Stress and Resilience in the Oral Histories of Rural Older Women

Oral history research has seldom focused on the reflections of rural older women. The purpose of this qualitative study was to identify: (a) stresses associated with major historical events that affected the lives of rural older women, and (b) strategies they used to deal with those stresses. Oral histories were gathered from a cross-section of 25 older women living in a small rural Midwestern community and analyzed using the method of constant comparison (Glaser & Straus, 1967 Glaser, B. and Strauss, A. 1967. The discovery of grounded theory, Chicago: Aldine.  [Google Scholar]). Content analysis revealed that economic hardship, disruption of family life, and fears and uncertainties were stressors associated with the Great Depression and world wars of the 20th century. Resilience was demonstrated by frugality, reliance on social supports, and acceptance. Implications for intervention with rural older women are discussed.     

Older Women and the Health Care System: A Time for Change

SUMMARY

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.     

我国农村地区老年人群体的健康状况研究

今天,健康已经成为人们生活质量的重要组成部分。中国作为世界上老龄化速度最快的国家之一．人口老龄化是本世纪我国遇到的一个重要社会问题。随着老年人口的增加,不仅仅是城市地区,农村老年人群体的健康条件也越来越引起人们的重视。为此,本文使用2005年4月进行的全国性抽样跟踪调查数据。对我国五个省份地区的八百多个五十岁以上的老年人健康进行了调查分析。研究表明。农村地区老年人的身体健康存在明显的性别差异和地区差异,尤其是老年女性的身体健康状况较男性明显落后。     

Spousal Support of Older Women with Osteoporotic Pain: Congruity of Perceptions

ABSTRACT

Thirty-four couples were interviewed to assess the congruity of husbands' and wives' perceptions of the wives' osteoporotic pain and the exchange of instrumental support within the marital relationship. Moderate correlations were found between the husbands' and wives' ratings of two specific dimensions of the wives' pain experience: interference with daily life and pain severity. Wives who perceived their pain as more severe but as having a lesser impact on their personal lives provided the most frequent help to their husbands. The wives' pain perceptions were not predictive of the amount of assistance they perceived receiving from their spouses. Husbands' perceptions of their wives' pain experience were not predictive of the frequency of instrumental support they either received from or gave to their wives.     

Sexuality in Older Spanish Women: Voices and Reflections

Our research has been aimed at understanding the experience, practice, and sexual life in a group of Spanish women over 50 years of age. We studied a sample of 729 women between 50 and 80 years old. Our results provide qualitative and quantitative information and important insights about the sexual life of Spanish women and identify differences in the experience and reality of sexual life after the age of 70. The status of having or lacking a partner, and a personal interest in emotional relationships and sexual practices, are elements that determine the possibility of enjoying a satisfying postmenopausal sexuality.     

Health and Cultural Determinants of Voluntary HIV Testing and Counseling Among Middle-Aged and Older Latina Women

The rate of cases of HIV/AIDS in older people is increasing; indeed one out of every four people with HIV/AIDS is over age 50. This study describes the correlates of HIV Voluntary Counseling and Testing (VCT) using structural equation modeling techniques for a sample of 135 middle-aged and middle-aged and older Latinas in South Florida. Over 60% of participants had been tested for HIV. Provider endorsement was found to be the strongest predictor of VCT (odds ratio [OR] = 6. 38), followed by having a clinic as a regular source of healthcare (OR = 3.88). Social work implications are provided.     

Recent Perspectives on Active Life Expectancy for Older Women

SUMMARY

This article provides a critical review of recent active life expectancy literature, describing trends of special interest to women. We review findings from leading perspectives used to study life expectancy and active life expectancy, including gender, racial and socioeconomic differences, disease-specific effects, and biodemography. We examine three competing theories of population health that frame active life expectancy research—compression of morbidity, expansion of morbidity, and dynamic equilibrium—concluding there is support for both the compression of morbidity and dynamic equilibrium theories. Policy implications for women include a greater understanding of the role of education and racial and ethnic diversity in active life trends, and an increased public policy emphasis on prevention and treatment of chronic disease, together with adoption of more healthy lifestyles.     

Meaning of Housework and Other Unpaid Responsibilities Among Older Women

ABSTRACT

This study explores the meaning and conditions of housework and other unpaid responsibilities for older women. Taped, in-person interviews were conducted with 53 ethnically and economically diverse women, 55–84 years old. The interview guide contained open-ended questions regarding the process of taking on housework and other unpaid responsibilities and the centrality to personal identity. Participants reported shifts in perceptions of housework as work, decreased importance of housework with age, the attitude of care recipients affecting the experience and meaning of unpaid responsibilities, and the impact of historical racist events on viewing unpaid responsibilities as opportunity.     

Comparative Use of Complementary Medicine,Allied Health,and Manual Therapies by Middle-Aged and Older Australian Women

We compared use of Complementary and Alternative Medicines (CAM) and therapies, Allied Health interventions (AH), and Manual Therapies (MT) in middle-aged and older Australian women. Cross-sectional data from the 2007 phase of the Longitudinal study of Aging in Women (LAW study) was analyzed. Self-reported 12-month usage patterns of CAM, AH, and MT were determined by mailed questionnaire. Results revealed that 56.2% of the middle-aged group, and 55.0% of the older group used CAM, AH, and MT services in the previous 12 months (a nonsignificant difference). In contrast, there was a highly significant difference between the overall use of CAM products by middle-aged women (88.2%) and older women (67.7%: p = .002).     

西部农村留守妇女的身心健康及其影响因素——来自四川农村的报告

本文采用西部地区24个行政村千余名农村妇女的调查数据,探讨了农村留守妇女的身心健康及影响因素。研究发现,留守确实影响了农村妇女的身心健康,留守妇女比非留守妇女更担心自己的身体健康状况,更倾向认为自己的身体健康状况不及同龄女性和比以前更差了,更容易出现一些生理和心理不健康的症状;留守妇女的家庭压力、社会支持网络、当地医疗卫生状况等因素对其身心健康有不同程度的影响。文章最后提出建立夫妻间良好的沟通机制、构建社会支持网络、改善农村医疗卫生状况三点建议。     

Aging Public Services and the Position of Older Women: An Australian Case Study

Contemporary labor markets are characterized by both aging of the workforce and the increase in participation of women. At the intersection of these two policy agendas are older women. Governments and employers recognize the importance of attracting and retaining older workers to address skills shortages, but the aging workforce discourse remains largely gender neutral. This research considers the intersection of age and gender in the context of public services, which are large employers of both women and older workers. It focuses on the agencies in an Australian state public service. The research finds that, despite decades of equal opportunity programs, there is still evidence of subtle inequalities and cumulative disadvantage. While the case study agencies employ a large proportion of older women, these women were generally recruited at younger ages and aged within the workforce. Their advancement and development opportunities were also inferior to those of older men. Despite these lesser opportunities, older women are generally very satisfied with their employment, and the employer should explore these residual inequalities if genuinely seeking to attract and retain all older workers.     

Older Women in the Homeless Shelter: Personal Perspectives and Practice Ideas

This article reports on the themes generated by interviews conducted with 10 women over the age of 50, currently homeless and residing in an overnight homeless shelter. In-depth interviews were conducted asking women to tell their stories, talk about their lives in the shelter, and speak about their needs, hopes, and dreams. Based on an analysis of these interviews, the following themes emerged and were presented: The System is Too Confusing, Chaos in the Shelter System, Women as Nurturers, and Fractured Families. Discussion of these themes was presented, and practice, administrative, and research implications were suggested.     

Religion in the Lives of Older Women Serving Life in Prison

This exploratory qualitative study examined the roles of religiousness in the lives of 21 older women (mean age = 63) serving life sentences in one southern state. Based on survey and focus group methodology, several themes emerged as important focal points, including early religious experiences prior to incarceration, imprisonment and religious doubt, participation in formal and informal religious activities, and use of religion in coping with stressors such as interpersonal relationships, trauma, and health statuses. Irrespective of their religious upbringing, all participants agreed that religiosity/spirituality played a key role in their ability to cope with their prison experience as well as for maintaining hope and the opportunity for release.     

Dating for Older Women: Experiences and Meanings of Dating in Later Life

Research over the last 20 years has provided an increased understanding of intimate relationships in later life; however, dating in later life remains largely unexplored. The purpose of this study was to examine the meanings of dating for women in later life. In this study, dating was examined through semistructured, in-depth interviews with 14 women ages 64 to 77 who had all dated in later life. Themes that emerged from an interpretative phenomenological analysis included multiple meanings of dating in later life, how dating in later life compared to earlier points in life, and dating in the future.     

Gender Differences in Mental Health Before and After Retirement:

A longitudinal research design was used to examine the relationship between retirement and mental health among 222 retirees (114 men and 108 women) at three different time periods: (I) at preretirement; (2) six months; and (3) one year later. Gender differences in the expression of symptoms, especially psychological anxiety, drinking problems, and health, were found across all three time periods. Retirement resulted in increases in drinking problems and psychological anxiety for both men and women. Intervention strategies are discussed and recommended based on how retirees experience symptoms. Gerontologists must recognize how significantly gender and retirement impact on the mental health of older persons and consider these factors in their practice.     

A Pilot Study of the Application of the Transtheoretical Model During Strength Training in Older Women

A Transtheoretical Model (TTM) goal-setting tool was used during strength training in women. Volunteers (mean age = 69, N = 27) were assigned to a strength training only or strength training/behavior change 12-week intervention. A pre/posttest, quasiexperimental design assessed TTM constructs, Health-Related Quality of Life, and functional fitness measurements. Multiple ANCOVAs revealed significant differences between groups on lower body strength (p = .001), upper body flexibility (p = .002), Decisional Balance (p = .024,) and Stage of Change for Exercise (p = .010). Stage of change progression may be enhanced using a goal-setting tool during strength training in older women.     

Health Profiles and Profile-Specific Health Expectancies of Older Women and Men: The Netherlands

SUMMARY

This study focuses on gender differences in health profiles, and examines which health profiles drive gender differences in remaining life expectancy in women and men aged 65 and over in The Netherlands. Data from the first two cycles of the Longitudinal Aging Study Amsterdam (n = 2,141 and 1,659, respectively) were used to calculate health profiles for individuals of 65–85 years. For both women and men, six profiles were found: I. cancer; II. “other” chronic diseases; III. cognitive impairment; IV. frailty or multimorbidity; V. cardiovascular diseases; and VI. good health. The further characterization of these types showed some gender differences. Remaining life expectancy for women was greater than for men in each health profile. A decomposition into health expectancies showed that both women and men could expect to live about 5 years in good health from age 66. The greatest gender differences in years spent with health problems were found for profile IV and for profile III. Their greater number of years spent in these health states have direct consequences for the type and cost of care women need.     

Alternative Therapies and Empowerment of Older Women

SUMMARY

There has been a striking increase in Americans' awareness and use of alternative therapies over the last decade. Women, in particular, have been drawn to explore these unconventional health practices, which include herbal medicine, acupuncture, homeopathy, manual therapies, energy healing, and mind-body therapies. From a feminist perspective, the rise in alternative therapies' use in the United States represents a shift in cultural concepts of health from an outmoded patriarchical model which disempowers older women, to a more feminine, holistic model which can reempower older women. Throughout history, older women have developed, applied, and taught the principles and practices of what are now considered alternative healing modalities, in their roles as mothers, expert herbalists, midwives, wise women, and shaman. By becoming familiar with these therapies, older women can increase their control over their health, enhance prevention and self-care, and enjoy a health-care pathway that leads to wholeness in body, mind, and spirit.     

典型贫困地区农村妇女生育观念和健康状况调查与分析

对典型贫困地区农村妇女的调查发现：典型贫困地区农村妇女生育意愿有了较大的进步,但男孩偏好的传统观念仍然根深蒂固;潜在的人口逆向淘汰现象需要引起注意;妇女的身体素质、健康水平和人口质量处于较低水平,将会产生代际间的继承性,影响新农村的可持续发展能力。