Aging women and men in the medical profession: The effect of gender and marital status on successful aging and retirement intent in Australian doctors

Despite increasing interest from the medical profession in aging and retirement, we know little about effects of gender, marital status, and cohort on aging within the profession. We surveyed 1,048 Australian doctors from “younger” (55–64) and “older” (65–89) cohorts, investigating gender and marital effects on perceptions of successful aging, career, and retirement intent. Women intend to retire earlier. Younger cohort and married women more frequently viewed their career as a calling, while women in general, and single women more frequently, endorsed personal successful aging more than men. Broader understanding of the different experiences of aging for men and women doctors is needed.     

Aging in the Context of Cohort Evolution and Mortality Selection

This study examines historical patterns of aging through the perspectives of cohort evolution and mortality selection, where the former emphasizes the correlation across cohorts in the age dependence of mortality rates, and the latter emphasizes cohort change in the acceleration of mortality over the life course. In the analysis of historical cohort mortality data, I find support for both perspectives. The rate of demographic aging, or the rate at which mortality accelerates past age 70, is not fixed across cohorts; rather, it is affected by the extent of mortality selection at young and late ages. This causes later cohorts to have higher rates of demographic aging than earlier cohorts. The rate of biological aging, approximating the rate of the senescence process, significantly declined between the mid- and late-nineteenth century birth cohorts and stabilized afterward. Unlike the rate of demographic aging, the rate of biological aging is not affected by mortality selection earlier in the life course but rather by cross-cohort changes in young-age mortality, which cause lower rates of biological aging in old age among later cohorts. These findings enrich theories of cohort evolution and have implications for the study of limits on the human lifespan and evolution of aging.     

Actual and de facto Childlessness in Old Age: Evidence and Implications from East Java,Indonesia

The demographic study of child supply has long concentrated on the implications of reproductive excess, rather than a lack of children. In recent years attention to population aging has begun to redress this emphasis, but even in aging research the comparative study of childlessness has a low profile. Data collected as part of anthropological and demographic research on aging in Indonesia are used to question current assumptions and to introduce issues and concepts that shed new light on current levels and experiences of childlessness. In our East Javanese study community 25 percent of the elderly have no living children, and another 15 percent have one child. Provincial and national data indicate that these findings are part of a wider pattern, corroborated by historical evidence from Indonesia, Europe, and populations elsewhere in the world. Analysis of the East Javanese data shows that childlessness is a composite category. Demographic childlessness occurs where a combination of proximate determinants (nuptiality, mortality, primary and pathological sterility) leads to no childbearing and child survival. De facto childlessness arises where there is a lack of support from any children. Actual childlessness aggregates demographic and de facto childlessness, net of adoption or remarriage where these provide alternative access to children. Analysis also takes into account the practices of patronage, charity, and kin support to assess the implications of childlessness in old age where state support is lacking.     

The Retirement Life Course in America at the Dawn of the Twenty-First Century

As the baby boom cohorts expand the number of U.S. retirees, population estimates of the employment, withdrawal and reentry behaviors of older Americans’ remain scarce. How long do people work? How frequently is retirement reversed? How many years are people retired? What is the modal age of retirement? And, how do the patterns for women compare to those for men? Using the 1992–2004 Health and Retirement Study, we estimate multistate working life tables to update information on the age-graded regularities of the retirement life course of men and women in the United States. We find that at age 50 men can expect to spend half of their remaining lives working for pay, while women can expect to spend just one-third. Half of all men and women have left the labor force by ages 63 and 61, respectively. Although the majority of retirement exits are final, variation in the nature and duration of the retirement process is substantial, as about a third of men’s and women’s exits are reversed. By quantifying these patterns for men and women, we provide a sound empirical basis for evaluating policy designed to address the financial pressures population aging places on public and private pension systems.     

美国“自然形成退休社区”养老模式探析

构建适宜的社区居家养老模式已成为人类应对人口老龄化的重要手段。在广泛涉猎国内外关于社区居家养老文献的基础上,论述美国自然形成退休社区产生的原因、主要特征和借鉴参考价值。美国自然形成退休社区这一居家养老模式的"亮点"是:建立老年人互相照料机制;促进社区老年人之间的跨文化沟通和理解;与专门医疗机构建立伙伴关系以及将社区内的老年人从服务的被动接受者转变为服务的积极消费者。     

Aging and Life Satisfaction

This paper was intended to examine how major life events – suchas retirement, deterioration of health, and loss of spouse –experienced in the aging process may affect the elderly's lifesatisfaction. An explanation was also proposed to the change inthe effects of age groups on life satisfaction because of thecontrol of the aging effect. A simple form of a longitudinalsurvey conducted in Taiwan in 1989 and 1993 was used for theempirical test. It was found that life satisfaction among theelderly decreased as age increased beyond 65 years of age. Itwas also found that social demographic variables, an incomedecrease, living arrangement, and level of activity participationhave a profound impact on life satisfaction of Taiwan's elderly. When the correlates were controlled, the coefficients for agegroups greater than 70 turned positive. This change could beexplained by two types of cohort experience: (1) from rough toprosperous life experience and (2) cohort norm on lifeexpectancy.     

我国应谨慎出台延迟退休政策

随着人口老龄化程度的加深,延迟退休年龄的话题近年来络绎不绝地出现在各大报章,同时在网络上引起热烈讨论,提高退休年龄似乎已势在必行。然而从我国现阶段的基本国情出发,延迟退休的政策应从长计议,谨慎出台。本文从延迟退休年龄与养老保险制度、老年人力资源利用、劳动力就业三方面的关系出发,论述了延长退休年龄应注意的几个问题,并提出对策建议。     

Unanticipated Consequences: A Comparison of Expected and Actual Retirement Timing Among Older Women

ABSTRACT

The present study adds to the growing body of literature on women and retirement by means of a comparative analysis of the factors associated with anticipated retirement timing (among pre-retirees) and actual retirement timing (among retirees). Adopting a political economy of aging perspective, we argue that socially-structured patterns of gender inequality related to women's multiple roles across the life course affect patterns of retirement timing. Specifically, we hypothesize that the gendered nature of women's work-retirement decision-making is unanticipated during pre-retirement years. Logistic regression analyses are performed on data drawn from a sample of 275 women aged 45 and older living in the Vancouver area of British Columbia. A central finding is that while actual timing of retirement is affected by family caregiving responsibilities and by health/stress factors, pre-retirees do not perceive these to be important in their own expected retirement timing. Implications for social policy, education, and women's financial and psychological well-being in old age are elaborated.     

Lesbians over 60 speak for themselves

With all its faults, this study, begun in 1983, is the first attempt to reach a nationwide representation of lesbian elders in order to gather information about their background, their relationship with their families of origin, and, for those married to men, with their husbands, children, and grandchildren. It explores their sexual behavior, both their physical and psychological health, and how aging has affected them. With the relatively meagre data available, it tries to make some comparison between lesbians and gay men over 60. All of this is just a beginning, an effort, it is hoped, that will encourage researchers to investigate further this hidden population that is another fascinating component of our diverse society. Through our research, we established that gay women of advanced age, as we have long surmised, are everywhere. Like their younger cohorts, they live in all regions of America, rural as well as urban. They come in all colors and are from all occupations: professional, business, clerical, trades, domestic work, and land management, to name a few. Many of them are now retired. Their formal education ranges from high school diplomas to doctorate degrees. A few are financially well off, while another few live below the poverty line. The rest enjoy reasonable comfort in their own homes, on modest incomes. In both political and religious affiliation, they tend to be liberal. Their sexual history runs the gamut from exclusively homosexual, through equally homosexual and heterosexual, to asexual. As they age and sex becomes a less significant part of their relationships, companionship grows more important. They prefer to associate with other lesbians within 10 years of their own age, whom they meet in community social groups, through friends, or at work--but not in bars. They do not relish the thought of ending their lives in any institution for the aged, but would consider a gay/lesbian intergenerational retirement community acceptable. Their most serious problems, even with the advantaged group surveyed, are those that affect many women of advanced age in our society: loneliness and economic worries. Although the feminization of poverty has been a topic under public scrutiny for some time, because it involves women of all ages, less attention has been paid to it in relation to the elderly. The equally disabling condition brought on by their isolation and loneliness has also been disregarded.(ABSTRACT TRUNCATED AT 250 WORDS)     

Explaining age differences in women’s emotional well-being: The role of subjective experiences of aging

ABSTRACT

Our study examines explanations for the “paradox” of older women’s better emotional well-being compared with younger women. We consider the role of subjective experiences of aging in a society that devalues older women. Using a sample of women (n = 872) from the National Survey of Midlife Development in the United States (1995–1996 and 2004–2006), we examine the role of five components of the subjective experience of aging in explaining older women’s better emotional well-being compared with younger women: age identity, conceptions of the timing of middle age, aging attitudes, aging anxieties, and self-assessed physiological changes. We find that, compared with women 50–54 years old, those 35–39 years old report lower positive affect, and those 25–49 report higher negative affect. These patterns are partially explained by younger women’s greater anxiety about declines in health and attractiveness and older women’s more youthful identities. Our study underscores the value of considering the implications of our ageist and sexist society for women’s emotional well-being across adulthood.     

Cohort Analysis of Recent Trends in Labor Force Participation

The age-period-cohort accounting framework is used to describe labor force participation patterns for the sex-color groups over the interval 1969–1979, using data from the March Current Population Survey. A model with a special type of age-period interaction, in addition to main effects of the three indexing variables, is presented as a means of capturing the transitory period “shocks” which differentially influence participation odds for young and old age groups. Findings show that younger cohorts of nonblack men, nonblack women, and black women have greater “intrinsic” tendencies to participate than older cohorts, while younger cohorts of black men have lesser “intrinsic” tendencies to participate than older cohorts. The results are used to decompose across-time change into a part due to cohort effects and a part due to period effects.     

The timing of falls into poverty after retirement and widowhood

A major concern of workers, even those financially prepared for retirement, is that a small risk of poverty may grow over time. Cross-sectional data showing that older cohorts have higher poverty rates substantiate this concern. Using data from the Retirement History Study, we analyze changes in the hazard of entering poverty as a cohort of elderly couples retire and age and the wives are widowed. The initial fall into poverty among those who were not poor before the husband retired is more closely linked to the event of retirement or widowhood than to the slowly eroding household income over the period of retirement and widowhood. The death of her retired husband puts a wife in economic jeopardy whether this shock occurs one year after his retirement or some years later.     

Perception of Aging and Ageism among Women in Qatar

The objective of this study was to find out the perceptions of age and aging among women in Qatar. Respondents consisted of 250 women aged between 20 and 70 years, selected from those attending the health centers in Doha city, the capital of Qatar. They were interviewed using a pretested validated questionnaire, and data were collected through direct face-to-face interviews using the incidental sampling method. It was found that physical appearance and mental alertness were the most important criteria for defining aging in men and women. A statistically significant association was found between age of respondents and physical criteria for aging such as hair color (p < .000) in women and body image in men (p < .0298). As for aging characteristics, decreasing hearing ability (p < .000), performance as before (p < .004), more irritability (p < .0227), ability to travel alone (p < .0429), needs check up (p < .001), and needs a geriatric home (p < .001) were statistically associated with age of women studied. Both positive (socializing factors, independence, housework, retirement, and geriatric care) and negative stereotyping (care for self, learning capabilities, irritability, and worries) with regard to aging were evident among the Qatari women. In general, Qatari women had several positive attitudes toward aging. Such attitudes could be utilized in any health promotion for elderly people.     

Social Security in China: Government White Paper

The largest financial problem faced by many aging societies is how to support their older, retired members. That support was once wholly a matter for individual families, with perhaps a minimal safety net offered by charitable institutions. Increasingly, in the usual course of economic development, the requisite transfers become a responsibility of the state—financed either through tax revenues or by pensions offered by (or required of) employers. The combination of lengthening life expectancy at later ages and falling fertility, however, makes those transfers ever more onerous as fewer workers are expected to support greater numbers of retirees. The situation is often likened to the approaching collapse of a Ponzi scheme. Not surprisingly, governments see an attractive solution in what is in effect a reprivatization of responsibility—not back to the family but right to the individual, through a system of individual retirement accounts (albeit with considerable state supervision). The financial trans‐fers—savings and later dissavings—then take place over each person's life cycle. Establishing a social security system—through pay‐as‐you‐go transfers, individual retirement accounts, or some combination of the two—is a major institution‐building and administrative task for a developing country, the more so in the context of rapid population aging. China is certainly a case of rapid aging, with the proportion of the population over age 60 projected to rise from 10 percent in 2000 to 20 percent by 2025 and 30 percent by 2050. The document excerpted below, a 2004 White Paper issued by the government of China, describes China's current social insurance provisions and the proposed expansion of coverage (beyond government employees and the urban formal sector) over coming years. In urban areas, it envisages pension coverage of “all eligible employees,” with an increasing emphasis on personal accounts. (Not mentioned is the situation of the large “floating population” of informal rural‐to‐urban migrants.) In rural areas, reliance on family support perforce continues: in 2003, only 2 million farmers are reported as drawing old‐age pensions. A safety‐net provision for the destitute elderly with no family provides for another 2.5 million. The document mentions various experimental schemes in rural areas. One, for medical insurance, covers 95 million residents; another offers an annual “reward” to those over 60 who have only one child (or two girls). The excerpts comprise sections I (Old‐age Insurance) and X (Social Security in Rural Areas) and the Conclusion of the White Paper, China's Social Security and Its Policy, issued by the Information Office of the State Council, Beijing, September 2004.     

Unanticipated consequences: a comparison of expected and actual retirement timing among older women

The present study adds to the growing body of literature on women and retirement by means of a comparative analysis of the factors associated with anticipated retirement timing (among pre-retirees) and actual retirement timing (among retirees). Adopting a political economy of aging perspective, we argue that socially-structured patterns of gender inequality related to women's multiple roles across the life course affect patterns of retirement timing. Specifically, we hypothesize that the gendered nature of women's work-retirement decision-making is unanticipated during pre-retirement years. Logistic regression analyses are performed on data drawn from a sample of 275 women aged 45 and older living in the Vancouver area of British Columbia. A central finding is that while actual timing of retirement is affected by family caregiving responsibilities and by health/stress factors, pre-retirees do not perceive these to be important in their own expected retirement timing. Implications for social policy, education, and women's financial and psychological well-being in old age are elaborated.     

The graying of Japan

Japan's rapidly aging population has become a top policy issue, especially as the increasing costs of pensions and medical care are debated. With the highest life expectancy on earth, the Japanese potentially face long periods of retirement, as well as the possibility of long periods of disability. Although family support of the elderly is thought to have been strong traditionally, the recent decline in co-residence with children is 1 indication that the way support is given may be changing. This issue is of particular concern to the government, which wants to avoid any greater responsibility for the elderly than is necessary given the dramatic population aging yet to come. The government is also encouraging employers to provide more employment opportunities for the elderly at the same time that it is trying to raise the eligibility age for the receipt of public pensions. There is resistance on the part of employers, however, because wages and retirement allowances in Japan are positively related to length of employment. Furthermore, it is not clear whether elderly Japanese of the future will be as willing to work, if they learn to enjoy increased leisure early in their careers. Nevertheless, it is unlikely that population aging will lead to Japan's economic decline. Although the savings rate may decline somewhat, restructuring of the economy and continued overseas investment should keep the economy growing in the long run. Important in both the care of the frail elderly and the continued growth of the economy will be the roles played by middle-aged Japanese women.     

中国老年人的主观年龄及影响因素分析

随着中国老龄化进程的加快,越来越多的研究开始探讨老年的定义和标准,但很少有研究直观地描述和分析老年人对自身进入老年的年龄标准的看法以及其主观年龄的差异。本研究使用2014年至2018年中国老年社会追踪调查的三期数据,比较分析不同队列在不同实际年龄(日历年龄)下认定的自身进入老年的年龄标准的变化以及不同实际年龄老年人的主观年龄的差异。数据分析结果显示受访者自我认定的老年的年龄标准平均为70岁,远高于社会上通常认定的60岁或65岁的标准;主观年龄和主观外表年龄平均在68岁左右,低于受访者的平均实际年龄(71岁),超过六成的受访者的主观年龄与主观外表年龄比实际年龄“更年轻”。进一步的统计模型分析结果显示健康状况越好、与子女同住、有广泛的朋友支持网络以及更愿意参与村居委会投票的老年人所认定的自己进入老年的年龄标准也更高。更多的社区娱乐场所或设施和室外活动场地也能显著地提高受访者认定的进入老年的年龄标准。更高的受教育程度以及更好的健康状况是促使老年人的主观年龄和主观外表年龄小于实际年龄的重要因素。本文直观地描述了不同实际年龄的老年人所认定的自身进入老年的年龄标准以及其主观年龄与实际年龄的差异,为与年龄相关的老龄政策的制定提供了参考。     

新疆生产建设兵团团场老年人口分布研究

基于2010年第六次人口普查数据,研究了新疆生产建设兵团（简称兵团）十三个师所属团场65岁及以上老年人口的年龄分布、性别分布和地域分布。兵团团场2010年老年人口总数为18.3万人,占团场总人口的10.4%,性别比为113.3,年龄中位数为72.1岁。兵团团场的人口年龄结构属于老年型,老年人口比重、老少比和老年抚养比的空间分布不均衡,北疆团场比南疆和东疆团场高。虽然单位土地面积上老年人口的分布不均衡,但是,单位耕地面积上老年人口的分布是均衡的。兵团团场老年人口密度为2.7人/平方公里（土地面积）和17.6人/平方公里（耕地面积）。人口老龄化对北疆团场经济社会发展和养老保障的压力将不断增大,对兵团承担屯垦戍边及保障新疆长治久安任务提出了新的挑战。     

Optimal age of retirement and population growth

The purpose of this paper is to study intergenerational optimal resources sharing when the social planer can choose the retirement age in addition to consumptions and investment. We use the extension of the Diamond analysis by Hu [1979] that incorporates endogenous retirement age. We found that the optimal retirement age is an increasing function of the population growth rate if the elasticity of substitution of old agents' labor for young agents' labor is lower than one. In the millian case, when the size of a population does not matter, and when the elasticity of substitution of old agents' labor for young agents' labor is strictly higher than one, the optimal retirement age is a decreasing function of the population growth rate. In the benthamite case, the change in the optimal retirement age is indeterminate. Received: 19 February 1999/Accepted: 27 February 2001 All correspondence to Bertrand Crettez. We would like to thank Jean-Pierre Vidal for very helpful comments on an earlier draft. An anonymous referee provided insightful comments on a previous version of this paper. Responsible editor: Alessandro Cigno.     

The Changing Family and Aging Populations

This is an expanded version of comments on the future of the demography of aging at an invited session of the 2008 annual meeting of the Population Association of America. In an introduction, John Haaga offers reasons for a revival of interest in population aging, including greater realization of plasticity in aging trajectories at both individual and societal levels. Linda Martin proposes that population scientists working in aging emulate those studying fertility and family planning in previous decades, learning from interventions (in this case, aimed at increasing retirement savings and reducing disability at older ages). Changes in family structure will increasingly affect new cohorts of the elderly, and Linda Waite speculates on the ways in which changes in the economy, medicine, and the legal environment could affect the social context for aging. Research on mortality at older ages is “alive and well” asserts James Vaupel, who sets out six large questions on mortality trends and differentials over time and across species. Lastly, Wolfgang Lutz expands the scope of projections, showing the considerable uncertainty about the timing and pace of population aging in the developing world and the effects on future elderly of the increases in educational attainment in much of the world during the second half of the twentieth century.