Elderhood and Healthy Aging from an Indigenous Perspective.

Researchers have outlined the components of healthy aging, and a 2022 scoping review by Quigley et al. examined healthy aging from Indigenous perspectives. Quigley's review reinforced the notion that Indigenous health, and thus healthy aging, is a holistic concept. However, no review has specifically addressed Elderhood from an Indigenous perspective. This scoping review aimed to fill that gap by analyzing studies from Quigley's review and sourcing additional literature on Indigenous Elderhood. Eligible articles identified participants as Indigenous and described Elderhood within the culture. From the 20 included publications, six themes were identified, suggesting that Elderhood was a term limited to adults who were respected for their wisdom, were active in the community, cared for others, passed down Indigenous knowledge, and promoted a vision of the future that built on tradition. Age was not a criterion, as older people who are not seen as respected contributors do not earn the title of Elder. The findings suggest that achieving Elderhood is key to healthy aging for Indigenous adults, regardless of one's physical health status. Programs and policies offered in Indigenous communities should recognize this distinction. Further research should explore ways to support successful Elderhood, as defined here, as a component of healthy aging in Indigenous communities.