Engaging in one’s neighborhood fosters independence, promotes social connectedness, improves quality of life, and increases life expectancy in older adults. There is a lack of evidence synthesis on immigrant older adults’ neighborhood perceptions and experiences, essential for addressing neighborhood-level influences on aging in place. This study systematically synthesizes qualitative evidence on immigrant older adults’ perceptions and experiences of their neighborhoods. A comprehensive search was conducted from inception to 5 April 2023, in multiple databases. This review considered studies including immigrant older adults aged ≥60 years, included studies from any country where the neighborhood was the focus, and only considered qualitative data while excluding review studies, theoretical publications, and protocols. Eligible studies were appraised using the JBI critical appraisal checklist for qualitative research. The Joanna Briggs Institute meta-aggregation approach was used to synthesize findings, and the ConQual approach established confidence in the synthesis. A total of 30 studies were included. Most studies were conducted in North America and explored phenomena such as aging in place, social capital, social cohesion, sense of community, and life satisfaction. Key contextual factors were walkable safe access to social spaces, accessible transportation to amenities, social cohesion with neighbors, and pre-migration neighborhood experiences. Immigrant older adults have varied experiences related to their sense of belonging and social cohesion. Factors such as racial discrimination, feeling unsafe, and social isolation contributed to negative perceptions. This review highlights the need for inclusive neighborhoods that align with the needs and values of immigrant older adults aging in place.

Transgender individuals face significant barriers to accessing sexual and reproductive health (SRH) services globally. These challenges are exacerbated in South Asian countries, where stigma, discrimination, and a lack of specialized healthcare support prevail. Countries such as India, Nepal, Bangladesh, and Pakistan fall behind in ensuring equal healthcare rights and access for the transgender community. This scoping review aims to identify and map the existing literature on the barriers faced by transgender adults in South Asia when accessing SRH services. A comprehensive search was conducted across six databases, focusing on studies addressing the SRH concerns of transgender adults in South Asia. From an initial pool of 410 studies, 16 full-text articles and relevant grey literature were selected for review. Data were analyzed and categorized into three key themes. The review revealed three main themes: (a) Barriers to accessing SRH services, including social rejection, stigma, and healthcare provider gaps; (b) Strategies to improve SRH services, such as community-based interventions and healthcare provider training; and (c) Ethical dilemmas, focusing on patient confidentiality and respectful care. Sub-themes explored the intersectionality of gender identity and access to healthcare, highlighting the urgent need for SRH resources and support. The findings underscore the need for tailored SRH programs and policies to address the disparities faced by transgender adults in South Asia. International support and advocacy are essential to ensure the provision of quality healthcare to this underserved population.

Immigrant newcomers and refugees (INRs) are two migrant categories that experience consistent systemic barriers to settlement and integration in Canada as older adults. This paper explores the challenges experienced by Arabic-speaking INR older adults in Edmonton, Canada, during settlement and discusses policy and service implications. A qualitative description study using community-based participatory research principles was implemented to evaluate and support digital literacy in Arabic-speaking INR older adults. We included men and women aged 55 and older who identified as immigrants or refugees and spoke Arabic. Experiences of settlement challenges were consistently identified during data collection and engagement of INR older adult participants. A thematic sub-analysis of interviews with (10 individuals and one couple) of participants’ narratives was completed in 2022 and was used to identify themes related to settlement barriers for this population. Two main themes were identified: (1) Limited English skills and digital literacy gaps create service barriers for INR older adults, and (2) Gaps in services and policies as basic needs remain unmet. We describe key challenges experienced by INR older adults, such as language barriers, precarious finances, poor access to health care services and lack of transportation and employment opportunities, which hinder successful integration into the new society. This study showcases the ongoing challenges with early settlement and integration that continue despite Canada’s well-developed immigration settlement landscape. INR older adults often remain invisible in policy, and understanding their experiences is a first step to addressing their needs for resources that support healthy aging in the post-migration context.

To understand the application of Intersectionality theory in conducting qualitative interpretative research on exploring inequalities and discriminatory healthcare practices towards marginalized communities. Method: Narrative Review. Data Sources: Systematic Literature search. Findings: Qualitative research on exploring discriminatory healthcare practices towards marginalized communities requires a research methodology that is practice-oriented and flexible in using theoretical knowledge. The theory of intersectionality exposes how socially constructed identities are intertwined with discriminatory healthcare practices toward marginalized communities. On the other hand, Interpretative Description (ID) is a clinical-based qualitative methodology that aims to identify gaps in healthcare and nursing practices and create evidence-based interventions to address such gaps. Using intersectionality with ID methodology allows researchers to identify discriminatory healthcare practices towards racialized communities and create resources to provide equalized care to marginalized communities. Conclusion: The theory of Intersectionality provides theoretical scaffolding to understand the impact of power, race, and social identities on marginalized populations. Using ID with intersectionality theory will be a novel approach to conducting research on marginalized communities and identifying ways to address the inequalities in nursing and healthcare practices.

Introduction: Racialised older adults living with dementia face various challenges and barriers in receiving culturally sensitive care in hospital settings. Stigma, discrimination and healthcare provider bias toward racialised older adults living with dementia infringe on their right to access quality care services in acute hospital settings and can negatively affect their quality of life. Despite the growing need to integrate culturally sensitive dementia care into acute hospital care, little research has been done in this area. Therefore, the aim of this scoping review is to summarise and map what is known about the hospitalisation experience of racialised older adults with dementia in receiving care and identify research gaps. Method and analysis: We will use Arksey and O’Malley’s framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist to conduct and write the review. The search strategy will use keywords and index terms across selected databases: Google Scholar, PubMed, Scopus, Medline, PsycINFO and Cumulative Index for Nursing and Allied Health Literature, and hand-searching the reference lists from chosen literature. Grey literature will be searched using Google and the Alzheimer Society websites to find further evidence and literature. Two researchers will screen the titles and abstracts independently by referring to the inclusion criteria. Data from the extracted studies will be reported in tabular and narrative form that answer the scoping review’s questions. Research gaps and recommendations for future research will be identified and summarised. The review’s results will be shared with stakeholders, policymakers, healthcare professionals and community organisations working with the racialised community and dementia care. Ethics and dissemination: This scoping review does not require ethics approval because it collects data from publicly available resources. The results will be disseminated through peer-reviewed scientific journals, professional conferences and with community organisations and healthcare providers. Registration details: This review is registered in the Open Science Framework registration link: osf.io/7rfje

Aim: The aim of this concept analysis paper is to explore the concept of stigma towards hospitalised older adults and propose a clear definition to understand this phenomenon.Design and Review Method: Rodgers' evolutionary concept analysis method was used to evaluate the concept of stigma towards hospitalised older adults by identifying attributes, antecedents, and consequences.Data Sources: A systematic search was conducted using CINAHL, PubMed, Scopus, and Google Scholar databases. Seventeen research articles from 1963 to 2025 were identified as directly related to the concept of stigma towards hospitalised older adults.Results: Discrimination based on age, discriminatory practices, and negative stereotypes were the common attributes highlighted in research studies. The primary antecedent of stigma in hospitalised older adults is a social stigma which leads to stigmatised attitudes and practices towards older adults admitted into hospital. Inequalities in the hospital environment and lack of motivation are consequences that may provoke a stigmatised demeanour towards older patients in hospitals.Conclusion: A clear understanding of stigma in the context of hospitalised older adults will guide the development of a conceptual framework and improve the healthcare professionals' care approach towards older adults in the hospital setting.