Theory-Based Community Practice for HIV Prevention in Midlife and Older Women

ABSTRACT

In the last decade there has been a significant increase in HIV transmission among midlife and older women, particularly those from racial/ethnic minority communities. Although the number of women aged 50 and older diagnosed with HIV infection in the United States is increasing, they are rarely included in community HIV prevention strategies. This article presents integrating social capital with social justice themes into a socioecological framework for community practice that can significantly impact the efficacy of HIV prevention programs for midlife and older women. It also reviews the research and program implications for including midlife and older women in community interventions to halt the spread of HIV infection in this at-risk group. Suggestions for HIV prevention community practice with this underserved population are presented.     

Characteristics of Women With Children Who Divorce in Midlife Compared to Those Who Remain Married

This study evaluated characteristics that distinguish women who end a first marriage in midlife from those who remain married. The sample consisted of 459 married and 180 divorced women who had participated in 3 waves of the National Survey of Families and Households (NSFH). Discriminant analyses were used to assess differences that occurred between the two groups in financial and psychological well-being in the 10 years between NSFH Waves 2 and 3. The major finding was that midlife divorce appears to have long-term financial consequences for women, especially in regard to wealth accumulation. The findings provide some initial information about the long-term effects of midlife divorce that will be useful to professionals working with women who are considering divorce at this stage of life.     

A Phenomenological Study of Postdivorce Adjustment in Midlife

Today, 50% of all U.S. marriages are expected to end in divorce, with the majority of the divorces being granted to individuals between the ages of 45 and 54. Gaining an understanding of the lived experience of postdivorce adjustment as seen in midlife was the aim of this study. A phenomenological research design was used. The themes that emerged from the data included time, emotional pain, changes in postdivorce parenting, and a sense of starting over. The clinical implications of this study suggest that obtaining an understanding of the postdivorce adjustment experience might help mental health practitioners enhance care for divorced individuals, divorcing couples, and their family members.     

Older Women in Poverty: The Impact of Midlife Factors

This study investigates the factors contributing to older women's economic well‐being from a life course perspective, assessing the effects of both midlife characteristics and later life events on women between the ages of 66–70, and 71–85. Using the 1968–1997 Panel Study of Income Dynamics, the findings suggest that midlife characteristics such as workforce participation, income, and rural residence are strongly related to economic outcomes in old age. Late‐life events and characteristics, however, also contribute significantly to economic outcomes even when midlife factors are incorporated into analyses. In addition, both midlife and later life characteristics contribute to the persistence of poverty in old age, with many groups of ever poor women finding themselves in poverty for over 50% of their old age years.     

Translation as an Alternative Space for Political Action

This article examines the genesis, dynamics and positioning of activist groups of translators and interpreters who engage in various forms of collective action. The activism of these groups is distinctive in that they use their linguistic skills to extend narrative space and empower voices made invisible by the global power of English and the politics of language. They further recognise that language and translation themselves constitute a space of resistance, a means of reversing the symbolic order. Their use of hybrid language, their deliberate downgrading of English, the constant shuffling of the order and space allocated to different languages on their websites—all this is as much part of their political agenda as their linguistic mediation of texts and utterances produced by others, in their capacity as translators and interpreters. The article examines the positioning of these groups vis-à-vis what Tarrow (2006, p. 16) terms ‘the new generation of global justice activists’ on the one hand, and professional translators and interpreters on the other, and argues that they occupy a ‘liminal’ space between the world of activism and the service economy.     

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.     

Correlates of Loneliness in Midlife and Older Gay and Bisexual Men

This study examined the correlates of psychosocial and behavioral factors on loneliness in midlife and older gay and bisexual men in South Florida. A community-based sample of 802 self-identified gay and bisexual men ages 40 to 94 years completed standardized measures of life orientation (optimism versus pessimism), internalized homonegativity, coping self-efficacy, and loneliness. Multivariate modeling successfully explained 45% of the variance in loneliness, which was significantly related to life orientation, coping self-efficacy, internalized homonegativity, and finding partners on the Internet (F = 96.140, df = 6, p < .001). The emphasis on skills building to increase coping self-efficacy and optimism and addressing the effects of internalized homonegativity may have lasting effects in reducing loneliness in older gay and bisexual men and thus improving their mental and physical well-being.     

Effectiveness of Narrative Therapy on Communication Patterns for Women Experiencing Low Marital Satisfaction

The current study was designed as quasi-experimental with a pretest and post-test evaluating the efficacy of narrative therapy on communication patterns for women experiencing low marital satisfaction. Thirty women experiencing low marital satisfaction were chosen using convenience sampling and were randomly assigned to an intervention and waiting list group. The intervention group was treated individually by narrative therapy in eight 45-minute sessions. Results from repeated measurement ANOVA revealed significant differences between and within the groups and interaction between and within groups. Independent and paired t-test results showed significant improvement in the intervention group in their marital satisfaction, male-demand/female-withdraw, and total demand/withdraw with maintenance at eight weeks follow-up. Results included increased marital satisfaction, reduced male-demand/female-withdraw, and reduced total demand/withdraw. Thus, results show that narrative therapy is effective in increasing the marital satisfaction indicators of male-demand/female-withdraw, total demand/withdraw, and marital satisfaction.     

Psychological Implications of Motherhood and Fatherhood in Midlife: Evidence From Sibling Models

Using data from 4,744 full, twin, half‐, adopted, and stepsiblings in the Wisconsin Longitudinal Study, I examine psychological consequences of motherhood and fatherhood in midlife. My analysis includes between‐family models that compare individuals across families and within‐family models comparing siblings from the same family to account for unobserved genetic and environmental endowments that may confound the relationship between parenthood and mental health. Further, I examine whether the psychological effect of parenthood varies among different types of sibling dyads. The findings reveal that parenthood has similar psychological implications for middle‐aged mothers and fathers. Main differences arise from specific configurations of the parental role. The association between parenthood and mental health partly reflects genetic influences but not shared early‐life environment.     

Midlife and older displaced workers: A comparison of predisplacement and new earnings

The economic consequences of business closings and worker layoffs are of great concern to today's work force. The study compares earnings of 755 workers previous to displacement to 422 displaced workers with new earnings. Variables are identified using the data supplement of the 1988Current Populations Survey: Displaced Workers. Displaced workers employed in professional and white-collar positions have more favorable predisplacement earnings and new earnings than workers from other job sectors, but displaced workers who are homeowners and those who have health care coverage before and following job displacement have a decline in earnings. Displaced workers with some high school education and workers with 30 to 39 years of job tenure also experience decreased wages. Overall, displacement of American workers stifles the economy and negatively influences the human capital of the nation's work force. Her major research interests include displaced worker issues, work and family policy, and the economics of aging. Her major research interests include labor force participation of midlife and older persons.     

Narratives of Low-Income Mothers in Addiction Recovery Centers: Motherhood and the Treatment Experience

ABSTRACT

This study examines the narratives shared by low-income women in addiction recovery centers about the meaning they attach to being a parent in recovery and how they view current program models that include children in daily treatment. Their stories reflect the centrality of the mothering role to women in recovery and offer insights that can guide treatment and program planning with families.     

Becoming Red Thread Women: Alternative Visions of Gendered Politics in Post-independence Guyana

This essay argues that the rise of Guyana's Red Thread Women's Development Organisation in the mid-1980s was precipitated by the establishment of a hegemonic political culture through the regime of President Forbes Burnham. Utilizing both Aldon Morris's (1992, 2001) notion of 'opppositional consciousness' and Raka Ray's (1999) typology of 'political fields' the author finds that the founding members of Red Thread were engaged in a struggle to redefine the political culture in Guyana. Through its mobilization of women across the divides of race/ethnicity, class, religion, and geography, Red Thread was a key site for rethinking the nature of the political structure for women's politics and women's empowerment. The essay places the emergence of Red Thread within a critical review of Guyanese women's mobilization and organization in trade union movements and women's auxiliaries to established political parties through the Colonial and post-Colonial eras.     

The Experiences Queer College Women of Color Have of Friendship

Research has shown that friendship between queer college women of color was beneficial to racial and sexual identity development. To date, no study has sought to discover the ways in which queer college women of color develop and navigate friendship connections in the context of a women’s college environment. Using relational-cultural theory and narrative inquiry, the researcher collected stories from participants in friendship pairs. Further, the researcher narrowed the collection of stories and selected representative narratives from two college contextual environments.     

Gender,the Marital Life Course,and Cardiovascular Disease in Late Midlife

Drawing on 5 waves of the Health and Retirement Study, we examine the influence of the marital life course on the prevalence and incidence of cardiovascular disease among 9,434 middle‐aged individuals. Results show that compared to continuously married persons, both men and women with a marital loss have significantly higher prevalence of cardiovascular disease at baseline. Men and women, however, differ in the effects of marital loss on the incidence of cardiovascular disease over the course of the study. Women with a marital loss have a higher risk of cardiovascular disease in late midlife compared to continuously married women, whereas marital loss is not associated with men’s risk of cardiovascular disease. Emotional distress and socioeconomic status account for the higher risk of cardiovascular disease among divorced women.     

Building Strength Through Challenging Homophobia: Liberation Workshops with Younger and Midlife Irish Lesbians

Drawing on the theoretical framework of liberation psychology, this article details workshops on liberation psychology conducted in Ireland with lesbian and transgendered persons aged from early 20's to late 50's. Both younger and older lesbians in the workshops benefited from the opportunity to focus on oppression and to explore options for transformation. The workshops illustrated many of the strengths and vulnerabilities associated with living with homophobia and demonstrated the value of action and engagement. Midlife lesbians were more aware of the systemic nature of homophobia and of the negative emotions related to that. They saw many of these as understandable and even necessary reactions to oppression rather than as negative patterns. These older lesbians tended to be more accepting of the course their lives had taken and of the ways in which choices had been influenced by homophobia and heterosexism. They tended to be more relativistic in their views on coming out, viewing coming out as a decision for each context rather than an overall principle. They valued the importance of community and of activism, and though they were aware of some of the challenges, they also had more positive experiences in this area. These strengths can facilitate managing both homophobia and aging more effectively.