# Exploring Healthy Ageing in Place for Roma Communities: Insights from Knowledge Café Workshops in the UK

## TL;DR

This paper explores how older Roma communities in the UK experience healthy ageing, emphasizing the need for inclusive and culturally sensitive policies.

## Contribution

The study introduces a novel approach to understanding healthy ageing by focusing on marginalized Roma communities and their unique experiences.

## Key findings

- Mistrust of health services and linguistic barriers significantly impact Roma communities' health experiences.
- Community-led initiatives are crucial for supporting healthy ageing in culturally meaningful ways.
- Gender and spatial factors influence social isolation among older Roma individuals.

## Abstract

Healthy ageing is increasingly understood as a process shaped by intersecting structural, social and environmental conditions. Yet dominant frameworks often fail to account for how marginalisation and place-based exclusion are lived and navigated by structurally excluded groups. This is especially true for older Roma communities, who remain significantly overlooked in both research and policy on ageing. Drawing on qualitative data from Knowledge Café workshops held in Govanhill (Glasgow, Scotland), Luton and Peterborough (England), this paper explores how place, identity and inequity shape experiences of healthy ageing within Roma communities. These workshops brought together policymakers and practitioners alongside Roma community members and advocacy groups. Using reflexive thematic analysis, we identify four key themes: (1) mistrust of health services and linguistic exclusion; (2) the symbolic and practical dimensions of ‘home’ in supporting ageing-in-place; (3) gendered and spatialised experiences of social isolation; and (4) the significance of community-led and culturally competent initiatives. Our findings highlight the critical importance of locally embedded responses that support culturally meaningful pathways to healthy ageing. We argue for a fundamental reframing of healthy ageing policy, toward co-produced, place-based and equity-driven approaches that recognise intersecting inequalities and value the lived expertise of marginalised older populations.