The Important Things in the Life of Older People: Elderly Women in Social Houses and Home Care

The purpose of the article is to analyze the aging experiences of elderly women in Estonia and the factors influencing them. The assessments of two groups using social services are compared—the elderly living in Tallinn’s social houses and the elderly receiving care at home. From February to August 2011, a total of 80 elderly women were interviewed. Inhabitants of social houses find that their old age is satisfying more often (65% of the inhabitants of social houses and 40% of the people in home care). Many home care clients were convinced that it is best to spend old age among loved ones and in a familiar environment. Those living at home have many difficulties, which is why 20% of them are on a waiting list to go to a social house. Home services should include services with which the inhabitants of social houses are very satisfied.     

Women,Aging, and Cancer

Women over 65 bear high risk for developing cancer. The risk for developing most cancers grows'with increasing age. Of the 1.13 million people estimated to develop cancer in 1992,362,000 (32 percent) will be women over 65 years old (American Cancer Society, 1992). The few early detection and prevention programs that have focused on this age group have found that the women often have problems with utilization, misconceptions, and plain lack of correct information. Treatment for women over 65 with cancer may differ from that for younger women because of age bias, comorbidity, stage of disease at time of diagnosis, and a lack of research on women of this age. Even quality of life and survivorship for the woman over 65 become issues due to the lack of knowledge about how women over 65 view these concepts. The Healthy People 2000 Report has developed goals for a healthier society by the year 2000. The priority areas in relation to cancer include reduction in cigarette smoking, dietary changes, greater utilization of early detection mechanisms, and decreasing exposure to occupational and environmental carcinogens. Implementation of these goals should affect future generations in terms of healthy aging: however, specific programs do need to focus on the woman over 65 and her present needs which will impact current and future health status.     

Elderly Women Show Neither a Shortage of Strategies nor an Overreliance on Drugs in Handling Aging and in Dealing with Minor Health Problems

ABSTRACT

Women 65 years old and over make up the fastest growing population segment in North America. They are, particularly among the underprivileged, known to be heavy consumers of prescribed and over-the-counter drugs. The objective of this study was to identify the role of medication in underprivileged elderly women's strategies for aging well and dealing with minor health problems. A qualitative study was conducted among 40 women aged 65 to 75. Results show that elderly women seldom mention resorting to medication to “age well” although they report using this strategy to deal with minor health problems. Overall, the elderly women mentioned a wide range of strategies to cope with aging and minor health problems, which suggests that they are well equipped to face the challenges of aging.     

Racial Differences in Breast Cancer Screening Among Women from 65 to 74 Years of Age: Trends from 1987–1993 and Barriers to Screening

ABSTRACT

Breast cancer mortality is decreasing for elderly white women but increasing for elderly black women. National surveys were used to study racial differences in breast cancer screening and effects of Medicare funding for mammography and to examine explanatory factors. A total of 13,545 women, aged 65–74, from the Health Care Finance Administration's Master Beneficiary File participated. After Medicare funding for screening mammography, the percent reporting a mammogram increased for white women, but not for black women. Clinical breast examination and breast self-examination decreased. Physician's recommendation, geographic area, education level and health status were the variables significantly affecting mammography usage for both races. Physicians recommended mammography more often if women were white, married, educated beyond high school and had an annual income greater than $20,000. These results support the need to design and test strategies specifically for black women and interventions to emphasize physician recommendations for breast cancer screening.     

Biographical Sketches of Elderly African-American Women in Later Life

ABSTRACT

The research concerning the African-American elderly is limited, since this group is made up of less than eight percent of the entire U.S. population. Due to discriminatory practices in the U.S., based on race and gender, the African-American elderly woman has some unique issues facing her in old age. This paper will present three qualitative interviews of African-American women from age 65 to 100. These biographical sketches will report how these women dealt with family traditions, lifestyle changes, and growing old in their lives. Their perceptions of personal joys and frustrations, plus attitudes about how race, not gender, was a significant factor in their lives, will be reported. Education and religion were life-long strengths in their lifestyle.     

Assisted Living,Elderly Women and Sense of Self: Communicating the Impact of Reduction of Long-Standing Activities

ABSTRACT

Through the use of in-depth interviews this study examines elderly women's communication about transitioning to assisted living and personal sense of self. A combination of communication and aging theory and socio historical factors aid in understanding the communication elderly women use to describe themselves within the context of life events prior to and after becoming an assisted living resident. Findings reveal that decrease in long-standing feminine sphere (traditionally female household) tasks due to the transition to assisted living is the major factor leading to the inability to communicate the sense of self. Inability to adjust and accept the downsizing of feminine sphere activities leads to several mental, physical and social implications.     

Taking Charge of Self: Breast Health Practices of Older Rural Women

ABSTRACT

The purpose of this grounded theory study was to explore breast health practices of older Vermont women residing in rural communities. Although the three components of breast health-mammography, clinical breast exam, and self-breast exam-are recommended for women 40 years and over, minimal research has empirically analyzed the breast health practices of healthy women to ascertain if, in fact, these procedures are followed, and if so, what the motivation is for doing so. Twelve women, 50–64 years, participated in face-to-face, audiotaped interviews. Data analysis, including line-by-line and constant comparative approaches, occurred concurrently with data collection. Taking Charge of Self, the generated theory, describes participants' engagement in a process of learning how to take charge of their lives. The analysis indicates that health care providers have a powerful role in the lives of women in this age group. With an increasing emphasis on health promotion and disease prevention, health care providers are positioned to cultivate and support women's development of the personal or internal motivation for health and well-being.     

Elderly women show neither a shortage of strategies nor an overreliance on drugs in handling aging and in dealing with minor health problems

Women 65 years old and over make up the fastest growing population segment in North America. They are, particularly among the underprivileged, known to be heavy consumers of prescribed and over-the-counter drugs. The objective of this study was to identify the role of medication in underprivileged elderly women's strategies for aging well and dealing with minor health problems. A qualitative study was conducted among 40 women aged 65 to 75. Results show that elderly women seldom mention resorting to medication to "age well" although they report using this strategy to deal with minor health problems. Overall, the elderly women mentioned a wide range of strategies to cope with aging and minor health problems, which suggests that they are well equipped to face the challenges of aging.     

Sarcopenia and Decreased Muscle Strength in the Elderly Woman: Resistance Training as a Safe and Effective Intervention

ABSTRACT

A principle component of age-related weakness and frailty in women is sarcopenia. This decrease in skeletal muscle mass is a progressive syndrome that will affect the quality of life for elderly women by decreasing the ability to perform many activities of daily living. Strength training is known to be an effective means of increasing muscular strength and size in many populations, and can be utilized successfully to significantly improve muscle strength, muscle mass and functional mobility in elderly women up to the age of 96 years. Such exercise can minimize the syndrome of physical frailty due to decreased muscle mass and strength. Any rehabilitation or exercise program for the elderly woman would benefit from the inclusion of such a training regime.     

Serious psychological distress,sex, and falls among the elderly

Serious psychological distress and falls are two major public health problems among the elderly. This study aims to test the hypothesis that although serious psychological distress can increase the risks of falls among the elderly, it tends to affect elderly women more than elderly men. Data of this study are from the 2011 California Health Survey Interviews (CHIS). We extracted a sample of 13,153 respondents aged 65 and older for this study, including 8,087 females and 5,066 males. We tested both unadjusted and adjusted interaction effects using bivariate and multivariate logistic regression analysis. Elderly women with serious psychological distress had the greatest likelihood of falls as compared to men with serious psychological distress and men and women without serious psychological distress. With respect to the covariates, limitations of physical activity and poor self-rated health status, Asian race, and older age were more likely to be associated with falls. This study provides further information on sex disparities of falls among the elderly such that serious psychological distress has a greater impact on falls for elderly women than elderly men. Thus, the findings of our studies suggest that mental health services and intervention can be useful to prevent falls for elderly women.     

Understanding Communication and Aging: Developing Knowledge and Awareness,by Jake Harwood

In this study, theoretical views previously used to explain health service utilization by the elderly are extended to explain how predisposing (age, race, education, and marital status), enabling (income, employment status, health status, and transportation), and need (loneliness and livin arrangement) factors influence elderly women's participation in vof :u ntary organizations and senior centers. Hypotheses are tested using a nationwide probability sample, of elderly women who are 65 and above. The major findings ind~catet hat age, race, and health status influence participation In voluntary organizations and senior centers. Elderly widows are also more likely to participate in voluntary organizat~onst han married women. Loneliness has a positive impact on senior center participation of these women.     

基于新陈代谢GM（1，1）模型的重庆市人口老龄化预测研究

重庆市老龄化率居全国之首,老年人口数继续呈上升趋势,解决养老问题,发展养老产业势在必行。文章对重庆市65岁及以上老年人口数进行预测,通过GM（1,1）基础模型和新陈代谢GM（1,1）模型,在充分考虑扰动因素和驱动因素等新信息影响的基础上,借助Matlab软件编程计算和检验,对重庆市2015～2020年65岁及以上老年人口进行预测。预测结果表明：2015～2020年间重庆市65岁及以上老年人口数不断增长,2020年将突破400万人,说明重庆未来养老形势异常严峻,并对此针对性提出对策建议。模型精度检验表明模型精度为一级,模型预测结果可靠性高、可信度强,模型适合人口中长期预测。     

The Swedish Tant: A Marker of Female Aging

This article presents and analyzes findings from interviews with women aged 45–65; popular magazines targeting women in this age category, and popular books and blogs on a Swedish age-sensitive concept, tant. The term can be used in many different senses, ranging from polite to derogatory, connoting “aunt,” or “granny,” but also “little old lady” and “biddy”; the term tantig translating to “frumpish.” The article discusses different representations of tant, how she is used as a symbol of invisibility and no longer being seen as a sexual being, but outdated. The concept is used as a warning, indicating an unwanted way to grow old, when addressing middle-aged and older women. As of recently, tant has come to be celebrated by young women, praised for moral courage, for thrift and being represented as free from the male gaze, no longer aiming to please or fretting about appearances. The article sheds light on the different uses of the concept, where who is categorizing whom is of utmost importance. The tant is used as a symbol for doing age either by derogation or by celebration.     

From the Editor

ABSTRACT

Data from focus groups held in Montréal (Canada) with 13 women born in Cameroon, Colombia, and Democratic Republic of Congo were used to explore cancer knowledge among immigrant grandmothers and mothers-in-law and their influence over family cancer-preventative practices. Thematic analysis identified the following leading themes: cancer literacy and influence over family cancer preventative and early detection practices, cancer literacy in relation to family health behaviors, and barriers to accessing health services. Perceived external causes of cancer and its prevention are countered by healthy eating and exercises. Cancer literacy was contextualized by the development of women’s ways of being and doing.     

Age at the onset of menopause and its influencing factors in Turkish women in a rural area

This study was performed to identify menopausal age and its determining factors in women over 40 residing in the Dogubeyazit district of Agri, located in Eastern Turkey. This cross-sectional study was performed on a sample of 1,068 women, selected by simple random sampling among all district health center records of women aged 40 and greater, who were each attributed a random serial number. While 35.6% of the subjects had not yet reached menopause, 60.5% had entered it spontaneously and 3.9% surgically. Average age at spontaneous menopause was 47.4 ± 3.7 years and that of surgical menopause 45.1 ± 5.0. Age at marriage, age of last pregnancy, and the age of the subject’s mother at menopause affected menopausal status. Identifying menopausal age and its determining factors may modify the menopausal status of women and their management of the perimenopausal period.     

Unclaimed Treasures: Older Women's Reflections on Lifelong Singlehood

ABSTRACT

Ever-single, older women are a diverse group, whose experiences of singlehood have received little attention from researchers. In this qualitative study, eight women between the ages of 65 and 77 living in a mid-sized Southwestern Ontario city were interviewed about being ever single, including their perspectives of the benefits and drawbacks of this status at their current age. Data were collected in semi-structured interviews, and the constant comparative method was used for data analysis. Emergent themes illustrated how the women's stories of singlehood were affected by the sociopolitical contexts of their youth. Upon reflection, the women articulated the benefits of lifelong singlehood, strongly emphasizing their independence and “ability to be alone,” which was viewed as very important as they aged. The drawbacks of singlehood focused on loneliness and the absence of a social support network, which took on particular importance as the women experienced increasing age and frailty. Overall, the participants expressed satisfaction with their marital status and defied common stereotypes about older, single women. Implications of these findings relate to the social structure of marital status and its impact upon the lives of women who remain single.     

Biographical sketches of elderly African-American women in later life

The research concerning the African-American elderly is limited, since this group is made up of less than eight percent of the entire U.S. population. Due to discriminatory practices in the U.S., based on race and gender, the African-American elderly woman has some unique issues facing her in old age. This paper will present three qualitative interviews of African-American women from age 65 to 100. These biographical sketches will report how these women dealt with family traditions, lifestyle changes, and growing old in their lives. Their perceptions of personal joys and frustrations, plus attitudes about how race, not gender, was a significant factor in their lives, will be reported. Education and religion were life-long strengths in their lifestyle.