. Journal of the Medical Association of Thailand, 7: 8-12.
-         Oghene, O. P. (2013). Understanding the meanings created around the aging body and sports by masters athlethes through media data (Unpublished master΄s thesis). International University of Sudbury, Sudbuty.
-         Ogura, S.; Jakovljevic, M. M. (2018). Editorial: Global population aging - Health care, social and economic consequences. Frontiers in Public Health, 6: https://doi.org/10.3389/ fpubh.2018.00335
-         Randeres, L.; Mattiasson, A. C. (2003). Autonomy and integrity: Upholding older adult patient’s dignity. Journal of Advanced Nursing, 45(1): 63-71.
-         Rasel, M.; Ardalan, A. (2007). The future of ageing and its health care costs: A warning for health system. Yektaweb Journals, 2(2): 300-305.
-         Sadeghi, R. (2012). Dynamics trend of Iran’s population: Past, present and future. Tehran: Iran Institute of Statistic.
-         Sutham, N.; Chutigai, T.; Chokchai, M.; Phitaya, C. (2009). Factors influencing life happiness among elderly female in Rayong province, Thailand. Journal of the Medical Association of Thailand, 7: 8-12. 
-         Tadd, W.; Hillman, A.; Calnan, S.; Calnan, M.; Bayer, T.; Read, S. (2011). Dignity in practice: An exploration of the care of older adults in acute NHS Trusts. London: Blackwell Publishing Ltd.
-         Woolhead, G.; Calnan, M.; Dieppe, P.; Tadd, W. (2010). Dignity in older age: What do older people in the United Kingdom think? Age and Ageing, 33(2): 165-70.
-         World Health Organization (WHO). (2011). 10 facts on ageing and the life course. Retrieved from https://www.who.int/features/factfiles/ageing/ageing_facts/en/
-         World Population Aging 2007. (2015). Population division web site. Retrieved fromhttp://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulation -AgeingReport2007.pdf
World Population Prospects, the 2015 Revision. (2015). Population division web site. Retrieved from: http://esa.un.org/unpd/wpp/