University Students’ Attitudes Towards Age Discrimination And Affecting Factors In Turkey: A Systematic Review
Keywords:
Yaş ayrımcılığı, Gençler, Yaşlılar, Üniversite öğrencileri, Sistematik incelemeAbstract
Objectives: The discriminatory attitudes towards older people is a global problem. The aim of the study is to reveal university students’ attitudes towards the aged people in Turkey and the affecting factors.
Methods: A systematic review was conducted on articles published between 2018-2022 in January, 2023. This study was conducted and the results were reported following the PRISMA checklist. Google Scholar, PubMed, and Scopus databases were searched. The risk of bias was assessed using the Newcastle-Ottawa Scale.
Results: It was identified 57 eligible studies out of 210. Most studies were conducted with nursing students (14 studies), followed by elderly care program students (6 studies). The most commonly used scales are Ageism Attitude Scale (AAS) and Kogan Attitudes Toward Old People Scale (KAOPS) (respectively 32 and 15 studies). In most of the studies, students' attitudes towards the aged people were found to be positive (39 studies). The ageism level of female students is lower compared to that of males. The attitudes of students living with an aged person, having a large family structure and living in the countryside, towards old age are more positive. Furthermore, with regard to the results obtained from the studies, it can be stated that age is not considered as a determining factor. Students with a low level of ageism have more positive insight concerning working with older people in the future.
Conclusions: University students in Turkey generally have low ageism. However, it is possible to mention that ageism is influenced by the individual characteristics of students.
References
WHO. Global report on ageism. World Health Organization 2021. https://www.un.org/development/desa/dspd/wp-content/uploads/sites/22/2021/03/9789240016866-eng.pdf. ISBN 978-92-4-001686-6 (electronic version) ISBN 978-92-4-001687-3 (print version). Accessed 02 February 2023.
Ha J, Kim J. Ageism and the factors affecting ageism among Korean nursing students: a cross-sectional study. Int J Environ Res Public Health. 2021;18(4):1798. Doi:10.3390/ijerph18041798. PMID: 33673236; PMCID: PMC7918635.
Officer A, Thiyagarajan JA, Schneiders ML, Nash P, de la Fuente-Núñez V. Ageism, healthy life expectancy and population ageing: how are they related? Int J Environ Res Public Health. 2020;17(9):3159. Doi: 10.3390/ijerph17093159. PMID: 32370093; PMCID: PMC7246680.
de la Fuente-Núñez V, Cohn-Schwartz E, Roy S, Ayalon L. Scoping review on ageism against younger populations. Int J Environ Res Public Health. 2021;18(8):3988. Doi: 10.3390/ijerph18083988. PMID: 33920114; PMCID: PMC8069403.
Heckemann B, Schüttengruber G, Wolf A, Großschädl F, Holmberg C. Attitudes towards oldest-old adults (age ≥80 years): A survey and international comparison between Swedish and Austrian nursing students. Scand J Caring Sci. 2022;36(4):1083-1093. Doi: 10.1111/scs.13005. Epub 2021 Jun 1. PMID: 34075609.
Cooney C, Minahan J, Siedlecki KL. Do feelings and knowledge about aging predict ageism? J Appl Gerontol. 2021;40(1):28-37. Doi: 10.1177/0733464819897526. Epub 2020 Jan 10. PMID: 31920128.
Dahlke S, Hunter KF. Harnessing nursing to diminish ageism. Int J Older People Nurs. 2022;17(2):e12417. Doi: 10.1111/opn.12417. Epub 2021 Aug 22. PMID: 34420260.
Fukase Y, Kamide N, Murayama N et al. The influence of ageism on stereotypical attitudes among allied health students in Japan: a group comparison design. BMC Med Educ. 2021; 21:27. Doi:10.1186/s12909-020-02439-0
Donizzetti AR. Ageism in an aging society: the role of knowledge, anxiety about aging, and stereotypes in young people and adults. Int J Environ Res Public Health. 2019;16(8):1329. Doi: 10.3390/ijerph16081329. PMID: 31013873; PMCID: PMC6517915.
Kim JH, Song A, Chung S, Kwak KB & Lee Y. The comparative macro-level agism index: an international comparison. Journal of Aging & Social Policy. 2020:33(6),571-584 DOI: 10.1080/08959420.2020.1750540
Ayalon L & Tesch-Römer C. Contemporary Perspectives on Ageism. Springer Nature; 2018. E Book ISBN: 978-3-319-73820-8
Burnes D, Sheppard C, Henderson Jr CR, Wassel M, Cope R, Barber C, Pillemer K. Interventions to reduce ageism against older adults: A systematic review and meta-analysis. American Journal of Public Health. 2019;109(8):e1-e9. Doi:10.2105/AJPH.2019.305123
Luo B, Zhou K, Jin EJ, Newman A, Liang J. Ageism among college students: a comparative study between U.S. and China. J Cross Cult Gerontol. 2013;28(1):49-63. Doi: 10.1007/s10823-013-9186-5. PMID: 23397227
Lyons A, Alba B, Heywood W, Fileborn B, Minichiello V, Barrett C, Hinchliff S, Malta S, Dow B. Experiences of ageism and the mental health of older adults. Aging Ment Health. 2018;22(11):1456-1464. Doi: 10.1080/13607863.2017.1364347. Epub 2017 Aug 10. PMID: 28795587.
Kim JH, Kim M, Hosoe Y, Ju K. Images of older adults among university students: a comparison between Japan and Korea. J Cross Cult Gerontol. 2020;35(3):273-290. Doi: 10.1007/s10823-020-09402-y. PMID: 32621107.
Wilson DM, Errasti-Ibarrondo B, Low G. Where are we now in relation to determining the prevalence of ageism in this era of escalating population ageing? Ageing Research Reviews. 2019;51:78-84. Doi:10.1016/j.arr.2019.03.001
López-Hernández L, Martínez-Arnau FM, Castellano-Rioja E, Botella-Navas M, Pérez-Ros P. Factors affecting attitudes towards older people in undergraduate nursing students. Healthcare. 2021;9:1231. Doi:10.3390/healthcare9091231
Ng R. & Lim-Soh JW. Ageism linked to culture, not demographics: Evidence from an 8-billion-word corpus across 20 countries. The Journals of Gerontology: Series B, 2021;76(9):1791-1798.
Turkish Statistical Institute. Elderly statistics [Internet]. Ankara, Turkey: Turkish Statistical Institute; 2022. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2021-45636. Accessed 15 January 2023.
Guduk O, Ankara HG. Factors affecting long-term care preferences in Turkey. Ann Geriatr Med Res. 2022;26(4):330-339. Doi: 10.4235/agmr.22.0088. Epub 2022 Nov 18. PMID: 36397295; PMCID: PMC9830061.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:71. Doi: 10.1136/bmj.n71. PMID: 33782057; PMCID: PMC8005924.
Modesti PA, Reboldi G, Cappuccio FP, Agyemang C, Remuzzi G, Rapi S, et al. Panethnic differences in blood pressure in Europe: a systematic review and meta-analysis. PLoS ONE. 2016;11(1): e0147601. Doi:10.1371/journal.pone.0147601
Zubaroglu Yanardag M, Say Sahin D, Yanardag U. Examination of ageist attitudes in terms of some variables among social work students. Turkish Journal of Applied Social Work. 2018:1(1):21-31.
Cinar D, Karadakovan A, Karaca Sivrikaya S. Investigation of the attitudes of university students to discrimination of the elderly. North Clin Istanb. 2018;5(1):25-30 Doi:10.14744/nci.2017.10437
Bakan AB, Karadag Arli S, Varol E. Identification of nursing students’ attitudes toward older people. Contemporary Nurse. 2018;54(3):284-292. DOI:10.1080/10376178.2018.1501276
Ates S, Ardic E, Yılmaz I, Seller K, Erdogan C, Kuldal CY. Determination of health science faculty students’ attitudes towards elderly individuals and the influential factors. International Journal of Psychiatry And Psychological Researches. 2018;12: 51-62.
Akpinar Soylemez B, Kuçukguçlu O, Tekin D, Balci Ergin S, Yaman A. Examining nursing students' attitudes towards the elderly and factors affecting attitudes towards the elderly. DEUHFED. 2018;11(2):173-179.
Salman M, Gulcek E, Aylaz R, Polat F. Evaluation of the attitudes of nursing students towards elderly people. Elderly Issues Research Journal (EIRJ). 2018;11(2):1-7.
Bahadir-Yilmaz. The relationship between nursing students' professional values and theirattitudes towards the elderly people: a cross-sectional study. Nurse Education Today. 2018;70:8-12.
Kalinkara V, Gunay G, Aydiner Boylu A, Sahin H, Arpaci F, Ay F, Ozgun Basibuyuk G, Kalayci I, Kilic C, Salman M, Artan T. Determination of attitudes of university students studying in different fields towards elderly discrimination. Elderly Issues Research Journal (EIRJ). 2019;12(2):73-83.
Yenal S, Yenal K. Perceptions of healthcare services students on older peoples and ageing. Eur J Geriatr Gerontol. 2019;1(2):46-50.
Ozuturker S. Erzincan Binali Yıldırım University social work students’ views of elderly. Elderly Issues Research Journal (EIRJ). 2019;12(2):107-112.
Baser G, Cingil D. Evaluation of university students’ attitudes toward the elderly. Health and Society (Sağlık ve Toplum) Journal. 2019;29(2):79-85.
Sari D, Baysal E, Taskiran N, Acar E, Cevik Akyil R. Attitudes of nursing students towards elderly people and empathic approach skills. Suleyman Demirel University The Journal of Health Science. 2019;10(2):80-87.
Kurtkapan, H. Attitudes of young people towards elderly discrimination: the case of Nevsehir. Nevşehir Hacı Bektaş Veli University Journal of ISS. 2019;9(1):220-237.
Can R, Isik MT, Erenoglu R, Tambag H, Halidi G. Determination of attitudes of vocational school of health services elderly care department students towards elderly. Turkish Journal of Bioethics. 2019;6(1):13-25.
Yardimci Gurel T. Attitudes of nursing students towards ageism and related factors. Turkiye Klinikleri J Nurs Sci. 2019;11(4):381-9. Doi: 10.5336/nurses.2019-65924
Toygar I, Kardakovan A. Factors affecting the attitudes of nursing students towards ageism. Nursing Practice Today. 2020;7(1):38-44. Doi:https://doi.org/10.18502/npt.v7i1.2298
Bozdogan-Yesilot S, Yesil Demirci P, Oztunc G. Determination of nursing students' attitudes towards elderly discrimination and affecting factors. Journal of Duzce University Health Sciences Institute. 2020;10(1):87-93. Doi: https://dx.doi.org/10.33631/duzcesbed.537976
Yelboga N. The perception of university students in elderly: Borçka Acarlar MYO sample. The Journal of International Social Research. 2020;13(70):1084-1097. Doi: http://dx.doi.org/10.17719/jisr.2020.4160
Can R, Tambag H, Hüzmetli Dogru E, Duman F. Attitudes of students towards ageism: an example of university. Health Sciences Journal of Adıyaman University. 2020;6(1):68-76. doi:10.30569.adiyamansaglik.669761
Seven A, Dulger H. Attitudes of health care services students towards ageism and affecting factors. Pearson Journal of Social Sciences & Humanities. 2020;5(7):363-371.
Akyil RC, Kahraman, A, Taskiran N, Akyil MS, Oncu S, Turk G. Healthcare students’ levels of compassion and attitudes towards older people: a cross-sectional descriptive study. International Journal of Caring Sciences. 2020;13(3):2201-2208.
Koc A, Inkaya BV, Bilgehan T. Evaluation of the relation between age discrimination and intercultural sensitivities of university students in healthcare fields. Ageing Int. 2021;46:129–141. Doi:10.1007/s12126-020-09374-x
Acikgoz A, Tuna H, Yildirim M, Acar S. Physiotherapy students’ attitudes toward ageism and related factors. Turkish Journal of Geriatrics. 2020; 23(2):260-269. Doi: 10.31086/tjgeri.2020.161
Yonder Ertem M, Yildirim JG. Undergraduate students’ attitudes towards ageism and influencing factors of ageism. Elderly Issues Research Journal (EIRJ). 2020;13(2):98-106. Doi:10.46414/yasad.803533
Altun A, Demirel B. Attitudes of university students on elderly discrimination: the case of Keskin Vocational School. MANAS Journal of Social Studies. 2020;9(1):423-434.
Erdogan Yuce G. Determination of the attitudes of students studying in the field of health services towards the elderly. Journal of Inonu University Health Services Vocational School. 2020;8(2): 208-218 Doi: 10.33715/inonusaglik.715353
Demir A. Sociology students' attitudes towards ageism in the covid-19 pandemic process. Social Sciences: Theory and Practice. 2020;4(2):12-25. Doi: 10.48066/kusob.825551
Uzuntarla Y, Ceyhan S. Ageism and altruism among students in the department of health technician training, Turkey. J Clin Med Kaz. 2020; 4(58):67-72.
Koc M. Kissal A, Citil R, Onder Y. Attitudes of nursing and medical school students towards ageism. Medicine Science. 2020;9(4):848-55 Doi: 10.5455/medscience.2020.05.072
Kaplan-Serin E, Tuluce D. Determining nursing students' attitudes and empathic tendencies regarding aged discrimination. Perspectives in Psychiatric Care. 2020;57(1):380-389. Doi: 10.1111/ppc.12652
Koca S, Metin Akten I, Kilic B. Health school students' views on aging and their attitudes towards aging. Journal of Anatolia Nursing and Health Sciences. 2020;23(2):177-187. Doi: 10.17049/ataunihem.455768
Gungor S, Borazan NG. The attitudes of elderly care and paramedic students toward ageism. Elderly Issues Research Journal (EIRJ). 2021;14(1),19-26. Doi: 10.46414/yasad.821579
Kaplan B, Ortabağ T, Güler S, Dirgar E, Avcı1 S, Barlık M. Attitudes of first-and fourth-year nursing department students at a foundation university regarding elder discrimination. Zeugma Health Res. 2021;3(1):33-38.
Pekesen M, Akdeniz S, Sinan A. Determining the attitudes of university students about elder discrimination. Tıbbi Sosyal Hizmet Dergisi. 2021;18: 82-103. Doi: 10.46218/tshd.961336
Kavuran E, Caner E. Determine attitudes of students in elderly care program towards the elderly and affecting factors. Turkish Journal of Science and Health. 2021;2(2):89-97. Doi:10.51972/tfsd.860588
Aliumuerova Z, Simsek Sekreter O, Simsek H. Attitude of 6th grade students of faculty of medicine regarding ageism and related factors. J DEU Med. 2021;35(3): 363-375. Doi: 10.5505/deutfd.2021.60465
Kose-Tosunoz I, Gungor S. Ageism: an example of nursing and elderly care students. Journal of Inonu University Health Services Vocational School. 2021;9(1):176-190. Doi: 10.33715/inonusaglik.813815
Koseoglu M, Bayindir F. Attitudes toward the older adults among the senior dentistry students at the University of Atatürk dentist in Turkey. Yeditepe J Dent. 2021;17(3):196-201. Doi: 10.5505/yeditepe.2021.79836
Bahcecioglu Turan G, Ozer Z, Usta S, Ahmed AA. Investigation of university students’ emphatic tendency and attitude towards age discrimination. Kocaeli Med J. 2021;10(3):359-366. Doi: 10.5505/ktd.2021.79745
Birinci E. Evaluation of the attitudes of social worker candidates regarding elderly discrimination. Journal of Inonu University Health Services Vocational School. 2021;9(2):566-577. Doi: 10.33715/inonusaglik.839540
Karabekiroglu B, Kus C, Gumustakim RS. Determination of attitudes of kahramanmaras sutcu imam university faculty of medicine students on aged discrimination. The Medical Journal of Mustafa Kemal University. 2021;12(44):177-185. Doi: 10.17944/mkutfd.929207
Gumus, R. Healthcare school students’ willingness to work with the elderly: influence of ageism. Dicle University Journal of Economics and Administrative Sciences. 2021;11(22), 634-652.
Arısoy A, Onal O. Determination of vocational school students' attitudes towards senility and aging. Journal of Applied Sciences of Mehmet Akif Ersoy University. 2021;5(2):229-245. Doi: 10.31200/makuubd.919978
Kocak O, Aydin S, Tomac N, Younis MZ. College students’ attitudes toward the elderly: an exploratory study in Turkey. Ageing International. 2021;46:383-394. Doi:10.1007/s12126-020-09393-8
Çelebi, E. Uncu, F. Nursing students’ attitudes towards the elderly people and affecting factors. Journal of History School. 2021;51,1296-1308.
Kabakoglu, H., Mansuroglu, S. Relationship between attitudes toward elderly and preparedness for caregiving in health students during Covid-19 pandemic in Turkey. International Social Sciences Studies Journal. 2021;7(86):3268-3277.
Oral B, Ener D, Günay O, Çetinkaya F. Attitudes of medical faculty students toward ageism: a cross-sectional study from Kayseri. Erciyes Med J. 2021;43(4):343–9. Doi:10.14744/etd.2020.00878
Tayaz, E., Koç, A. Attitudes of nursing students towards ageism and related factors. Journal of Ege University Nursing Faculty (JEUNF). 2022;38(2):86-94 Doi:10.53490/egehemsire.950970
Ayguler E, Buz S. Examination of university students’ attitudes towards older people: the case of social work education, Educational Gerontology. 2022;48(6):237-249. Doi:10.1080/03601277.2022.2031576
Kose Tosunoz I. The relationship between ageism and professional values: the case of nursing students. Health Academy Kastamonu. 2022;7(3):426-440. Doi:1010.25279/sak.732939
Okur E, Akbal Y, Yagci Senturk A, Dastan B, Kuralay C. The willingness of elderly care program students to care for older adults and the associated factors: multi-centered research. Educational Gerontology. 2022;1-12 Doi:10.1080/03601277.2022.2111894
Sonmez Y, Akdemir M, Varkal Toprak E, Aktekin MR. Attitudes on ageism among first- and sixth-year medical students and related factors. Turkish Journal of Geriatrics. 2022;25(1):106-119. Doi: 10.31086/tjgeri.2022.268
Demir S, Erkal E, Demirkiran B. Does peer support affect attitude towards ageism in students studying in elderly care program? The Medical Journal of Mustafa Kemal University. 2022;13(46):203-210. Doi:10.17944/mkutfd.1020621
Sonmez Sari E. Yildirim Gurkan D. Determining the attitudes of elderly care program students about ageism. YOBU Faculty of Health Sciences Journal. 2022;3(2):97-105
Demir Dikmen R, Baltaci Yildiz EA. Attitudes of aged care technician students towards age discrimination. J Soc Anal Health. 2022;2(2):101-108. Doi:10.5281/zenodo.6769543
Aydın A. Attitudes toward ageism among nursing students studying a university. SBedergi. 2022;6(10):1-16. Doi:10.29228/sbe.55730
Ayranci A, Karaoglu N, Kizmaz M. Investigation of the effect of the use of cinema in medical education on the attitudes of medical students towards the elderly: an interventional study. Turkish Journal of Geriatrics. 2022;25(1):148-160. Doi:10.31086/tjgeri.2022.272
Ugurlu Z, Kav S, Karahan A, Akgun Citak E. Correlates of ageism among health care professionals working with older adults. Journal of Transcultural Nursing. 2019;30(3): 303-312. Doi:10.1177/1043659618810128
Smith ML, Bergeron CD, Cowart C, Ahn S, Towne Jr, SD, Ory MG, ... & Chaney JD. Factors associated with ageist attitudes among college students. Geriatrics & gerontology international. 2017;17(10):1698-1706.
Gutiérrez M, Mayordomo T. Age discrimination: a comparative study among university students. Acta colombiana de psicología. 2019;22(2):53-69.
Dobrowolska B, Jędrzejkiewicz B, Pilewska-Kozak A, Zarzycka D, Ślusarska B, Deluga A, Kościołek A, Palese A. Age discrimination in healthcare institutions perceived by seniors and students. Nurs Ethics. 2019;26(2):443-459. Doi: 10.1177/0969733017718392. Epub 2017 Jul 26. PMID: 28745574.
Ramamonjiarivelo Z, Renick O, Osborne R. Intergenerational service learning: a way to increase cultural competency and decrease ageism. The Journal of Health Administration Education. 2021;38(3):785.
Hutchison P, Fox E, Laas AM, Matharu J, Urzi S. Anxiety, outcome expectancies, and young people's willingness to engage in contact with the elderly. Educational Gerontology. 2010;36(10-11):1008-1021.
Alquwez N, Cruz JP, Almazan JU, Alamri MS, Mesde JJ. The Arabic version of the Kogan Attitudes toward Older People Scale among Saudi nursing students: a psychometric analysis. Annals of Saudi Medicine. 2018;38(6):399-407. Doi:10.5144/0256-4947.2018.399