Community-dwelling older adults who are low-income and disabled weathering financial challenges |
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| Institution: | 1. Johns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States;2. Department of Health Sciences, Lund University, Sweden;3. Kennedy Krieger Institute, United States;4. Johns Hopkins Bloomberg School of Public Health Department of Health Policy and Management, United States;1. The University of North Carolina at Chapel Hill, Carrington Hall, Campus Box #7460, Chapel Hill, NC 27599-7460, United States;2. Lutheran Services in America, 100 Maryland Ave. NE, Suite 500, Washington, DC 20002, United States;1. Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China;2. Sun Yat-sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou, China;3. Department of Big Data in Health Science, School of Public Health and the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China;4. Department of Orthopaedic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China;5. Florida Atlantic University, Phyllis and Harvey Sandler School of Social Work, Boca Raton, FL, USA;6. Department of Sociology and Centre for Family and Population Research, National University of Singapore, Singapore;7. Research Institute of Nursing Care for People and Community, University of Hyogo, Japan;1. Department of Pulmonary and Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China;2. Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China;3. The Second Affiliated of Fujian Traditional Chinese Medical University;4. Nursing Department, Fujian Provincial Hospital, Fuzhou, China;1. Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia & Menzies Health Institute Queensland – Healthcare Practice and Survivorship, Queensland, Australia;2. School of Nursing and Midwifery, Griffith University, Queensland, Australia & Menzies Health Institute Queensland – Healthcare Practice and Survivorship, Queensland, Australia;3. College of Nursing, Pennsylvania State University, Pennsylvania, United States of America;2. Musculoskeletal Rehabilitation, Faculty of Health and Applied Sciences University of West of England, Glenside Campus, Blackberry Hill, Stapleton, Bristol, BS16 1DD, UK |
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| Abstract: | Despite interventions aiming to improve outcomes among older adults experiencing financial challenges, the challenges and strategies employed to handle them are poorly understood. This study examined the experiences of financial challenges among low-income adults aged ≥65 years. Eleven semi-structured interviews were analyzed using thematic analyses. An overarching theme was “I guess it balances”, capturing attempts to maintain hope and proactively address challenges despite stress, uncertainty and limitations. Balancing was demonstrated within four domains, including cognitive bandwidth (“think a lot” versus “I don't dwell on that”), emotional experience (“depressing” versus “be thankful”), learned resilience (“that was a shock” versus “there's always a way”), and meeting daily needs (“we learned to do without” versus “take a dollar and stretch it”). Participants described being weathered by challenges and using predominately high-effort coping strategies to weather the challenges. These findings call for strengthening the safety net for older adults facing financial challenges. |
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