What keeps you strong? A systematic review identifying how primary health-care and aged-care services can support the well-being of older Indigenous peoples.
OBJECTIVE
The objective of this systematic review was to identify primary health-care or aged-care strategies that have or could support the well-being of older Indigenous peoples.


METHODS
A search was undertaken of primary databases including Medical Literature Analysis and Retrieval System Online and Cumulative Index to Nursing and Allied Health Literature. Papers which reported on the perspectives of older Indigenous peoples, community members and provider participants were included. Findings were pooled using a meta-aggregative approach.


RESULTS
Three high-level synthesised findings - maintaining Indigenous identity, promoting independence and delivering culturally safe care - were believed to be important for supporting the well-being of older Indigenous peoples.


CONCLUSIONS
As physical independence often diminishes with age, having the support of culturally safe primary health-care and aged-care services that understand the importance of maintaining an Indigenous identity and promoting independence will be crucial for the well-being of older Indigenous peoples.
Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Carol
C
Davy
Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Elaine
E
Kite
Aboriginal Elders and Community Care Services Inc, Adelaide, South Australia, Australia.
Graham
G
Aitken
Council of Aboriginal Elders of South Australia Inc, Adelaide, South Australia, Australia.
Garth
G
Dodd
Council of Aboriginal Elders of South Australia Inc, Adelaide, South Australia, Australia.
Janice
J
Rigney
Alzheimer's Australia SA, Adelaide, South Australia, Australia.
Jenny
J
Hayes
Helping Hand Aged Care, Adelaide, South Australia, Australia.
Jan
J
Van Emden
D000203:Activities of Daily Living; D000367:Age Factors; D000375:Aging / Q000208:ethnology / Q000523:psychology; D003466:Cultural Characteristics; D054521:Cultural Competency; D003695:Delivery of Health Care; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006299:Health Services for the Aged; D006303:Health Services, Indigenous; D006304:Health Status; D054625:Healthcare Disparities; D006801:Humans; D057187:Independent Living; D044382:Population Groups / Q000523:psychology; D011320:Primary Health Care; D011788:Quality of Life; D012944:Social Support
ageing; health service; indigenous; primary health care; quality of life