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Understanding resilience from the perspective of Appalachian centenarians

Published online by Cambridge University Press:  04 December 2019

Ezra C. Holston Open the ORCID record for Ezra C. Holston [Opens in a new window]  and
Bonnie Callen Open the ORCID record for Bonnie Callen [Opens in a new window]
Ezra C. Holston*
Affiliation:
Orvis School of Nursing, University of Nevada-Reno, Reno, Nevada, USA
Bonnie Callen
Affiliation:
College of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA
*
*Corresponding author. Email: eholston@unr.edu
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Abstract

Centenarians worldwide are growing rapidly and thriving as they age. This growth reflects their desire to thrive beyond personal and societal obstacles, a hallmark sign of resilience. However, little research exists on centenarians’ perspectives about their lived experiences that reflect resilience. Therefore, the purpose of this secondary analysis was to capture the perspectives of Appalachian centenarians about (a) living through their childhood and early adulthood in an area known for poverty and isolation, and (b) exploring the resilient nature that emerged from their narratives. With a qualitative descriptive design, 21 community-dwelling Appalachian centenarians participated in face-to-face interviews. They resided in either their homes or assisted-living facilities. Transcripts were analysed with Neuendorf's method of content analysis. Within three themes, 11 sub-themes were identified: (a) working hard for the family, (b) loss of a loved one, (c) gender and race discrimination, (d) impact of isolation on health, (e) living a simple life, (f) using family/community support, (g) consuming and appreciating food from their farms, (h) spirituality, (i) generosity of spirit, (j) living a clean life, and (k) happy, good and loving life. Collectively, these themes and sub-themes reflected how the centenarians overcame and grew from challenges and adversities to become resilient. Consequently, these findings show that understanding resilience from centenarians’ perspectives can significantly contribute to the potential for longevity.

Keywords

centenariansageingsocial challengesresilienceadversitiesperspectives
Type
Article
Information
Ageing & Society , Volume 41 , Issue 7 , July 2021 , pp. 1541 - 1561
Copyright
Copyright © Cambridge University Press 2019

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References

Andreescu, V and Shutt, JE (2009) Appalachia: the media's role in the creation and perpetuation of an American myth. Journal of the Institute of Justice & International Studies 9, 62–75.Google Scholar
Anglin, MK (2002) Lessons from Appalachia in the 20th century: poverty, power, and the “grassroots”. American Anthropologist 104, 565–582.CrossRefGoogle Scholar
Arnold, J, Dai, J, Nahapetyan, L, Arte, A, Johnson, MA, Hausman, D, Rodgers, WL, Hensley, R, Martin, P, MacDonald, M, Davey, A, Siegler, I, Jazwinski, SM and Poon, LW (2010) Predicting successful aging in a population-based sample of Georgia centenarians. Current Gerontology and Geriatrics Research 2010, 1–9.CrossRefGoogle Scholar
Bennett, KM, Reyes-Rodriguez, MF, Altamar, Pl and Soulsby, LK (2016) Resilience amongst older Colombians living in poverty: an ecological approach. Journal of Cross-Cultural Gerontology 31, 385–407.CrossRefGoogle Scholar
Campbell, JC (1921) The Southern Highlander and His Homeland. New York, NY: Russell Sage Foundation.Google Scholar
Campbell, RR, Campbell, M and Hughes, C (2003) A Revolution in the Heartland: Changes in Rural Culture, Family and Communities 1900–2000. Columbia, MO: University of Missouri Extension Publications.Google Scholar
Cho, J, Martin, P and Poon, LW (2015) Successful aging: successful aging and subjective well-being among oldest-old adults. The Gerontologist 55, 132–143.CrossRefGoogle ScholarPubMed
Colorafi, KJ and Evans, B (2016) Qualitative descriptive methods in health science research. Health Environments Research & Design Journal 9, 4, 16–25.CrossRefGoogle ScholarPubMed
da Rosa, G, Martin, P, Gondo, Y, Hirose, N, Ishioka, Y and Poon, LW (2014) Examination of important life experiences of the oldest-old: cross-cultural comparisons of U.S. and Japanese centenarians. Journal of Cross-Cultural Gerontology 29, 109–130.CrossRefGoogle ScholarPubMed
Dubovská, E, Chrz, V, Tavel, P, Šolcová, IP and Růžička, J (2017) Narrative construction of resilience: stories of older Czech adults. Ageing & Society 37, 1849–1873.CrossRefGoogle Scholar
Elam, C (2002) Culture, poverty and education in Appalachian Kentucky. Education & Culture 18, 10–13.Google Scholar
Fullen, MC and Granello, DH (2018) Holistic wellness in older adulthood: group differences based on age and mental health. Journal of Holistic Nursing 36, 395–407.CrossRefGoogle ScholarPubMed
Gersten, O, Dow, WD and Rosero-Bixby, L (2010) Stressors over the life course and neuroendocrine system dysregulation in Costa Rica. Journal of Aging and Health 22, 748–771.CrossRefGoogle ScholarPubMed
Goodman, S (2019) How Many People Live to 100 Across the Globe? Available at http://www.thecentenarian.co.uk/how-many-people-live-to-hundred-across-the-globe.html.Google Scholar
Gu, D and Feng, Q (2018) Psychological resilience of Chinese centenarians and its associations with survival and health: a fuzzy set analysis. Journals of Gerontology: Psychological Sciences and Social Sciences 73B, 880–889.Google Scholar
Hanson, R and Hanson, F (2018) Resilient: How to Grow an Unshakable Core of Calm, Strength, and Happiness. New York, NY: Penguin Random House.Google Scholar
Hensley, B, Martin, P, MacDonald, M and Poon, L (2010) Family history and adaptation among centenarians and octogenarians. The Gerontologist 56, 83–87.CrossRefGoogle ScholarPubMed
Herrman, H, Stewart, DE, Diz-Granados, N, Berger, EL, Jackson, B and Yuen, T (2011) What is resilience? Canadian Journal of Psychiatry 56, 258–265.CrossRefGoogle ScholarPubMed
Hutnik, N, Smith, P and Koch, T (2016) Using cognitive behaviour therapy to explore resilience in the life-stories of 16 UK centenarians. Nursing Open 3, 110–118.CrossRefGoogle ScholarPubMed
Kato, K, Zweig, R, Barzilai, N and Atzmon, G (2012) Positive attitude towards life and emotional expression as personality phenotypes for centenarians. Aging 4, 359–367.CrossRefGoogle ScholarPubMed
Kim, H, Sefcik, JS and Bradway, C (2017) Characteristics of qualitative descriptive studies: a systematic review. Research in Nursing & Health 40, 23–42.CrossRefGoogle ScholarPubMed
Kincel, B (2014) The Centenarian Population: 2007–2011 (ACSBR/12–18). Washington, DC: US Government Printing Office.Google Scholar
Kok, AAL, van Nes, F, Deeg, DJH, Widdershoven, G and Huisman, M (2018) ‘Tough times have become good times’: resilience in older adults with a low socioeconomic position. The Gerontologist 58, 843–852.CrossRefGoogle Scholar
Levasseur, M, Roy, M, Michallet, B, St-Hilaire, F, Maltais, D and Généreux, M (2017) Associations between resilience, community belonging, and social participation among community-dwelling older adults: results from the Eastern Townships Population Health Survey. Archives of Physical Medicine and Rehabilitation 98, 2422–2432.CrossRefGoogle ScholarPubMed
Lopez, E (2019) How to Live to 100: Secrets from the World's Happiest Centenarians. Levanto, Italy: Leaders Press.Google Scholar
Neuendorf, KA (2017) The Content Analysis Guidebook, 2nd Ed. Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Pfeiffer, E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatric Society 23, 433–441.CrossRefGoogle Scholar
Ratan, A and de Vries, K (2020) ‘Just another day’: the lived experience of being a hundred years old for ten New Zealanders. Ageing & Society 40, 1387–1404.Google Scholar
Reis, LA and Menezes, TMO (2017) Religiosity and spirituality as resilience strategies among long-living older adults in their daily lives. Revista Brasileira de Enfermagem 70, 761–766.CrossRefGoogle ScholarPubMed
Richardson, GE (2002) The metatheory of resilience and resiliency. Journal of Clinical Psychology 58, 307–312.CrossRefGoogle ScholarPubMed
Sandelowski, M (2010) What's in a name? Qualitative description revisited. Research in Nursing & Health 33, 77–84.CrossRefGoogle Scholar
Scelzo, A, Di Somma, S, Antonini, P, Montross, LP, Schork, N, Brenner, D and Jeste, DV (2018) Mixed-methods quantitative-qualitative study of 29 nonagenarians and centenarians in rural Southern Italy: focus on positive psychological traits. International Psychogeriatrics 30, 31–38.CrossRefGoogle ScholarPubMed
Tigani, X, Artemiadis, AK, Alexopoulos, EC, Chrousos, GP and Darviri, C (2012) Self-rated health in centenarians: a nation-wide cross-sectional Greek study. Archives of Gerontology and Geriatrics 54, e342–e348.CrossRefGoogle ScholarPubMed
US Census Bureau Population Division (USCBPD) (2019) Annual Estimates of the Resident Population by Sex, Single Year of Age, Race, and Hispanic Origin for the United States: April 1, 2010 to July 1, 2018. Available at https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk.Google Scholar
US Department of Health and Human Services (2017) Your Guide to Choosing a Nursing Home or Other Long-term Services Supports. Washington, DC: US Government Printing Office.Google Scholar
US Department of Health and Human Services (2018) A Profile of Older Americans: 2017. Washington, DC: US Government Printing Office.Google Scholar
Vaismoradi, M, Turunen, H and Bondas, T (2013) Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nursing and Health Sciences 15, 398–405.CrossRefGoogle ScholarPubMed
Walls, DS and Billings, DB (1977) The sociology of southern Appalachia. Appalachian Journal 5, 131–144.Google Scholar
Willcox, DC, Willcox, BJ, Shimajiri, S, Kurechi, S and Suzuki, M (2007) Aging gracefully: a retrospective analysis of functional status in Okinawan centenarians. American Journal of Geriatric Psychiatry 15, 252–256.CrossRefGoogle ScholarPubMed
Willis, DG, Sullivan-Bolyai, S, Knafl, K and Cohen, MZ (2016) Distinguishing features and similarities between descriptive phenomenological and qualitative description research. Western Journal of Nursing Research 30, 1185–1204.CrossRefGoogle Scholar
Zeng, Y and Shen, K (2010) Resilience significantly contributes to exceptional longevity. Current Gerontology and Geriatrics Research 2010, 1–9.CrossRefGoogle ScholarPubMed