Qualitative study; Public health; Global health; Health policies
Abstract :
[en] Introduction Africa is experiencing a gradual demographic shift due to rising life expectancy and increasing urbanisation. In sub-Saharan Africa, elderly individuals typically reside with their children. The rise in life expectancy by almost a decade and the prevalence of precarious living conditions raise concerns about the sustainability of the healthcare system, which has traditionally relied on intergenerational solidarity.
Methods The research aims to analyse the evolving role of older adults in Cameroonian society and to examine the potential impact of this change on intergenerational relationships and the health of older adults. A qualitative methodology was employed, using intergenerational focus groups in Cameroon.
Results Traditionally, older adults held a central role in knowledge transmission through discourse. However, the modernisation of society is challenging this position.
The emergence of new technologies, particularly communication tools, is leading to a questioning of older adults’ experiential knowledge. Societal changes are contributing to a decline in respect for older adults in discourse. Older adults deplore these societal changes and fear for their place in society while young people are questioning the central role of older people in society.
Discussion These changes could reduce the sense of usefulness of older people, with negative consequences for their health. Several studies have highlighted the impacts of ageism on the health of older adults in industrialised countries. However, there are little data on the impact of the marginalisation of older adults on their health in industrialising societies. Further research is needed to study the impact on the health of older adults.
Disciplines :
Human health sciences: Multidisciplinary, general & others Social & behavioral sciences, psychology: Multidisciplinary, general & others
Adam, Stéphane ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la sénescence et du vieillissement ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Language :
English
Title :
The shifts in intergenerational relations in Cameroon and their potential impact on the health of older adults.
Beaujeu R, Kolie M, Sempere J-F, et al. Transition démographique et emploi en Afrique subsaharienne. IRAM, 2011.
Atchadé F. Démographie de L’Afrique Subsaharienne: Mythe et Réalité. La Pensée 2018;396:86–96.
Pison G. Le vieillissement Démographique sera plus Rapide au Sud Qu’Au Nord. Population & Sociétés 2009;N° 457:1–4.
Tchawa P. Le Cameroun: une "Afrique en miniature"? Com 2012;65:319–38.
Rouamba G. "Yaab-Rãmba”: une anthropologie du care des personnes vieillissantes à ouagadougou (burkina faso). Anthropologie sociale et ethnologie. Université de Bordeaux, 2015.
Kuete Sezine C, Banen J, Foka-Nkwenti C, et al. Médecine traditionnelle et lutte contre la COVID-19 au cameroun. Int J Sci Acad Res 2021;1051–7.
Headrick R. Colonialism, health and Illness in french equatorial Africa, 1885–1935. Atlanta: African Studies Association Press, 1994.
Lachenal G. Le médicament qui devait sauver l’Afrique: un scandale pharmaceutique aux colonies. Paris: La Découverte, 2014.
Lowes S, Montero E. The legacy of colonial medicine in Central Africa. Am Econ Rev 2021;111:1284–314.
Djouda Feudjio YB, Leumaleu-Noumbissie U. Accessibilité sanitaire chez les personnes âgées en milieu rural au cameroun. Gérontologie et Société 2019;41 / n° 158:41–55.
Foureur N. Médicalisation de la Vieillesse: UN juste Équilibre? (I. Mallon, & B. le Bihan-Youinou, Intervieweurs). 2014.
Kahou Nzouyem J-L, Yemmafouo A, Lémouogué J. La famille au Cœur de la Prise en charge des Personnes Âgées À Bangang (Ouest-Cameroun). In: Espace géographique et société marocaine, [s.l.], Issn 1113-8270. 2021: 43–4.
United Nations (UN). Household size and composition around the world. Economic and Social Affairs; 2017. Available: https://www.un.org/en/development/desa/population/publications/pdf/ageing/ household_size_and_composition_around_the_world_2017_data_ booklet.pdf
Moutassem Mimouni B. Les personnes Âgées en Algérie et au Maghreb: LES enjeux de leur Prise en charge. Insaniyat 2013;11–32.
Ogg J, Renaut S. Le Soutien familial Intergénérationnel Dans L'Europe Élargie. Retraite et Société 2005;n o 46:29–57.
ISSP Research Group. International social survey programme: social relations and support systems - ISSP 2001. GESIS datenarchiv, Köln. Za3680 datenfile version 1.0.0. 2003. Available: https://doi.org/10.4232/1.3680
Baroin C. La gérontocratie face au changement. In: Actes du colloque international de meknès. 2011: 37.
Antoine P. La place et L’activité des personnes Âgées dans sept capitales ouest-Africaines. In: Antoine P, ed. Les relations intergénérationnelles en Afrique. Approche plurielle, Ceped, collection Rencontres. Paris, 2007: 31–62.
Yemmafouo A. Tous au village le week-end ! À propos de L’Intensification des Mobilités Hebdomadaires de Citadins Vers LES Campagnes au Cameroun. Com 2016;69:115–38.
Macia E, Ka A, Duboz P. Les Représentations des plus Âgés (Nayédio) Chez LES Peuls Ruraux Du Sénégal. Gérontologie et Société 2019;41 / n° 158:57–70.
McKnight PE, Kashdan TB. Purpose in life as a system that creates and sustains health and well-being: an integrative, testable theory. Rev Gen Psychol 2009;13:242–51.
Ryff CD, Kim ES. Extending research linking purpose in life to health: the challenges of inequality, the potential of the arts, and the imperative of virtue. In: Burrow AL, Hill PL, eds. The ecology of purposeful living across the lifespan: developmental, educational, and social perspectives. Cham: Springer International Publishing, 2020: 29–58.
Alimujiang A, Wiensch A, Boss J, et al. Association between life purpose and mortality among US adults older than 50 years. JAMA Netw Open 2019;2:e194270.
Shiba K, Kubzansky LD, Williams DR, et al. Purpose in life and 8-year mortality by gender and race/Ethnicity among older adults in the U.S. Prev Med 2022;164:107310.
Kang Y, Cosme D, Pei R, et al. Purpose in life, loneliness, and protective health behaviors during the COVID-19 pandemic. Gerontologist 2021;61:878–87.
Kim ES, Kawachi I, Chen Y, et al. Association between purpose in life and objective measures of physical function in older adults. JAMA Psychiatry 2017;74:1039.
Cohen R, Bavishi C, Rozanski A. Purpose in life and its relationship to all-cause mortality and cardiovascular events: a meta-analysis. Psychosom Med 2016;78:122–33.
Butler RN, Lewis MI. Aging and mental health. Saint Louis: Mosby, 1977.
Adam S, Missotten P, Flamion A, et al. Vieillir en Bonne Santé Dans une Société Âgiste. NPG Neurologie - Psychiatrie - Gériatrie 2017;17:389–98.
Schroyen S, Marquet M, Jerusalem G, et al. The link between self-perceptions of aging, cancer view and physical and mental health of older people with cancer: a cross-sectional study. J Geriatr Oncol 2017;8:64–8.
Levy B. Stereotype embodiment: a psychosocial approach to aging. Curr Dir Psychol Sci 2009;18:332–6.
Vauclair C-M, Hanke K, Huang L-L, et al. Are Asian cultures really less ageist than Western ones? It depends on the questions asked. Int J Psychol 2017;52:136–44.
Kim J-H, Song A, Chung S, et al. The comparative macro-level ageism index: an international comparison. J Aging Soc Policy 2021;33:571–84.
Ng SH. Social psychology in an ageing world: ageism and intergenerational relations. Asian J of Social Psycho 1998;1:99–116.
Sung K. Elder respect: exploration of ideals and forms in East Asia. J Aging Stud 2001;15:13–26.
Palmore E. What can the USA learn from Japan about aging? Gerontologist 1975;15:64–7.
Greif A. Cultural beliefs and the organization of society: a historical and theoretical reflection on collectivist and individualist societies. J Pol Econ 1994;102:912–50.
North MS, Fiske ST. Modern attitudes toward older adults in the aging world: a cross-cultural meta-analysis. Psychol Bull 2015;141:993–1021.
Berger R. Aging in America: ageism and general attitudes toward growing old and the older adults. JSS 2017;05:183–98.
Strauss A, Corbin J. Basics of qualitative research. Newbury Park, CA: Sage, 1990.
Strauss A, Corbin J, Denzin K, et al. Grounded theory methodology: an overview. In: Dans N, ed. Handbook of qualitative research. Thousand Oaks, CA: Sage, n.d: 273–85.
Mucchielli A. Les méthodes qualitatives (2e Éd.). Paris: Presses universitaires de France, 1994.
Powell R, Single H. Focus group. Methodology matters - V. Pergamon. 1996.
Simard G. Animer, Planifier et Évaluer l’action: La Méthode Du « focus Group». Laval: Mondia, 1989.
Arborio A-M, Fournier P. L’observation Directe. L’enquête et Ses Méthodes. Armand Colin: Paris, 2010.
Levy B, Langer E. Aging free from negative stereotypes: successful memory in China and among the American deaf. J Pers Soc Psychol 1994;66:989–97.
Laplantine F. La description ethnographique. Villeneuved’Ascq: Armand Colin, 2005.
Anadón M. La recherche Dite « qualitative»: de la dynamique de son Évolution aux Acquis Indéniables et aux Questionnements Présents. Recherches Qualitatives 2006;26:5.
Dumont L. Essai sur l’individualisme. Une perspective anthropologique sur l’idéologie moderne. Paris: Seuil, 1983.
Guigue M. L'Émergence des Interprétations: une Épistémologie des traces. Les Sciences de l’éducation - Pour l’Ère Nouvelle 2012;Vol. 45:59–76.
Combs JP, Onwuegbuzie AJ. Describing and illustrating data analysis in mixed research. IJE 2010;2.
Morse JM. Principles of mixed methods and multi-method re search design. In: Teddlie C, Tashakkori A, eds. Handbook of mixed methods in social and behavioral research. Thousand Oaks, CA: Sage Publication, 2003: 189–208.
Bardin L. L’analyse de Contenu. Presse Universitaire de France, 2003.
Blanchet A, Gotman A. Série « L’enquête et Ses Méthodes»: L’entretien (2e Éd. Refondue). Paris: Armand Colin, 2007.
Tesch R. Qualitative research: analysis types and software tools. New York: Falmer, 1990.
Kitzinger J, Marková I, Kalampalikis N. Qu'Est-Ce que LES focus group? Bupsy 2004;57:237–43.
Levy BR, Slade MD, Murphy TE, et al. Association between positive age stereotypes and recovery from disability in older persons. JAMA 2012;308:1972.
Schroyen S, Adam S, Marquet M, et al. Communication of Healthcare professionals: is there Ageism? Eur J Cancer Care 2018;27:e12780.
Crutzen C, Missotten P, Adam S, et al. Does caring lead to Stigmatisation? the perception of older people among healthcare professionals and the general population: a cross-sectional study. Int J Older People Nurs 2022;17:e12457.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349–57.
Wibeck V, Adelswärd V, Linell P. Comprendre La Complexité: LES focus groups Comme Espace de Pensée et D’Argumentation sur LES Aliments Génétiquement Modifiés. Bupsy 2004;471:253–61.
Green J, Hart L. The impact of context on data. In: Dans R, Barbour J, eds. Kitzinger, developing focus group research: politics, theory and practice. Londres: Sage, 1999: 21–35.
Goffman E. La Mise En Scène de La Vie Quotidienne. Paris: Éditions de Minuit, 1973.
DeC. Cinéma et anthropologie, paris, maison des sciences de l’Homme (1re Éd. 1982). 1989.
Pinçon M, Pinçon-Charlot M. Pratiques D'Enquête Dans L'Aristocratie et La Grande bourgeoisie: distance Sociale et conditions Spécifiques de L'Entretien semi-Directif. Genes 1991;3:120–33.
Heslon C. Âge Subjectif, anticipation et sentiment D'Utilité Lors Du passage Vers La Retraite. Le Journal Des Psychologues 2010;n° 282:28–32.
Mauss M. Essai sur le don. Forme et Raison de L’Échange Dans LES Sociétés Archaïques. L’Année Sociologique, Nouvelle Série, 1. 1925.
Kim ES, Chen Y, Nakamura JS, et al. Sense of purpose in life and subsequent physical, behavioral, and psychosocial health: an outcome-wide approach. Am J Health Promot 2022;36:137–47.
Hill PL, Turiano NA. Purpose in life as a Predictor of mortality across adulthood. Psychol Sci 2014;25:1482–6.
Thorsen D. L'Échec de la famille traditionnelle Ou L'Étirement des relations Familiales. Hommesmigrations 2009;66–78.
Kouamé A. Population aging in Africa. Hull: IRDC, 1990.
Makoni S, Stroeken K, eds. Ageing in Africa: sociolinguistic and anthropological approaches. Aldershot: Ashgate Publishing, 2002.
Antoine P. Les relations Intergénérationnelles en Afrique. Approche Plurielle. 2007.
Roth C. Les relations intergénérationnelles sous Pression au Burkina Faso. Autrepart 2010;n° 53:95–110.
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med 2010;7:e1000316.
Nyqvist F, Pape B, Pellfolk T, et al. Structural and cognitive aspects of social capital and all-cause mortality: a meta-analysis of cohort studies. Soc Indic Res 2014;116:545–66.
Shor E, Roelfs DJ. Social contact frequency and all-cause mortality: a meta-analysis and meta-regression. Social Science & Medicine 2015;128:76–86.
Leigh-Hunt N, Bagguley D, Bash K, et al. An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health 2017;152:157–71.
Rico-Uribe LA, Caballero FF, Martín-María N, et al. Association of loneliness with all-cause mortality: a meta-analysis. PLoS One 2018;13:e0190033.
Cowgill DO, et Holmes LD. Aging and modernization. New-York, N.Y: AppletonCentury-Crofts, 1972.
Salter PE. Cross-cultural view of the aged. In: Kastenbaum R, ed. New thoughts on old age. New York: Springer, 1964.
Chambon M. Entre Âgéisme et Ssagéisme: LES orientations relatives À L'Intégration Sociale des Personnes Âgées. Les Cahiers Internationaux de Psychologie Sociale 2005;67-68:125–36.
Greenberg J, Schimel J, Martens A. Ageism: denying the face of the future. In: Nelson TD, ed. Ageism: Stereotyping and prejudice agaisnt older persons. Cambridge, MA: MIT Press, 2002: 27–48.
Kim ES, Shiba K, Boehm JK, et al. Sense of purpose in life and five health behaviors in older adults. Prev Med 2020;139:106172.
Willroth EC, Mroczek DK, Hill PL. Maintaining sense of purpose in midlife predicts better physical health. J Psychosom Res 2021;145:110485.
Shiba K, Kubzansky LD, Williams DR, et al. Purpose in life and 8-year mortality by gender and race/ethnicity among older adults in the U.S. Prev Med 2022;164:107310.
Cary LA, Chasteen AL, Remedios JD. Development of the ambivalent ageism scale. [Manuscript in preparation]; 2014.
