老年歧視概念分析

Conceptual analysis of ageism

10.6288/TJPH.201910_38(5).108095

陳伊如(YI-RU CHEN)；邱怡玟(YI-WEN CHIU)；龍紀萱(CHI-HSUAN LUNG)

老年歧視 ； 刻板印象 ； 偏見 ； 歧視 ； 概念分析 ； ageism ； stereotype ； prejudice ； discriminate ； concept analysis

台灣公共衛生雜誌

38卷5期（2019 / 10 / 23）

470 - 477

繁體中文

長久存在的種族和階級歧視，孕育了對高齡者的刻板印象及偏見，即形成第三大歧視—「年齡歧視」（Ageism），尤指對年長之老人所產生的歧視，也就是所謂的「老年歧視」。在全球老年人口的快速增長下，「老人照護」成為21世紀健康照護的主要議題之一，若老年歧視存在於健康照護或長期照護中，將會影響老人的感受與權利，對其健康會產生有害的影響。護理人員是老人照護團隊中的重要成員，其對老人的價值、看法及信念等將會影響他們對老人的照護行為。然而，「老年歧視」在台灣仍是一個相當模糊的名詞，有著許多不同的概念性及操作性定義，少數的研究僅著重於探討學生或護理人員對老年之刻板印象及態度，在照護上之實務探討相當不足。因此，本文將分析老年歧視與刻板印象、偏見和歧視行為之間的相互影響，對老年歧視提出定義性特徵，並舉例說明老年歧視概念與實證，以期能增進從事老人照護相關人員對老年歧視概念之了解，提供照護高齡者人員參考，並有助於護理臨床實務及未來研究之應用。

Ageism is stereotyping, prejudice, and discrimination against people based on their age; this is fostered by longstanding racism and classism. It is the third major type of discrimination and affects older adults in particular. With the elderly populations increasing rapidly worldwide, care for older adults is becoming a main healthcare-related issue of the 21st century. Ageism in healthcare or long-term care affects the feelings and rights of older adults and jeopardizes their health status. Nurses are crucial carers for older adults. Their values, views, and beliefs regarding older adults affect their care behavior. However, in Taiwan, no consensus has been reached on ageism, and the topic has not been sufficiently discussed or researched. Related studies have focused on examining the stereotypes and attitudes, but not care practices, of students or nurses toward older adults. This study analyzed the interactions between stereotypical, prejudicial, and discriminatory behavior and ageism, elucidating the defining attributes related to the concept and providing examples and evidence of ageism in action. This study may provide staff involved in elderly care with a better understanding of ageism while providing a useful reference for caregivers of older adults. This conceptual analysis may improve current nursing practices and lead to value future research on the topic.

1. Özdemir, Ö,Bilgili, N(2016).Attitudes of Turkish nursing students related to ageism.J Nurs Res,24,211-216.
   連結：
2. 王怡分, YF(2014)。你怕變老嗎？－年輕族群對老化的概念、意向與成因。社會發展研究學刊，15，48-71。
   連結：
3. 林貴滿, KM,袁素娟, SC,郭憲文, HW(2005)。護生於教育介入後，對老化態度及老人行為意向改善成效之探討。弘光學報，47，25-35。
   連結：
4. 陳皎眉, JM,周育瑩, YY(2005)。“刻板印象威脅”及其在教育與輔導上之應用。輔導季刊，41，39-49。
   連結：
5. 黃錦山, CS(2011)。高齡社會來臨的新課題：中小學生老化知識、態度與行為意向之研究。課程與教學，14，193-215。
   連結：
6. Oxford Living Dictionaries. Ageism. Available at: https://en.oxfor-ddictionaries.com/definition/ageism. Accessed July 28, 2019
7. Ayalon, L,Tesch-Römer, C(2017).Taking a closer look at ageism: self-and other-directed ageist attitudes and discrimination.Eur J Ageing,14,1-4.
8. Bratt, C,Abrams, D,Swift, HJ,Vauclair, CM,Marques, S(2018).Perceived age discrimination across age in Europe: from an ageing society to a society for all ages.Dev Psychol,54,167-180.
9. Fraboni, M,Saltstone, R,Hughes, S.(1990).The Fraboni Scale of Ageism (FSA): an attempt at a more precise measure of ageism.Can J Aging,9,56-66.
10. Frost, J,Ranse, K,Grealish, L(2015).Assessing ageist behaviours in undergraduate nursing students using the Relating to Older People Evaluation (ROPE) survey.Australas J Ageing,35,58-61.
11. Miller, AG(ed.)(1982).In the Eye of the Beholder: Contemporary Issues in Stereotyping.New York, NY:Praeger.
12. Palmore, E(2015).Ageism comes of age.J Gerontol B Psychol Sci Soc Sci,70,873-875.
13. Palmore, E(2001).The ageism survey: first findings.Gerontologist,41,572-575.
14. Schaie, KW(ed.),Willis, SL(ed.)(2013).Handbook of the Psychology of Aging.San Diego, CA:Elsevier Academic Press.
15. Seufert, RL,Carrozza, MA(2002).A test of Palmore's facts on ageing quizzes as alternate measures.J Aging Stud,16,279-294.
16. Shiovitz-Ezra, S,Ayalon, L,Brodsky, J,Doron, I(2016).Measuring ageism based on knowledge, attitudes and behavior: findings from an Israeli pilot study.Ageing Int,41,298-310.
17. Stahl, ST,Metzger, A(2013).College students’ ageist behavior: the role of aging knowledge and perceived vulnerability to disease.Gerontol Geriatr Educ,34,197-211.
18. Walker, LO,Avant, KC.(2011).Strategies for Theory Construction in Nursing.Boston, MA:Prentice Hall.
19. Wang, CC,Liao, WC,Kuo, PC(2010).The Chinese version of the facts on aging quiz scale: reliability and validity assessment.Int J Nurs Stud,47,742-752.
20. WHO. Frequently asked questions: ageism. Available at: http://www.who.int/ageing/features/faq-ageism/en/. Accessed July 28, 2019.
21. 內政部統計處：最新統計指標。https://www.moi.gov.tw/chi/chi_site/stat/chart.aspx?ChartID=S0401。引用2019/07/28。Department of Statistics, Ministry of the Interior, R.O.C. (Taiwan). Latest statistical indicators. Available at: https://www.moi.gov.tw/chi/chi_site/stat/chart.aspx?ChartID=S0401. Accessed July 28, 2019. [In Chinese]
22. 內政部統計處：內政國際指標。https://www.moi.gov.tw/stat/node.aspx?sn=6022。引用2019/07/28。Department of Statistics, Ministry of the Interior, R.O.C. (Taiwan). Interior national indicators. Available at: https://www.moi.gov.tw/stat/node.aspx?sn=6022. Accessed July 28, 2019.
23. 全國法規資料庫：老人福利法。https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=D0050037。引用2019/09/16。Laws & Regulations Database of the Republic of China. Senior Citizens Welfare Act. Available at: https://law.moj.gov.tw/ENG/LawClass/LawAll.aspx?pcode=D0050037. Accessed September 16, 2019.
24. 呂以榮, YR(2006)。老、中、青三代對老人刻板印象之調查－以台南市為例。台灣老人保健學刊，2，90-104。
25. 李依, Y,楊瑩, Y,李節, J(2017)。醫學生老年歧視現狀及其影響因素分析。護理學雜誌，19，79-81。
26. 張育誠, YC,宋珮瑋, PW(2013)。台灣高齡友善醫院與健康照護機構發展。台灣老年醫學暨老年學雜誌，8，216-225。
27. 張露心, LH(2014)。被忽略的多數？當代廣告中老人形象再現之反思。藝見學刊，7，113-124。
28. 陳志軒, CH,徐畢卿, BC,李靜姝, CC,黃建豪, CH(2012)。健康研究中的烙印議題。台灣醫學，16，84-92。
29. 彭懷真, HC(2014).老年社會學.新北市=New Taipei City:揚智文化=Yang-Chih Book Co.
30. 蔡麗紅, LH,鄭幸宜, HI,湯士滄, ST,黃月芳, YF(2010)。老人歧視。長庚護理，21，165-171。
31. 衛生福利部國民健康署：「高齡友善健康照護機構認證 2.0 （衛生所版）」操作手冊（2017/07）。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=539&pid=7563。引用2019/07/28。Health Promotion Administration, Ministry of Health and Welfare, R.O.C. (Taiwan). 「Senior Friendly Health Care Agency Certification 2.0 (Health Clinic Version) 」 operation manual (July, 2017). Available at: https://www.hpa.gov.tw/Pages/ Detail.aspx?nodeid=539&pid=7563. Accessed July 28, 2019. [In Chinese]
32. 栾文敬, WJ,劉靜嫻, JX.(2016)。青年大學生老年歧視研究述評。老齡科學研究，2016(5)，69-80。

1. 廖翊涵,黃于玲,古鯉榕(2020)。高齡者財務濫用與專業人士的旁觀者介入模式：以失智症為中心的回顧。台灣公共衛生雜誌，39(4)，373-385。
2. 蕭伃伶,高麗娜,苗迺芳(2021)。高中學生對老人與長照機構態度之研究。新臺北護理期刊，23(2)，24-35。
3. (2021)。年齡歧視與大學生代間學習的探討。社區發展季刊，176，339-350。