{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:05:13Z","timestamp":1791921913312,"version":"4.3.4"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Hip fractures are a leading cause of morbidity and mortality among older adults, with significant consequences for recovery and refracture risk. While recovery experiences have been explored and interventions established, limited understanding exists of how individual, social and cultural factors influence engagement with recovery and secondary prevention in multicultural systems. We explored these factors among culturally diverse older adults and caregivers following low trauma hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study embedded within a prospective cohort at a metropolitan Australian trauma hospital. Participants included older adults with recent low-trauma hip fracture and their caregivers, purposively sampled for cultural diversity. Semi-structured interviews were conducted in English, Arabic, Assyrian or Vietnamese. Data were thematically analysed using a two-step inductive-deductive approach, mapping codes to Andersen\u2019s Behavioural Model before theme development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty participants (mean age 74\u00a0years, 60% women, 75% culturally diverse) were interviewed. Three interconnected themes emerged: (i) \u2018normalisation of pathological ageing\u2019, shaping expectations and engagement with preventive care; (ii) \u2018cultural orientations\u2019 shaping motivations, expectations and family roles; and (iii) \u2018care continuity,\u2019 with refracture prevention clinics valued but access hampered by logistical and system barriers. These themes interacted across individual, social and health system levels to shape recovery trajectories and refracture prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recovery and refracture prevention after hip fracture are strongly shaped by age-related beliefs, cultural context and care structures. By examining cross-cultural experiences in a multicultural setting, this study highlights the need for person-centred, culturally responsive and better-coordinated models to optimise engagement and outcomes in diverse ageing populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag012","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T10:18:24Z","timestamp":1769422704000},"source":"Crossref","is-referenced-by-count":2,"title":["\u201cIt\u2019s part of getting old\u201d: ageing perceptions and cultural beliefs underpin hip recovery and refracture prevention experiences: a qualitative study"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2611-6736","authenticated-orcid":false,"given":"Bernadette","family":"Brady","sequence":"first","affiliation":[{"name":"Physiotherapy Department, Liverpool Hospital, Liverpool , New South Wales , 2170,","place":["Australia"]},{"name":"Ingham Institute for Applied Medical Research, Liverpool , New South Wales , 2170,","place":["Australia"]},{"name":"Faculty of Medicine and Health, The University of Sydney , Camperdown, New South Wales , 2006,","place":["Australia"]},{"name":"Faculty of Health, Western Sydney University, Penrith , New South Wales , 2751,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sacha","family":"Bossina","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Liverpool Hospital, Liverpool , New South Wales , 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Maximous","sequence":"additional","affiliation":[{"name":"Multicultural Services, South Western Sydney Local Health District, Liverpool , New South Wales , 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema Padmakumari","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney , Camperdown, New South Wales , 2006,","place":["Australia"]},{"name":"Department of Geriatrics and Rehabilitation, Fairfield Hospital , Prairiewood, New South Wales , 2176,","place":["Australia"]},{"name":"South Western Sydney Clinical Campus, University of New South Wales, Sydney , New South Wales , 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-9718","authenticated-orcid":false,"given":"Danielle N\u00ed","family":"Chr\u00f3in\u00edn","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical Campus, University of New South Wales, Sydney , New South Wales , 2170,","place":["Australia"]},{"name":"Department of Geriatric Medicine, Liverpool Hospital , Liverpool, New South Wales , 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Singh","sequence":"additional","affiliation":[{"name":"Digital Health, South Eastern Sydney Local Health District, Kogarah , New South Wales , 2217,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarice","family":"Tang","sequence":"additional","affiliation":[{"name":"Multicultural Services, South Western Sydney Local Health District, Liverpool , New South Wales , 2170,","place":["Australia"]},{"name":"Institute for Sport and Health, Victoria University, Melbourne , Victoria , 8001,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balwinder","family":"Sidhu","sequence":"additional","affiliation":[{"name":"Multicultural Services, South Western Sydney Local Health District, Liverpool , New South Wales , 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"El-Haddad","sequence":"additional","affiliation":[{"name":"Faculty of Health, Western Sydney University, Penrith , New South Wales , 2751,","place":["Australia"]},{"name":"South Western Sydney Clinical Campus, University of New South Wales, Sydney , New South Wales , 2170,","place":["Australia"]},{"name":"Rheumatology Department , Liverpool Hospital, Liverpool, New South Wales, 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daraveasna","family":"Daing","sequence":"additional","affiliation":[{"name":"Rheumatology Department , Liverpool Hospital, Liverpool, New South Wales, 2170,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Liverpool Hospital, Liverpool , New South Wales, 2170, \u00a0","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lieu","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical Campus, University of New South Wales, Sydney , New South Wales , 2170,","place":["Australia"]},{"name":"Orthopaedic Department, Liverpool Hospital, Liverpool , New South Wales, 2170, \u00a0","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A","family":"Frost","sequence":"additional","affiliation":[{"name":"Ingham Institute for Applied Medical Research, Liverpool , New South Wales , 2170,","place":["Australia"]},{"name":"Department of Geriatric Medicine, Liverpool Hospital , Liverpool, New South Wales , 2170,","place":["Australia"]},{"name":"Faculty of Science, Medicine and Health, University of Wollongong , Wollongong, New South Wales , 2500,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedbert","family":"Kholer","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical Campus, University of New South Wales, Sydney , New South Wales , 2170,","place":["Australia"]},{"name":"Medical Services, Braeside Hospital, Prairiewood , New South Wales , 2176,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Ivers","sequence":"additional","affiliation":[{"name":"School of Population Health, University of New South Wales , Sydney, New South Wales , 2052,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9147-1312","authenticated-orcid":false,"given":"Justine","family":"Naylor","sequence":"additional","affiliation":[{"name":"Ingham Institute for Applied Medical Research, Liverpool , New South Wales , 2170,","place":["Australia"]},{"name":"South 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