Widowhood and spirituality: coping responses to bereavement

Nearly half of women age 65 or older are widows and nearly 70% of these women live alone. Because older women are three times more likely than their male counterparts to be widowed, widowhood has been labeled a primarily female phenomenon. This review article has two aims: (a) to discuss the impact of widowhood on the lives of older women and (b) to discuss how religion and spirituality may be used as coping methods for conjugal loss. After reviewing the literature the authors conclude that older women use religious coping as well as religious and spiritual beliefs and behaviors to facilitate positive adjustment to the loss of a spouse.     

Increased Hospitalization Risk for Recently Widowed Older Women and Protective Effects of Social Contacts

SUMMARY

This study examines effects of recent widowhood on health for a nationally representative sample of older women in the United States. Mediating effects of social connectedness on the health of recently widowed women are also explored. Using data from the 1984–1990 Longitudinal Study of Aging and Medicare claims, discrete-time hazard models estimate the risk of hospitalization for any 30-day period for women who were married at the time of the baseline survey (n = 1,138). Compared to women who are not recently widowed, those recently widowed have a 40% higher risk of hospitalization. Social connectedness, measured by having phoned a friend/neighbor or family member in the period prior to the baseline survey, significantly decreases hospitalization risk for the recently widowed. The findings indicate that recent widowhood has a large adverse effect on the health of older women. Results highlight the need to provide additional support to recently widowed older women.     

Nature as nurture: Rural older women’s perspectives on the natural environment

ABSTRACT

Rural older women are surrounded by nature, a dynamic context for human development. Informed by place attachment and attention restoration theory, and guided by a life course perspective, this qualitative study focused on the perceived influence of nature in the lives of 34 rural older women. Using grounded theory techniques to analyze in-depth interviews, two primary findings emerged: (a) nature was integral to the women’s identity; and (b) interactions with nature were motivated by prior positive spiritual and psychological outcomes. Findings revealed the power of the natural environment as a resource for coping with the challenges associated with aging.     

Risk factors of severity of abuse against older women in the home setting: A multinational European study

ABSTRACT

This article examines the ecological risk factors of abuse against older women. Data from 2,880 older women were randomly collected in five European countries (Austria, Belgium, Finland, Lithuania, and Portugal) using a standardized questionnaire. Results indicate that overall 30.1 % older women had at least one experience of abuse in the past year. The findings demonstrate that a single emphasis on personal risk factors (e.g., health, coping) is important but too simple: Abuse is multifaceted and is embedded in environmental (e.g., loneliness, household income) as well as macrocultural contexts (e.g., old age dependency ratio).     

Self-regulation in older Thai women with self-reported knee osteoarthritis: A path analysis

Abstract

This study aimed at testing factors influencing coping behavior and health status among older women with knee osteoarthritis. A total of 274 participants completed questionnaires. Model testing revealed that self-efficacy was the most powerful predictor of coping behavior. Illness representation had a significant direct and indirect effect on health status and was a better predictor of health status than were the other variables. Understanding the complex relationships among study variables should help to tailor future interventions to better address the symptoms of osteoarthritis and to promote optimal health in older Thai women who report knee osteoarthritis.     

Religious Commitment and Social Relationships: Their Relative Contributions to Self-Esteem of Catholic Sisters in Later Life

SUMMARY

In this paper we examine religious commitment and social relationships of Catholic sisters and the relative contributions of these and other variables to their self-esteem in later life. Using a sample of 377 Catholic sisters with an average age of 63.5, we conducted a series of a hierarchical recession analyses to examine the relative contributions of blocks of socio-demographic variables, religious commitment variables, personal relationship variables, and psychological variables to self-esteem. In the overall model, the extent to which relationships were rewarding, perceptions of themselves as women, coping strategies, and perceived self-control were significant and thus predictive of the self-esteem of Catholic sisters.     

Using community-based participatory research to address Chinese older women’s health needs: Toward sustainability

ABSTRACT

Although community-based participatory research (CBPR) has been recognized as a useful approach for eliminating health disparities, less attention is given to how CBPR projects may address gender inequalities in health for immigrant older women. The goal of this article is to share culturally sensitive strategies and lessons learned from the PINE study—a population-based study of U.S. Chinese older adults that was strictly guided by the CBPR approach. Working with Chinese older women requires trust, respect, and understanding of their unique historical, social, and cultural positions. We also discuss implications for developing impact-driven research partnerships that meet the needs of this vulnerable population.     

The Psychosocial Context of Bereavement for Older Women Who Were Caregivers for a Spouse With Advanced Cancer

The psychosocial context of bereavement for older women who were caregivers for a spouse with advanced cancer was explored qualitatively with 13 older women. Interviews and diaries were analyzed using constant comparison. The psychosocial context emerged as the intrapersonal : exhaustion, loneliness, pain, and recovering physical health; the interpersonal: finding a new way through both supportive and difficult relationships; and the community/societal: a loss of identity, pressure to move on, financial concerns, and relying on formal supports. The psychosocial context of bereavement for older women who were caregivers is uniquely challenging and must be considered when providing care and programs of support.     

'Is anybody listening?' The experiences of widowhood for older Australian women

This paper discusses preliminary findings from participants in the baseline survey of the Australian Longitudinal Study on Women's Health (Women's Health Australia: WHA) who reported their marital status as widowed. A total of 12,624 women, aged 70-75 years, completed a self-administered 260-item questionnaire, and 4335 of these women were widowed. Many of these women provided additional qualitative comments about their health, social and financial circumstances after the death of their spouse. This paper presents a thematic analysis of the qualitative comments and builds on the findings of the quantitative analysis of baseline data. The aims of this part of the study are to examine the short- and long-term effects of widowhood on the health and wellbeing of older women and to explore the process of change they experience after the death of a spouse. Preliminary findings suggest that, as a key life event, widowhood has an initial negative impact on the health and wellbeing of older women, but in the long term it may be accompanied by a positive shift into a new life phase.     

Factors Associated with Advance Care Planning Among Older Women in Southwest Florida

ABSTRACT

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

Comparative Assessment of Methods for Measuring Consensual Poverty: Sort Card Versus CAPI

Using data from the Wisconsin Longitudinal Study, the purpose of this study is twofold. First, the study identifies coping strategies used by older adults. Second, the study examines the impact of older adults’ chosen coping strategies on mortality reduction. The study focuses specifically on differences in the use of religious and secular coping strategies among this population. The findings suggest that although coping strategies differ between those who self-classify as religious and those who self-classify as nonreligious, for both groups social approaches to coping (e.g., attending church and volunteering) are more likely than individual approaches (e.g., praying or active/passive coping) to reduce the risk of mortality. The most efficacious coping strategies, however, are those matched to characteristics of the individual.     

Negating Identity: A Feminist Analysis of the Social Invisibility of Older Lesbians

SUMMARY

Older lesbians are invisible both within and outside of the lesbian community. Using a postmodern and lesbian feminist approach, in this article we identify a paradox in our society which defines lesbians in terms of their sexuality while older women are generally viewed as asexual. We suggest that this paradox contributes to the invisibility of older lesbians. Our focus is on the interactive nature of the relationship between personal and public constructions of lesbianism in the lives of older women. Finally, we discuss the potential impact of invisibility on self-identity, and using a feminist gerontological framework suggest implications for the empowerment of older lesbians.     

Queen of Fights: Lesbians in Tunisian Sports

ABSTRACT

Sport within the Muslim context, including in the location of this study, Tunisia, remains an institution designed for the promotion of a heterosexual form of masculinity and the degradation of both femininity and women’s athleticism. Unlike recent advancements in the West, homosexuality remains viewed almost entirely negatively by the political, religious, and social debates in Muslim cultures. This overt hostility has almost entirely erased any visible gay culture within Muslim sports. It is within this context that this study finds importance. It represents the first-ever examination into the lives of lesbian Muslim athletes, in either a Muslim majority or non-majority state. Conducted on three lesbian athletes living in the Islamic country of Tunisia, we show that each is out of the closet to varying degrees but that homophobia within their sports—even on majority lesbian teams—remains rife. We discuss the coping strategies these athletes invoke to negotiate their sexual orientation in this highly homophobic nation and homohysteric sporting culture.     

Global Patterns of Healthy Life Expectancy for Older Women

SUMMARY

This paper focuses on patterns of healthy life expectancy for older women around the globe in the year 2000, and on the determinants of differences in disease and injury for older ages. Our study uses data from the World Health Organization for women and men in 191 countries. These data include a summary measure of population health, healthy life expectancy (HALE), which measures the number of years of life expected to be lived in good health, and a complementary measure of the loss of health (disability-adjusted life years or DALYs) due to a comprehensive set of disease and injury causes. We examine two topics in detail: (1) cross-national patterns of female-male differences in healthy life expectancy at age 60; and (2) identification of the major injury and disability causes of disability in women at older ages. Globally, the male-female gap is lower for HALE than for total life expectancy. The sex gap is highest for Russia (10.0 years) and lowest in North Africa and the Middle East, where males and females have similar levels of healthy life expectancy, and in some cases, females have lower levels of healthy life expectancy. We discuss the implications of the findings for international health policy.     

Disclosing Lesbian and Gay Male Sexual Orientation in Later Life: Attitudes of Younger and Older Generations in Eight Latin American Countries

ABSTRACT

The purpose of this research was to explore attitudes toward older lesbians and gay men disclosing their sexual preferences in eight Latin American countries. The sample consisted of 1,539 participants belonging to three age groups (18–29 years, 60–69 years, and 70 years and over). Their answers to two open-ended questions were content-analyzed, and binary logistic regressions were run on the extreme attitudinal categories. Results showed that although most attitudes were positive, a solid percentage of participants still expressed different kinds of derogatory attitudes. Men (as compared to women) and participants who were more religious and less educated tended to hold more negative attitudes toward lesbians and gay men. Both older samples were more prejudiced than the younger one, and attitudes also varied according to country. There was a general trend showing more positive attitudes toward older lesbians and gay men in those countries where sexual minorities’ rights are better assured, which suggests that measures to protect sexual minorities and to make sexual diversity in older age visible could be advisable.     

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.     

Increased hospitalization risk for recently widowed older women and protective effects of social contacts

This study examines effects of recent widowhood on health for a nationally representative sample of older women in the United States. Mediating effects of social connectedness on the health of recently widowed women are also explored. Using data from the 1984-1990 Longitudinal Study of Aging and Medicare claims, discrete-time hazard models estimate the risk of hospitalization for any 30-day period for women who were married at the time of the baseline survey (n = 1,138). Compared to women who are not recently widowed, those recently widowed have a 40% higher risk of hospitalization. Social connectedness, measured by having phoned a friend/neighbor or family member in the period prior to the baseline survey, significantly decreases hospitalization risk for the recently widowed. The findings indicate that recent widowhood has a large adverse effect on the health of older women. Results highlight the need to provide additional support to recently widowed older women.     

Proud to be a woman: Womanhood,old age,and emotions

ABSTRACT

This article takes its starting point in the discussions regarding intersecting discourses of gender and age and the lived experience of older women. The main objective is to discuss the experience of womanhood among older women and to demonstrate their active role in creating spaces for themselves and their friends and affecting each other. The study is based on narrative interviews with female members of the University of the Third Age (U3A). The main findings describe older women who actively engage with discourses of gender to embark on positive constructions of womanhood. They create their own spaces for women’s activism that are filled with positive emotions mobilized to support each other. This article discusses such findings and their relevance to the study of old age and gender. As a result, it serves as an invitation to think and feel differently about older women and their experience of womanhood.