Productive aging: a feminist critique

This essay offers a feminist perspective on the call for a "productive aging" society, and says that the movement provides an answer before we have systematically asked questions about the meaning of old age. An emphasis on productivity, among other things, can devalue relational activities, often inherent in women's roles, and certain older people-older women in particular. The author proposes a number of measures for the short term, so that society can be responsible to older women who need and want jobs, as well as ideas for more far-reaching change.     

Demography and ageing -- a truism highlighted

Since the aging of populations, with its extensive consequences, requires ample planning, demography is the soothsayer of gerontology. The realization that aging is the main demographic event of this century has generated an interdependence among demography, gerontology, and geriatrics, and created a base from which to extrapolate socio-political consequences from population changes. Demography transforms the personal unidimensional experience of aging to a dynamic one which traverses time and geography. Chronological age is not an exclusive criterion; this presents an opportunity to explore avenues grounded in the realms of economics, politics, policy, and culture. The inclusion of demography in international training courses of the International Institute on Aging (United Nations-Malta) has made possible an easier progression toward discussing policy, planning, funding, and social services within a broader context. The dependency of aging upon demography established the collaborative development between the Committee for International Cooperation in National Research in Demography (CICRED) and INIA and the joint hosting of a synthesis meeting on Population Ageing Research Project. In this collection of papers, Don Rowland creates the concept of the Gerontological Transition which interprets aging as a process of cohort flow; Raul Hernandez, through an evaluation of regional data, provides a classic analysis of changing age ratios within the population as a whole; Anthony Warnes, through use of mortality rates, provides a demographic analysis to expose the age-dependent variability in health and welfare payments; Paul Paillat transposes demographic numbers into social consequences; Miroslav Macura focuses on the youth in these population shifts; and the emerging elderly in the never ending cycle of events are viewed. Planning beyond the individual lifetime will become a necessity for mankind.     

Helping oneself by helping others: evaluation of a service credit banking demonstration

Between 1987 and 1990, the Robert Wood Johnson Foundation funded six service credit banking demonstration programs among the elderly in which participants delivered services in return for credits, entitling them to later service. This evaluation of the demonstrations found that these six sites successfully attracted elders for the delivery of household support services to a relatively old, frail population with potentially limited social networks. Evidence on the significance of the "credit" in attracting volunteers was mixed, but the programs have attracted new volunteers, and have not substituted for other volunteer activities. Program development has entailed considerable staff investment in volunteer support; programs are better understood as community membership organizations than as mechanical exchanges.     

Sucker bet or sure thing: A critical analysis of sports lotteries

A paradox currently exists regarding legal sports gambling in North America: various forms are flourishing in Nevada, Oregon, and several Canadian provinces, while at the same time the United States Congress is conducting hearings on two bills that would prohibit any new state-sponsored sports gambling initiatives. This study examines the issue of why some jurisdictions are enthusiastic about legal sports gambling while others strongly resist the concept. In reviewing these divergent viewpoints, a case study of the newfledged Canadian Sport Select gambling format is presented. This example is used to highly the perils and payoffs of a typical state-sponsored sports gambling scheme, with a view toward broadening our understanding of how they work and how they might be fairer to the public.     

Age difference asymmetry and a two-sex perspective

The paper shows that (a) the age difference between spouses can be and has been different for men and women; (b) male and female age differences can exhibit different trends; (c) the discrepancy is due to remarriage; (d) the age difference fluctuates substantially through time; (e) trends in the age difference are not readily interpretable as reflecting change in the relative status of the sexes; and (f) that trends in the age difference may be linked to marriage market conditions. The paper argues that marriage and fertility data for both men and women are increasingly necessary because of rises in marital breakdown and the associated divergence of the experience of men and women.Cet article montre que (a) les différences d'âge entre époux peuvent être et ont été dissemblables pour les hommes et les femmes; (b) les différences d'âge masculines et féminines peuvent présenter des tendances différentes; (c) la divergence est due aux remariages; (d) les différences d'âge varient de façon importante au cours du temps; (e) les tendances dans les différences d'âge ne sont pas simplement interprétables en termes de changements dans le statut relatif des sexes; et (f) les tendances dans les différences d'âge peuvent être reliées aux conditions du marché matrimonial. L'article montre que les données sur le mariage et la fécondité à la fois des hommes et des femmes, sont de plus en plus nécessaires du fait de l'accroissement des ruptures d'unions et de la divergence des expériences masculines et féminines, qui lui est associée.

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An earlier version of this paper, His and her age gap: asymmetry in the age difference between partners, was a contributed paper to Session F27 of the General Conference of the International Union for the Scientific Study of Population, New Delhi, 20–27 September 1989. A longer version appeared as LS Working Paper 70, issued by City University Social Statistics Research Unit, September 1990.     

Multistate life-tables and regression models

"A survey is given of the use of modern statistical techniques in event history analysis, and in particular in the study of multi-state life-tables in demography. Emphasis is placed on the interplay between partial likelihood and nonparametric maximum likelihood based methods, a) when analysing semi-Markov models or models with repeated spells, and b) in frailty models for unobservable heterogeneity."     

Data collection: are social workers reliable?

Social workers are required to collect a considerable amount of personal information about clients and their families which may be unrelated to direct clinical work. Administrators often use this for the purpose of payment, service documentation, agency planning, and accountability. The worker's concern about the appropriateness of collecting this data may result in poor compliance or even falsification of information. In a survey of Minnesota social workers, noncompliance with data collection requirements was substantial. The authors also found a significant degree of conflict about privacy and confidentiality issues. These findings suggest a basis of concern for those who must rely on accurate data for administrative planning.     

Principal curves revisited

A principal curve (Hastie and Stuetzle, 1989) is a smooth curve passing through the middle of a distribution or data cloud, and is a generalization of linear principal components. We give an alternative definition of a principal curve, based on a mixture model. Estimation is carried out through an EM algorithm. Some comparisons are made to the Hastie-Stuetzle definition.     

Breast implants, Hippocrates, and burden of proof

The author argues that the burden of proof for the safety and efficacy of some medical devices properly lies with the manufacturers of the devices and with the providers who use them. The controversy over breast implants is used as a case for this shift in the burden of proof of safety and effectiveness.