Exploring Social Determinants of Health in Healthy Aging Among Older Adults: A Qualitative Study

Prog Community Health Partnersh. 2023;17(1):71-78. doi: 10.1353/cpr.2023.0011.

Abstract

Background: The U.S. population is aging and diversifying. Older Black Americans comprise the largest racial minority group and experience greater disability than White Americans.

Objectives: Within a long-standing, community-based research partnership, we explored the determinants of healthy aging in Flint Michigan, a low-income, predominantly Black American community recovering from a water crisis.

Methods: Focus groups were conducted among older adults residing in Flint, Michigan. A grounded theory approach and constant comparison method was utilized for data analysis.

Results: Five focus groups were conducted with 49 total participants. We identified four themes that impacted healthy aging: economic instability, health care access and quality, neighborhood and built environment, and social and community context. Economic instability heavily influenced the other themes.

Conclusions: Economic instability is a barrier to healthy aging. As a result, we are testing an innovative cross-sector partnership combining older adult affordable housing and health care.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Community-Based Participatory Research
  • Health Services Accessibility
  • Healthy Aging*
  • Humans
  • Qualitative Research
  • Social Determinants of Health