Women and Caring:

Adopting a symbolic interactionist perspective, this paper examines what the caring experience means to women. Drawing upon data obtained from in-depth interviews with 142 elderly women, the analysis presents an interpretation of caring as a route to self-meaning. It is argued that caring can be a meaningful component of self-identity. Moreover, these data show that the caring role can be a source of self-continuity in later life as it is a role that can last a lifetime. In contrast to the psychological view, which suggests that caring is a naturally feminine activity, it is argued in this paper that women learn to care through a socialization process wherein girls learn from their mothers and others that caring is women's work.     

Eldercare in a Filipino Community: Older Women's Attitudes toward Caregiving and Service Use

Focus group research on elderly Filipino women living in the United States yields preliminary findings regarding their attitudes toward caregiving and formal service use. Filipino cultural values and the economic challenges attributed to their immigration status were perceived to be the greatest strengths and challenges in caring for the aged. Results identify generally positive attitudes toward formal service use and governmental assistance. Together, these findings shed light on Filipinos' acceptance and use of formal services. Further research to confirm and explore these findings can guide the design of the nation's practice and policy interventions for an increasingly ethnic and cultural diverse older population.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.     

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.     

The Strains and Gains of Caregiving: An Examination of the Effects of Providing Personal Care to a Parent on a Range of Indicators of Psychological Well-Being

This study explores the effect of providing regular help with personal care to a resident or non-resident parent or parent-in-law on different aspects of psychological well-being. We use cross-sectional data from the Norwegian Life Course, Ageing and Generation (LOGG) study (N ~ 15,000, age 18–79) and two-wave panel data from the Norwegian study on Life course, Ageing and Generation (NorLAG) (N ~ 3,000, age 40–79). We separate outcomes into cognitive well-being (life satisfaction, partnership satisfaction, self-esteem), affective well-being (happiness, positive and negative affect, depression, loneliness) and sense of mastery. Caregiver status is largely unrelated to these aspects of well-being, both in cross-section and longitudinally. One notable exception is that caring for a resident (but not a non-resident) parent relates to lower affective well-being among women, also longitudinally. This effect is more marked among unpartnered and lower educated women. In addition, caring for a non-resident parent is associated with a positive change in sense of mastery among women. The results reviewed and presented indicate that caregiving has less detrimental effects in the Nordic countries than in other countries, highlighting the role of social policies and care systems in shaping the impact of caregiving on well-being.     

Dementia spousal caregivers and past transgressions: Measuring and understanding forgiveness experiences

ABSTRACT

The transition from “wife” to “caregiver” for a cognitively impaired husband can be an overwhelming experience. Communication patterns change and small conflicts can grow, at times bringing angry feelings and new burdens. Engagement with forgiveness processes may benefit wives by lowering resentment over past tensions, restoring trust, and enhancing the overall caregiving experience. This study examined the utility of the Enright Forgiveness Inventory (EFI) within a sample of caregiving wives. Our intent was to better understand this population’s experience with forgiveness when other contextual factors were likely to influence this process. Forgiveness scores on the EFI were positively related to the cognitive status of the care recipient, a particularly important finding for clinical intervention, and inversely related to marital distress and state anxiety.     

A feminist model of family care: practice and policy directions

Using a feminist perspective, this article examines women's experiences in caring for older family members with chronic illnesses or disabilities. Central to this analysis are the concepts of the social construction of gender-based inequities in caring, the interconnections between generations of women as givers and receivers of care, and variations in family care by gender, race, ethnicity, social class and sexual orientation. The authors critique current practice interventions and policies and purpose models for the elimination of gender-based inequities in caregiving and the provision of caregiver choice and empowerment for women and men, including feminist models of practice with women caregivers and economic and long-term care supports.     

Nurse's Aides in Nursing Homes:

Nurse's aides, primarily women, provide the majority of care to residents, primarily older women, in nursing homes. This pilot study deals with an understudied area: characteristics and perceptions of nurse's aides. The data in this exploratory study are drawn from extensive semi-structured interviews with 27 randomly selected nurse's aides in three skilled care nursing homes in central Arkansas. The study provides a glimpse into facets of life, work, and caregiving from the aide's perspective. The data address what is most and least satisfying about the aides' work and how they rate themselves as caregivers. Clearly the aides' attitudes, expectations, and behaviors are connected to the well-being of the residents they serve.     

Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature

BackgroundNausea and vomiting in pregnancy (NVP) is a normal, commonly experienced affliction of early pregnancy. Despite this, its impact on women's lives is not necessarily minimal. For some women, the implications of NVP are substantial with multi-faceted effects, hindering their ability to maintain usual life activities, and particularly their ability to work. In an effort to understand the effect of NVP, several researchers have developed NVP measurement tools, which enable an understanding of NVP's effect on quality of life (QOL).ProblemThis paper seeks to provide a review of the literature to explore the impact of NVP on women's quality of life, particularly their ability to maintain social and professional commitments.MethodMedline, CINAHL, PsychINFO, Ebsco, Science Direct, Health Source, Academic Search Premiere, Cochrane databases were extensively searched using Boolean operators with various combinations of relevant terms: nausea, vomiting, pregnancy, emesis, quality of life, QOL, NVPQOL, PUQE, SF-12, SF-36 and limited to those published from 1999 onwards. Papers were scrutinised to include those discussing the impact of normal NVP on women's lives, particularly their QOL with careful exclusion of those addressing hyperemesis gravidarum (HG).FindingsNVP has a significant effect on women's QOL and therefore their ability to maintain day-to-day activities as well as work capacity. This has implications for the woman, her partner, her family and her employers.ConclusionIt is important that all maternity care workers consider the impact of NVP on the woman's QOL and that care is given not to minimise this experience. Further research is warranted which considers ways in which women can best manage this experience in relation to social and professional commitments. Given the authors were able to identify only one Australian study in this area, published in 2000 and utilising non-NVP specific QOL measurement tools, there exists scope for additional local studies using NVP-specific QOL tools to determine the impact of QOL for Australian women and therefore Australian society.     

The Gendered Division of Labor in Parental Caretaking:

Public ideology dictates that families take responsibility for the care of their frail and vulnerable members. Women more than men are the unpaid, informal caregivers of family members. This gendered division of labor is examined by using the U.S. Survey of Income and Program Participation. Differences between metropolitan and nonmetropolitan sons' and daughters' parental caregiving activities are examined in order to contrast areas having more traditional, conventional or conservative values with those adopting more feminist values. Results show that in addition to daughters performing the vast majority of tasks, there is a difference between the types of care provided by metropolitan and nonmetropolitan daughters. Nonmetropolitan daughters tend to perform more caregiving tasks considered to be traditional "women's work" while metropolitan daughters perform significantly more tasks considered to be nontraditional for women. The fmdings suggest that providing care is due more to socialization to gender roles than to women's supposed natural or biological tendencies for "nurturing."     

The Differential Impact of Alzheimer's Disease on Older Women

The relationship between gender and Alzheimer's Diease is explored in the paper. Data are based on a sample (N = 2245) of subjects screened at California's Alzheimer's Disease Diagnostic and Treatment Centers who have been diagnosed as having possible or probable Alzheimer's Disease. Demographic variables, service utilization patterns, neurological, behavioral, functional and cognitive problems and infonnal caregiving characteristics are compared across gender groups. In addition, using logistic regression, the differential risk for receiving a diagnosis of Alzheimer's Disease is examined. The authors conclude that a mix of biological and social factors combine to increase the impact of the disease for older women.     

Cougars or kittens? The representation of celebrity cougars and their toyboys in gossip media

Abstract

Relationships involving a woman who is much older than her male partner have become increasingly visible in popular culture. These women are referred to as “cougars” and their partners as “toyboys.” This type of relationship has the potential to undermine elements of heteronormativity and intersectional gender/age performances, as women who are past their forties are not expected to engage in sexual relationships with (younger) men. The present study discusses the discourse found in Dutch gossip media (n = 138) on the relationships of preselected celebrity “cougars:” Demi Moore, Madonna, Patricia Paay, and Heleen van Royen. A qualitative content analysis reveals that certain aspects of heteronormativity are challenged: these women are depicted as financially and sexually empowered, whereas their partners are seen as interchangeable male suitors who are dependent on the female partner’s (financial/career) achievements. Yet, traditional understandings of intersectional performances (i.e., gender/age) are also found: a wise, caring mother, and a handsome, boyish, adventurous partner. Overall, these women are seen as both maintaining and challenging traditional roles that are typically associated with older women.     

Is Stepfamily Status Associated With Cohabiting and Married Women’s Fertility Behaviors?

Children from prior relationships potentially complicate fertility decision-making in new cohabitations and marriages. On the one hand, the “value of children” perspective suggests that unions with and without stepchildren have similar—and deliberate—reasons for shared childbearing. On the other hand, multipartnered fertility (MPF) research suggests that childbearing across partnerships is often unintended. Using the 2006–2010 National Survey of Family Growth and event-history models, I examine the role of stepfamily status on cohabiting and married women’s fertility and birth intendedness, with attention to union type and stepfamily configuration. Adjusting for covariates, women in stepfamily unions are more likely to have a first shared birth in a union than women in unions in which neither partner has children from past relationships, but stepfamily births are less likely to be intended than unintended. Further, this association varies by union type: married women have similar birth risks across stepfamily status, but births are less likely to be intended in marital stepfamilies. For cohabitors, women in a stepfamily are more likely to have a birth than women in nonstepfamily unions, with no differences in intendedness. Configuration (whose children and how many) also matters; for instance, women with one child from a past relationship are more likely to have a birth and to have an intended than unintended birth than women with other stepfamily configurations. It appears that children from either partner’s prior relationships influences subsequent fertility decision-making, undermining the utility of the “value of children” perspective for explaining childbearing behaviors in complex families.     

Women and Retirement

SUMMARY

A feminist analysis of retirement is presented by questioning the applicability of traditional definitions and theories of retirement to retired women. The effects of marriage, caregiving and other family obligations on women's retirement are examined within the context of salient social, psychological and economic factors. An empowerment-oriented perspective that considers interactions and connections between family and work roles, public and private and personal and political levels are recommended to alleviate the high poverty rates among older women, to promote parity among men and women during retirement and to emancipate women from substantial involvement in unpaid work, specifically, caregiving and home labor.     

Role Ambiguity Among Women Providing Care for Ex-Husbands

Twenty-one women were interviewed regarding their caregiving experiences for ill or dying ex-husbands. Emergent in the analyses was the variety of ways in which they experienced role ambiguity as ex-wife caregivers. This article describes the role ambiguity ex-wife caregivers encountered interpersonally through interactions with network members, institutionally in dealing with professionals and the workplace, and intrapersonally in confusion over their roles and feelings. Consequences of role ambiguity are discussed, and recommendations for policy and practice are made in light of the aging population, changing family forms, and women's care roles.     

Does antenatal education affect labour and birth? A structured review of the literature

ObjectiveTo undertake a structured review of the literature to determine the effect of antenatal education on labour and birth, particularly normal birth.MethodOvid Medline, CINAHL, Cochrane and Web of Knowledge databases were searched to identify research articles published in English from 2000 to 2012, using specified search terms in a variety of combinations. All articles included in this structured review were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).FindingsThe labour and birthing effects on women attending antenatal education may include less false labour admissions, more partner involvement, less anxiety but more labour interventions.ConclusionThis literature review has identified that antenatal education may have some positive effects on women's labour and birth including less false labour admissions, less anxiety and more partner involvement. There may also be some negative effects. Several studies found increased labour and birth interventions such as induction of labour and epidural use. There is contradictory evidence on the effect of antenatal education on mode of birth. More research is required to explore the impact of antenatal education on women's birthing outcomes.     

A Feminist Model of Family Care: Practice and Policy Directions

SUMMARY

Using a feminist perspective, this article examines women's experiences in caring for older family members with chronic illnesses or disabilities. Central to this analysis are the concepts of the social construction of gender-based inequities in caring, the interconnections between generations of women as givers and receivers of care, and variations in family care by gender, race, ethnicity, social class and sexual orientation. The authors critique current practice interventions and policies and purpose models for the elimination of gender-based inequities in caregiving and the provision of caregiver choice and empowerment for women and men, including feminist models of practice with women caregivers and economic and long-term care supports.     

The Consequences of Caregiving: Effects on Women’s Employment and Earnings

Caregiving to family members comprises a major part of familial obligations in the United States. Informal caregiving is unevenly distributed in society, with women performing most of the work and bearing the burden of its costs. This paper addresses the cost dimension of informal caregiving to family members by examining whether and how it penalizes women’s employment. Drawing data from the 1987 and 1992 National Survey of Families and Households, we examine whether and how caregiving transitions affect changes in women’s labor force participation and the implications of this caregiving transitions for their earnings. We calculate how these effects vary for demographically different groups of women: those older and younger, with and without high levels of education, and married and not married. Our findings reveal that for most women, the initiation of caregiving led to a substantial reduction in their weekly hours worked and annual earnings. However, the effects were different for various subgroups of women: those older, with fewer skills, and more competing roles paid substantial costs if they began caregiving between 1987 and 1992.