高龄失能老人照顾者精神健康状况研究：基于性别分析视角

关于影响高龄失能老人照顾者精神健康因素的解释。基于“压力-应对”模型,强调照顾者的精神健康受到照顾压力的影响,而在此框架下,照顾者的性别差异议题受到较少关注,本文试图解释高龄失能老人照顾者的性别角色存在何种差异,并如何对其进行有效干预。本文运用问卷调查数据予以检定,结果表明,男性和女性照顾者相比较,女性照顾者的抑郁程度高于男性照顾者,对健康状况的自我评价也低于男性照顾者。在照顾压力和社会支持方面。男性和女性照顾者存在性别差异．而在孝道文化方面则未呈现明显的性别差异。本研究基本上肯定了照顾者的性别差异,对于女性照顾者而言,社会工作者应在临床上促进其正向体验并减轻照顾负担,及早处理她们的问题。     

Role Strain Among Female Employees Caring for Frail Parents

This study of 114 employed female caregivers of frail parenls investigated predictors of role strain. Findings revealed that respondents with thi heaviest caregiving responsibaities, the most demanding jobs, the least supportive work environments, and the most work interferences were the most conflicted about their ability to perform well in both their work and parent care roles. The parent's impairment level had the greatest affect on work and family role conflict. Fudermore, these parent care duties spilled over into the work life. The female respondents' most frequently requested workplace changes were for counseling for themselves and long term care insurance for their parents. Implications of study findings are discussed.     

Influence of Chronic Pain on the Family Relations of Older Women

Explorations of family problems in elderly women with problems of chronic pain is an uncharted territory as is the application of family and couple therapy. The interpersonal conflicts encountered by older pain patients are not fundamentally different than their younger counterparts. Several case illustrations are provided to show the impact of chronic pain as it affects older women in their roles as patients and caregivers.     

„In Freud und Leid,in guten wie in bösen Tagen“

This article raises the question how elderly female caregivers experience their double role as partners and caregivers. To answer this question a multidimensional role model has been developed and applied. This novel approach examines the subjective burden of spousal caregivers, considering individual and social dimensions. Results of a qualitative study show role expectations, strategies of role playing and role management as well as role-conflicts of female spousal caregivers. The study underlines the analytic potential of sociological role-theory for the examination of concrete empirical problems and critically discusses the applicability of theoretical role-concepts for applied research.     

Alzheimer's Disease and Older Women

The graying of America suggests that dementia will become "the epidemic of the 21st century." First described in 1907, Alzheimer's Disease (AD) accounts for an estimated two-thirds of all dementia. AD currently has no cure, thus causing a major drain on health care and family resources. Compared to men, women are uniquely affected by AD due to their gender-associated increased risk, longer life span, and roles as caregivers within families and institutions. Living successfully with dementia requires medical and behavioral interventions to manage disruptive symptoms, knowledge to optimize environmental conditions, and caregiver support and savvy to avoid burnout. Strategies for maximizing functioning in older women living with AD are provided.     

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.     

Wives and ex-wives: A new test for homogamy bias in the widowhood effect

Increased mortality following the death of a spouse (the “widowhood effect”) may be due to (1) causation, (2) bias from spousal similarity (homogamy), or (3) bias from shared environmental exposures. This article proposes new tests for bias in the widowhood effect by examining husbands, wives, and ex-wives in a longitudinal sample of over 1 million elderly Americans. If the death of an ex-wife has no causal effect on the mortality of her husband, then an observed association between the mortality of an ex-wife and her husband may indicate bias, while the absence of an effect of an ex-wife’s death on her husband’s mortality would discount the possibility of homogamy bias (and also of one type of shared-exposure bias). Results from three empirical tests provide strong evidence for an effect of a current wife’s death on her husband’s mortality yet no statistically signifi cant evidence for an effect of an ex-wife’s death on her husband’s mortality. These results strengthen the causal interpretation of the widowhood effect by suggesting that the widowhood effect is not due to homogamy bias to any substantial degree.     

A reconsideration of the economic consequences of marital dissolution

A close look at the income flows in the years following a divorce or separation reveals marked differences in the distribution of effects. The economic consequences of divorce are especially adverse for women. In most cases, children remain with the mother, who usually has considerably lower potential labor market earnings than her former husband, partly because her responsibilities for the children are likely to reduce her labor supply and may have limited her past human capital investments. Alimony and child support are the principal mechanisms for transfers from the ex-husband to the ex-wife, but payments are rarely frequent or sizeable enough to make up for an appreciable amount of the labor income lost through the departure of the ex-husband. Human capital investments on the part of the mother have a modest effect on her economic situation in the years following the divorce. Most men who divorce or separate are immediately better off because they retain most of their labor incomes, typically do not pay large amounts of alimony and child support to their ex-wives, and no longer have to provide for the level of needs associated with their former families. Much more important than growth in the ex-wife's own labor income is the role of a new husband's labor income upon her remarriage. More than half of the white women remarry within five years following a divorce or separation; the comparable fraction for black women is less than half. An interesting question is whether the currently unmarried would enjoy the same kind of economic benefits, were they to remarry, as women who have remarried. Estimates from a model of the new husband's labor income, adjusted for selection bias inherent in the process of remarriage, indicate that the currently unmarried would probably not gain equal benefits if they were to remarry. The expected labor income of potential husbands of black women averages only about $5000--a modest amount when compared with the alternatives available to these women.     

Exploring self-care among dementia caregivers:the role of perceived support in accomplishing exercise goals

Support provided by family and friends may influence the extent to which older women who are primary caregivers for a spouse with dementia adhere to an exercise routine. The current study reports on qualitative interviews with 30 older female caregivers taking part in an exercise intervention regarding the support they received for their exercise goals. Results indicate that nearly all women received some level of verbal encouragement from family and friends, though far fewer had exercise partners or someone to stay with their husbands while they exercised. To reflect the wide variation observed in the amount of exercise support received and needed by caregivers, a typology of support situations was constructed as follows: Self-reliant, Well-supported, Under-supported, and Superfluous support. Implications for future exercise interventions targeting this population are discussed.     

Family boundary ambiguity and the measurement of family structure: the significance of cohabitation

We used data from the first wave of the National Longitudinal Study of Adolescent Health to examine family boundary ambiguity in adolescent and mother reports of family structure and found that the greater the family complexity, the more likely adolescent and mother reports of family structure were discrepant. This boundary ambiguity in reporting was most pronounced for cohabiting stepfamilies. Among mothers who reported living with a cohabiting partner, only one-third of their teenage children also reported residing in a cohabiting stepfamily. Conversely, for those adolescents who reported their family structure as a cohabiting stepfamily, just two-thirds of their mothers agreed. Levels of agreement between adolescents and mothers about residing in a two-biological-parent family, single-mother family, or married stepfamily were considerably higher. Estimates of the distribution of adolescents across family structures vary according to whether adolescent, mother, or combined reports are used. Moreover, the relationship between family structure and family processes differed depending on whose reports of family structure were used, and boundary ambiguity was associated with several key family processes. Family boundary ambiguity presents an important measurement challenge for family scholars.     

Gender Differences in Caregiving: A Case in Chinese Canadian Caregivers

ABSTRACT

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 care-givers 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.     

"If I'm not allowed to put my family first": challenges experienced by women who are caregiving for family members with dementia

In this study of 26 employed, West Texas women caregivers, we found that women worried that they would not be able to give their family members the care they deserved because of the multiple demands placed on them. Women actively negotiated working conditions to achieve flexibility. Women who did not have access to flexibility often changed jobs until they had working conditions that provided it. Work provided a respite and a chance to feel some measure of control. In spite of the importance of work to them, these women paid costs for balancing both roles.     

Long-term care in Spain: Difficulties in professionalizing services

The aim of this article is to analyze the difficulties in professionalizing the long-term care system in Spain. Since 2006, the new Spanish law has recognized care as a subjective right, and regulations are being designed to create a framework for its professionalization. Nowadays, family remains the most important group of providers who care for their elders, and women remain the main informal caregivers. Why do families resist using public long-term care services and professional carers included in the new law? The hypothesis highlights sociocultural factors as an obstacle to professionalization of long-term care services in addition to political and economic factors. The results show qualitative data about expectations, preferences, and discourses that women caregivers have in relation to their responsibility. The empirical material includes 25 interviews with different profiles of caregivers and six focus groups with family caregivers. The article suggests that the Spanish ideal of care is a problem for the professionalization of services because the family remains as the main provider of care—without specific skills, knowledge, and abilities.     

The Gendered Division of Labor in Parental Caretaking:

Public ideology dictates that families take responsibility for the care of their frail and vulnerable members. Women more than men are the unpaid, informal caregivers of family members. This gendered division of labor is examined by using the U.S. Survey of Income and Program Participation. Differences between metropolitan and nonmetropolitan sons' and daughters' parental caregiving activities are examined in order to contrast areas having more traditional, conventional or conservative values with those adopting more feminist values. Results show that in addition to daughters performing the vast majority of tasks, there is a difference between the types of care provided by metropolitan and nonmetropolitan daughters. Nonmetropolitan daughters tend to perform more caregiving tasks considered to be traditional "women's work" while metropolitan daughters perform significantly more tasks considered to be nontraditional for women. The fmdings suggest that providing care is due more to socialization to gender roles than to women's supposed natural or biological tendencies for "nurturing."     

The Guardianship Experience of Women: The Relationship Between Older Wards and Their Guardians

SUMMARY

This research examined how 156 female legal caregivers responded to difficulties of being a guardian, how they derived meaning from their guardianship activities, and how the role of guardian influenced their perception of aging. The most frequent activities in which guardians engaged were visiting, providing emotional support, and to a lesser extent, giving instrumental assistance. Guardians described their emotional relationships with their wards as either “sympathetic,” “sad,” “challenged,” or “hostile.” Despite hardships associated with the duties of being a guardian, most of the women perceived benefits and expressed satisfaction from this role. Guardians reported that the relationship with their female wards shaped their perception of aging and the conception of their own aging.     

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.     

Working it: the professionalization of amateurism in digital adult entertainment

This article examines a sector of professional amateur work for women in the digital industry for adult entertainment known as “adult webcam modeling” (AWM). Through a selection of narratives, this paper explores the gendered meanings of AWM and the values women derive from their “amateur” sexual content creation. I draw particular attention to the complex union of professional and amateur roles and relations in the strategies women adopt to succeed in these spaces. On one level, they describe the technical skills and institutionalized knowledge needed to successfully perform professionalized duties of hosting and animating site users’ sexual and emotional fantasies. Still, they do not solely view their work in professional terms, highlighting the usefulness of enacting their amateurism by performing authenticity and developing ongoing friendships with site users for succeeding in this line of work. Framing this work as reliant on both “professional” and “amateur” strategies builds ambiguity into the AWM persona, which has implications for social and historical constructions of sexuality and gender. It also demands rethinking conceptual frameworks that create dualities between professional/amateur, public/private, and commercial/authentic.     

BDSM Role Fluidity: A Mixed-Methods Approach to Investigating Switches Within Dominant/Submissive Binaries

This mixed-methods study of BDSM investigates the nuances of BDSM participants’ role identities, role frequencies, and role fluidities—shifts in identities and play across time, location, scene, and play partner. Data were gathered from 202 online surveys and 25 semistructured interviews about participants’ roles given their gender and sexual identities. These data reveal that men tend to self-identify as Dominant, Master, Top, or Sadist (DMTS) and always perform dominant roles, while women tend to self-identify as Submissive, Slave, Bottom, or Masochist (SSBM) and always perform submissive roles. Although this would seem to support the theory that BDSM reinforces gendered dominant/submissive binaries, further analyses indicate that women and queer/pansexual individuals disrupt this binary through their Switch identities and roles. Switching and queer identities, thus, offer the possibility for transforming dominant/submissive and other binaries.     

Aging Children and Their Older Parents: The Coming Generation of Caregiving

ABSTRACT

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 housework shows that children who are caregivers devote more combined hours to these activities than children who do not provide care.     

Perceptions of Caregivers of Elderly Parents by College Students:

College students (144 females and 96 males) evaluated a briefly depicted stimulus person on 31 7-point bipolar scales that described personality traits, job performance characteristics and role overload variables. Each participant rated one of eight employed married adults who was described as either female or male, eithcr providing care for an elderly mother ("primary caregiver") or hiring someone to provide such care ("secondary caregiver"), and as having two children who either still lived or no longer lived at home. Women were viewed as experiencing more role overload than men. Primary caregivers were perceived as experiencing more role overload, as being less job-oriented, and as being more nurturant than secondary caregivers.