“You get old. You get invisible”: Social isolation and the challenge of communicating with aging women

Social isolation is a problem facing many older women. Isolation can contribute to poor health as adults age without social support. Increased and tailored communication offers service organizations more opportunities to provide social support to these adults. This research examines perceptions of aging to explore communication behaviors, barriers, and opportunities for improved communication and service provision for aging women. Using data from focus groups and interviews, this study finds that participants from community organizations rely on word of mouth and traditional media to communicate with their aging constituents, despite opportunities to use digital communication and to develop communication plans for this population.     

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.     

Medicaid,motherhood, and the challenges of having a healthy pregnancy amidst changing social networks

BackgroundAfrican American women with low income face various challenges to having a healthy pregnancy. Unplanned pregnancies often amplify those challenges and negatively impact women’s ability to get the care that she needs. Research has shown that social networks can improve pregnancy outcomes by helping women cope with and address the problems that they face. However, there is little research on how unintended pregnancy impacts the medical and social support that African American women receive.AimThis research explored how unintended pregnancies impact women’s social networks and the type of support that they need throughout the pregnancy.Design and sampleThis ethnographic study included 20 African American women who used pregnancy services at a health department in the United States. Fourteen women were enrolled in the study during their first or second trimester and were interviewed upon enrollment, in their third trimester, and within one month of giving birth. An additional six women were enrolled and interviewed within one month of giving birth.ResultsAfrican American women’s needs and social support networks change throughout their pregnancy. When medical providers primarily offer pregnancy information and referrals to social service agencies during the first trimester, problems that women have later in the pregnancy are not properly addressed.ConclusionSocial support needs to be accessed at multiple times during the pregnancy. Pregnancy resources should be provided throughout the pregnancy, recognizing that social support and personal struggles evolve during the pregnancy.     

An analysis of online pregnancy message boards: Mother-to-mother advice on medication use

Problem and backgroundPsychotropic medication use is increasingly common among pregnant women. Many women solicit information from other mothers about the safety of these medications for use during pregnancy, yet little is known about the specific advice they receive.AimThe purpose of the current study was to examine the type of feedback women receive on a popular internet message board about psychotropic medication use during pregnancy.MethodsA modified Consensual Qualitative Research approach was used to analyze 1728 comments posted by Babycenter.com users about the safety of the use of six common psychotropic medications during pregnancy. Researchers analyzed the comments for overall themes and core ideas.FindingsResults found that comments were comprised of six themes: (1) Personal Anecdotes, (2) Suggesting Alternative Solutions, (3) Directives, (4) Judgement, (5) Social Support, (6) Skepticism & Mistrust, and (7) Risks vs. Benefits. While many comments conveyed emotional support, or encouraged women to seek professional advice, others contained inaccurate and/or contradictory information, or harsh criticism.ConclusionGiven that the decision about the use of medication during pregnancy has implications for the health of the mother and fetus, it is important for care providers to be aware of what feedback women may receive from this source. Providers should address questions and concerns that women have about safety of these medications and recognize how the social context of the internet impacts the emotional health of pregnant women faced with these decisions.     

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.     

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.     

Predictors of Quality of Life in Economically Disadvantaged Populations in Montreal

Most epidemiological studies agree that economically disadvantaged populations are the groups most vulnerable to mental health problems and report lower quality of life among these populations. However, it appears that access to social support plays a role in protecting against the chronic stress resulting from conditions such as poverty. This study is an attempt to clarify the relative contribution of social support to the quality of life of economically disadvantaged populations in two low-income neighbourhoods of Montreal. A random sample of 417 social assistance recipients were interviewed in the respondents?? homes. The Quality of Life scale used was the Satisfaction with Life Domains Scale. The availability of social support components was assessed using the Social Provisions Scale. Social support measures were entered into a multidimensional model that included a number of variables identified as having a relationship to mental health. Among the 17 variables included in a multiple regression analysis, emotional support and support providing reassurance of worth accounted for most of the variance in the QOL predicted by the model. Psychological distress also accounted for a fair amount of variance in QOL and younger people and people experiencing food insecurity showed a lower QOL.     

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     

Social support among women veterans

The beneficial effects of social support on well-being have been shown in various studies. Less is known about factors which constrain or enhance the availability of social support. The present study profiles social support among women veterans and attempts to identify factors which enhance or constrain perceptions of support and social integration for women of different military eras. Data are derived from a national sample of women veterans who had at least one VA out-patient visit during a one year time period. Twenty percent of women veterans report having no one to depend on. Social support is lowest among Vietnam and Post-Vietnam era women. Chronic strains (such as having problems with relatives, housing, and paying bills) are important factors which are associated with levels of perceived support. Factors related to loneliness/alone status appear to be associated with constraints in group activities and perceived support. This research illustrates the importance of examining factors which constrain and enhance supportive activities and relationships.     

Art-based interventions during pregnancy to support women’s wellbeing: An integrative review

BackgroundThe transition to motherhood is a dynamic experience. Antenatal care and education are designed to support women during pregnancy, however childbearing women often report a further need for emotional and social support beyond preparation for birth. Broadening routine antenatal care to included art-based interventions may offer women an opportunity to explore important aspects of the transition to motherhood.AimThe aim of this integrative review is to synthesise research regarding the use of art-based interventions with women during pregnancy.MethodA systematic integrative review of the current evidence-base was conducted. A multi-database keyword search was implemented, and a total of six articles met inclusion criteria. Results were analysed using an inductive thematic analysis framework.FindingsSix studies met the inclusion criteria. Three major themes were generated: art-based engagements supported women to express complex emotion, fostered a sense of connection and strengthened personal resourcefulness.DiscussionCreative expression provided an opportunity to explore important aspects of the motherhood experience including, complex emotion, identity and bonding with the unborn child. Being in a group enhanced the health effects of art-making and the social connection felt supportive when role and identity was evolving.ConclusionsWhilst research on the current topic is emergent, preliminary results suggest that facilitated art-based programs are valuable for pregnant women. Art-based experiences offer women a unique opportunity to explore the full dimensionality of the transition to motherhood which can contribute to improved health and wellbeing. These findings suggest that art-based programs may serve to complement existing antenatal care models.     

Configurations of Informal Social Support Among Older Lesbians

ABSTRACT

Limited research has been conducted on the needs and concerns of older lesbians in the American population. The purpose of this paper is to present findings from a qualitative study of older (aged 55 and older) lesbians' experiences of and perspectives on aging, with a focus on their discussions of social support. Through an in-depth qualitative study with 25 older lesbians, we found that aging lesbians may be less likely to access formal social services due to perceptions of bias within the services and a potential lack of connection with those who do use services. However, participants were creative at formulating informal networks of support. Four heuristic categories (empowered, secure, independent, and precarious) of informal social support were developed to characterize the various ways in which participants configured their support systems. Social support within each category was conceptualized both in terms of intentionality and degree of connectedness. Being partnered did not necessarily equate with a strong sense of social support. Further research needs to be conducted on older lesbians in order to better characterize and respond to their needs as they age.     

Configurations of informal social support among older lesbians

Limited research has been conducted on the needs and concerns of older lesbians in the American population. The purpose of this paper is to present findings from a qualitative study of older (aged 55 and older) lesbians' experiences of and perspectives on aging, with a focus on their discussions of social support. Through an in-depth qualitative study with 25 older lesbians, we found that aging lesbians may be less likely to access formal social services due to perceptions of bias within the services and a potential lack of connection with those who do use services. However, participants were creative at formulating informal networks of support. Four heuristic categories (empowered, secure, independent, and precarious) of informal social support were developed to characterize the various ways in which participants configured their support systems. Social support within each category was conceptualized both in terms of intentionality and degree of connectedness. Being partnered did not necessarily equate with a strong sense of social support. Further research needs to be conducted on older lesbians in order to better characterize and respond to their needs as they age.     

Worry and Bother: Factors in Rural Women’s Health Decision Making

This exploratory study examined older rural women’s health decision making. Thirty-three rural women were recruited to participate in semistructured qualitative interviews. Major themes emerged that focused on rural women’s comments regarding their concerns about not worrying or bothering their children with personal health matters. Themes were discussed in the context of an ethic of care. Results suggest that it is important for mental health professionals, family physicians, social workers, and other practitioners to be aware of the sense of worry and concern for others that older rural women bring to bear in decision making about personal health issues.     

Social Support Among Women Veterans

ABSTRACT

The beneficial effects of social support on well-being have been shown in various studies. Less is known about factors which constrain or enhance the availability of social support. The present study profiles social support among women veterans and attempts to identify factors which enhance or constrain perceptions of support and social integration for women of different military eras. Data are derived from a national sample of women veterans who had at least one VA out-patient visit during a one year time period. Twenty percent of women veterans report having no one to depend on. Social support is lowest among Vietnam and Post-Vietnam era women. Chronic strains (such as having problems with relatives, housing, and paying bills) are important factors which are associated with levels of perceived support. Factors related to loneliness/alone status appear to be associated with constraints in group activities and perceived support. This research illustrates the importance of examining factors which constrain and enhance supportive activities and relationships.     

When lesbians aren't gay: factors affecting depression among lesbians

Research on women and depression has neglected to explore how the factors that put women at risk for depression apply to lesbians. The present study examined four of the risk factors consistently cited in the women and depression literature (relationship status, relationship satisfaction, social support from friends, and social support from family), and two unique factors (outness and relationship status satisfaction), to determine their ability to predict depression among lesbians. Data were collected from 167 lesbians between the ages of 20 and 60. Perceived social support from friends, relationship status satisfaction, and perceived social support from family, were found to be significant predictors, accounting for 17.8% of the variance in depression, as measured by the Center for Epidemiologic Study Depression Scale (CES-D). A second multiple regression equation focused on the 110 lesbians who were in committed relationships, using the variables relationship satisfaction, perceived social support from friends, perceived social support from family, and outness, to determine if relationship satisfaction added to the amount of variance which could be predicted in depression. Social support from friends was the only significant predictor in this equation, accounting for 5.8% of the variance in depression scores.     

The Relationship of Social Support to Functional Limitations,Pain, and Well Being Among Men and Women

The purposes of this study were to assess the relationships of functional limitations, pain and well being to social support (emotional, tangible, informational and integrative) and to assess gender differences in these relationships. Except for integrative support, significant positive relationships were found between types of functional limitations and specific types of social supports among 15 men and 15 women (M = 67 years) with end stage joint disease. Pain was not significantly associated with any social support, but well being was related to informational and emotional supports. As compared to men, the relationships of tangible and integrative supports to well being, pain and functional impairment were signficantly greater for women as was the association of emotional support to limitations in mobility and physical activity. In contrast, women had signif~cantlys maller relationships of emotional support to limitations in ADL and household activities.     

Core Self-Evaluations Mediators of the Influence of Social Support on Job Involvement in Hospital Nurses

The primary goal of this study was to explore the influence of social support on job involvement and investigate the mediating effect of core self-evaluations on this relationship. A total of 330 participants who are all women completed a battery of questionnaires that assessed social support, core self-evaluations and job involvement. Data were collected by using the Core self-evaluations scale, Social support rating scale and Utrecht work engagement scale. The results indicated that both social support and core self-evaluations were significantly associated with the job involvement. Path analysis (AMOS) showed that core self-evaluations partially mediated the relationship between social support and job involvement. The final model also revealed a significant path from social support through core self-evaluations to job involvement. Limitations of the study are considered and implications of the results for promotion of nurses’ job involvement.     

Benefits for Older People from Government Subsidies for Healthcare in China: Is the Distribution Equitable?

Social Indicators Research - Population aging poses an unprecedented challenge in China. Barriers such as health insurance schemes, socio-economic status, social support, and family structure...