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Older persons’ right to health – a challenge to international law 老年人的健康权——对国际法的挑战
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2019-08-01 DOI: 10.1017/S0144686X18000156
Barbara Mikołajczyk
Over the next 30 years, the number of people aged over 65 will exceed the number of children worldwide. Moreover, people at extreme old age will constitute a significant group of older adults. Undoubtedly, global ageing appears as a great challenge to the whole international community in relation to the protection of rights of older persons, including their right to health. The last one is recognised on international forums as one of the most current and complex issues. Therefore, in this paper, I discuss how the right of older adults to health is protected by international norms, and identify trends and perspectives for implementing this right effectively. Examining the degree of protection, I analyse existing international instruments and their interpretation provided by international bodies. I consider that the new international developments should fill in the existing loophole in international law and oblige States to focus on elimination of ageism, age discrimination in access to health care and various barriers to enjoying the right to health by older persons.
在未来30年里,65岁以上的人口数量将超过全世界的儿童数量。此外,处于极端高龄的人将构成一个重要的老年群体。毫无疑问,在保护老年人的权利,包括他们的健康权方面,全球老龄化似乎是对整个国际社会的一个巨大挑战。最后一个问题在国际论坛上被认为是最新和最复杂的问题之一。因此,在本文中,我讨论了国际规范如何保护老年人的健康权,并确定了有效落实这一权利的趋势和前景。在审查保护程度时,我分析了现有的国际文书及其由国际机构提供的解释。我认为,新的国际事态发展应该填补国际法中现有的漏洞,迫使各国集中精力消除年龄歧视、在获得医疗保健方面的年龄歧视以及老年人享有健康权的各种障碍。
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引用次数: 1
Suzanne Cahill, Dementia and Human Rights, Policy Press, Bristol UK, 2018, 238 pp., pbk £24.29, ISBN 13: 978-1-4473-3140-7. 苏珊娜·卡希尔,《痴呆症与人权》,政策出版社,英国布里斯托尔,2018年,238页,pbk 24.29英镑,ISBN 13: 978-1-4473-3140-7。
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-10-04 DOI: 10.1017/s0144686x18001046
Caroline Emmer DE ALBUQUERQUE GREEN
making such a statement. Nussbaum’s essays appear to be more informed than Levmore’s; however, they still suffer from a lack of a grounded understanding of ageing. A brief read-through of some of Laura Carstensen’s research, for instance, might have shed some light on meaningful ageing. Levmore’s essays were more problematic; and a basic look at, for example, the critical work of Christopher Philipson and/or Debora Price might have shifted Levmore’s reliance on his ‘intuition’ (a word he used repeatedly) and grounded his work in informed self-knowledge. That said, some of the essays where Nussbaum employs a philosophical basis for understanding are fascinating. Her essays on age and friendship, and her human capabilities approach are thought provoking. The ‘aging and human capabilities’ list (p. ) is a social justice map that addresses inequalities within an ageing demographic. Nussbaum’s discussion of altruism is engaging but does suffer from a brief and somewhat confusing section where she discusses death and fear. She conflates fear of death on the battlefield with mortality and ageing. Again, an informed view of some of the more recent work on death (Tony Walter, the Death Cafes or my own writing) would have been useful. Levmore’s suggestions for strengthening the American social security system are equally important. The restructuring, he suggests, would go some way in redressing the economic inequity many ageing people currently experience within American society. It is here where the authors really shine. As a reader, I had hoped to find such cogent arguments and information in each section of the book. That said, there are arresting nuggets throughout the book – the critique of de Beauvoir, calls for humility and humour when it comes to one’s outlook on ageing, questions about the orthodoxy of dividing inheritance equally and their interesting take on ageing romance are examples of areas that the authors touched on that caught my attention. Though the authors write in a readable, accessible style that will speak well to a general audience, Nussbaum and Levmore repeat the sad and, frankly, depressing narrative of age as somehow a time of unremitting loss or a ‘second childhood’. Unfortunately, Aging Thoughtfully is not a book that provides a rich and wide-ranging narrative as a starting point for informed meaningful conversations.
发表这样的声明。努斯鲍姆的文章似乎比列夫莫尔的更有见地;然而,他们仍然缺乏对衰老的基本理解。例如,对劳拉·卡斯滕森(Laura Carstensen)的一些研究进行简短的阅读,可能会对有意义的衰老有所启发。列夫莫尔的文章问题更多;比如,对克里斯托弗·菲利普(Christopher Philipson)和/或黛博拉·普莱斯(Debora Price)的批判性作品的基本了解,可能会改变列夫莫尔对“直觉”(他反复使用的一个词)的依赖,并将他的作品建立在充分的自我认识之上。话虽如此,努斯鲍姆运用哲学基础来理解的一些文章还是很吸引人的。她关于年龄和友谊的文章,以及她对人类能力的研究,都发人深省。“老龄化与人类能力”清单()是一份社会正义地图,解决了老龄化人口中的不平等问题。努斯鲍姆对利他主义的讨论很吸引人,但在讨论死亡和恐惧的部分,她确实有一个简短而有些令人困惑的地方。她把战场上对死亡的恐惧与死亡和衰老混为一谈。再一次,了解一些最近关于死亡的作品(如托尼·沃尔特,死亡咖啡馆或我自己的作品)会有所帮助。Levmore关于加强美国社会保障体系的建议同样重要。他认为,这种重组将在一定程度上纠正美国社会中许多老年人目前所经历的经济不平等。这正是作者真正的亮点所在。作为一名读者,我曾希望在书的每一部分都能找到这样有说服力的论点和信息。尽管如此,这本书还是有一些引人注目的亮点——对波伏娃的批判,在谈到一个人对衰老的看法时呼吁谦逊和幽默,对平均分配遗产的正统观念的质疑,以及他们对衰老浪漫的有趣看法,这些都是作者触及的领域,引起了我的注意。虽然作者以易读易懂的风格写作,对普通读者来说很好,但努斯鲍姆和莱弗莫尔重复了悲伤,坦率地说,令人沮丧的年龄叙事,不知怎么的,这是一段不断失去的时间或“第二个童年”。不幸的是,《若有所思地变老》并不是一本提供丰富而广泛的叙事作为有意义的对话起点的书。
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引用次数: 0
Care and the shadow of the fourth age: how does home care get caught up in it and how does it stay away from it? 护理和第四时代的阴影:家庭护理如何陷入其中,又如何远离它?
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-09-24 DOI: 10.1017/S0144686X18001241
José Manuel Sousa de São José
Abstract This article examines how care encounters at the elders’ homes are forged, and how the way these encounters are forged avoids or evokes the social imaginary of the fourth age. Data were gathered in Portugal from elders receiving home care (16 cases), their care workers (eight cases) and family carers (six cases), through participant observation and informal conversations (conducted at the elders’ homes), as well as focus groups. The collected data were analysed according to the procedures of Framework Analysis. This study found five forms of care encounters – marked by conflict, infantilisation, burden, harmony and indifference – the harmony form being the only one found to maintain the fourth age at a distance. It concludes that home care has a Janus-like nature in relation to the fourth age, and that the way home care encounters are forged depends on the conditions of the care settings and the actions of all participants in care encounters. It also concludes that it is difficult to maintain the social imaginary of the fourth age at a distance when the elders exhibit high levels of infirmity. Finally, it concludes that family carers play a crucial role in the way care encounters unfold. Implications for practice and policy include vocational training regarding the relational component of care, and information and educational programmes for family carers.
摘要:本文探讨了养老院的护理相遇是如何形成的,以及这些相遇的形成方式如何避免或唤起第四年龄的社会想象。在葡萄牙,通过参与观察和非正式谈话(在老年人家中进行)以及焦点小组,从接受家庭护理的老年人(16例)、他们的护理人员(8例)和家庭护理人员(6例)中收集数据。根据框架分析的程序对收集到的数据进行分析。这项研究发现了五种形式的照顾——以冲突、幼稚化、负担、和谐和冷漠为特征——和谐形式是唯一一种能让四岁的孩子保持一定距离的形式。它的结论是,家庭护理与第四个年龄有类似两面的性质,家庭护理相遇的方式取决于护理环境的条件和护理相遇中所有参与者的行为。它还得出结论,当老年人表现出高度虚弱时,很难保持四岁的社会想象。最后,它得出结论,家庭照顾者在护理遭遇的展开方式中起着至关重要的作用。对实践和政策的影响包括关于护理的关系部分的职业培训,以及为家庭照顾者提供信息和教育方案。
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引用次数: 7
Assessing the impact of partial early retirement on self-perceived health, depression level and quality of life in Belgium: a longitudinal perspective using the Survey of Health, Ageing and Retirement in Europe (SHARE) 评估比利时部分提前退休对自我感觉健康、抑郁程度和生活质量的影响:利用欧洲健康、老龄化和退休调查(SHARE)的纵向视角
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-09-05 DOI: 10.1017/S0144686X18001149
J. Wels
Abstract For about 20 years, Belgium has successfully implemented working-time reduction policies for the older workforce. However, the impact of such policies on health has not been explored yet. Using longitudinal data from Waves 5 and 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE) (N = 1,498), the paper assesses whether working-time reduction in late career is associated with a change in self-perceived health, depression (EURO-D) and quality of life (CASP-12). For that purpose, ordered logit and ordinary least squares regressions are performed, using four different models for defining working-time reductions. Results show that people reducing working time with or without additional social benefits tend to have a poorer self-perceived health at follow-up compared with people keeping the same or increasing working time. By comparison, people moving to retirement are more likely to present a better self-perceived health, depression level and quality of life compared to people increasing or keeping the same working-time level. Although, introducing an interaction effect, the paper shows that the change in quality of life for respondents reducing working hours in addition to social benefits tends to be less negative for those who wished to retire early at baseline than for those who did not.
大约20年来,比利时成功地实施了减少老年劳动力工作时间的政策。然而,尚未探讨这些政策对健康的影响。利用欧洲健康、老龄化和退休调查(SHARE) (N = 1,498)第5和第6波的纵向数据,本文评估了职业生涯后期工作时间的减少是否与自我感知的健康、抑郁(EURO-D)和生活质量(CASP-12)的变化有关。为此,执行有序logit和普通最小二乘回归,使用四种不同的模型来定义工作时间减少。结果表明,与保持相同或增加工作时间的人相比,减少工作时间并获得或不获得额外社会福利的人在随访时的自我感觉健康状况较差。相比之下,与增加或保持相同工作时间的人相比,即将退休的人更有可能表现出更好的自我感觉健康、抑郁水平和生活质量。尽管引入了互动效应,论文表明,除了社会福利之外,减少工作时间的受访者的生活质量变化对那些希望在基线时提前退休的人的负面影响要小于那些不希望提前退休的人。
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引用次数: 7
Corrigendum: Understanding frailty: Meanings and beliefs about screening and prevention across key stakeholder groups in Europe (Ageing and Society (2017) DOI: 10.1017/S0144686X17000745) 勘误:理解脆弱:欧洲主要利益相关者群体关于筛查和预防的意义和信念(老龄化与社会(2017)DOI: 10.1017/S0144686X17000745)
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-06-01 DOI: 10.1017/S0144686X17000745).
R. Shaw, H. Gwyther, Carol Holland, Maria Bujnowska, D. Kurpas, A. Cano, M. Marcucci, S. Riva, B. D'avanzo
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引用次数: 2
Potentiality made workable – exploring logics of care in reablement for older people 潜力使可行-探索老年人护理的逻辑
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-04-25 DOI: 10.1017/S0144686X18000417
Malene NØRSKOV BØDKER
ABSTRACT In the face of population ageing, Western health-care systems are currently demonstrating an immense interest in mobilising older people's potentials. With this agenda in mind, several countries have introduced reablement: a type of home care aimed at mobilising older people's potentials for independence by means of short-term training programmes. Based on extensive ethnographic fieldwork conducted in Denmark's home care sector, this paper explores how elder-care professionals translate the abstract notion of ‘potentiality’ into practice. Theoretically, the paper draws on Annemarie Mol's term ‘logic of care’. I demonstrate that professionals draw on two co-existing logics of care: a logic of reablement encapsulating ideals of successful ageing and life-long development; and a logic of retirement, which in contrast allows people at the end of life to retreat and engage in enjoyable activities. Professionals manage to balance these logics in order to live up to policy obligations while at the same time complying with moral standards of good care. However, very little is achieved in terms of increased independence. I argue that by narrowly focusing on bodily and quantifiable potentials, the ‘potentiality paradigm’ holds the risk of deeming older people to lack potential. In conclusion, I therefore encourage a more inclusive approach to elder-care and ageing that recognises the complexities of ageing, including older people's potentials for retreat and leisure.
面对人口老龄化,西方卫生保健系统目前对调动老年人的潜力表现出极大的兴趣。考虑到这一议程,一些国家已经实行了康复:一种旨在通过短期培训方案调动老年人独立潜力的家庭护理。基于在丹麦家庭护理部门进行的广泛的民族志田野调查,本文探讨了老年人护理专业人员如何将“潜力”的抽象概念转化为实践。从理论上讲,本文借鉴了安玛丽·莫尔的术语“关怀逻辑”。我证明,专业人士借鉴了两种共存的护理逻辑:一种是包含成功老龄化和终身发展理想的可实现逻辑;退休的逻辑,相反,它允许人们在生命的尽头撤退,从事愉快的活动。专业人员设法平衡这些逻辑,以便履行政策义务,同时遵守良好护理的道德标准。然而,在增加独立性方面取得的成就很少。我认为,由于狭隘地关注身体和可量化的潜力,“潜力范式”有可能认为老年人缺乏潜力。最后,我鼓励对老年人护理和老龄化问题采取更具包容性的办法,认识到老龄化的复杂性,包括老年人退隐和休闲的潜力。
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引用次数: 14
Serializing Age: Aging and Old Age in TV Series 连载时代:电视连续剧中的老年与老年
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-02-01 DOI: 10.1017/S0144686X17001271
D. Bielby
adequate or secure tenure underpins every decision, action and worry. For example, weighing up a Aus $. bus fare against a loaf of bread (p. ) demonstrates that the choices people have are really no choice at all when it comes to living a decent life. The book has ten chapters. The first two covering an introduction to housing tenure and an ageing society, the private rental market and the policy issues related to older Australians. The third introduces the capacity to pay for accommodation on the Age Pension. Chapter  investigates shopping – a major activity for older Australians. Purchasing power is closely linked the ability to live a decent life. Chapter  examines how financial limitations affect day-to-day living, such as paying for electricity to heat the home in winter. Chapter  looks at social ties and leisure activities; and the impact of housing tenure and limited finances on health are covered in Chapter . Chapter  returns to the private rental market and reveals the potential for eviction due to the pending sale of the property. With recent policy shifts, public housing tenants now worry that their home will be targeted for urban renewal and fear they will be forced to move from their established community. The theme is continued in Chapter  by discussing the increasing residualisation of social housing and its implications for older tenants. Chapter  concludes by asking where to from here? The discussion reviews the previous chapters and provides a final comparison between the three groups in the study: outright home-owners, renters in the private market and renters in public or social housing. The methodology is covered in the appendices. Endnotes, references and an index are also provided. For those who work in the community sector, particularly in housing or ageing advocacy services, the book provides few, if any, new revelations. It does, however, document this knowledge using the words and experiences of older Australians. The book gives voice to these experiences, brings to life the issues, and adds emphasis to the demands for policy change by housing and ageing advocacy groups.
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引用次数: 1
Polly Kaiser and Ruth Eley (eds), Life Story Work with People with Dementia. Ordinary Lives, Extraordinary People, Jessica Kingsley Publishers, London, 2017, 277 pp., pbk £19.99, ISBN 13: 978 1 84905 505 5. 波莉·凯泽和露丝·埃利(编),与痴呆症患者一起工作的生活故事。《平凡的生活,非凡的人》,杰西卡·金斯利出版社,伦敦,2017年,277页,pbk 19.99英镑,ISBN 13: 978 1 84905 505。
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2018-01-01 DOI: 10.1017/S0144686X17001209
M. V. Kutzleben
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引用次数: 0
Review of Neoliberalising Old Age 《新自由主义的晚年》书评
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2017-04-01 DOI: 10.1017/S0144686X16001574
Gemma M Carney
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引用次数: 1
Are managers open to involvement in employee retirement? The influence of manager psycho-social characteristics, decision-making environment and older employee situational factors 管理者是否愿意参与员工退休?管理者社会心理特征、决策环境和年长员工情境因素的影响
IF 2.5 3区 社会学 Q2 GERONTOLOGY Pub Date : 2017-03-23 DOI: 10.1017/S0144686X17000022
Eleanor M. M. Davies, B. Heijden, John Stephenson
The changing retirement landscape calls on employers to develop practices that respond to individuals’ retirement needs. Line managers are a key stakeholder in managing retirement and this study focuses on how they respond to employee retirement scenarios. This empirical work examines manager openness to involvement in retirement, focusing on three sets of explanatory variables: manager psycho-social characteristics (experience of managing older workers, intention to work past 65), their decision-making environment (influence, discretion and decision-making support) and older employee situational factors (performance, ease of replacement, retirement affect and attitude to work). Data were collected from 129 managers in the United Kingdom's university sector using survey items and a factorial vignette design. The multi-level analysis found support for each category of variables in predicting manager openness to involvement in employee retirement. Managers with more experience of managing older workers were more likely to be open to involvement although managers’ own retirement intentions were not significant as a predictor. Decision-making environment variables were significant predictors of manager openness to involvement. The only older employee situational factor that was associated with manager openness to involvement was employee performance. Practically, organisations need to recognise the potential influence that managers have on employee retirement decisions and this study's findings show that managers may need training to help them understand their own role in supporting older employee retirement.
不断变化的退休环境要求雇主制定应对个人退休需求的做法。直线经理是管理退休的关键利益相关者,本研究的重点是他们如何应对员工退休的情况。本实证研究考察了管理者参与退休的开放程度,重点关注三组解释变量:管理者的社会心理特征(管理老年员工的经验,65岁以上的工作意图),他们的决策环境(影响,自由裁量权和决策支持)和老年员工的情境因素(绩效,易于替代,退休影响和工作态度)。数据收集从129管理人员在英国的大学部门使用调查项目和析因小插图设计。多层次分析发现,在预测管理者参与员工退休的开放性方面,每种变量都是支持的。管理年长员工经验丰富的管理者更有可能对员工参与持开放态度,尽管管理者自己的退休意愿并不是一个显著的预测因素。决策环境变量是管理者参与开放性的显著预测因子。唯一与管理者参与开放性相关的年长员工情境因素是员工绩效。实际上,组织需要认识到管理者对员工退休决策的潜在影响,本研究的结果表明,管理者可能需要培训,以帮助他们了解自己在支持老年员工退休方面的作用。
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引用次数: 3
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Ageing & Society
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