Historical,Economic, and Political Contexts of Aging in African America

ABSTRACT

This article is an attempt to present some of the historical and political contexts of older women in general and to communicate pieces of the lives of African American older women, in particular. It presents some of the present day distortions as well as a sense of the historical, economic, and political realities of older African American lives, while trying to limit the use of the usual comparison approach to this topic.     

Medicaid,motherhood, and the challenges of having a healthy pregnancy amidst changing social networks

BackgroundAfrican American women with low income face various challenges to having a healthy pregnancy. Unplanned pregnancies often amplify those challenges and negatively impact women’s ability to get the care that she needs. Research has shown that social networks can improve pregnancy outcomes by helping women cope with and address the problems that they face. However, there is little research on how unintended pregnancy impacts the medical and social support that African American women receive.AimThis research explored how unintended pregnancies impact women’s social networks and the type of support that they need throughout the pregnancy.Design and sampleThis ethnographic study included 20 African American women who used pregnancy services at a health department in the United States. Fourteen women were enrolled in the study during their first or second trimester and were interviewed upon enrollment, in their third trimester, and within one month of giving birth. An additional six women were enrolled and interviewed within one month of giving birth.ResultsAfrican American women’s needs and social support networks change throughout their pregnancy. When medical providers primarily offer pregnancy information and referrals to social service agencies during the first trimester, problems that women have later in the pregnancy are not properly addressed.ConclusionSocial support needs to be accessed at multiple times during the pregnancy. Pregnancy resources should be provided throughout the pregnancy, recognizing that social support and personal struggles evolve during the pregnancy.     

Uncovered and disrespected. A qualitative study of Jordanian women’s experience of privacy in birth

BackgroundPrivacy is related to a person’s sense of self and the need to be respected and it is a key factor that contributes to women’s satisfaction with their birth experiences.AimTo examine the meaning of privacy for Jordanian women during labour and birth.MethodA qualitative interpretive design was used. Data were collected through face-to-face semi-structured interviews with 27 Jordanian women. Of these women, 20 were living in Jordan while seven were living in Australia (with birthing experience in both Jordan and Australia). Thematic analysis was used to analyse the data.ResultsThe phrase ‘there is no privacy’ captured women’s experience of birth in Jordanian public hospitals and in some private hospital settings. Women in public hospitals in Jordan had to share a room during their labour with no screening. This experience meant that they were, “lying there for everyone to see”, “not even covered by a sheet” and with doctors and others coming in and out of their room. This experience contrasted with birth experienced in Australia.ConclusionsThis study explicates the meaning of privacy to Jordanian women and demonstrates the impact of the lack of privacy during labour and birth. Seeking a birth in a private hospital in Jordan was one of the strategies that women used to gain privacy, although this was not always achieved. Some strategies were identified to facilitate privacy, such as being covered by a sheet; however, even simple practices are difficult to change in a patriarchal, medically dominated maternity system.     

Self-Management of a Chronic Illness: An Exploratory Study on the Role of Spirituality Among Older African American Women

ABSTRACT

Living with a chronic illness is an experience characterized by changes in self-management behavior. Few studies have addressed the role of spirituality in the self-management of a chronic illness among older African American women. The purpose of this exploratory study was to understand the role of spirituality in the self-management of chronic illness. Data from a sample of 10 African American women were collected from semi-structured interviews and analyzed for common themes through narrative analysis. Four themes emerge from the linkage of spirituality and self-management. Understanding this experience will assist public health providers in creating culturally appropriate health education interventions.     

Differences in the Health Care Needs and Service Utilization of Women in Nursing Homes: Comparison by Race/Ethnicity

ABSTRACT

The purpose of this study is to describe health care needs and service utilization among institutionalized women of color. The sample was dichotomized by length of stay to determine how African American, Native American, Asian/Pacific Islander, and Hispanic/Latino women differed at two points in time. Data for this study came from the Current Resident Survey of the 1999 National Nursing Home Survey. The data were analyzed using GLM. The findings suggest that Native American women are the most impaired and Asian/Pacific Islander women are the least impaired. Additionally, very few women received mental health services despite their extensive need.     

Gender Differences in Self-Regulation Patterns and Attitudes Toward Driving Among Older Adults

ABSTRACT

The automobile is essential for many older adults to fulfill their daily needs, especially since many live where they lack access to public transit or other acceptable modes of transportation. Increased self-regulation is one way older drivers continue to drive safely and maintain mobility. This research considers whether self-regulation attitudes and patterns differ by gender. Results indicate that women and men report distinct patterns of self-regulation behaviors. Age, health status, and household status also interact with gender, influencing the extent of self-regulation. The results also show that women report lower levels of confidence in their driving skills than men, although the difference varies based on whether or not a woman lives alone. Implications of these results are considered for an aging population—particularly women—that over the coming decades will be more reliant on the automobile for transportation than ever before.     

The Social Environmental Context of Resilience Among Substance-Using African American/Black Men Who Have Sex With Men

ABSTRACT

Resilience theory has been suggested as a framework for research on HIV prevention among men who have sex with men. Among this population, literature indicates that African American/Black men who have sex with men experience additional health disparities including elevated HIV incidence rates, victimization, and poor physical health. Conceptualizing resilience as a part of one’s social environment, this qualitative study investigates resilience processes and HIV transmission risk among a sample of 21 substance-using African American/Black men who have sex with men. Data from in-depth interviews describe the social environmental context in which resilience is exhibited and document the influence of homophobia, expressions of agency, and access to social, economic, and cultural capital on resilience processes. Central to this are expressions of hidden resilience, in which African American/Black men who have sex with men mitigate risk and experience their lives as subjectively successful, whether or not outsiders see it as such.     

The Psychosocial Meaning of Menopause: Women's Experiences

ABSTRACT

This paper reports on a qualitative study of womens' experiences with menopause from a psychosocial perspective. Women give voice to the impact of menopause upon their sense of self and significant relationships in their lives. This study raises questions about the meaning of the reluctance of women and others to discuss menopause in a helpful, meaningful way.     

Significant Relationships Among Older Women: Cultural and Personal Constructions of Lesbianism

SUMMARY

This paper focuses on the interactive nature of the relationship between personal and public constructions of lesbianism in the lives of older women. The cultural construction of lesbianism involves the historical and environmental context of the meaning of lesbianism framed within a societal level. Our discussion evolves around a case study of a lesbian in her eighties, living with a partner in rural Minnesota, We show that when public definitions are unavailable, older lesbians may not define certain aspects of their experience.     

Chinese Immigrant Women Workers' Mediated Negotiations With Constraints On Their Cultural Identities

Based on ethnographic fieldwork, this study examines the cultural identities of Chinese immigrant women workers in American society, that is, how the women negotiate with white supremacist cultural values that seek to interpellate them through their everyday use of media. I argue that through certain Chinese ethnic newspapers' cultural discourses, white supremacist cultural values penetrate the women's private lives and regulate their daily matters as minute as the color of their socks. Yet, the women's responses to these mediated discourses reveal that mainstream cultural values are only part of a more complex cultural quandary, which results from a number of constraints facing the women everyday: material difficulty, racial-cultural marginalization, and ethnic patriarchal control. In our group and individual interviews, my participants critically interpreted and negotiated with this cultural quandary. Their negotiation has great value, since it attests to their heightened cultural consciousness. From another perspective, however, their heightened consciousness has yet to develop into a strategic bicultural or multicultural identity, the “mestiza identity” in Anzaldua's words, as a result of the financial, racial, patriarchal, cultural, and psychological constraints in their lives. This situation leads us to reflect more on how we can help to lift these constraints, so that these women can strategically incorporate both Chinese and American cultural practices to improve their quality of life.     

Historical,economic, and political contexts of aging in African America

This article is an attempt to present some of the historical and political contexts of older women in general and to communicate pieces of the lives of African American older women, in particular. It presents some of the present day distortions as well as a sense of the historical, economic, and political realities of older African American lives, while trying to limit the use of the usual comparison approach to this topic.     

Advice from working women with retired partners

ABSTRACT

In the 21st century, as more women are employed full-time and couples increasingly share egalitarian values, more women continue employment after their partners have voluntarily retired. However, we know very little about the experiences of this growing population of women. We asked working women with retired partners to share their advice for other women who may face this developmental transition. Open-ended responses from 97 women were analyzed to identify pertinent issues and themes. Four primary content areas were identified: time management, division of household labor, financial planning, and communication. Communication between partners was both a topic of concern as well as the solution suggested to resolve conflicts or differences that may arise when women live with a retired partner. It is expected that future changes in the workforce and improvements in the gender balance within relationships will continue to impact experiences for working women with retired partners.     

The Red Hat Society®: Exploring the Role of Play,Liminality, and Communitas in Older Women's Lives

ABSTRACT

There is an extensive literature on play. Yet, the role of play in older adults' lives has received limited attention. Strikingly absent is research on play and older women. Missing from the literature is how older women use play as a liminal context for social interaction and communitas. This is odd because by 2030 one in four American women will be over the age of sixty-five. The primary purpose of this study is to explore the roles of play, liminality, and communitas in older women's lives. The focus is the Red Hat Society®, a social group for women over age 50 that fosters play and fun. Using qualitative interviews with focus groups and participant observation of a regional Red Hat Society® event, the study highlights some of the strengths and weaknesses of current conceptualizations of play, liminality, and communitas.     

‘The Right to Enter Every Other State’ – The Supreme Court and African American Mobility in the United States

Abstract

In 1857, U.S. Supreme Court Chief Justice Roger B. Taney stated in the Dred Scott case that if one African American was free to move unhindered throughout the United States, then all African Americans, enslaved or otherwise, would have ‘the right to enter every other State’. Such a situation, he argued, was untenable. The Supreme Court thus suggested that if U.S. citizenship included a de facto right to mobility, then African Americans could not be considered citizens. Although not formally written into the U.S. Constitution, numerous Supreme Court rulings since 1857 have underpinned the right to mobility in the United States. Yet the ability to be mobile in the United States has been fundamentally intertwined with the construction of racial identities. It was the white settlers that were free to move westward, the mobile nomadic lifestyles of the peoples they encountered being understood as primitive and inferior. Native peoples subsequently became immobilized on reservations. Similarly, African Americans in the era of slavery were immobilized on plantations and movement away from plantation space was illicit, codified as illegal, and required the hidden networks of the Underground Railroad. An African American moving through white American spaces faced often deadly consequences. African Americans should, in the parlance of the times, ‘know their place’ and not have the ambition, or the right, to move freely around the USA. To explore these contentions, I draw on four landmark U.S. Supreme Court decisions that elaborate on the mobility, or curtailment thereof, of African Americans in the United States.     

Relationships Among Older Women Living in a Nursing Home

SUMMARY

Literature suggests that women's skills in establishing close ties with other women help sustain them in old age by giving them a sense of control over their lives. This paper questions how such a notion may apply to women in a nursing home setting and contrasts women's experiences with those of men. It is a reanalysis of data from a previously reported study of institutionalized elders' social networks, this time with a specific focus on women residents' relationships with one another. Here, I consider the role of negative interaction in personal relationships, the meaning of intimacy and reciprocity in the nursing home context, and issues of age and gender. The final section, implications for practice and future research, includes a discussion of the opportunities for and constraints on relationship formation.     

The maternal health-related issues that matter most to women in Ireland as they transition to motherhood - A qualitative study

BackgroundMany studies on women’s maternity care experiences reveal recurring issues that are poor or less than optimal. Women’s opinions on the maternal health-related issues that matter most to them are essential if care and services are to be improved.AimsTo identify the maternal health-related issues that matter most to women in Ireland, based on their own experiences of maternity care, services and motherhood.MethodsA qualitative exploratory study with 24 women. Following university ethical approval, audio-recorded one-to-one telephone interviews were conducted and thematically analysed.FindingsWe identified two themes, each with four subthemes, connected to a central concept of the invisible woman. Pendulum of care, and subthemes Inconsistent services, All about the baby, Induced anxiety and Information seesaw, illustrated the extremes of care and services that women experienced. Magnitude of motherhood, and subthemes Weight of responsibility, Real-time reassurance, Change of identity and Growth into advocacy, depicted the intensity of their new role while transitioning to motherhood.DiscussionFindings articulate the issues that mattered most to women in Ireland as they transitioned to motherhood. Some women identified specific research topics/areas, but all of the issues identified can be translated into researchable topics that seek to improve local care and service provision.ConclusionGiven the recurring nature of women’s less than satisfactory experiences of aspects of maternity care in many countries, it is likely that conducting research on issues that matters most to women will have the greatest impact on their health, wellbeing and lives as they transition to motherhood.     

Older Women of Color: A Feminist Exploration of the Intersections of Personal,Familial and Community Life

SUMMARY

This paper examines the lives of older U.S. women of color who represent racial and ethnic heritages that have a history of unequal access to sources of economic and political power in this country. These women exemplify women with vastly different cultural traditions, but are similar in that they face discrimination as women of color. The combined impact of age, gender, and racial and ethnic background is neglected within our discussions of older women. This paper contributes to our understanding of older women of color by examining the personal, familial, and community aspects of the lives of older women of color. This exploration challenges feminist gerontologists to bring the discussion of this intersection to the center as we explore and seek to comprehend the reality of older women's lives. This scrutiny creates a space for the discussion of both the threats faced by women of color in their unique juncture as old, female, and of color as well as an illumination of the strengths manifested by these women. Further the need to embrace a feminist gerontological framework when practitioners work with these populations is addressed.     

“Relinquish the reins”: Persuasion and consensus in the discourse of pregnancy and childbirth advice literature

BackgroundPopular pregnancy and childbirth advice books constitute an important source of information for pregnant women. These texts shape women's perceptions of pregnancy, childbirth and the medical care they will receive during this time.AimsThis article reports on a study of the enactment of power relations between pregnant women and their medical caregivers in the discourse of pregnancy and childbirth advice literature and its implications for practice.MethodsThe study focuses on the discursive positioning of women in relation to medical personnel through a critical discourse analysis of two popular advice books, one in English and one in French.FindingsThe article suggests that through the use of a number of key discursive strategies, pregnant women are constructed as under the control of the medical institution in these texts. However, this control is not achieved by an overt oppressive discourse, instead it is achieved through persuasion and consensus by generating the consent of pregnant women to comply with medical norms.ConclusionsThe medical institution is represented in these texts as a dominant force while women are constructed as powerless recipients of medical care. Medical professionals should firstly consider whether the power relations represented in these texts correspond to those enacted in clinics and delivery rooms. Secondly, caregivers should be cautious about recommending popular pregnancy and childbirth advice books to women as the relationship between pregnant women and their caregivers may be undermined by the negative power asymmetry enacted in these texts.