Empowerment-Oriented Social Work Practice: Impact on Late Life Relationships of Women

SUMMARY

Empowerment interventions promote egalitarian, strengths-based relationships through education, self-help, mutual support, consciousness raising, and social action activities. In this paper we describe the influence of empowerment-oriented group intervention on the relationships of older women. We conducted qualitative interviews with the women who participated in the group and the social workers who staffed the intervention activities. The findings suggest that, in addition to other empowerment outcomes, the older women participants developed sustaining relationships with each other and often seriously considered the nature of their other late life relationships. Thus, empowerment-oriented interventions can enhance the quality of life for older women, including the development and support of meaningful interpersonal relationships.     

Caregiving and Care-Receiving:

Many aspects of aging are women's issues. Yet research on aging has, until recently, focussed little attention of gender differences in the experience of growing old. Older women are more likely than older men to be poor, widowed, living alone in poor health, receiving assistance from both formal and informal supports, as well as being institutionalized in long-term care facilities. This secondary analysis of data from the 1982 Survey of the Elderly in the Waterloo Region attempts to address a gap in our knowledge concerning gender differences in the giving and receiving of social support in later years. Gender differences in (1) need for social support, (2) turning to formal assistance, (3) amount of formal assistance used, and (4) amount of informal assistance received were examined using analysis of variance and logistic regression procedures. The profile of social support that emerged suggests both similarities and differences in the way elderly men and women experience the giving and receiving of social support. Older women in this sample were found to be disadvantaged in the areas of income, health, years lived alone, and loneliness, relative to older men. Low-income was related to formal service use for older women, but not for older     

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.     

Promoting Older Women's Health and Well-Being Through Social Leisure Environments: What We Have Learned from the Red Hat Society®

ABSTRACT

The purpose of this study was to describe the ways that participation in a leisure organization contributed to the health and well-being of middle-aged and older women. We analyzed 1,693 members' responses to a query about meaningful experiences garnered through participation in the Red Hat Society®. Results suggested that older women's lives have been enriched and changed by their experiences, with the women in this study citing multiple psychosocial health benefits from their participation in the Red Hat Society®. Main themes encapsulating these health benefits were creating happy moments, responding to transitions and negative events, and enhancing the self. These findings are related to research on positive psychology, social support and coping, transformative leisure processes, and social identity formation. We conclude by providing suggestions for applying these findings to leisure and health promotion programming to enhance women's health and well-being in later life.     

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.     

Sequins,Sass, and Sisterhood: An Exploration of Older Women's Belly Dancing

Disempowering stereotypes plague public perceptions of older women's bodies, particularly within Western contemporary societies. Consequently, as women age, their bodies often become sources of shame, discomfort, and ridicule. Belly dance, as a form of recreative leisure, provides a unique and somewhat unexpected space for women to subvert such perceptions. Based on qualitative interviews with older American women who belly dance, this article examines the ways in which this form of recreation provides participants a means of (re)gaining mobility, (re)claiming social space, (re)building social support, and (re)defining what it means to be sensual later in life.     

Exploring the Relationship Between Employment History and Retired Women's Social Relationships

This study explores the relationship between retired women's employment history and their social integration and social support networks in retirement. Employment history is defined by former occupation (professional, paraprofessional, nonprofessional) and job continuity (discontinuous and continuous). The sample consists of 330 retired women ranging in age from 50 to 83 years, with diverse occupational histories, who were retired an average of 3.5 years. Results indicate occupational status may influence women's social integration, part-time employment, caregiving tasks, and satisfaction with social support. Continuity of employment appears to only marginally influence social integration with no impact on social support or satisfaction with social support.     

Positive Affect Between Adult Women and Their Mothers and Mothers-in-Law

This study investigated and compared the influence of selected factors on the affective aualities of mother-daughter and mother-in-lawldaughter-in-law relaAonships. The sample ionsisted of 229 nonorofessional and 250 orofessional women from two uni- - - - ~ . versity campuses; they were selected with a stratified, random sampling procedure. Filial responsibility attitudes, health of older dyad members, and social support influenced positive affect in both relationships. Contrary to expectations, geographic distance, adult women's age, race, nonprofessional/professional work status, and older dyad member's marital status were not predictors. Contact and health of the adult women were predictors of positive affect toward mothers but not mothers-in-law. This study underscores the importance of focusing on specific dyadic relationships when conducting intergenerational family research.     

Sexuality and HIV/AIDS: An Exploration of Older Heterosexual Women's Knowledge Levels

Sexuality research tends to ignore older populations, and little is known about older women's sexual health knowledge. To fill this research gap, 186 Canadian heterosexual women 50 years and older were surveyed about their knowledge regarding sexuality and HIV/AIDS. Respondents had moderate levels of overall knowledge of sexual health and aging, correctly answering, on average, 60% of the 35 questions. They had lower levels of HIV/AIDS knowledge, correctly answering just over 50% of the 25 questions. Results indicate the need for social awareness and education in this group regarding both general sexual health later in life and HIV/AIDS.     

Formerly Homeless,Older Women's Experiences with Health,Housing, and Aging

The perspectives of formerly homeless, older women are absent in the academic literature on aging and homelessness. In this study, a group of formerly homeless women, aged 45 years and older were surveyed (N = 15) and interviewed (n = 11) about their experiences with health, housing, and aging. The qualitative themes to be explored include the women's perceptions of their current health, coping with low incomes, dealing with addictions to alcohol and drugs, and the importance of supportive housing and other community services. The female participants' views on adapting to home, planning for their elderly years, and views on growing older are also explored.     

Social support promoting health in older women

Given the aging of women and their increased risk for health problems, it is important to explicate factors that may foster health promotion. While social support has been a concept of interest in predicting health promotion in women, the concept has been inconsistently defined and poorly explicated. A qualitative study was conducted to describe the types and processes of social support for health promotion in older women. Focus group interviews with 51 women, aged 55-93, were held. Data were analyzed using open coding to categorize data with attention to consistency and variance. Data explicated aspects of social support unique to health promotion in community-dwelling older women. Broad categories identified included connectedness and collectivism. Findings validate existing conceptualizations and provide an expanded perspective of social support by demonstrating aspects of support unique to the social context of older, community-dwelling women. Findings also provide a basis for development of socially relevant interventions designed to promote health and optimize health outcomes in older women.     

Predictors of Feminist Activism Among Sexual-Minority and Heterosexual College Women

Engagement in activism is related to several aspects of social development in adolescence and emerging adulthood. Therefore, it is important to examine the correlates of different forms of activism, such as feminist collective action, among all youth. However, previous research has not investigated young sexual-minority women's engagement with feminist collective action. This study examined predictors of college-aged heterosexual and sexual-minority women's commitment to and participation in feminist activism. Sexual orientation, number of years in college, social support, experiences with discrimination, and gender identity were tested as predictors of commitment to and participation in feminist activism with a sample of 280 college-aged women (173 heterosexuals and 107 sexual minorities). Similar predictors were related to both commitment to and participation in feminist activism. However, for sexual-minority women, but not heterosexual women, the number of years in college was correlated with participation in feminist activism. Young sexual-minority women reported more participation in feminist activism than did heterosexual women, even after controlling for social support, discrimination, and gender identity.     

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.     

Aging in community and local NGOs: Empowering marginalized older women in South Korea

This article is based on an embedded case study of selected older people’s self-help groups in urban South Korea, which aim to assist community-dwelling older adults, particularly poor and marginalized women, to age in their community and remain active and contributing members. The study highlights the importance of the role and capacity of nongovernmental organizations (NGOs) as partner organizations. Implications are important for other aging societies, particularly in Asia, where older women have been often confined by patriarchal oppression.     

Women's Employment History and Their Post-Retirement Health and Resources

The purpose of this study is to assess the degree to which the advantages apparently accruing to employed women are maintained into the post-retirement years. That is, do women who were employed cany with them into the retirement years more social and fmancial resources and do they maintain better health than women who remained largely outside the work force? The importance of this issue increases as greater numbers of women enter and remain in the work force and as our population ages. The study uses a longitudinal cohort design and employs the data from the National Center for Health Statistics' Longitudinal Study on Aging. This analysis uses the core questions from the 1984 National Health Interview Survey, the Supplement on Aging questions from 1984 and the follow-up data on mortality from the National Death lndex from 1984-1990. The data include the 4667 female respondents who were 70 years or older in 1984. Overall, the results suggest that women who have more recent paid employment have better health in their later years than women with no employment or no recent employment. However, for social and fmancial resources the direction of the relationships vary. For example, women with more recent employment have less social resources in the form of spouse and living children; however, they have more social resources in the form of social contacts with both family and friends. Having no history of paid employment increases women's risk of living in poverty and lacking private health insurance, but increases the chances that they own their own home. Interpretations and implications are discussed.     

The Effect of Depressive Symptoms on the Association between Functional Status and Social Participation

The aim of the current study was to examine the interactive effects of depressive symptoms and lower extremity functioning on social participation for a group of moderately to severely disabled older women. The study used a cross-sectional community based sample, enrolled in the Women’s Health and Aging Study I, randomly selected from the Centers for Medicare & Medicaid Services enrollment files for women living in the Baltimore, Maryland area. The participants were women aged 65 or older who completed the in-person interview (n = 999). After adjusting for demographics and risk factors, each unit increase in the Short Physical Performance Battery (SPPB) score was associated with a 0.31 point increase in satisfaction with social participation for the non-depressed group, and 2.04 points for the depressed group. Depressive symptoms and lower extremity functioning interact to affect satisfaction with social participation. Among women with high depressive symptoms the gradient of association with social participation increased sharply with better lower extremity function compared with non-depressed women, where the gradient of association was moderate. The findings suggest the potential value of programs that focus on improving lower extremity function among older high risk groups.     

Loneliness and Mistreatment of Older Chinese Women: Does Social Support Matter?

The objectives of this study are to: (a) examine the association of loneliness and mistreatment of older Chinese women, and (b) examine the potential modifying effect of social support on these associations. We conducted a cross-sectional study of 141 elderly women presented to an urban medical center. After adjusting for confounders, every 1-point increase in the loneliness score was associated with 44% increased risk for mistreatment. After adding the interaction of social support (social support x loneliness), loneliness was no longer associated with increased risk for mistreatment. Loneliness is a significant risk factor for mistreatment of older Chinese women. Greater social support, particularly perceived social support, may modify loneliness as a risk factor for the mistreatment of older Chinese women.     

A Group Practice Strategy for Helping Unemployed Older Women Find Employment

Unemployed older women face significant obstacles in the labor market when attempting to find employment. This article presents a grounded group practice strategy for assisting older women to regain employment. Previous research has shown that job search self-efficacy is a significant mediator of continued job search activity among older workers. Based on empirical research findings and Bandura's theory of self-efficacy, this practice approach focuses on helping older women to increase their job search self-efficacy and opportunities for securing employment.