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Sources of empowerment and mental health among retired men and women: An ecological perspective. 退休男女的赋权来源与心理健康:生态学视角。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-06-13 DOI: 10.1080/08952841.2023.2222638
Liat Kulik

Aims: The overarching goal of the present study was to examine the contribution of various sources of empowerment to mental health during retirement with an added emphasis on gender differences. The empowerment sources that were examined corresponded with three distinct ecological systems: (1) Chronosystem-resource gains from the pre- to post-retirement period and satisfaction with the prior working period; (2) Microsystem-marital power dynamics (measured by the division of household labor and decision-making in the marital relationship) and the presence of a confidant; (3) Ontogenetic system-a sense of meaning in one's life during the retirement period and an assessment of absolute resources.

Method: The research sample consisted of 160 Israeli retirees (78 women and 82 men) who had retired within the previous eight years. Data were collected by the Panels Research Institute in Israel using the institute's database of members. Participants completed an online questionnaire accessible via a website link. Statistical processing was performed using ANOVA and hierarchical regression analysis.

Results: The results indicated that retirees' reports of resource gains after retirement, their sense of meaning in life, their satisfaction with their working period prior to retirement, and their perceived level of absolute resources were all associated with mental health. Additionally, the more participants (both men and women) rated that the husband was involved in household labor, the better retirees reported their mental health to be. Gender differences were found in regard to some empowerment sources during retirement: retired women reported lower levels of mental health and prior work satisfaction compared to retired men, and men's assessments of their participation in household labor and decision-making were higher than women's assessments of their husbands' involvement. The proportion of men who reported that their wives were their confidants was higher than the proportion of women who reported that their husbands were their confidants.

Summary and conclusions: Overall, men experienced more sources of empowerment than women during retirement, but findings suggest that men's emotional dependence on their wives is greater than women's emotional dependence on their husbands. Based on the study's findings, recommendations are offered to professionals who work with retirees.

目的:本研究的总体目标是研究各种赋权来源对退休期间心理健康的贡献,并强调性别差异。所研究的赋权来源与三个不同的生态系统相对应:(1) 时间系统--从退休前到退休后的资源收益以及对之前工作期间的满意度;(2) 微观系统--婚姻权力动态(以家庭分工和婚姻关系中的决策来衡量)以及是否有知己;(3) 本体系统--退休期间的生活意义感以及对绝对资源的评估:研究样本包括 160 名在过去八年内退休的以色列退休人员(78 名女性和 82 名男性)。数据由以色列 Panels 研究所利用该研究所的会员数据库收集。参与者通过网站链接填写了一份在线问卷。统计处理采用方差分析和分层回归分析:结果表明,退休人员对退休后资源收益的报告、他们的生活意义感、他们对退休前工作时间的满意度以及他们感知到的绝对资源水平都与心理健康有关。此外,参与者(包括男性和女性)对丈夫参与家务劳动的评价越高,退休人员的心理健康状况就越好。在退休期间的一些赋权来源方面发现了性别差异:与退休男性相比,退休女性报告的心理健康水平和以前的工作满意度较低,男性对自己参与家务劳动和决策的评价高于女性对丈夫参与的评价。报告称妻子是其知己的男性比例高于报告称丈夫是其知己的女性比例:总体而言,男性在退休后比女性获得了更多的权力,但研究结果表明,男性对妻子的情感依赖比女性对丈夫的情感依赖更大。根据研究结果,我们向从事退休人员工作的专业人员提出了一些建议。
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引用次数: 0
Depression in older women who died by suicide: associations with other suicide contributors and suicide methods 自杀身亡的老年妇女的抑郁症:与其他自杀因素和自杀方式的关联
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-12-13 DOI: 10.1080/08952841.2023.2292164
Namkee G. Choi, C. Nathan Marti
Suicides among older women have received little research attention. In this study based on the 2017–2019 National Violent Death Reporting System data, we examined the prevalence of depression in ol...
老年妇女的自杀很少受到研究的关注。在这项基于2017-2019年国家暴力死亡报告系统数据的研究中,我们研究了老年人抑郁症的患病率。
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引用次数: 0
A Study on the effect of lifestyle educational intervention based on the theory of planned behavior on promoting quality of life of middle-aged women. 基于计划行为理论的生活方式教育干预对提高中年妇女生活质量的影响研究。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-04-28 DOI: 10.1080/08952841.2023.2202658
Shahla Kamalian, Alireza Didarloo, Hamid Reza Khalkhali, Mina Maheri

The present study aimed to determine the effect of lifestyle educational intervention based on the theory of planned behavior on promoting the quality of life of middle-aged women. The present quasi-experimental study examined 80 middle-aged women and randomly divided them into two groups (intervention and control). Data collection tools included the demographic information questionnaire, the Health Promoting Lifestyle Profile-II (HPLP-II), the 12-Item Short-Form Health Survey (SF-12), and the author-developed questionnaire based on constructs of the theory of planned behavior. Data were collected via WhatsApp twice (before and three months after the educational intervention). Five 45-minute training sessions were held for the intervention group and a 60-minute session for a family member regarding physical activity and spiritual growth over two months via WhatsApp. Data were analyzed using SPSS, and the results were considered significant at a statistical level (p < .05). The implementation of the educational intervention significantly increased the mean scores of quality of life, physical activity and spiritual growth, knowledge regarding physical activity and spiritual growth, attitude toward physical activity and spiritual growth, subjective norms toward spiritual growth, perceived behavioral control for physical activity, and behavioral intention to perform physical activity and spiritual growth in the intervention group in comparison with the control group. The educational intervention, which was designed based on constructs of the theory of planned behavior, was influential in promoting the lifestyles and quality of life of middle-aged women. Therefore, it is suggested to use the educational program of the present study in addition to other middle-age health care.

本研究旨在确定基于计划行为理论的生活方式教育干预对提高中年妇女生活质量的影响。本准实验研究调查了80名中年妇女,并将她们随机分为两组(干预组和对照组)。数据收集工具包括人口统计信息问卷、健康促进生活方式概况II(HPLP-II)、12项简式健康调查(SF-12),以及作者基于计划行为理论构建的问卷。数据通过WhatsApp收集了两次(教育干预前和教育干预后三个月)。通过WhatsApp为干预组举办了五次45分钟的培训,并为一名家庭成员举办了一次60分钟的关于两个月内身体活动和精神成长的培训。使用SPSS对数据进行分析,结果在统计学水平上被认为是显著的(p
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引用次数: 1
Grandmothers residing with grandchildren: Social determinants of health, health behaviors, and health outcomes. 与孙辈同住的祖母:健康、健康行为和健康结果的社会决定因素。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-03-28 DOI: 10.1080/08952841.2023.2188863
Jen'nea Sumo, JoEllen Wilbur, Wrenetha A Julion, Michael E Schoeny, Peter Cummings
Abstract The purpose of this study was to explore the associations between social determinants of health, health behaviors, and physical and mental health among African American and Hispanic caregiving grandmothers. We use cross-sectional secondary data from the Chicago Community Adult Health Study, originally designed to understand the health of individual households based on residential context. In a multivariate regression model, discrimination, parental stress, and physical health problems were significantly associated with depressive symptoms in caregiving grandmothers. Considering the multiple sources of stress experienced by this grandmother sample, researchers should develop and strengthen contextually relevant interventions for improving the health of caregiving grandmothers. Healthcare providers must be equipped with skills to address caregiving grandmothers’ unique needs related to stress. Finally, policy makers should promote the development of legislation that can positively influence caregiving grandmothers and their families. Expanding the lens through which caregiving grandmothers living in minoritized communities are viewed can catalyze meaningful change.
本研究的目的是探讨非裔美国人和西班牙裔护理祖母的健康、健康行为和身心健康的社会决定因素之间的关系。我们使用了芝加哥社区成人健康研究的横断面二级数据,该研究最初旨在根据居住环境了解单个家庭的健康状况。在多元回归模型中,歧视、父母压力和身体健康问题与照顾祖母的抑郁症状显著相关。考虑到这个祖母样本所经历的压力来源多种多样,研究人员应该制定并加强与背景相关的干预措施,以改善照顾祖母的健康。医疗保健提供者必须具备解决照顾祖母与压力相关的独特需求的技能。最后,政策制定者应推动制定能够对照顾祖母及其家人产生积极影响的立法。扩大对生活在少数民族社区的照顾祖母的看法可以促进有意义的变化。
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引用次数: 0
Loneliness among Chilean indigenous women: Family, community, and socio-cultural integration as protective factors. 智利土著妇女的孤独感:家庭、社区和社会文化融合是保护因素。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-03-27 DOI: 10.1080/08952841.2023.2189505
Lorena P Gallardo-Peralta, Paula Fernández-Dávila Jara, Julio Tereucán Angulo, Vicenta Rodríguez Martín

This study examined the incidence of loneliness among Chilean indigenous older adult women (106 Aymara and 180 Mapuche) and how family, community and socio-cultural integration are associated with lower levels of loneliness. A cross-sectional study involving 800 older adults living in a rural context in Chile, of whom 35.8% were indigenous women. The De Jong Gierveld Loneliness Scale (DJGLS-6) were used to assess loneliness and a questionnaire about the maintenance of certain indigenous cultural practices was created. The descriptive findings indicate more loneliness among Mapuche women. Moreover, hierarchical regression models confirmed that women who did not live alone, who participated in social groups and who maintained cultural practices reported lower levels of loneliness, with notable transmission of indigenous knowledge to their children. While, taking part in the indigenous New Year, leading or organizing a ceremony and receiving attention with a health cultural agent were associated with more loneliness. These seemingly contradictory findings are discussed and may be explained by religious changes in indigenous communities; however, this study would confirm that social integration in different dimensions is a protective factor against loneliness.

这项研究调查了智利土著老年妇女(106名Aymara和180名Mapuche)的孤独感发生率,以及家庭、社区和社会文化融合与较低水平的孤独感之间的关系。一项横断面研究涉及生活在智利农村的800名老年人,其中35.8%是土著妇女。De Jong Gierveld孤独感量表(DJGLS-6)用于评估孤独感,并制作了一份关于维持某些土著文化习俗的问卷。描述性研究结果表明,马普切妇女更孤独。此外,分层回归模型证实,不独自生活、参加社会团体和保持文化习俗的妇女报告的孤独感较低,土著知识显著传播给了她们的孩子。而参加土著新年、主持或组织仪式以及接受健康文化代理人的关注则会带来更多的孤独感。这些看似矛盾的发现得到了讨论,可以用土著社区的宗教变化来解释;然而,这项研究将证实,不同维度的社会融合是抵御孤独的一个保护因素。
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引用次数: 0
"It's the not being seen that is most tiresome": Older women, invisibility and social (in)justice. “最令人厌烦的是不被人看到”:老年女性、隐形和社会正义。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-04-25 DOI: 10.1080/08952841.2023.2197658
Sue Westwood

Older women experience intersectional discrimination at the nexus of ageism and sexism. This is embodied, women's aging bodies being culturally devalued within youth-privileging cultures and the hyper-sexualization of younger, able-bodied, women. Older women often face the dilemma of attempting to mask the signs of aging or aging "authentically" but encountering heightened stigma, prejudice, and discrimination. Very old women in the fourth age who "fail" to age "successfully" are subject to extreme social exclusion. Many older women speak of experiencing a loss of visibility as they age, however how this occurs, and what it means, has not yet been analyzed in depth. This is an important issue, as recognition-cultural status and visibility-is essential for social justice. This article reports on findings taken from a U.K. survey on experiences of ageism and sexism completed by 158 heterosexual, lesbian, and bisexual women aged 50 to 89. Their perceived invisibility took five forms: (a) being under-seen/mis-seen in the media; (b) being mis-seen as objects of sexual undesirability; (c) being "ignored" in consumer, social, and public spaces; (d) being "grandmotherized," that is, seen only through the lens of (often incorrectly) presumed grandmotherhood; (e) being patronized and erroneously assumed to be incompetent. The findings are compared with Fraser's social justice model. The argument presented is that older women's experiences of nonrecognition and misrecognition are profound sources of social injustice. Both increased visibility and cultural worth are needed for older women to enjoy the benefits of social justice in later life.

老年妇女经历着年龄歧视和性别歧视交织在一起的交叉歧视。这体现在,女性衰老的身体在青年特权文化中被文化贬低,年轻、健全的女性被过度性化。老年女性经常面临这样的困境:试图“真实地”掩盖衰老或衰老的迹象,但却遭遇更严重的耻辱、偏见和歧视。“未能”“成功”衰老的四岁高龄妇女受到极端的社会排斥。许多老年女性表示,随着年龄的增长,她们会失去知名度,但这种情况是如何发生的,意味着什么,尚未得到深入分析。这是一个重要问题,因为承认文化地位和知名度对社会正义至关重要。本文报道了英国对158名50至89岁的异性恋、女同性恋和双性恋女性进行的年龄歧视和性别歧视经历调查的结果。他们被认为是隐形的有五种形式:(a)在媒体中被低估/被误解;(b) 被误认为是不受欢迎的性对象;(c) 在消费、社交和公共空间被“忽视”;(d) 被“祖母化”,也就是说,只能通过(通常是错误的)假定祖母的镜头来看待;(e) 被屈尊俯就并被错误地认为是不称职的。研究结果与弗雷泽的社会正义模型进行了比较。提出的论点是,老年妇女的不认识和误认经历是社会不公正的深刻根源。老年妇女需要提高知名度和文化价值,才能在以后的生活中享受社会正义的好处。
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引用次数: 1
Psychological health among older adult women in the United States during the COVID-19 pandemic. 新冠肺炎大流行期间美国老年妇女的心理健康状况。
IF 1.7 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-03-26 DOI: 10.1080/08952841.2023.2188039
Victoria B Marshall, Savannah C Hooper, Carolyn Black Becker, Pamela K Keel, Lisa Smith Kilpela

This study examined differences in mental health in older adult women before versus during the COVID-19 pandemic. Participants who were community dwelling (N = 227) included n = 67 women aged 60-94 in the pre-pandemic group and n = 160 women aged 60-85 in the peri-pandemic group who completed self-report measures assessing mental health and quality of life (QOL). We compared mental health and QOL indices across the pre- and peri-pandemic groups. Results indicated that the peri-pandemic group reported higher anxiety (F = 4.94, p = .027) than the pre-pandemic group. No other significant differences emerged. Given the differential effects in this pandemic across SES, we conducted exploratory analyses investigating differences by income group. Controlling for education and race, within the pre-pandemic group, women with lower income reported worse physical function compared to the mid- and high-income groups. Within the peri-pandemic group, women with lower income reported worse anxiety, poorer sleep, and poorer QOL (physical function, role limitations due to physical problems, vitality, and pain) than high-income individuals. Overall, women who reported lower income reported worse mental health and QOL than those with high-income, especially during the pandemic. This indicates that income might act as a buffer for older women against negative psychological outcomes of the COVID-19 pandemic.

这项研究调查了新冠肺炎大流行前和大流行期间老年女性心理健康的差异。居住在社区的参与者(N = 227)包括n = 67名年龄在60-94岁之间的女性属于疫情前组 = 160名60-85岁的围疫情组女性,她们完成了评估心理健康和生活质量(QOL)的自我报告措施。我们比较了疫情前和疫情期间人群的心理健康和生活质量指数。结果表明,围疫情组的焦虑程度较高(F = 4.94,p=0.027)。没有出现其他显著差异。考虑到这场疫情对SES的不同影响,我们进行了探索性分析,调查了不同收入群体的差异。在控制教育和种族方面,在疫情前的群体中,与中高收入群体相比,低收入女性的身体功能较差。在疫情期间组中,低收入女性的焦虑、睡眠和生活质量(身体功能、身体问题导致的角色限制、活力和疼痛)比高收入人群更差。总体而言,报告收入较低的女性的心理健康和生活质量比高收入女性差,尤其是在疫情期间。这表明,收入可能是老年妇女抵御新冠肺炎大流行负面心理后果的缓冲因素。
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引用次数: 0
Context-dependent sexual changes during women's midlife transitions. 女性中年转变过程中的情境性变化。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-11-01 Epub Date: 2023-03-30 DOI: 10.1080/08952841.2023.2195321
Amber Watts, Sarah Jen

For women, midlife represents an important stage of transition, including shifts in physiological, social, and sexual experiences. Prior research demonstrates that women's sexuality is more dynamic and context-dependent than men's. Most research focused on women's sexuality in mid- to later-life emphasizes physiological changes, while largely ignoring changes stemming from social, psychological, and relational contexts. The present study examined midlife women's diverse sexual experiences within the context of their lives. We conducted semi-structured interviews with 27 women, ages 39-57, and used interpretative phenomenological analysis to investigate perceptions and interpretations of midlife sexual experiences and changes. Themes included changes in sexual engagement, unwanted sexual experiences, body image, and sexual healthcare. Participants reported changes in the frequency of sex and sexual desire within the context of their diverse social roles and identities, prior intimate relationships, and sexual health. Women contrasted perceptions of their own bodies with societal perceptions of sexiness. Frequently reported negative experiences with sexual healthcare informed a distrust of healthcare systems. The diverse and changing nature of participants' experiences supports prior evidence of sexual fluidity and context-dependence. By questioning societal expectations around sexuality and body image, participants illustrated the potential of counternarratives to combat dominant beliefs and stereotypes about midlife women's sexuality. To improve sexual health and education, psychoeducational interventions for women in midlife are needed.

对女性来说,中年是一个重要的过渡阶段,包括生理、社会和性经历的转变。先前的研究表明,女性的性行为比男性更具动态性和情境依赖性。大多数关注女性中后期性行为的研究都强调生理变化,而在很大程度上忽略了社会、心理和关系背景下的变化。本研究调查了中年女性在其生活背景下的不同性经历。我们对27名年龄在39-57岁的女性进行了半结构化访谈,并使用解释性现象学分析来调查对中年性经历和变化的看法和解释。主题包括性行为的改变、不想要的性体验、身体形象和性保健。参与者报告说,在他们不同的社会角色和身份、先前的亲密关系和性健康的背景下,性和性欲的频率发生了变化。女性将对自己身体的看法与社会对性感的看法进行了对比。经常报告的性保健方面的负面经历导致了对医疗保健系统的不信任。参与者经历的多样性和变化性支持了先前性流动性和情境依赖性的证据。通过质疑社会对性行为和身体形象的期望,参与者展示了反叙事的潜力,以对抗对中年女性性行为的主导信念和刻板印象。为了改善性健康和教育,需要对中年妇女进行心理教育干预。
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引用次数: 0
The prevalence of depression and its association with sociodemographic factors in menopausal women in South Korea. 韩国更年期妇女抑郁症患病率及其与社会人口因素的关系
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-09-01 DOI: 10.1080/08952841.2022.2104570
Yong-Sook Eo

This study examined factors that may be associated with depression among middle-aged women in South Korea using data from the 2018 (7th) wave of the Korean Longitudinal Survey of Women and Families. A sample of 6,399 women aged 35-64 years was included. Multivariate logistic regression was performed to identify factors associated with depressive symptoms, as measured by the CES-D-10 scale (Center for Epidemiological Studies Depression), in pre- and post-menopausal women. Results indicated that being single, having poorer self-rated health, and having a lower economic background were associated with an increased risk of depression in both groups. Being unemployed also increased the risk of depressed mood in pre-menopausal women, while factors significantly associated with an increased risk of depressive symptoms in post-menopausal women included having a lower level of education, musculoskeletal pain, and having pain or discomfort. Thus, these factors should be considered when developing interventions to improve the mood and quality of life of middle-aged women. Interventions in the local community may include health services (hormone therapy), educational learning programs, counselling, and improved access to leisure activities.

本研究利用2018年(第七次)韩国女性和家庭纵向调查的数据,研究了可能与韩国中年女性抑郁相关的因素。研究对象包括6399名年龄在35-64岁之间的女性。通过流行病学研究中心抑郁量表(CES-D-10)对绝经前和绝经后妇女进行多因素logistic回归,以确定与抑郁症状相关的因素。结果表明,单身、自评健康状况较差、经济背景较低的人患抑郁症的风险增加与这两组人有关。失业也增加了绝经前妇女抑郁情绪的风险,而与绝经后妇女抑郁症状风险增加显著相关的因素包括教育水平较低、肌肉骨骼疼痛、疼痛或不适。因此,在制定干预措施以改善中年妇女的情绪和生活质量时,应考虑这些因素。当地社区的干预措施可包括保健服务(激素治疗)、教育学习方案、咨询和改善休闲活动的机会。
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引用次数: 0
Female caregivers' contextual complexities and familial power structures within Alzheimer's care. 女性照顾者的情境复杂性和阿尔茨海默病护理中的家庭权力结构。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-09-01 DOI: 10.1080/08952841.2022.2130655
Candace C Harrington, Cheryl Dean-Witt, Pamela Z Cacchione

In 2021, 11.3 million unpaid caregivers of persons with Alzheimer's disease/Alzheimer's disease and related dementias (AD/ADRD) provided 16 billion hours of unpaid caregiving worth $271.6 billion. This study aimed to fully capture the contextual complexities of the caregiving role acquisition articulated by female family caregivers of those with AD/ADRD, emphasizing assigned meaning to one's lived experience with a critical focus on how family power structures influence caregiving practices. Recorded open structured interview transcripts (N = 30) from two qualitative studies with the same two opening questions resulted in a corpus of 481 pages of pooled textual data. The data were analyzed using Utrecht's descriptive and interpretive thematic analysis approach. The interpretive thematic analysis uncovered the theme of intervening to protect and its subthemes of financial exploitation, mistreatment, and endangerment. Based on the evolving analysis, we reanalyzed the data using critical discourse analysis (CDA), drawing from Foucault and feminist CDA to explore the complex but subtle nuances of gender, power, and ideologies. CDA uncovered the theme of compulsory altruism. Ambiguity about violating personhood delayed responses to potentially dangerous behavior and actual harm. Using interpretive thematic and critical discourse analysis, we discovered a deeper understanding of female caregivers' contextual complexities, their journey to becoming a caregiver of a family member with AD/ADRD, and the power structures that relegated caregiving to female family members. This research identified a substantial policy gap in supporting female family caregivers who provide the majority of care to persons with AD/ADRD risking their health and financial security.

2021年,1130万阿尔茨海默病/阿尔茨海默病及相关痴呆症(AD/ADRD)患者的无偿照护者提供了160亿小时的无偿照护,价值2716亿美元。本研究旨在充分捕捉AD/ADRD患者的女性家庭照顾者所表达的照顾角色习得的背景复杂性,强调一个人的生活经历的分配意义,并重点关注家庭权力结构如何影响照顾实践。来自两项定性研究的开放式结构化访谈记录(N = 30),具有相同的两个开放问题,产生了481页的汇总文本数据。使用乌得勒支的描述性和解释性主题分析方法对数据进行分析。解释性专题分析揭示了干预保护的主题及其金融剥削、虐待和危害的次级主题。在进化分析的基础上,我们运用批判话语分析(CDA)对数据进行重新分析,借鉴福柯和女权主义批评性话语分析,探索性别、权力和意识形态之间复杂而微妙的细微差别。CDA揭示了强制性利他主义的主题。侵犯人格的模糊性延迟了对潜在危险行为和实际伤害的反应。通过解释性主题和批判性话语分析,我们发现了女性照顾者的情境复杂性,她们成为患有AD/ADRD的家庭成员的照顾者的过程,以及将照顾工作降级到女性家庭成员的权力结构的更深层次的理解。这项研究发现,在支持女性家庭照顾者方面存在重大政策差距,她们为面临健康和经济安全风险的AD/ADRD患者提供大部分照顾。
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引用次数: 1
期刊
Journal of Women & Aging
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