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Aging in rural Nigeria: gendered exclusion of rural older adults and its impact on their perceived life satisfaction in South-East Nigeria. 尼日利亚农村的老龄化:尼日利亚东南部农村老年人的性别排斥及其对他们感知生活满意度的影响
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-03-01 DOI: 10.1080/08952841.2021.1999734
Prince Chiagozie Ekoh, Ngozi E Chukwu, Uzoma O Okoye

Globally, there is an immense increase in the number of older adults. This can be attributed to an increase in life expectancy brought about by advances in general living standards as well as medicine and healthcare. However, exclusion which is linked to discrimination and access restrictions in areas such as education, employment, housing, and medical care has been identified as one of the challenges facing this increasing demographic. This study explored the exclusion of older rural women in southeast Nigeria and its impact on their life satisfaction. The study used a qualitative method of research to obtain data from a sample of 32 older adults aged 65 years and above through focus group discussions in Nru community in Nsukka Local Government Area of Enugu State. The obtained data were thematically analyzed and the findings showed that many older rural women in the study area are socially excluded at home, churches, and the larger society, with poverty and stereotyping of older rural women as less intelligent identified as the leading factor predisposing them to social exclusion in Nigeria. Results also showed that social exclusion brings about sadness and depression which have severe negative implications on their life satisfaction. Finally, implications of the findings for gerontological social workers through advocacy geared toward changes in social policy and structures that promote ageism were discussed.

在全球范围内,老年人的数量正在急剧增加。这可归因于一般生活水平的提高以及医药和保健带来的预期寿命的延长。然而,与教育、就业、住房和医疗等领域的歧视和准入限制有关的排斥已被确定为这一日益增长的人口所面临的挑战之一。本研究探讨了尼日利亚东南部农村老年妇女被排斥的现象及其对她们生活满意度的影响。该研究采用定性研究方法,通过在埃努古州恩苏卡地方政府区的Nru社区进行焦点小组讨论,从32名65岁及以上的老年人样本中获取数据。对获得的数据进行了主题分析,结果表明,研究地区的许多老年农村妇女在家庭、教堂和更大的社会中受到社会排斥,贫困和对老年农村妇女智力低下的刻板印象被认为是导致她们在尼日利亚受到社会排斥的主要因素。结果还表明,社会排斥带来的悲伤和抑郁对他们的生活满意度有严重的负面影响。最后,本文讨论了研究结果对老年社会工作者的启示,即倡导改变促进年龄歧视的社会政策和结构。
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引用次数: 7
Is Urban Agriculture Sustaining the Urban Poor? A Study of Grandmother Headed Households (GHHs) in Bulawayo, Zimbabwe. 都市农业能维持城市贫困人口吗?津巴布韦布拉瓦约祖母户主家庭(GHHs)研究。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-03-01 DOI: 10.1080/08952841.2021.2020062
Chipo Hungwe

In this study of urban agriculture in Bulawayo, I examine the extent to which the activity sustains the poor and reduces social exclusion in grandmother-headed households. A qualitative case study design was employed to study the lives of 19 older women. Findings indicate that urban agriculture does not assist in reducing food insecurity and social exclusion among the research participants because of several factors. Challenges in acquiring farming land, medical conditions, and the strenuous and less integrated nature of the urban agriculture practice affect the extent to which urban agriculture secures families from hunger. Social assistance is needed for members of grandmother-headed households.

在这项对布拉瓦约城市农业的研究中,我考察了这种活动在多大程度上维持了穷人的生计,并减少了祖母为户主的家庭的社会排斥。采用定性案例研究设计对19名老年妇女的生活进行研究。研究结果表明,由于几个因素,都市农业无助于减少研究参与者的粮食不安全和社会排斥。在获得耕地、医疗条件以及城市农业实践的艰苦和不太综合的性质方面面临的挑战影响了城市农业保障家庭免于饥饿的程度。祖母为户主的家庭成员需要社会援助。
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引用次数: 0
Diseases, health behaviors, psychological health and associated factors among women aged 50-70 years: a cross-sectional study in Hunan Province, China. 湖南省50-70岁女性疾病、健康行为、心理健康及相关因素的横断面研究
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-03-01 DOI: 10.1080/08952841.2022.2026164
Min Nie, Yang Luo, Yan-Ting Meng, Ling Fan, Jing Yue, Ting Li, Chen-Xi Tong

This cross-sectional study identified 2, 585 women aged 50-70 with certain diseases, health behaviors and psychological health problems among a representative and community-conducted sample of women in Hunan Province of China. It disclosed their poor health status: 51.0% had chronic diseases, 49.6% had gynecopathy, 23.6% had mastopathy, 57.1% failed to avoid secondhand smoke, less than 50% completed periodic health examinations, and 3.1% were anxious. Chronic diseases are expected to be serious health problems in the next 10 years, emphasizing the importance of women discussing their health status. Common diseases should be managed via public health service projects, and free screening and treatment of common diseases should be provided. To enhance women's health knowledge and awareness, targeted health education is necessary in accordance with their physiological and psychological characteristics.

这项横断面研究确定了2585名年龄在50-70岁之间的女性,她们患有某些疾病、健康行为和心理健康问题,这些女性来自中国湖南省的代表性和社区抽样。健康状况不佳:51.0%患有慢性病,49.6%患有妇科疾病,23.6%患有乳腺疾病,57.1%未能避免二手烟,不到50%完成定期健康检查,3.1%感到焦虑。预计慢性病将在今后10年成为严重的健康问题,这强调了妇女讨论其健康状况的重要性。通过公共卫生服务项目管理常见病,提供免费常见病筛查和治疗。要提高妇女的健康知识和健康意识,就必须根据妇女的生理和心理特点,进行有针对性的健康教育。
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引用次数: 0
Intersectionality and the role of the lifecourse in older women's lives. 老年妇女生命历程中的交叉性和作用。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2022.2142001
Joyce Weil
When reading and writing about place and older women, questions often come to mind, among them: how do we capture the layered experiences of older women’s lives? What are the characteristics that intersect or work together to impact women’s overall health and other outcome measures? And what is the role of social structure or structural societal and historical elements contributing to women’s varied experiences of aging? The articles compiled in this issue were selected because they each address these particular themes in the research about older women. Many of the articles build on Kimberl e Crenshaw’s and Patricia Hill Collins’ concept of intersectionality for older women. As Crenshaw (2017) explains, “intersectionality is the lens through which you can see where power comes and collides, where it interlocks and intersects. It’s not simply that there’s a race problem here, a gender problem here, and a class or LBGTQ problem there. Many times, that framework erases what happens to people who are subject to all of these things” (p. 1). I argue that these intersecting structures and identities must also incorporate age as a category (Mitra and Weil, 2016; Weil, forthcoming). As author Natalie Byfield suggests, intersectionality “allows researchers to reveal the underlying categorical boundaries such as race, class, gender, and age that are constructed as interlocking systems of oppression and must be negotiated as people (who are raced, classed, and gendered) navigate those boundaries as they move through the lifecourse” (in Mitra & Weil, 2016, pp. 48–49). The articles curated in this issue also add in another vital lens for research about and with older women, namely adapting Glen Elder’s (1998) lifecourse perspective that looks at linked lives and the way that individual lives are bound within historical, temporal, societal, and cultural contexts. The approach suggests that we examine multiple identities, roles, and statuses of older women simultaneously. A lifecourse perspective integrates both a micro or individual level of analysis with macro or societal and structural-level components. The lifecourse perspective reminds us that we need to look at older women’s lives in both an individual sense and also within the advantages and disadvantages of the time and place in which one lives and their intersectional characteristics. Combining an intersectional and lifecourse approach requires that we use various research designs and theoretical underpinnings as tools in unison as well as placing research in the context of societal structure. Older women’s lives are layered and multi-leveled, and the goal of this issue is to capture and reflect this experience through the articles highlighted within it. Hamiduzzaman et al.’s (2021) article, “When I suffer from fever, I eat mangos”: Determinants of health seeking beliefs and behaviors of rural older women in Sylhet, Bangladesh,” applies socioecological theory to address how power relationships impact he
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引用次数: 0
The spousal role of middle-aged Iranian women: A qualitative content-analysis study. 伊朗中年妇女的配偶角色:一项定性内容分析研究。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2022.2115768
Fatemeh Fallahi, Monireh Anoosheh, Mahshid Foroughan, Zohreh Vanaki, Anoshirvan Kazemnejad

This study aimed to explain the spousal role in the lives of Iranian middle-aged women. This qualitative study was conducted in Iran from July 2018 to November 2019. The participants included 25 middle-aged women selected through purposive sampling. The data were collected using semi-structured interviews and analyzed through conventional content analysis. The theme of reviving the spousal role was explained by three main categories of paying more attention to the spouse's needs, enhancing feminine charms, and maintaining married life. A deeper understanding of the middle-aged women's spousal role may help health-care personnel to develop indigenous marriage-enrichment programs for middle-aged individuals.

本研究旨在解释伊朗中年妇女生活中的配偶角色。该定性研究于2018年7月至2019年11月在伊朗进行。参与者包括25名通过有目的抽样选择的中年妇女。数据收集采用半结构化访谈,并通过传统的内容分析进行分析。恢复配偶角色的主题被解释为三个主要类别:更多地关注配偶的需求、增强女性魅力、维持婚姻生活。更深入地了解中年妇女的配偶角色可能有助于保健人员为中年人制定土著婚姻充实方案。
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引用次数: 1
"But…I survived": A phenomenological study of the health and wellbeing of aging Black women in the Greater Toronto Area, Canada. “但是……我活了下来”:一项对加拿大大多伦多地区黑人老年妇女健康和幸福的现象学研究。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2022.2079925
Nicoda Foster, Lydia Kapiriri, Michel Grignon, Kwame McKenzie

Studies that assess the association between race and health have focused intently on the cumulative impact of continuous exposure to racism over an extended period. While these studies have contributed significantly to the general understanding of the life experiences and health status of racialized people, few studies have explicitly bridged the experiences of aging with gender and the wide structural barriers and social factors that have shaped the lives of racialized older women. This study aimed to investigate the origins of health inequities to highlight factors that intersect to affect the health and wellbeing of older Black women across their life course. Descriptive phenomenology was used to describe older Black women's health and wellbeing, and factors that impact their health across their life course. Criteria-based sampling was used to recruit study participants (n = 27). To be eligible women needed to be 55 years or older, speak English, self-identify as a Black female, and live in the Greater Toronto Area. Data analysis was guided by phenomenology. Themes identified demonstrated that participants' health and wellbeing were influenced by gender bias, racism, abuse, and retirement later in life. Participants reported having poor mental health during childhood and adulthood due to anxiety and depression. Other chronic illnesses reported included hypertension, diabetes, and cancer. Qualitative methods provided details regarding events and exposures that illuminate pathways through which health inequities emerge across the life course.

评估种族与健康之间关系的研究主要集中在长期持续接触种族主义的累积影响上。虽然这些研究极大地促进了对种族化的人的生活经历和健康状况的一般理解,但很少有研究明确地将老龄化经历与性别以及影响种族化老年妇女生活的广泛的结构性障碍和社会因素联系起来。本研究旨在调查健康不平等的根源,以突出影响老年黑人妇女整个生命过程中健康和福祉的因素。描述现象学被用来描述老年黑人妇女的健康和福祉,以及影响她们一生健康的因素。采用基于标准的抽样方法招募研究参与者(n = 27)。符合条件的女性需要年满55岁,会说英语,自我认同为黑人女性,并居住在大多伦多地区。数据分析以现象学为指导。确定的主题表明,参与者的健康和福祉受到性别偏见、种族主义、虐待和晚年退休的影响。参与者报告说,由于焦虑和抑郁,他们在童年和成年时期的心理健康状况不佳。报告的其他慢性疾病包括高血压、糖尿病和癌症。定性方法提供了有关事件和暴露的细节,阐明了健康不平等在整个生命过程中出现的途径。
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引用次数: 2
Self-management of chronic disease in Latina Kinship caregivers: an integrative review. 拉丁裔亲属照顾者慢性病自我管理:一项综合综述
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2021.2007827
Aliria Muñoz Rascón, Marylyn M McEwen, Maribeth Slebodnik

In the United States, Latinos experience a higher prevalence of chronic diseases with concomitant complications when compared to Non-Latino Whites. Older Latina women often manage a chronic illness while also providing kinship care. This article presents an integrative review of Latina kinship caregivers' self-management of chronic disease. An extensive review of the literature was conducted in seven databases. Four resulting studies included qualitative, quantitative, and mixed methods research and suggested health outcomes for Latina kinship caregivers were often worse when compared to other groups. A major gap in the literature identified an absence of disease-specific self-management behaviors for this population.

在美国,与非拉丁裔白人相比,拉丁裔人患伴随并发症的慢性病的患病率更高。老年拉丁裔妇女往往在治疗慢性病的同时也提供亲属护理。本文介绍了拉丁亲属照顾者慢性病自我管理的综合综述。在七个数据库中对文献进行了广泛的回顾。由此产生的四项研究包括定性、定量和混合方法研究,表明与其他群体相比,拉丁裔亲属照顾者的健康结果往往更差。文献中的一个主要差距是,这一人群缺乏疾病特异性的自我管理行为。
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引用次数: 1
"When I suffer from fever, I eat mangos." Determinants of health-seeking beliefs and behaviors of rural older women in Sylhet, Bangladesh. “我发烧的时候就吃芒果。”孟加拉国锡尔赫特农村老年妇女求医信念和行为的决定因素。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2021.1996195
Mohammad Hamiduzzaman, Anita De Bellis, Wendy Abigail, Ann Harrington, Amber Fletcher

Poverty, poor living conditions, religious values and norms, lack of education, and gender discrimination influence the beliefs and behaviors of rural older women in many low-income countries. This paper aims to report the socio-ecological determinants of health-seeking beliefs and behaviors of rural older women in North-eastern Bangladesh and how these behaviors impact their recognition within the setting. It involved semi-structured interviews with 25 older women and 11 healthcare professionals. The findings revealed various determinants at the personal level (awareness of illness, mistrust toward medical treatment, self-treatment, and religious values and norms), the interpersonal level (isolation in family and communication with clinicians), community level (community perception of aging, neighboring and community organizations), and in the sphere of human rights (care affordability, social safety-net coverage and national policy). Four core determinants (poverty, education, gender and religiosity) were intertwined in shaping beliefs and behaviors.

贫穷、恶劣的生活条件、宗教价值观和规范、缺乏教育以及性别歧视影响着许多低收入国家农村老年妇女的信仰和行为。本文旨在报告孟加拉国东北部农村老年妇女寻求健康的信念和行为的社会生态决定因素,以及这些行为如何影响她们在环境中的认可。它包括对25名老年妇女和11名保健专业人员的半结构化访谈。调查结果揭示了个人层面(对疾病的认识、对医疗、自我治疗和宗教价值观和规范的不信任)、人际层面(家庭隔离和与临床医生的沟通)、社区层面(社区对老龄化、邻居和社区组织的看法)以及人权领域(护理负担能力、社会安全网覆盖范围和国家政策)的各种决定因素。四个核心决定因素(贫穷、教育、性别和宗教信仰)在形成信仰和行为方面相互交织。
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引用次数: 3
The intersection of race and financial strain: The pain of social disconnection among women in the United States. 种族与经济压力的交集:美国女性社会脱节的痛苦。
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2022.2041154
Tirth R Bhatta, Nirmala Lekhak, Timothy D Goler, Eva Kahana, Sfurti Rathi

Objectives: Considerable attention has been directed at increased social isolation and loneliness during the COVID-19 pandemic and their impact on later-life psychological well-being. There is a dearth of research on the effect of financial strain and associated psychosocial mechanisms on loneliness among women across racial groups. It is unclear how racial status and financial strain intersect to impact later-life loneliness amid immense uncertainty, social isolation, and anxiety induced by the pandemic.Methods: Based on our nationwide Web-based survey (n = 1,301), we used ordinary least square regression to examine the effects of financial strain on loneliness among Black and White women and assessed the role of emotional support in contributing to such effects.Results: We found that Black women face significantly more financial strain than White women but also receive more emotional support and experience less loneliness. Findings show that women experiencing financial strain report increased loneliness, but the negative effects of financial strain are significantly greater for Black women than for White women. Our mediation analysis revealed that emotional support made a significant contribution to the effects of financial strain on loneliness in White women but not in Black women.Discussion: Despite shared vulnerability and social isolation across the general population, our findings suggest that negative effects of financial strain on loneliness among women continue to differ across race, even amid the pandemic. Our findings demonstrate how emotional support explains the relationship between financial strain and later-life loneliness in a racially distinct manner.

目标:在2019冠状病毒病大流行期间,社会隔离和孤独感的增加及其对晚年心理健康的影响引起了相当大的关注。关于经济压力和相关的社会心理机制对各种族妇女孤独感的影响的研究很少。目前尚不清楚种族地位和经济压力如何相互影响,在巨大的不确定性、社会孤立和大流行引起的焦虑中影响晚年的孤独感。方法:基于我们的全国性网络调查(n = 1,301),我们使用普通最小二乘回归来检验经济压力对黑人和白人女性孤独感的影响,并评估情感支持在这种影响中的作用。结果:我们发现黑人女性比白人女性面临更大的经济压力,但也得到更多的情感支持和更少的孤独感。研究结果显示,经历经济压力的女性报告孤独感增加,但经济压力的负面影响对黑人女性的影响明显大于白人女性。我们的中介分析显示,情感支持对白人女性经济压力对孤独感的影响有显著的贡献,而对黑人女性则没有。讨论:尽管一般人群都有共同的脆弱性和社会孤立,但我们的研究结果表明,即使在大流行期间,经济压力对女性孤独感的负面影响仍然因种族而异。我们的研究结果表明,情感支持如何以一种不同种族的方式解释经济压力和晚年孤独之间的关系。
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引用次数: 1
How gender matters in demanding caring for a spouse with young-onset dementia. A narrative study. 性别在要求照顾患有年轻痴呆的配偶方面的影响。叙事性研究
IF 1.5 4区 社会学 Q3 GERONTOLOGY Pub Date : 2023-01-01 DOI: 10.1080/08952841.2022.2087455
Kirsten Thorsen, Aud Johannessen

Background: The gendered aspects of extraordinary demanding spousal caring for people with young-onset dementia have been scarcely researched.

Aim: To analyze spouses' experiences of the meaning, content, and effort of intensive caring for spouses/partners with young-onset frontotemporal dementia (YO-FTD), concentrating on a female perspective.

Method: A qualitative Norwegian study using narrative interviews with 10 wives and 6 husbands were conducted in 2014 and 2015.

Findings: The analysis resulted in four gendered main themes: Different caregiving periods, Distancing: experiencing a transformed spouse and relationship, Social isolation, and Needing assistance and relief. A case analysis of wives' and men's stories was applied, especially focusing on a wife's story, to examine the detailed interrelationships between life situation, caring demands, experiences, and reactions. Spousal care is influenced by gendered caring norms and roles. The study finds marked differences between wives and husbands in the meaning, content and sustainability of care, and needs for support vary. Wives endured more stress longer than husbands, with a greater emotional impact and negative health consequences, and their needs are more easily neglected. Husbands presented their needs more efficiently and obtained public relief earlier.

Conclusion: Women may need more support earlier during different stages of caring for a spouse with YO-FTD. They need gender sensitive person-centered support to live their own lives and preserve their selves.

背景:性别方面的特殊要求配偶照顾的人与年轻的痴呆已经很少研究。目的:以女性为研究对象,分析配偶对早发性额颞叶痴呆(YO-FTD)患者进行强化护理的意义、内容和努力。方法:2014年和2015年对10名妻子和6名丈夫进行了定性挪威研究。结果:分析得出四个性别主题:不同的照顾期,距离:经历配偶和关系的转变,社会孤立,需要帮助和救济。对妻子和男人的故事进行案例分析,特别关注妻子的故事,以检查生活状况,照顾需求,经历和反应之间的详细相互关系。配偶照顾受性别照顾规范和角色的影响。研究发现,妻子和丈夫在照顾的意义、内容和可持续性方面存在显著差异,对支持的需求也各不相同。妻子承受压力的时间比丈夫更长,对情感的影响更大,对健康的负面影响也更大,而且她们的需求更容易被忽视。丈夫们更有效地提出他们的需求,并更早地得到公众的救济。结论:在照顾患有YO-FTD的配偶的不同阶段,女性可能需要更多的支持。她们需要对性别问题敏感的、以人为本的支持,才能过自己的生活,保护自己。
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引用次数: 4
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Journal of Women & Aging
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