Body dissatisfaction in midlife women

We examined the extent and correlates of body dissatisfaction among 1026 54-year-old women from the MRC National Survey of Health and Development. Weight dissatisfaction was reported by nearly 80% of the sample and by over 50% of 'normal weight' women (BMI < 25). Women indicated being most dissatisfied with their bodies currently, relative to their younger years, including their forties. Adjusting for BMI, dissatisfaction was highest in higher social class women and in those who rated themselves in poorer health. Women with poor body esteem, regardless of body size, were likely to avoid various everyday situations because of how they felt about their bodies. Adjusting for BMI, women who were happy with their weight were more likely to report distress about other aspects of their appearance. We suggest that body dissatisfaction in women of this age group merits further attention.     

Urban black women at midlife: a counseling perspective

Increasingly, the scientific community is publishing literature intended to conceptualize the experiences of women as they navigate through midlife development. Most of that literature is built around a Caucasian norm. In contrast, this naturalistic study explores the midlife experiences of Black women, some of whom identified as Caribbean emigrants and some as African American. An initial focus group of thirteen women met in New York City. Two subsequent meetings were each attended by seven of the original thirteen. Data were analyzed using a grounded theory approach. Results were compared with those of three similar studies: one with rural Caucasian women, one with a group of women who identified as Lesbians, and one with a racially mixed group of urban women. Counseling implications of shared and differing experiences are discussed.     

Lessons on aging: Hopes and concerns of Japanese women at midlife

ABSTRACT

Japan is leading the global trend of decreasing birth rates and the graying of society. In this study we examine women’s changing gender and intergenerational relationships and how these affect their concerns and hopes for their futures. Many of the 121 midlife women (aged 45–55) interviewed viewed themselves as sandwiched between their mothers-in-law and actual or potential daughters-in-law, at the nadir of intergenerational status within their families, in large part due to changing social patterns in marriage and birth rates. Doubts about the marriageability of their sons arising from role expectations for brides to care for parents-in-law cause concern for many and highlight the gendered and intergenerational nature of aging concerns. Yet, midlife in the 21st century, with changing gender and intergenerational roles, appears to create opportunities for many Japanese women to reflect on the meaning of the next stage of their lives. Changing gender and intergenerational relationships may contribute to their hopes to live a life of self-actualization and to be true to one’s self (jibun rashiku ikiru).     

"My mind's made up": assumptions and decision-making in accounts of caregiving women

In this qualitative study, rural women caregivers for elderly relatives or friends were interviewed about their decision-making. Women deliberating decisions differed from women implementing decisions in how they perceived their caregiving tasks and in their experience of stress. The difference in deliberative and implemental accounts suggests that mindset is a mediating factor for the women in the present study. Women in the process of implementing decisions regarding caregiving described their experiences in a more positive light and reported less stress. Deliberating decisions regarding caregiving, however, was likely to color the experience of caregiving, leaving the caregiver feeling vulnerable, doubtful about herself, and more stressed.     

The effect of living in communal homes on the depressive symptoms of older women living in rural areas: the mediating role of the socio-physical environment

ABSTRACT

This study examined the effects of the village communal living model on depressive symptoms, focusing on mediating roles of perceived environment among rural older women in South Korea. Data came from the sample of residents in 18 housings and their peers in the conventional housing (n = 168). Propensity score analysis and structural equation modeling were used. The results showed the effect of living in VCH on depressive symptoms was mediated distinct aspect of socio-physical environment.     

Best friends: the role of confidantes in older women's health

This article explores personal, network, and community contexts in older women's friendships and health. Twenty-six older women (mean age, 67; range 55-85 years) in San Francisco were asked to choose the one individual to whom they felt the closest and then discuss how this individual contributed to their health. Their choices were numerous, diverse, contextual, and circumstantial. Other women were chosen most often; however, this belies the complexity of their choices. Confidants were chosen primarily for expressive reasons, but instrumental reasons proved important too, particularly for lower class women. Older women called upon their closest ties with physical, social, and emotional problems; they were less likely to call upon them with mental, financial, or spiritual concerns. Family members were preferred to friends for direct caregiving; however, some older women felt they would call upon their friends as well. Confidants kept older women healthy by offering advice and encouragement about diet and exercise; by providing meals and transportation; by laughing, talking, and joking with them; by keeping them happy and feeling good about themselves; and, on rare occasions, by offering spiritual guidance. Practical and policy considerations of their choices were discussed.     

Body composition and physical self-concept in older women

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.     

The role of public health improvements in health advances: The twentieth-century United States

Mortality rates in the United States fell more rapidly during the late nineteenth and early twentieth centuries than in any other period in American history. This decline coincided with an epidemiological transition and the disappearance of a mortality "penalty" associated with living in urban areas. There is little empirical evidence and much unresolved debate about what caused these improvements, however. In this article, we report the causal influence of clean water technologies--filtration and chlorination--on mortality in major cities during the early twentieth century. Plausibly exogenous variation in the timing and location of technology adoption was used to identify these effects, and the validity of this identifying assumption is examined in detail. We found that clean water was responsible for nearly half the total mortality reduction in major cities, three quarters of the infant mortality reduction, and nearly two thirds of the child mortality reduction. Rough calculations suggest that the social rate of return to these technologies was greater than 23 to 1, with a cost per person-year saved by clean water of about dollar 500 in 2003 dollars. Implications for developing countries are briefly considered.     

Patterns and severity of menopausal symptoms among Jordanian women

We examined 359 women aged 45–65 years who visited Jordan University Hospital between February and November 2014. The menopausal symptoms were assessed using a validated Arabic version of the menopause rating scale. The mean age at menopause was 49.4 years. Women aged 50–55 years more frequently exhibited hot flushes and vaginal dryness. Although premenopausal women were 1.5 times more likely to experience irritability, perimenopausal women were more likely to experience hot flushes, physical and mental irritability, sexual problems, vaginal dryness, and joint and muscular discomfort. Hence, health care providers should focus on women at all stages of life.     

Social support promoting health in older women

Given the aging of women and their increased risk for health problems, it is important to explicate factors that may foster health promotion. While social support has been a concept of interest in predicting health promotion in women, the concept has been inconsistently defined and poorly explicated. A qualitative study was conducted to describe the types and processes of social support for health promotion in older women. Focus group interviews with 51 women, aged 55-93, were held. Data were analyzed using open coding to categorize data with attention to consistency and variance. Data explicated aspects of social support unique to health promotion in community-dwelling older women. Broad categories identified included connectedness and collectivism. Findings validate existing conceptualizations and provide an expanded perspective of social support by demonstrating aspects of support unique to the social context of older, community-dwelling women. Findings also provide a basis for development of socially relevant interventions designed to promote health and optimize health outcomes in older women.     

Older women and the health care system: a time for change

In spite of women's active involvement in a woman's health care movement, the mainline health care system continues to hold tight to its androcentric focus. If women are to be subjected to a health care system that employs sexist and ageist practices, the quality of life in their later years will continue to be jeopardized. The purpose of this paper is to first, recognize the existing health care practices which limit the health care opportunities and choices of older women; and secondly, to discuss how such basic feminist principles as education, egalitarianism, empowerment, and inclusion can be used to improve an older woman's experience.     

Marital status and mortality: The role of health

Prior literature has shown that married men live longer than unmarried men. Possible explanations are that marriage protects its incumbents or that healthier men select themselves into marriage. Protective effects, however, introduce the possibility of adverse selection: Those in poor health have an incentive to marry. In this paper we explore the role of health in explaining mortality and marriage patterns, and distinguish protective effects from two types of selection effects. We find adverse selection on the basis of health (unhealthy men tend to (re)marry sooner) and positive selection on the basis of unmeasured factors that both promote good health and encourage marriage.     

Gender differences in caregiving: a case in Chinese Canadian caregivers

This study examines the gender differences in Chinese- Canadian family caregivers providing care to elderly Chinese care receivers. A random sample of 339 Chinese-Canadian caregivers for elderly care receivers completed a telephone survey. Most of the Chinese family caregivers were females. No major gender differences were reported in the amount and types of caregiving tasks. The level of caregiving burden and predictors were generally similar for both gender groups. Contrary to common belief that sons and daughters-in-law are the key family caregivers in the Chinese culture, the daughters played a more important role in family caregiving. In addition to providing support and services to Chinese female caregivers, strategies to enhance Chinese males' involvement in family caregiving are needed and discussed in the paper.     

Mindfulness-based programme on the psychological health of pregnant women

Problem

Preparation of psychological well-being is an important component of antenatal education for childbirth, but few courses focus on this component.

Aging children and their older parents: the coming generation of caregiving

This study uses a data set of older children and their older parents to examine caregiving relationships. Using the 1993 Panel Study of Income Dynamics and the 1993 Health Care Burden file, we examine help given by children to their parents. We distinguish between daughters who are household heads and daughters who are wives. We find parents receive substantially more care from daughters than from sons. The caregiving role of daughters who are household heads differs notably from that of wives. An analysis of caregiving, employment, and house-work shows that children who are caregivers devote more combined hours to these activities than children who do not provide care.     

Remarriage patterns of black and white women: Eeassessing the role of educational attainment

Using data from the National Survey of Families and Households, this article illustrates the role of educational attainment in the remarriage patterns of black and white women. For whites, remarriage propensities do not differ significantly by schooling level. For blacks, on the other hand, remarriage and education are positively associated, net of the effects of other variables such as age at separation and the number of children. Very few black high school dropouts in the sample had remarried 10 years after separation. The results suggest that for blacks, those with the worst socioeconomic prospects are least likely to remarry.