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Agency in later life: The unrecognised operatrices of a fragmented care system. 晚年生活中的代理:支离破碎的护理系统中未被认可的运作。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-03-18 DOI: 10.1080/08952841.2026.2643311
Glenn Möllergren

Contrasting predominant assumptions of women who live with age-related care needs as passive, unagentic, and helpless, this article explores agency exercised in everyday lives permeated by formal home care services. Using a narrative thematic analysis of interviews, diaries, and observations of three Swedish women in later life using home care services, this study examines their diverse ways of navigating and managing a care system that can be described as complex and fragmented. As users of domiciliary care, they lead, instruct, and educate staff; they prepare for and assist in carrying out service provision, coordinate service agents, and engage empathetically with staff to reduce stress levels. At times, they also protest, resist and criticise, or express contentment in spite of questionable service quality. The analysis conceptualises such manifestations of agency as a regime-dependent, situationally embedded striving to influence everyday life, encompassing not only overt, goal-directed actions but also seemingly passive or contradictory orientations such as withdrawal, acceptance, refusal, or even self-harming practices. The findings demonstrate how the participants - Betty, Ofelia, and Gunnel - each enact distinctive approaches: Betty pragmatically seeks to tailor services to her preferences, Ofelia critically challenges and attempts to influence the system, and Gunnel strives to maintain harmony through collaboration. Their extensive engagement contests assumptions that women in the so-called 'fourth age' have lost their agency. Instead, the study shows that, in becoming operatrices of the care system, they paradoxically uphold or even intensify their agency, which calls for recognising care users' influence over the services they rely on.

对比那些生活在与年龄相关的护理需求中的女性是被动的、非能动性的和无助的主流假设,这篇文章探讨了日常生活中被正式的家庭护理服务渗透的能动性。通过对三名瑞典妇女在晚年生活中使用家庭护理服务的访谈、日记和观察进行叙事主题分析,本研究考察了她们导航和管理护理系统的不同方式,该系统可以被描述为复杂和碎片化。作为居家护理的使用者,他们领导、指导和教育工作人员;他们准备和协助提供服务,协调服务代理,并与员工共情,以减轻压力水平。有时,他们也会抗议、抵制和批评,或者对服务质量表示满意。该分析将代理的这种表现形式概念化为一种依赖于政权的、情境嵌入的努力,以影响日常生活,不仅包括公开的、目标导向的行动,还包括看似被动或矛盾的方向,如退缩、接受、拒绝,甚至自我伤害的做法。研究结果表明,参与者——贝蒂、奥菲利亚和冈内尔——每个人都制定了独特的方法:贝蒂务实地寻求根据自己的喜好量身定制服务,奥菲利亚批判性地挑战并试图影响系统,冈内尔努力通过合作保持和谐。她们的广泛参与反驳了所谓的“第四年龄”女性已经失去能动性的假设。相反,研究表明,在成为护理系统的操作者时,他们自相矛盾地坚持甚至加强了他们的代理,这要求承认护理使用者对他们所依赖的服务的影响。
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引用次数: 0
"Heat within, heat without- nowhere to escape": an intersectional perspective on Israeli women's challenges during menopause. “热内,热外-无处可逃”:对以色列妇女在更年期的挑战交叉的观点。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-03-10 DOI: 10.1080/08952841.2026.2640610
Rabab Awad, Natalie Ulitsa, Liat Ayalon

This study explores how Israeli women experience menopause in the context of climate change, with a specific focus on the intersection between internal hot flashes and external heat stress during the summer months. Using a qualitative methodology, 40 semi-structured interviews were conducted with women aged 42-60 who reported experiencing hot flashes as a symptom of menopause. The analysis reveals that coping with menopausal symptoms does not occur in isolation but is deeply embedded within environmental, material, and social contexts. Drawing on the Conservation of Resources theory while using an intersectional lens, the study highlights the significance of personal, interpersonal, material and social resources in managing the dual burden of internal and external heat. Based on these insights, the "Within-Without Coping Model" is proposed to conceptualize the layered and intersecting dimensions of coping. Although women in menopause should be recognized as a vulnerable population within climate and health policy, it is also important to acknowledge their agency and creativity in adjusting to the challenges. It is essential to develop gender- and climate-sensitive interventions that address the specific needs of women in midlife.

本研究探讨了以色列妇女在气候变化背景下如何经历更年期,特别关注夏季内部潮热和外部热应激之间的交集。采用定性方法,对40名年龄在42-60岁之间的女性进行了半结构化访谈,这些女性报告说,她们经历过潮热,这是更年期的症状。分析表明,应对更年期症状不是孤立发生的,而是深深植根于环境、物质和社会背景中。本研究以资源节约理论为基础,运用交叉视角,强调了个人资源、人际资源、物质资源和社会资源在管理内外热双重负担中的重要性。在此基础上,作者提出了“内-无应对模型”,将应对的层次性和交叉性维度概念化。虽然在气候和卫生政策中应承认更年期妇女是弱势群体,但也必须承认她们在适应挑战方面的能动性和创造性。必须制定对性别和气候敏感的干预措施,以满足中年妇女的特殊需求。
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引用次数: 0
Food itineraries and gender inequalities in Spain: Managing meals among older people in times of crisis. 西班牙的食物路线和性别不平等:危机时期老年人的膳食管理。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-03-10 DOI: 10.1080/08952841.2026.2640525
Mabel Gracia-Arnaiz, Thalita Kalix Garcia, Montserrat Garcia-Oliva

This study examines the ways in which older people in Spain manage their daily meals, considering gender differences and the impact of increasing precarization. The main objective is to shed light on whether these two issues are at the root of certain forms of food insecurity among people with fewer resources, particularly women. We show that tasks related to the provision, preparation, distribution, and consumption of food foster both interactions and gender asymmetries, and although these may change over time depending on life circumstances, they are adopted by people according to the norms and expectations regarding the sexual division of labor and the assignment of responsibilities. We conclude that in contexts of precarization, having been or being the person responsible for family food provision places women and men in an unequal position in terms of access to sufficient and healthy food.

本研究考察了西班牙老年人管理日常膳食的方式,考虑到性别差异和日益不稳定的影响。主要目标是阐明这两个问题是否是资源较少的人群,特别是妇女中某些形式的粮食不安全的根源。我们表明,与食物的供应、准备、分配和消费相关的任务既促进了相互作用,也促进了性别不对称,尽管这些可能会随着时间的推移而改变,但它们是根据有关性别分工和责任分配的规范和期望被人们所接受的。我们的结论是,在不稳定的情况下,曾经负责或成为负责家庭粮食供应的人使妇女和男子在获得充足和健康食物方面处于不平等的地位。
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引用次数: 0
"Not a care home but a political home": How feminist activism influences women's aging. “不是护理院,而是政治之家”:女权主义运动如何影响女性老龄化。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-03-05 DOI: 10.1080/08952841.2026.2640343
Anne E Barrett, Brianna Soulie, Hope Mimbs, Avery Solis

A central mantra of aging centers on staying socially engaged - a prescription supported by numerous studies reporting how social engagement enhances well-being in later life. Research in this area has primarily focused on interaction with family and friends, paid work, and unpaid activities such as volunteering, while devoting less attention to involvement in organizations with explicitly political goals. Political engagement - particularly activism oriented toward social change - may not only shape communities but also transform how individuals experience and understand their own aging. This transformative potential may be especially significant for women, who are often devalued as they age beyond youth. To explore this possibility, we draw on nine semi-structured interviews with members of the Older Feminist Network (OFN), an organization established in 1982 in the United Kingdom in response to the mainstream feminist movement's limited attention to older women's issues. Consistent with prior studies of other women-centered organizations, we found evidence that involvement in OFN provided social interaction, as well as physical and cognitive activity, that can enrich well-being in later life. Our analyses, however, revealed that its impact extended beyond social connection: It fostered a sense of purpose through shared political commitments and reframed aging through feminist consciousness. By turning the focus from social to political engagement in later life, our study reveals how activism can provide women with an empowering perspective on aging.

老龄化的核心咒语集中在保持社会参与上——这是一个得到大量研究支持的处方,报告了社会参与如何提高晚年的幸福感。这一领域的研究主要集中在与家人和朋友的互动、有偿工作和志愿服务等无偿活动上,而对参与具有明确政治目标的组织的关注较少。政治参与——尤其是以社会变革为导向的行动主义——不仅可以塑造社区,还可以改变个人对自己老龄化的体验和理解。这种变革潜力对女性来说可能尤其重要,因为随着年龄的增长,女性的价值往往会被贬低。为了探讨这种可能性,我们对老年女权主义网络(OFN)的成员进行了九次半结构化访谈。OFN是1982年在英国成立的一个组织,旨在回应主流女权主义运动对老年妇女问题的有限关注。与之前对其他以女性为中心的组织的研究一致,我们发现参与OFN提供了社会互动以及身体和认知活动的证据,这些活动可以丰富以后的生活。然而,我们的分析显示,它的影响超出了社会联系:它通过共同的政治承诺培养了一种使命感,并通过女权主义意识重塑了老龄化。通过将重点从社会参与转向晚年的政治参与,我们的研究揭示了激进主义如何为女性提供一个关于衰老的赋权视角。
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引用次数: 0
Sequins, satin, feathers and fur - collaborative costume and the ageing burlesque body. 亮片、缎子、羽毛和毛皮——协同服装和衰老滑稽的身体。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-01-28 DOI: 10.1080/08952841.2026.2622657
Alice O'Grady

This article explores the efficacy of costume within the context of new or neo-burlesque performance and examines what costume 'does' on stage for older performers. It brings together scholarship on burlesque performance and female ageing and introduces a third theoretical dimension, that of critical costume. The article investigates the role costume plays in burlesque performances and the extent to which it partners with the bodies of older performers both during the creative process and on stage. Adopting object-oriented storytelling as methodology, interviews with professional and semi-professional performers reveal how the aesthetic, technical and material qualities of burlesque costumes act as a vehicle for the performance of pleasure and provide a platform for flamboyant aging. By examining the materiality and performative potential of burlesque costumes, this article offers insights into the transformative power of costume in the context of creative ageing and wellbeing. Drawing on testimony from performers, burlesque costuming is conceptualised as an active collaborator which is capable of producing alternative narratives around the representation of ageing, female bodies.

本文探讨了服装在新滑稽剧表演中的功效,并探讨了服装在舞台上对老年表演者的作用。它汇集了关于滑稽表演和女性老龄化的学术研究,并引入了第三个理论维度,即批判性服装。本文研究了服装在滑稽戏表演中的作用,以及在创作过程和舞台上与老年表演者的身体合作的程度。采用面向对象的叙事方法,对专业和半专业表演者的采访揭示了滑稽戏服装的美学、技术和材料质量如何作为表演愉悦的载体,并为华丽的衰老提供了平台。通过研究滑稽服装的物质性和表演潜力,本文提供了在创造性老龄化和福祉背景下服装变革力量的见解。根据表演者的证词,滑稽戏服装被概念化为一个积极的合作者,它能够围绕衰老的女性身体的表现产生另一种叙事。
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引用次数: 0
"They say that my years for dying are due, and I should just die": Gendered ageism in healthcare access in Africa. “他们说我的死期到了,我应该去死”:非洲医疗保健服务中的性别年龄歧视。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-01-19 DOI: 10.1080/08952841.2026.2615470
Senjooti Roy, Georgina Veitch, Liat Ayalon

Gendered ageism refers to discrimination and bias arising from the intersection of age and gender. It leads to the devaluation and mistreatment of older women and may disproportionately impact multiple aspects of their lives. In this study, we explore the effects of gendered ageism on older women's access to healthcare in three African countries. Eighteen women aged 54-85 years were interviewed for this study. Thematic analysis was conducted to explore older women's experiences with healthcare facilities and health staff. Three sub-themes were identified: 1) structural and systemic issues that cause delay or denial of healthcare, 2) lack of person-centered care and disrespectful attitudes of healthcare workers, and 3) perceived control over healthcare decision-making. These sub-themes explore barriers to healthcare at the macro-, meso-, and micro-levels of interactions with healthcare systems. Gendered ageism may compromise older women's right to health, life, dignity, autonomy, and independence. It may deny older women access to timely and quality healthcare, jeopardizing their lives and limiting their prospects for healthy ageing. Recognition of the wide prevalence of gendered ageism and its impacts are essential for the formulation of health policies aimed at protecting older women from bias and discrimination within healthcare systems.

性别年龄歧视是指由于年龄和性别的交叉而产生的歧视和偏见。它导致对老年妇女的贬低和虐待,并可能不成比例地影响她们生活的多个方面。在本研究中,我们探讨了性别年龄歧视对三个非洲国家老年妇女获得医疗保健的影响。本研究采访了18位年龄在54-85岁之间的女性。进行了专题分析,以探讨老年妇女在保健设施和保健人员处的经验。确定了三个次级主题:1)导致延迟或拒绝医疗保健的结构性和系统性问题,2)缺乏以人为本的护理和医护人员的不尊重态度,以及3)对医疗保健决策的感知控制。这些子主题探讨了在宏观、中观和微观层面上与医疗保健系统相互作用的障碍。性别年龄歧视可能损害老年妇女的健康权、生命权、尊严权、自主权和独立性。它可能使老年妇女无法获得及时和优质的保健服务,危及她们的生命,限制她们健康老龄化的前景。认识到性别年龄歧视的普遍存在及其影响,对于制定旨在保护老年妇女在保健系统内免受偏见和歧视的保健政策至关重要。
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引用次数: 0
The dilemmas of maternal practices and care strategies for middle-aged and older women under China's delayed retirement policy. 中国延迟退休政策下中老年妇女的产妇实践困境与护理策略
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-04 DOI: 10.1080/08952841.2025.2597184
Nana Zheng, Chang Li, Shuqi Ye, Dan Xue, Jinping Zhang

As population aging intensifies and low birth rates persist, the growing burden of pension expenditures has formed an important background for China's implementation of a gradual delayed retirement policy. However, within the traditional gender division of labor in China, middle-aged and older women often bear dual maternal responsibilities-supporting adult children and caring for grandchildren. This study adopts in-depth interviews and participatory observation to engage 11 middle-aged and older women in Xianlin Sub-district, Qixia District, Nanjing. It analyzes their role conflicts under the dual pressures of work and family, and explores the influence of labor systems, gender norms, and welfare institutions. The study finds that although delayed retirement can increase their family income, maintain social networks, and improve their "empty nest" living situation, they still face challenges such as dual labor, time poverty under labor systems, exclusion from modern parenting discourses, and physical and mental exhaustion due to dual maternal roles, under the constraints of multiple social structures. These maternal practices reflect the struggles of middle-aged and older women within structural dilemmas arising from family gender role expectations, the lack of social policies and protections, internalized traditional cultural notions, and insufficient social support. Therefore, it is urgently needed to optimize social policies, promote the construction of harmonious family values, implement community-based childcare mutual assistance, and adjust family roles as care strategies to help middle-aged and older women reposition their roles within multiple social structures and reshape maternal spaces.

随着人口老龄化的加剧和低出生率的持续,养老金支出负担的增加成为中国实施渐进式延迟退休政策的重要背景。然而,在中国传统的性别分工中,中老年妇女往往承担着双重母亲责任——抚养成年子女和照顾孙辈。本研究采用深度访谈和参与式观察的方法,对南京市栖霞区仙林街道的11名中老年妇女进行了调查。分析了她们在工作和家庭双重压力下的角色冲突,并探讨了劳动制度、性别规范和福利制度的影响。研究发现,虽然推迟退休可以增加家庭收入,维持社会网络,改善“空巢”生活状况,但在多重社会结构的约束下,她们仍然面临双重劳动、劳动制度下的时间贫困、现代育儿话语的排斥、双重母亲角色带来的身心疲惫等挑战。这些产妇做法反映了中老年妇女在家庭性别角色期望、缺乏社会政策和保护、内化传统文化观念和社会支持不足等结构性困境中的挣扎。因此,迫切需要优化社会政策,推进和谐家庭价值观的构建,实施社区托儿互助,调整家庭角色照护策略,帮助中老年妇女在多重社会结构中重新定位角色,重塑母性空间。
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引用次数: 0
Czech women's motivations for and lived experiences with anti-ageing cosmetic/aesthetic surgery journey. 捷克女性进行抗衰老美容手术的动机和生活经历。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-08 DOI: 10.1080/08952841.2025.2598083
Michaela Honelová, Jana Čížková, Lucie Vidovićová

Little qualitative literature has focused on women's motivations to undergo cosmetic/aesthetic surgery and their lived experiences throughout the surgery process (e.g., before, during, and after). To fill this gap, we interviewed 15 Czech women aged 30-55 and conducted non-participatory observations at aesthetic surgery clinics. We conducted a thematic analysis from which we generated three overarching themes. Broadly, participants discussed the normalisation of cosmetic/aesthetic surgery in society and the importance of undergoing cosmetic/aesthetic surgery for themselves while "in the shadow" for others. Participants also articulated how medical aesthetic encounters with aesthetic surgeon(s) influence their cosmetic/aesthetic surgery journeys. Finally, some women expressed decision regrets immediately after surgery or later during the recovery process. The presented results are the testimony of women who respond and negotiate differently to the pressures of gendered sociocultural norms and expectations associated with the body and its physicality. These findings seek to contribute to contemporary debates on gendered bodywork and self-care as a broader component of well-being and health from both theoretical and empirical perspectives and to focus on the ageing female body moving through the era of gender and cosmetic/aesthetic surgery.

很少有定性文献关注女性接受整容/美容手术的动机以及她们在整个手术过程中的生活经历(例如,手术前、手术中和手术后)。为了填补这一空白,我们采访了15名年龄在30-55岁之间的捷克女性,并在美容手术诊所进行了非参与性观察。我们进行了主题分析,从中产生了三个总体主题。总的来说,与会者讨论了社会上整容/美容手术的正常化,以及为自己做整容/美容手术而为他人做“阴影”的重要性。参与者还阐述了与美容外科医生的医学美学接触如何影响他们的美容/美容手术旅程。最后,一些女性在手术后或恢复过程中立即表达了后悔的决定。所提出的结果是妇女对与身体及其身体有关的性别社会文化规范和期望的压力作出不同反应和谈判的证据。这些研究结果试图从理论和经验的角度为当代关于性别身体和自我保健作为福祉和健康的更广泛组成部分的辩论做出贡献,并将重点放在性别和整容/美容手术时代的老龄化女性身体上。
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引用次数: 0
Navigating power and silence: Communicative disenfranchisement in menopause healthcare communication. 导航力量与沉默:更年期保健沟通中的沟通剥夺。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-08 DOI: 10.1080/08952841.2025.2601019
Callie Tolman, Valerie Rubinsky, Angela Cooke-Jackson

This study explores the communication patterns between women in various stages of menopause and their healthcare providers through the lens of the theory of communicative disenfranchisement (TCD). Drawing from in-depth interviews (n = 32), using a thematic analysis and adopting an interpretive approach, three themes were identified relating to healthcare provider communication. Findings suggest that provider and patient communication involves (1) validating talk, (2) disenfranchising communication and disconfirming talk, and (3) patient self-advocacy. Although power imbalances are endemic to patient-provider relationships, our analysis demonstrates how these dynamics are exacerbated and acutely felt in the context of menopause from the perspective of the patient, due to the convergence of medical uncertainty, societal stigma, and the subjective nature of symptoms. Participants' narratives advocate for reforms that prioritize validation, comprehensive information, and access to more specialized and responsive care. The study argues that the TCD provides a critical framework for understanding how systemic healthcare disparities become communicatively enacted in specific, stigmatized health contexts like menopause. Implications and directions for future research are discussed.

本研究透过沟通剥夺理论(communication disen特许权,TCD),探讨更年期不同阶段女性与其医疗服务提供者之间的沟通模式。根据深度访谈(n = 32),使用专题分析并采用解释性方法,确定了与医疗保健提供者沟通有关的三个主题。研究结果表明,医护人员与患者的沟通包括(1)确认谈话,(2)剥夺沟通和不确认谈话,以及(3)患者自我倡导。虽然权力失衡是医患关系的特有现象,但我们的分析表明,从患者的角度来看,由于医疗不确定性、社会污名和症状的主观性质的融合,这些动态如何在更年期的背景下加剧和尖锐地感受到。参与者的叙述倡导改革,优先考虑验证,全面的信息,并获得更专业和响应性的护理。该研究认为,TCD提供了一个关键的框架,以理解系统性医疗保健差距如何在特定的、被污名化的健康环境(如更年期)中传播。讨论了今后研究的意义和方向。
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引用次数: 0
A coherent self: Narrating multiple identities in Han-Hui-Muslim intermarriage. 连贯的自我:汉回穆斯林通婚中的多重身份叙事。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-16 DOI: 10.1080/08952841.2025.2575497
Liang Zhao

Endogamy requirement, together with differences in life styles between nonreligious Han group and Hui-Muslims, cause Han-Hui intermarriage unwelcomed both in Han and Hui families in China. Changes brought by marriage make these Han women feel an identity crisis of being bi-marginalized by both Han and Hui families. Narratives of 32 Han-married-Hui women are analyzed with the help of autobiographical reasoning, examining how they relate the past to the present in their life stories to bridge personal change and render personal identity continuous. It is found that they rely on something stable, like personal character, personal capability, or certain resources (kids, husbands, domestic service), to diminish the change brought by the marriage and obtain self-continuity. During this process, four new, hybrid identities are developed: Hui-Muslim identity, Han-Muslim identity, Han-Half-Muslim identity, and Han-Non-Muslim identity. Self-identification approves the application of the mechanisms, while applying the mechanisms confirms the new identities. The dynamic interplay between the two help the women resist societal and family marginalization, and maintain 'coherent self' as well as align with Chinese family culture.

内婚制的要求,加上不信教的汉族与回族穆斯林生活方式的差异,导致了汉族回族通婚在中国的汉族和回族家庭中都不受欢迎。婚姻带来的变化使这些汉族妇女感到被汉族和回族家庭双重边缘化的身份危机。本文运用自传体推理的方法,分析了32位汉族回族妇女的故事,考察了她们在生活故事中如何将过去与现在联系起来,以弥合个人的变化,并使个人身份得以延续。研究发现,她们依靠一些稳定的东西,比如个人性格、个人能力,或者某些资源(孩子、丈夫、家政服务)来减少婚姻带来的变化,获得自我延续。在此过程中,形成了四种新的混合身份:回族穆斯林身份、汉族穆斯林身份、汉族半穆斯林身份和汉族非穆斯林身份。自我认同认可了机制的应用,而应用机制则确认了新的身份。两者之间的动态相互作用有助于女性抵制社会和家庭的边缘化,保持“连贯的自我”,并与中国家庭文化保持一致。
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引用次数: 0
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