Abstract：
Marginalised groups of older people remain neglected in positive health and ageing (PHA) agendas, whether they concern healthy or active ageing concepts. Questions exist around the meaning of such constructs and the factors that enable disadvantaged populations to achieve equitable later-life experiences. Focusing on two such groups in Ireland, this study investigates the constituent dimensions of PHA for older Irish Travellers and older people who have experienced homelessness and the role of life-course and structural determinants in constructing PHA trajectories for these groups. The study involves a qualitative, participatory voice-led methodology, with analysis based on 49 in-depth life-course interviews with people aged 50 years and over from the two populations. Five interconnected dimensions of PHA are identified and presented. Four determinants related to life-course experiences and structural factors are identified as contributing to these dimensions: social relations, material and accommodation circumstances, formal supports and systems, and critical transitions and resilience. While illustrating the validity of PHA agendas for these groups when understood through their lived experiences, the findings highlight the significant deprivations and risks to rights that must be accounted for to secure meaningful gains in PHA for the groups.
摘要：
被边缘化的老年人群体在积极健康和老龄化（PHA）议程中仍然被忽视，他们是否关注健康或积极的老龄化概念。围绕这种结构的含义以及使弱势群体能够实现公平的以后生活经历的因素存在问题。关注爱尔兰的两个这样的群体，这项研究调查了爱尔兰老年旅行者和经历过无家可归的老年人的PHA的构成维度,以及生命历程和结构决定因素在构建这些群体的PHA轨迹中的作用.这项研究涉及定性，参与式语音主导方法，基于对这两个人群中50岁及以上人群的49次深入生命历程访谈进行的分析。确定并呈现了PHA的五个相互连接的维度。与生活过程经验和结构因素相关的四个决定因素被确定为有助于这些维度：社会关系，材料和住宿情况，正式的支持和系统，以及关键的过渡和弹性。在通过他们的生活经历来理解这些群体的PHA议程的有效性时，调查结果强调了必须考虑的重大剥夺和权利风险，以确保群体在PHA中获得有意义的收益。
