Walking in Your Culture: A Study of Culturally Sensitive Outdoor Walking Space for Chinese Elderly Immigrants

Objectives: This was a study conducted in Atlanta, GA, in the United States with Chinese elderly immigrants, examining the relationship between visual preference and motivation to walk in a particular outdoor space. Backgrounds: Outdoor walking promotes the well-being of older adults. However, their declined body functions impact their motivation to walk outside. For elderly immigrants living in a country with different cultural backgrounds from their homelands, it is important to find the ways to enhance their motivation of outdoor walking. Method: Visual preference survey was conducted to assess preferences of first-generation Chinese elderly immigrants attending a care facility setting. Preferences included Chinese classical walking spaces or American modern walking spaces. The data were interpreted using descriptive statistics and factorial experiment analysis. Results: A total of 95 Chinese elderly immigrants gave valid responses to the visual preference survey. Survey results revealed that respondents had a high preference for Chinese classical walking spaces even though they had an average time of 26 years as a U.S. resident. Although the functions and purposes of the walking spaces caused safety and comfort concerns, the interaction effects of design style, design function, and design purpose illustrated that Chinese classical style had high effectiveness to promote outdoor walking of Chinese elderly immigrants. Conclusions: These results support the significance of culturally sensitive care environments in promoting outdoor walking for elderly Chinese immigrants. It also indicates that spaces designed with an assigned cultural style had higher attractiveness to older adults from the same assigned cultural background.

The Place to Heal and the Place to Die. Patients and Causes of Death in Nineteenth-Century Venice

Summary We used death records to highlight the main features of mid-nineteenth-century Venetian hospitals. At that time, the medicalisation of hospitals was well under way. The Civic Hospital, in particular, had up to 1,400 beds, a large medical staff and a rational structure. By contrasting hospital deaths with deaths occurring at home, we asked whether the patterns seen reflect the modernisation of the hospital system. On one hand, those admitted to hospital were mostly poor, elderly, immigrants, with little support at home, suggesting that social rather than medical conditions determined hospitalisation. On the other hand, there were differences in the causes of death, implying that the hospital pursued some therapeutic specialisation, which attracted also patients of better social standing. Notwithstanding the deep transformation that took place in the nineteenth century, the Venetian experience confirms the coexistence and interdependency of care and cure as permanent features of hospital history.

‘The Swedish Strategy’ to COVID-19 Pandemic:Impact on Vulnerable and Marginalised Communities

All around the world the COVID-19 pandemic is having an enormous impact on people’s lives. Contrary to many other countries, Sweden has opted against lockdown. The Swedish Government has put trust in its people and has advised them to be responsible and follow the recommendations and guidelines of the Public Health Agency of Sweden. Using the Interest Theory of Rights, this article discusses the impact of the Swedish response to COVID-19 on three different Swedish communities, and considers the implications of such a strategy on social development. Data was collected from different national and international media sources as well as from Swedish authorities’ websites. A qualitative content analysis was used to analyse the data with the help of ATLAS-ti.8.4. The findings section discusses how three community groups in Sweden—the elderly, immigrants from marginalised areas and prisoners—are having their rights altered during this pandemic period. It also outlines different social development approaches being used in Sweden for tackling the challenges relating to the COVID-19 pandemic. This article concludes that a strong democratic state is vital in managing a pandemic such as COVID-19. It also argues that the strength of a state largely depends on its citizens’ willpower to take ownership of responsibilities—both individually and collectively.

Access to Care in France for Elderly Immigrants from North Africa: Influence of Socio-cultural Factors (the matc Survey)

France is faced with an ageing migrant population, and in the institutions for elderly, migrants represent only 4% and very few come from the Maghreb. Is it the result of a kind of discrimination or of other factors such as culture and traditions? In France migrants have access to aid and prevention of dependency plans. The reluctance to enter into institutions is maintained by the fear of cultural abuse and/or language barriers, and difficulties in financial and administrative matters. From the interviews of the matc survey, we have pointed out the importance of culture and the tradition of filial piety. Nevertheless, solidarity in the family is decreasing but remains the basis of the care support to the elderly. The will to keep them in the family may limit both the diagnosis and the access to specific care. This attitude contributes to a kind of self-discrimination.