older adults Archives

An Anthropological Approach to mHealth

This book proposes a radically different anthropological approach to the development and dissemination of mobile health (mHealth), a rapidly growing sector in healthcare. An Anthropological Approach to mHealth is based on ten 16-month ethnographies in settings across Asia, Africa, Europe and Latin America that showed how conventional health apps may be irrelevant particularly for older people. Instead, the studies found that many people use their mobile and smartphones for health purposes to a surprising extent. They take the communicative apps they have become comfortable with, such as LINE, WeChat and WhatsApp, and are highly creative in turning them into their own health apps. These are the practices from which this book seeks to learn, in what we call a ‘smart-from-below’ approach.

This body of research also provided many additional insights, including the consequences of googling for health information, the role of the smartphone in specific settings such as an oncology clinic in Chile or tele-psychotherapy in Uganda, and the lessons learnt during Covid-19 around the problems in self-tracking. Overall, the authors show how an anthropological approach situated in the observation of everyday life can be the foundation for an alternative but highly promising perspective on the future of mHealth.

Ageing with Smartphones in Urban Italy

‘Who am I at this (st)age? Where am I and where should I be, and how and where should I live?’ These questions, which individuals ask themselves throughout their lives, are among the central themes of this book, which presents an anthropological account of the everyday experiences of age and ageing in an inner-city neighbourhood in Milan, and in places and spaces beyond.

Ageing with Smartphones in Urban Italy explores ageing and digital technologies amidst a backdrop of rapid global technological innovation, including mHealth (mobile health) and smart cities, and a number of wider socio-economic and technological transformations that have brought about significant changes in how people live, work and retire, and how they communicate and care for each other.

Based on 16 months of urban digital ethnographic research in Milan, the smartphone is shown to be a ‘constant companion’ in, of and for contemporary life. It accompanies people throughout the day and night, and through individual and collective experiences of movement, change and rupture. Smartphone practices tap into and reflect the moral anxieties of the present moment, while posing questions related to life values and purpose, identities and belonging, privacy and sociability.

Through her extensive investigation, Shireen Walton argues that ageing with smartphones in this contemporary urban Italian context is about living with ambiguity, change and contradiction, as well as developing curiosities about a changing world, our changing selves, and changing relationships with and to others. Ageing with smartphones is about figuring out how best to live together, differently.

Ageing with Smartphones in Japan

Older adults in Japan, one of the most ageing countries in the world, are starting to adopt the smartphone. What does this mean for friendship, gendered labour, multigenerational living, internal migration, health and indeed purpose in life (ikigai)? Based on 16 months of ethnographic research in urban Kyoto and in rural Kōchi Prefecture, Ageing with Smartphones in Japan follows people as they navigate social and personal shifts post-retirement.

Examining how older women and men negotiate oppressive structures within society, the smartphone emerges as both challenging and perpetuating gender-based norms around care. In witnessing the response of older adults to the wider context of societal ageing and the various forms of precarity that it can engender, this book observes how people creatively navigate the challenges and opportunities of later life to define their own experience of ageing.

The rise of digital visual communication among people in their 50s and older opens new possibilities for sociality and proximity among friends and family. It also presents a methodological challenge for researchers. This book responds with a series of graphic methodological experimentations, including co-created comics, participant drawings, and the author’s own fieldwork sketches and imaginative illustrations, to explore this fundamental shift in communication towards digital images.