Narratives of age and uprootedness among older Cambodian refugees

This article examines Cambodian refugees' beliefs and traditions about age from the perspective of the cultural life course. Drawing on a study of 39 Cambodians between the ages of 50 and 79, the article explores the process of life reorganization from the standpoint of social liminality. The narratives of these refugees illustrate how cultural traditions shape views of who is old. Moreover, these narratives illustrate how gender roles and their loss, as well as factors that mitigate role loss, shape the experience of old age. It is concluded that (1) subscribing to the traditional cultural template for the Cambodian life course provides a sense of continuity in the face of disruption, and (2) the Cambodian family, as a central social institution, serves as a vehicle for role continuity, role loss, and the management of conflict. The extended family thus continues to be a primary source of meaning as elders reorganize their lives in old age.     

Narratives and self-identity in later life: Two rural American older women

Older adults often draw on memories to construct stories about themselves that help them to retain and validate their self-identities, doing this within the cultural contexts that have shaped their lives. In this paper, we examine the life history narratives of two working class, rural American older women and the ways in which those narratives are similar despite one major difference: one has dementia. In both cases, major themes that are consistent with gender-based, working class, rural American cultural values are dominant, including closeness of family, hard work, ties to the land, and religious faith. In the first case, she reconstructs memories of her life in accordance with dominant cultural and personal values, downplaying the ways in which her experiences were “out of step” with these values. In the second case, her sense of identity remains and is expressed through her co-constructed memories although she is experiencing cognitive loss.     

Religion, suffering, and health among older Mexican Americans

Pain and suffering are deeply embedded in the ethos of Mexican American culture. Consequently, it is not surprising to find that many Mexican Americans turn to their faith in an effort to deal with the pain and suffering that arise in their lives. The purpose of the current study is to explore the interface between pain, suffering, religion, and health among older Mexican Americans. Three major themes emerged from in-depth qualitative interviews with 52 older Mexican Americans. The first is concerned with whether pain and suffering are a necessary part of religious life, the second has to do with the potential benefits that pain and suffering may provide, and the third involves whether it is necessary to bear pain and suffering in silence. In the process of reviewing these themes, an effort is made to show how they may be linked with the physical and mental health of older Mexican Americans.     

Comparisons of sexual assault among older and younger women

This study examined the nature and extent of coercion, violence, and physical injury among older victims of sexual assaults (55 years and older) and compared these with the sexual assault victims of mid-age (31-54 years) and younger women (15-30 years). The results of this investigation reveal that older victims of sexual assault are more likely to be living alone at the time of the attack. In addition, older victims of sexual assault tended to report higher rates of vulnerabilities such as psychiatric and cognitive disabilities than did younger female victims. In contrast to younger victims, elder sexual assault victims are also more likely to be assaulted in their own home and one-quarter of older victims require ambulance involvement. Although the use of weapons was most likely in the sexual assaults of younger women, the use of physical violence and restraint was common and equally likely among all three groups. Similarly, vaginal penetration and the presence of physical trauma were just as likely in elder victims as in younger victims of sexual assault. These results reveal new information about the nature and extent of violence and coercion in elder female sexual assaults. The vulnerability of the older victims illustrated in this investigation raises a number of research questions about these women's prior history of victimization and future safety.     

Attitudes and beliefs about mental health among African American older adults suffering from depression

Depression among older adults is a major public health concern leading to increased disability and mortality. Less than 3% of older adults utilize professional mental health services for the treatment of depression, less than any other adult age group. And despite similar rates of depression, African Americans are significantly less likely to seek, engage and be retained in professional mental health services than their white counterparts. Cultural differences in the way depression symptoms are manifested, defined, interpreted and labeled may in part explain some of these racial differences in help-seeking behaviors. Focus group methodology was utilized to identify and explore attitudes and beliefs about depression and mental health treatment utilization among 42 older African Americans who had recently suffered a major depressive episode. Thematic analysis of identified six overarching themes: (a) perceptions of depression, (b) the African American experience, (c) seeking treatment as a last resort, (d) myths about treatment, (e) stigma associated with seeking treatment and (f) culturally appropriate coping strategies. We discuss implications for practice, education and research.     

Physical activity and fitness among midlife and older rural women

This study investigated physical activity and fitness of midlife and older rural women. Random-digit dialing was used to recruit 225 women (57.9 +/- 5.6 years old). Self-reported activity (moderate activity, flexibility, and strength) and fitness (body composition, flexibility, strength, and estimated VO(2max)) were assessed. The women demonstrated low daily energy expenditure (30.74 +/- 10.63 kcal x kg(-1) x day(-1)) and estimated VO(2max) (20.12 +/- 7.81 ml x kg(-1) x min(-1)), with 51.5% reporting fair or poor health. Few women reported meeting Healthy People 2010 targets for moderate activity (43.1%), flexibility (28.9%), or strength )14.2%). When classified by estimated VO(2max) into three categories, differences were observed for body-mass index, percent body fat, sit and reach, and timed chair stands, with the poorest performance by those with low cardiorespiratory fitness. Adherence to Healthy People 2010 targets for moderate activity and strengthening was associated with higher cardiorespiratory fitness. These rural women are targets for physical activity interventions because of their sedentary behaviors and low cardiorespiratory fitness.     

Comparison style, physical self-perceptions, and fitness among older women

This study examined the relationships between older women's comparison styles, physical self-perceptions, and functional fitness. Participants were community-dwelling women (N = 102, age 65-99) living in the mid-Atlantic region of the United States. Individuals were categorized as relying primarily on social comparisons, temporal comparisons, or a combination of both styles. Also of interest was whether individuals evaluated themselves positively or negatively when making comparisons. Participants who evaluated themselves positively as compared with others were found to have higher levels of physical self-perception. Analyses revealed that women who relied primarily on temporal comparisons had higher self-perceptions of their functional ability than those who relied on a combination of comparison styles. An avoidance of both temporal and social comparisons was also related to higher levels of physical self-perception.     

Everyday health and identity management among older women with chronic health conditions

The majority of older women have at least one chronic health problem and coping with multiple conditions is common with advancing old age. In this longitudinal, qualitative study we explored the health perceptions of older women (N = 36) with multiple chronic conditions. Guided by a symbolic interactionist perspective, our research questions asked: (a) how do older women with chronic health conditions interpret their own health in their everyday lives and (b) how do they talk about their health with others. We found that women depended on their embodied self, or signs from the body, to interpret their everyday health. The women engage in identity management to make sense of limitations caused by their chronic health conditions. They regulated how much and with whom they were willing to share issues related to their everyday health. Findings suggest that everyday health is important in identity construction among older adults.     

A comparison of widowhood and well-being among older Greek and British-Australian migrant women

The impact of widowhood on well-being has been well-documented, but to date has not focused extensively on the experience of older migrants who have aged in a foreign land. This study aimed to examine the well-being of older migrant widows from two groups in South Australia: British-born (n = 61) and Greek-born (n = 60) Australian migrants, who had been widowed, on average, 13 years. All participants completed a self-report questionnaire in their preferred language. Three indicators of current well-being (self-rated health, depression and loneliness) as well as variables expected to differ cross-culturally, and potentially influence well-being (mourning rituals; continuing bonds to one's spouse; religiosity; social support) were measured. Greek-born widows displayed higher levels of mourning rituals, continuing bonds and religiosity than the British. Both groups perceived similarly high levels of familial social support. Greek widows also reported worse self-rated health, and increased symptoms of depression and loneliness compared to the British. This paper suggests that the detrimental impact of widowhood on well-being may be greater for non-English speaking migrants who are ageing outside of their country of origin, and who, despite residing in an English-speaking host country for several decades, have retained the linguistic, cultural and religious practices and traditions of their home country.     

Narratives of generationality in 21st-century North American Jewish literature: Krauss,Bezmozgis, Kalman

ABSTRACT

The article explores prominent contemporary texts by David Bezmozgis, Nadia Kalman, and Nicole Krauss to juxtapose the narratives of generationality they produce. I argue that these narratives depend on intersecting notions of family, genealogy, and (procreative) heterosexuality and on various formal temporal modes that these texts employ. Generationality, in recent Holocaust literature, as represented here by Krauss, seems to give rise to and rely on different familial/genealogical narratives than recent post-Soviet immigrant fiction. Krauss in The History of Love works with more traditional notions of temporality and history which, I claim, are linked with both exceptionalist and diachronic narratives of the Holocaust, and normative notions of romantic love and reproductive sexuality. Bezmozgis, in Natasha and Other Stories, among others, deconstructs the notion of a synchronic transnational Jewish community and critically deals with the centrality of Holocaust memorialization and also with concomitant sexual normativities. Finally, Kalman in The Cosmopolitans critically approaches diachronic generationality: she plays with genealogy modifying the representational conventions of the genealogical diagram and thereby enters into a productive dialog with Krauss’s text. Kalman also broadens the social setting to include other ethnicities, people of color, and queer sexual practices. What is at stake in the comparison proposed here is exposing key features of contemporary North American locations of Jewishness. Reading these texts along the narratives of generationality suggests that post-Soviet Jewish American writers, and especially the women writers of the subgenre, project a vision of community that is quite open and make us question various hegemonic coordinates of Jewishness.     

Epilepsy in older women

Women suffering from epilepsy require special attention throughout their life. In this review, management of epilepsy during the periods of perimenopause, menopause and late maturity is discussed. The effect of epilepsy on age at menopause, changes in seizure frequency during perimenopause and menopause, and the risks of hormone replacement therapy are also presented. Altered antiepileptic drug pharmacokinetics with increasing age and the management of this vulnerable population is also discussed.     

Narratives about Work and Family Life among Portuguese Academics

A qualitative study conducted with Portuguese academics of both genders was devised to better understand the interface between work and family life. The academics seemed to position themselves along two different narratives. The first pointed to work and family as complementary, while the second described the subordination of one dimension to the other. The family life cycle, particularly parenthood experiences, illustrates the different narratives. Gender differences were more visible in the case of academics who were parents of young children, with women presenting a diverse set of micro‐narratives on motherhood. The findings also showed the need to design less standardized career models.     

Predicting falls in older women

Falls among older people are common and their occurrence is associated with detrimental effects on physical and psychosocial functioning. However, falls are not an inevitable consequence of ageing and there is growing evidence of effective interventions to prevent them. Accurate screening methods to identify high-risk populations are important if such strategies are to be cost-efficient. Epidemiological studies have identified a diverse group of risk factors for falls of different types in a variety of settings and patient groups. These have proved useful in delineating high-risk groups and have propagated a range of risk assessment tools for falls. Without an accepted taxonomy for the reporting of trials testing these instruments, direct comparison of results has been difficult. In frail older people, 'multi factorial assessment tools' have achieved some utility in the discrimination of fallers from non-fallers, whereas performance-based 'functional mobility assessments' appear to be more suited to predicting falls in groups of more active elders. The predictive value of these measures has been hampered by the complex and dynamic interaction between attendant risk factors and their variable influence in populations of different frailty profiles. Furthermore, current indices used in the prediction of falls are built upon statistical methodologies employing logistic regression, which fail to account for the breadth and depth of these associations in populations at risk of falling. Statistical representations more consistent with the complex modelling required in the design of falls risk assessment trials, such as tree classification techniques, may provide better results in future studies that aim to generate accurate predictors of falls.     

The provisioning responsibilities of older women

Conceptual frameworks that theorize relationship based work, caring and provisioning, are considered. It is argued that provisioning has greater potential for revealing the various dimensions of older women's contributions to society and citizenship claims. Data on the work and responsibilities of older women are presented. Participants belong to a group promoting public discussion on issues of security and justice for older women. This group was one of six research sites documenting the provisioning work done by women in diverse social locations. Findings reveal that older women carry large and complex provisioning responsibilities. This work is summarized under two categories: provisioning activities and provisioning strategies. Discussion of the findings focuses on three major issues facing older women: the unexpected magnitude of provisioning work they are doing; how to integrate the realities of an aging body into provisioning expectations; setting priorities when time is a scarce resource. Implications for theory and the citizenship claims of older women are considered.     

Reasons for the adoption of celibacy among older men and women living with HIV/AIDS

The reasons for becoming celibate following diagnosis with HIV/AIDS were examined using focused interviews with 63 infected older adults (ages 50 ‐ 68). Forty‐eight percent reported they were currently celibate or had been celibate following diagnosis with HIV/AIDS. Women reported celibacy (78%) more than men (36%). Although men and women reported some similar reasons for celibacy, most notably fear of infecting others and fear of reinfection, we also found gender differences in the reasons for celibacy. Additional reasons offered by women included loss of interest in sex, anger and distrust of men, and desire to focus on themselves rather than men. Other reasons offered by men included fear of rejection or stigma‐tization, difficulty with sexual performance, and negative body image. The prevalence of celibacy and the finding that many reasons for celibacy are related to fear, anger, and distrust suggests that older adults may have difficulty resuming healthy sexual relationships following diagnosis with HIV/AIDS.     

Reasons for the adoption of celibacy among older men and women living with HIV/AIDS

The reasons for becoming celibate following diagnosis with HIV/AIDS were examined using focused interviews with 63 infected older adults (ages 50-68). Forty-eight percent reported they were currently celibate or had been celibate following diagnosis with HIV/AIDS. Women reported celibacy (78%) more than men (36%). Although men and women reported some similar reasons for celibacy, most notably fear of infecting others and fear of reinfection, we also found gender differences in the reasons for celibacy. Additional reasons offered by women included loss of interest in sex, anger and distrust of men, and desire to focus on themselves rather than men. Other reasons offered by men included fear of rejection or stigmatization, difficulty with sexual performance, and negative body image. The prevalence of celibacy and the finding that many reasons for celibacy are related to fear, anger, and distrust suggests that older adults may have difficulty resuming healthy sexual relationships following diagnosis with HIV/AIDS.     

Intolerance of Others among Palestinian and Jewish Students in Israel

This study analyzes intolerance against diverse sociopolitical groups and compares the social and political attitudes of two distinct and highly differentiated groups: Jewish and Palestinian high-school students in Israel. It examines their perceptions of the political context that structurates their reality, and aims to find the factors that influence the extremity of their intolerance. The proposed model is more applicable to Jewish students than it is to Palestinians and shows that intolerance toward out-groups is influenced by religiosity, the salience of national and civic identity, national security issues, and political ideology.     

Narratives of identity among former professional footballers in the United Kingdom

This article considers the part that narrative plays in the processes of identity construction and reconstruction by focusing on the experience of one occupational group, professional footballers in the United Kingdom. From a narrative and life course perspective, it argues that players' occupational experience have shaped a particular kind of identity which can be problematic for later well-being. It draws on biographical interviews with former players and players' autobiographical accounts, to illustrate how they have coped with the challenge to find a new narrative identity following retirement from professional football.     

Management of Parkinson's disease in older women

Elderly women with Parkinson's disease (PD) represent a specific patient population that may benefit from individualized treatment strategies. PD has been shown to occur approximately twice as often in men than in women, resulting in theories regarding estrogen being protective against the disease and as a potential treatment strategy. Given women's longer life expectancy, they are more likely to reach an age where antiparkinsonian medications are associated with side-effects. This paper will review medical and surgical treatments as well as the relationship of gender and age with respect to the management of PD.