Journal of Women & Aging最新文献

{"title":"East Tennessee older women's perceptions of Medicare, Medicaid, and related health policies.","authors":"Heather A Davis, Lisa C Lindley, Solange Muñoz","doi":"10.1080/08952841.2023.2276640","DOIUrl":"10.1080/08952841.2023.2276640","url":null,"abstract":"<p><p>Older women face unique challenges regarding health disparities. This study aims to provide an understanding of older women's perceptions and situated experiences regarding the gendered health disparities they face, which are characterized by the policies related to older women's health and the geopolitical and social norms in which they live. The purpose of this project is to provide policy and decision-makers with insights and a better understanding of older women's experiences and perceptions of the policies that impact their health and healthcare. The data for this study was collected through semi-structured interviews with twelve women in Appalachian East Tennessee. Areas examined include: the women's perceived impact of federal, state, and local policies on the participants, particularly of Medicare and Medicaid; the role of social norming and health narratives, particularly stigmatization, discrimination, and health marginalization of older women; and the role of place and place-based drivers on these areas. This study sought to determine if these factors impact the participants' awareness or lack of awareness of policies related to older women. Findings showed that older women in East Tennessee lacked knowledge of health policies, that older women perceive systemic and individual discrimination in policymaking, clinical care, and health research, and that they perceive that place-based drivers have impacted their access to healthcare. These findings have implications for policymaking and intervention design in co-production with older women in order to mitigate older women's health disparities.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"152-165"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gendered agism in the media industry: Disavowal, discrimination and the pushback.","authors":"Karen Ross","doi":"10.1080/08952841.2023.2238580","DOIUrl":"10.1080/08952841.2023.2238580","url":null,"abstract":"<p><p>This study aimed to understand the experiences of older women media professionals whose age and gender had prompted discriminatory behavior (gendered ageism) towards them by their line managers and/or employers. It draws on the testimonies provided by 24 women media professionals who self-identified as 'older' and who were interviewed for the work. All the participants had worked (and some still work) as journalists, presenters, producers or actors, and alongside diverse and routinised micro-aggressions, their experiences included having their contracts summarily terminated or not renewed, being manoeuvred out of front-of-camera roles, seen their career opportunities evaporate when they reached their 40s or even earlier, and been replaced by younger, 'fresher' women. However, some participants are fighting back by creating their own media and developing opportunities for other women to thrive.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"61-77"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menopausal symptoms and attitudes toward hormone replacement therapy among Israeli women.","authors":"Dvora Frankenthal, Ziv Karni-Efrati, Miri Zatlawi, Lital Keinan-Boker, Michal Bromberg","doi":"10.1080/08952841.2023.2222048","DOIUrl":"10.1080/08952841.2023.2222048","url":null,"abstract":"<p><p>Menopause occurs around midlife and is an inevitable component of women's aging. The study aimed to investigate the associations between the lifetime prevalence of menopausal symptoms and health-related characteristics among Israeli postmenopausal women aged 55-75 years. Additionally, this study aimed to estimate the use of hormone replacement therapy (HRT) and women's attitudes toward this treatment. Data for this study were extracted from a cross-sectional national telephone survey conducted in Israel between 2018 and 2020. For the current study, only postmenopausal women aged 55-75 years were included. Multivariate analyses were used to identify demographic and health-related characteristics associated with menopausal symptoms. The study included 688 participants. Most (68.8%) reported one or more menopausal symptoms, specifically vasomotor symptoms (50.4%). According to the multivariate logistic regression analysis, menopausal symptoms were associated with moderate-high anxiety and/or depression symptoms (OR = 2.01, 95% CI 1.12-3.58) and with osteoporosis (OR = 1.78, 95% CI 1.08-2.92). Although most (78.3%) symptomatic women were bothered by their symptoms, 29.1% received any treatment for symptom relief and only 12.6% reported current or past use of HRT. The findings show that menopausal symptoms were associated with a higher prevalence of anxiety and/or depression symptoms and osteoporosis in the years following menopause. Most symptomatic women did not receive any treatment and the majority were against HRT. Knowledge and awareness about menopause and treatment options should be increased among Israeli women. Additionally, the promotion of positive attitudes toward menopause and HRT use among women and healthcare providers is strongly recommended.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Only daughters caring for their aging mothers in Ufa, Russia.","authors":"Polina Ermoshkina","doi":"10.1080/08952841.2023.2238582","DOIUrl":"10.1080/08952841.2023.2238582","url":null,"abstract":"<p><p>Russia is not the only country in the world that relies heavily on informal caregiving, but what makes Russia unique is the number of single-parent one-child families. With the collapse of the Soviet Union and the transition from state socialism to market capitalism, little has changed in terms of the social protection of older adults. Unaffordable home care services, low pensions, bifurcation of the formerly free healthcare into state and private sectors, the invisibility of people with disabilities, and the absence of quality nursing homes, have left adult children in Russia no choice but to bear the full burden of caregiving for their aging parents completely alone. Given the scarcity of research that examines informal caregiving in Russia in general and in provincial cities in particular, this study addresses this gap by centering on previously unheard voices of a unique group of women: only children of single mothers from Ufa, a metropolitan city in the Ural Mountains. Twenty middle-aged (<i>M</i> = 40.75, <i>SD</i> = 3.43), college-educated women participated in a two-hour, semi-structured interview. Inductive thematic analysis revealed three themes: incongruence with the microenvironment, aging in the \"cement box,\" and distrust of outsiders. The findings suggest material and cultural constraints that female caregivers face as they negotiate the mothers' discordance with the microenvironment of Khrushchev-era apartments.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"78-92"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's body representations across the life course: A comparative study in Southern Brazil.","authors":"Ariane Franco Lopes da Silva, Magali Maria Johann, Olga Christina Scandolara Santos, Caroline Brunoni","doi":"10.1080/08952841.2023.2228154","DOIUrl":"10.1080/08952841.2023.2228154","url":null,"abstract":"<p><p>The aim of this study is to observe how women of different ages represent their bodies and the changes they undergo across their life course. The research is based on the theory of social representations, idealized by Serge Moscovici. A total of 201 women between 25 and 88 years old from southern Brazil participated in the research. The methodological instrument consists of a questionnaire containing free associations, sentence completion and selection of images. The processing and classification of the data were done by the software Evoc (2000) and content analysis. The results showed differences between the age groups. Younger women represented the body according to aesthetic references and manifested the desire to monitor the body. Older women related the body more frequently with notions of health, social relationships, and leisure. The memories of a younger body and anticipations of an older one reflected the conventions about ageing. The study also shows that concerns about bodily limitations and age-related diseases were frequent in all age groups and may guide behaviour and attitudes towards the body. The study can inform policymakers on the needs and expectations of a growing ageing sector of the population in Brazil and worldwide.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"33-44"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PCOS health-related quality-of-life and depressive symptoms across the lifespan: Comparative study.","authors":"Pamela J Wright, Abbas S Tavakoli, Cynthia F Corbett","doi":"10.1080/08952841.2023.2230112","DOIUrl":"10.1080/08952841.2023.2230112","url":null,"abstract":"<p><p>The purpose of this cross-sectional study was to compare health-related quality of life (HRQoL) and depressive symptoms among peri-postmenopausal women with polycystic ovary syndrome (PCOS) aged ≥43 years relative to premenopausal women with PCOS aged 18-42 years. An online survey link comprising questionnaires about demographics, HRQoL, and depressive symptoms was posted onto two PCOS-specific Facebook groups. Respondents (<i>n</i> = 1,042) were separated into two age cohorts: women with PCOS aged 18-42 years (<i>n</i> = 935) and women with PCOS aged ≥43 years (<i>n</i> = 107). Data from the online survey were analyzed using descriptive statistics, Pearson correlations, and multiple regression via SAS. Results were interpreted through the lens of life course theory. All demographic variables, except for the number of comorbidities, significantly differed between groups. HRQoL among older women with PCOS was significantly better as compared to those aged 18-42 years. Results indicated significant positive linear associations between the HRQoL psychosocial/emotional subscale and other HRQoL subscales and a significant negative association with age. The fertility and sexual function HRQoL subscales were not significantly associated with the psychosocial/emotional subscale among women aged ≥43 years. Women in both groups had moderate depressive symptoms. Study findings demonstrate the need to tailor PCOS management to women's life stage. This knowledge can inform future research about peri-postmenopausal women with PCOS and age-appropriate and patient-centered healthcare, including requisite clinical screenings (e.g., depressive symptoms) and lifestyle counseling across the lifespan.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"45-60"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sources of empowerment and mental health among retired men and women: An ecological perspective.","authors":"Liat Kulik","doi":"10.1080/08952841.2023.2222638","DOIUrl":"10.1080/08952841.2023.2222638","url":null,"abstract":"<p><strong>Aims: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Summary and conclusions: </strong>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.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"14-32"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression in older women who died by suicide: associations with other suicide contributors and suicide methods","authors":"Namkee G. Choi, C. Nathan Marti","doi":"10.1080/08952841.2023.2292164","DOIUrl":"https://doi.org/10.1080/08952841.2023.2292164","url":null,"abstract":"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...","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"1 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138630949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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.","authors":"Shahla Kamalian,&nbsp;Alireza Didarloo,&nbsp;Hamid Reza Khalkhali,&nbsp;Mina Maheri","doi":"10.1080/08952841.2023.2202658","DOIUrl":"10.1080/08952841.2023.2202658","url":null,"abstract":"<p><p>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 (<i>p</i> < .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.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"573-588"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grandmothers residing with grandchildren: Social determinants of health, health behaviors, and health outcomes.","authors":"Jen'nea Sumo,&nbsp;JoEllen Wilbur,&nbsp;Wrenetha A Julion,&nbsp;Michael E Schoeny,&nbsp;Peter Cummings","doi":"10.1080/08952841.2023.2188863","DOIUrl":"10.1080/08952841.2023.2188863","url":null,"abstract":"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.","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":" ","pages":"513-525"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9562132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}