Personal Meanings of Occupation for Women in Later Life: Two Women Compared

ABSTRACT

Understanding the meaning of occupation for older women presents challenges to care providers because of the highly individual manner in which they enact those meanings. Two women interviewed in depth over a two-year period demonstrate the unique characteristics of activity patterns of older women, the meanings they ascribe to them, and the contribution of those activities to quality of life. The women were demographically similar, and described engaging in several common activity categories (connection to others, doing good, spiritual expression) that were particularly meaningful to them. The specific activities that they undertook were quite different. Findings suggest the importance of obtaining detailed information about older women in making plans for intervention to support desired activities in later life.     

Self-Management of a Chronic Illness: An Exploratory Study on the Role of Spirituality Among Older African American Women

ABSTRACT

Living with a chronic illness is an experience characterized by changes in self-management behavior. Few studies have addressed the role of spirituality in the self-management of a chronic illness among older African American women. The purpose of this exploratory study was to understand the role of spirituality in the self-management of chronic illness. Data from a sample of 10 African American women were collected from semi-structured interviews and analyzed for common themes through narrative analysis. Four themes emerge from the linkage of spirituality and self-management. Understanding this experience will assist public health providers in creating culturally appropriate health education interventions.     

Assisted Living,Elderly Women and Sense of Self: Communicating the Impact of Reduction of Long-Standing Activities

ABSTRACT

Through the use of in-depth interviews this study examines elderly women's communication about transitioning to assisted living and personal sense of self. A combination of communication and aging theory and socio historical factors aid in understanding the communication elderly women use to describe themselves within the context of life events prior to and after becoming an assisted living resident. Findings reveal that decrease in long-standing feminine sphere (traditionally female household) tasks due to the transition to assisted living is the major factor leading to the inability to communicate the sense of self. Inability to adjust and accept the downsizing of feminine sphere activities leads to several mental, physical and social implications.     

Older Women's Body Image and Embodied Experience: An Exploration

ABSTRACT

This paper presents and analyzes findings from unstructured interviews with women aged 61 to 92 regarding their perceptions and feelings about their aging bodies. The data are discussed in light of the existing literature on women's body image which has largely ignored the experiences of women in later life and which has tended to focus on adolescent and middle-aged women. Given the fact that beauty is equated with youthfulness and thinness in our society, older women face unique challenges as they strive to construct and maintain positive evaluations of self. The women in the study exhibit the internalization of ageist beauty norms even as they assert that health is more important to them than physical attractiveness and comment on the ‘naturalness’ of the aging process.     

Researching to Transgress: The Need for Critical Feminism in Gerontology

SUMMARY

This article defines “empowering research and argues the need for a critical gerontology” informed by feminist and postmodern theories which focus on the connections between language, self, and social action. The author calls for feminist gerontology which evokes critical consciousness on the part of the researcher and participants. Feminist gerontologists are encouraged to engage in self-reflection and self-critique in regards to their own attitudes toward aging and to include personal criticism in their scholarly writings. Examples of feminist research on aging which illustrate these characteristics are provided.     

Women,Aging, and Schizophrenia

SUMMARY

Schizophrenia is a psychiatric disorder of unknown etiology that typically has an onset in early adulthood and persists for the remainder of the life span. For most affected individuals, the illness is recurrent with psychotic symptoms that tend to be episodic in nature. The illness has pervasive and disruptive effects on many life domains; for example, women with schizophrenia are less likely to marry, bear children, and raise their own children than are women in the general population. The age of onset of schizophrenia is later on average in women than men, and women are overrepresented among those who develop the illness after the age of 45. Among younger patients with schizophrenia, women tend to have less severe symptoms than men and better outcomes; however, there are fewer gender differences among older patients with schizophrenia. Older women with schizophrenia are vulnerable to problems of both schizophrenia and aging. Schizophrenia symptoms typically continue in later years and include ongoing psychotic symptoms. Problems of aging such as cognitive decline and chronic medical conditions may be exacerbated by schizophrenia and the disorder is associated with premature mortality. Older women with schizophrenia are at risk for neglect of psychiatric and other health needs that are further compounded by limited social support and low socioeconomic status. More research and clinical attention is needed for the problems of older women with schizophrenia.     

Aging in precarious times: Exploring the role of gender in shaping views on aging

ABSTRACT

The present study explores views on aging and how these differ according to gender and precariousness status. Semistructured interviews were conducted with 10 men and 10 women with secure and insecure pensions. Themes like fear of illness and health decline were more present in men, while fear of losing their attractiveness in old age more present among women. For all participants, loss of autonomy and social roles represented a negative view of old age, while activity in the form of work, volunteering, or leisure represented positive views. Differences in views on aging were related to pension security and less to gender. Women with insecure pension plans displayed the most negative views of aging. Implications for practice and policy to prevent health and gender inequalities are discussed.     

The Morbidity Compression Debate: Risks,Opportunities, and Policy Options for Women

ABSTRACT

The morbidity compression theory proposes that we can compress the period of illness and disability in old age into an ever smaller period at the end of life. Although recent research offers fresh support for the theory, its validity remains uncertain. This paper demonstrates the importance of the theory and recent research in this area for women. It critiques the chief proponent and opposing views of the theory, and suggests a heightened emphasis on public policies promoting healthy lifestyles. These policies would reduce long-term care needs, save health care dollars, and improve the experience of aging.     

Comfortable and leisurely: Old women on style and dress

Abstract

This article uses wardrobe interviews with women in the ages of 62–94 to explore transitions and continuities during the life course. During interviews the women have defined their style preferences. One categorization favored by several of them was comfortable. Different meanings were attached to this concept. Practical and convenient outfits were described as increasingly important when aging. Garments that did not expose the body—and its changes with aging—were preferred. The informants talked about the importance of feeling at ease, appropriately dressed for the occasion and situation. They were concerned with feeling nice in their outfits but also stressed becoming more laid-back and prioritizing convenience in their later years. All of these examples had to do with comfort and being comfortable. Uncomfortable clothes were too tight, deemed wrong for the occasion, and unwanted sources of self-consciousness and visibility. Transitions in their style of dress had been gradual, slowly adapting to changes in everyday life as well as in their bodies.     

Assisted Living and the Aging Trajectory

ABSTRACT

Assisted living (AL) is a caregiving option between independent living and nursing home placement. This study explores women residents' experience of AL in four Midwestern facilities, using interview and field research methods. We found that most residents wanted to stay in AL rather than move to a nursing home; they looked backward nostalgically toward home, and complied with staff rules and directives in order to remain in place. In contrast to nursing homes, AL allows residents to experience continuities with self and home: a private room, some of their own belongings, and access to relationships and activities associated with self and home. Given the expanded lifespan and growing popularity of AL, it is becoming a new stage in the trajectory of women's aging.     

Discovering the knowledge creation process of an expert group in women-friendly policy: The policy case of Seoul City

ABSTRACT

This research explores how expert knowledge is created in the process of women-friendly policy making, based on actor network theory (ANT). To address this purpose, this study uses the “Women’s Happiness in the City of Seoul” policy initiated by the local government of Seoul as one example of policy development. Research findings demonstrate that knowledge creation in expert groups followed the four stages suggested by ANT. In addition, this study found that various types of knowledge emerged from individual experts. This research elucidates the process of knowledge creation and its meanings for women-friendly policy.     

Older Women with Cardiovascular Disease: Perceptions of Initial Experiences and Long-Term Influences on Daily Life

ABSTRACT

In 2004, we conducted qualitative interviews with 29 White women diagnosed with cardiovascular disease (CVD) living in Southwest Virginia, aged 69 to 92 years (M age = 79.2 years; SD = 6.8); time since diagnosis ranged from 1 to 50 years (M = 14.3; SD = 11.2). We explored the women's initial illness episode and the influence of CVD on their current daily functioning, family activities and relationships, and social engagement. The women were slow to seek help for CVD symptoms. Postrecovery, 62% of women perceived their heart disease as influencing change in their daily lives. The influence of CVD varied depending on how congruent behavior changes were with their sense of self.     

Being “easy”: Women’s desire to accept help in later life

ABSTRACT

This article examines the concept of being “easy” as a quality that female caregivers aspire to as they envision their potential care in later life. It draws on data from a qualitative study exploring the significance of caregiving to adult daughters’ perspectives and plans for their own aging. Caregivers’ experiences differ based upon their perception of how easy or difficult it was to care for their loved one. The former exemplifies a positive way to approach aging and the receiving of care. Being easy describes an attitude that these caregivers desired for their own later life.     

Why do I dread looking old?: A test of social identity theory,terror management theory,and the double standard of aging

ABSTRACT

Outward appearance is one of the means by which age is determined, and fear of looking old may stem from fears about social identity and death. This study explored how social identity theory and terror management theory may help to explain the dread of looking old. University students from the United States, England, and Australia (N = 1,042) completed a questionnaire regarding their attitudes about aging and older adults. Results indicated that sex, age, beliefs about personal aging, and death anxiety explained 30.4% of the variance for participants’ dread of looking old. Theoretical hypotheses were supported by our findings.     

Sexual Orientation Stigmatization and Identity Work for Gays,Lesbians, and Bisexuals in the U.S. Military

ABSTRACT

This study examines communicative stigmatization processes and their influence on self-concept clarity for gays, lesbians, and bisexuals (GLB) in the United States military. In-depth interviews were conducted with GLB (N = 16) military service members and veterans, and data were analyzed using grounded theory analysis. Findings revealed that GLB identity repudiation incites feelings of identity incongruity for gays, lesbians, and bisexuals in the U.S. military. GLB identity repudiation was composed of three key communicative practices. Further, because non-heterosexuality was viewed as seemingly incompatible with the military identity, many participants struggled to integrate their two social identities effectively. As such, participants employed several strategies to manage their conflicting sexual and role identities.     

Violence as Mediating Variable in Mental Health Disparities Associated to Sexual Orientation Among Mexican Youths

ABSTRACT

In this study, we explored the role of sex as an effect-modifying variable in the association between sexual orientation and mental health in Mexican youth. In addition, we tested if violent experiences in the family and the school and attitudes toward homosexuality could act as mediating variables in such association. Data from three representative surveys performed in 2007, 2009, and 2013 among Mexican high school students were analyzed. Two dimensions of sexual orientation were evaluated: romantic partnership and sexual behavior. The outcomes were negative and positive mood, suicidal ideation and intent, self-concept, and self-esteem. There were differences by gender because in males, there were more disparities in mental health associated with sexual orientation (suicidal ideation and attempt, negative and positive mood, negative self-concept, and family-related self-esteem) than in females (suicidal ideation and negative mood). Experiences of school violence were mediators in the relationship between sexual orientation and most health outcomes in males.     

Body Composition and Physical Self-Concept in Older Women

ABSTRACT

We sought to determine the performance and anthropometric correlates of physical self-concept and self-esteem and to observe whether long-term resistance training would alter these variables in postmenopausal women. Forty-four nonsmoking, community-dwelling, Caucasian women aged 50–75 years participated in the study. Half of the subjects participated in a 9-month regimen of weight-bearing exercises performed 3 times per week which emphasized lower body muscle strength and power development. At baseline, total body fat was negatively associated with physical self-concept and perception of physical appearance but not with self-esteem. Perception of physical appearance improved in both exercisers and controls after the 9-month trial but was most noticeable in exercisers who had low self-esteem at baseline. The only predictor of improvement in perception of physical appearance was a decrease in lower body fat mass. Minimal or nonsignificant change in psychological measures associated with the training may be due to high initial values.     

Health-Related Interactions and the Self in Marriage

ABSTRACT

This study investigated the association between self processes and married partners' (N = 59 couples) perspectives of their health-related social interactions. Findings revealed that wives' self processes were associated with their social behavior from the perspective of each partner. The wives' self processes differentially predicted wives' and husbands' perspectives of their interactions, however. These findings demonstrate that wives' future expectations for the health of their husband, as well as for their role in maintaining his future health, motivate their current social behavior to promote the positive health lifestyle behaviors of their husband.     

Experiencing menopause in the UK: The interrelated narratives of normality,distress, and transformation

ABSTRACT

We investigated the experience and perspectives of menopause among 48 UK mothers through qualitative in-depth interviews. Interviews were analyzed thematically then explored using social science theories. Three interdependent narratives emerged: menopause as a normal, biological process, distinct from self and social transitions; menopause as struggle, an “idiom of distress” expressing upset, identity loss, shame, and social upheaval; and menopause as transformative and liberating, arising from biopsychic and relational changes. Some women followed a predictable “rite of passage” trajectory with transformation emerging from distress, but not all: Menopause arises from a complex interplay of personal predicament, somatic change, and sociocultural context.