Journal of Women & Aging最新文献

{"title":"The prevalence of depression and its association with sociodemographic factors in menopausal women in South Korea.","authors":"Yong-Sook Eo","doi":"10.1080/08952841.2022.2104570","DOIUrl":"https://doi.org/10.1080/08952841.2022.2104570","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"417-427"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073877","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":"Female caregivers' contextual complexities and familial power structures within Alzheimer's care.","authors":"Candace C Harrington,&nbsp;Cheryl Dean-Witt,&nbsp;Pamela Z Cacchione","doi":"10.1080/08952841.2022.2130655","DOIUrl":"https://doi.org/10.1080/08952841.2022.2130655","url":null,"abstract":"<p><p>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 (<i>N</i> = 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.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"446-464"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10449844","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":"Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia.","authors":"Anju Paudel, Jacqueline Ann Mogle, Ashley Kuzmik, Barbara Resnick, Rhonda BeLue, Elizabeth Galik, Wen Liu, Liza Behrens, Ying-Ling Jao, Marie Boltz","doi":"10.1080/08952841.2022.2146972","DOIUrl":"10.1080/08952841.2022.2146972","url":null,"abstract":"<p><p>Alzheimer's disease or a related dementia (ADRD) disproportionately affects women with two-thirds of individuals with ADRD comprised of women. This study examined gender-related differences in the quality of staff-patient interactions and depressive symptoms among hospitalized older patients living with dementia. This secondary analysis utilized baseline data of 140 hospitalized older patients with dementia who participated in the final cohort of a randomized controlled trial (ClinicalTrials.gov identifier: NCT03046121) implementing Family centered Function-focused Care (Fam-FFC). On average, the participants (male = 46.1%, female = 52.9%) were 81.43 years old (<i>SD</i> = 8.29), had positive interactions with staff and lower depressive symptoms based on Quality of Interaction Schedule (QUIS) scores and Cornell Scale for Depression in Dementia (CSDD) scores, respectively. Although males had more positive interactions (male = 6.06, <i>SD</i> = 1.13; female = 5.59, <i>SD</i> = 1.51) and lesser depressive symptoms (male = 7.52, <i>SD</i> = 4.77; female = 8.03, <i>SD</i> = 6.25) than females, no statistically significant gender differences were observed in linear models with appropriate covariates or multivariant analysis of covariant (MANCOVA). However, the multigroup regression conducted to further probe marginally significant moderation effect of gender and pain on staff-patient interactions demonstrated that greater pain was significantly related to lower quality or less positive staff-patient interactions for females compared to males (<i>χ</i>²_diff (1) = 4.84, <i>p</i> = .03). Continued evaluation of gender differences is warranted to inform care delivery and interventions to improve care for hospitalized older patients with dementia.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"476-486"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10710315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10075740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who cares? The grandmother kinship carers shouldering the burden within a gendered care economy.","authors":"Jenny Birchall,&nbsp;Amanda Holt","doi":"10.1080/08952841.2022.2135339","DOIUrl":"https://doi.org/10.1080/08952841.2022.2135339","url":null,"abstract":"<p><p>It is estimated that around half of all kinship carers in the UK are grandparents. International studies show that when broken down by gender, these carers are predominantly grand<i>mothers</i>. However, there is little research exploring the gender dimensions of kinship carers' experiences. Drawing on data from qualitative interviews with 27 grandparent kinship carers, this article highlights the gendered context in which the grandparents we spoke to found themselves. The grandparents - the majority of whom were grandmothers - described lives filled with multiple unpaid caring commitments and demands. We discuss the ways that gender norms, roles and stereotypes, alongside economic models and policies that invisiblise women's care work, shaped the experiences of the grandmothers who took part in our research. We argue that, despite their undeniable determination and commitment to love, nurture and care for their grandchildren in very difficult circumstances, and the money they are saving the state in doing so, grandmother kinship carers are penalized in multiple ways. Economically, emotionally, socially, physically and practically, grandmother kinship carers are unsupported and undervalued. We need a social, economic and cultural shift around the value of care and a redistribution of care work across genders. The situations of grandmother kinship carers need to be part of this shift, so that grandmothers who care for their grandchildren are no longer penalized, and all kinship carers are properly supported and valued.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"465-475"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10449842","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":"Masquerading their way to authenticity: Does age stigma concealment benefit older women?","authors":"Vanessa Cecil,&nbsp;Louise F Pendry,&nbsp;Katherine Ashbullby,&nbsp;Jessica Salvatore","doi":"10.1080/08952841.2022.2128245","DOIUrl":"https://doi.org/10.1080/08952841.2022.2128245","url":null,"abstract":"<p><p>As women age they can be subject to both sexism and ageism, and consequently be stereotyped as low in competence and irrelevant despite having a relatively young subjective age. Drawing on theories of stigma, we conducted a survey study of older women (<i>N</i> = 184) with a strong interest in fashion and their visual image. We used template thematic analysis to understand their experiences in relation to their age-changed appearance. Two major themes were identified: unfavourable experiences of ageism and efforts to evade these experiences through attention to appearance. Our participants employed masquerade to conceal or reduce the visible evidence of their age-both to avoid ageism and to align their outward appearance more closely with their inner, felt, authentic selves. We interrogate the benefits and penalties of concealment for a group whose stigmatised condition is dynamic, changing as their appearance grows increasingly dissimilar to societally favoured youthfulness. Masquerade may for this group of women produce more positive than negative outcomes, via effects on felt authenticity.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"428-445"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064083","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":"Sex and aging: Perspectives of older adult women with experience of incarceration.","authors":"Amanda Emerson, Ella Valleroy, Andrea Knittel, Megha Ramaswamy","doi":"10.1080/08952841.2023.2180246","DOIUrl":"10.1080/08952841.2023.2180246","url":null,"abstract":"<p><p>To explore perspectives on sexuality, sexual health, and sexual health care of older adult women with a history of criminal legal system involvement, we conducted phone interviews with women aged 50 years or older who were living in the community but had a history of jail and/or prison incarceration. Interview questions and initial analysis were guided by the sexual health framework for public health and Mitchell's sexual wellness model. Data analysis followed a framework method. Nine women, aged 53-66, participated in phone interviews between December 2020 and December 2021. Slightly over half the participants were Black; none were Hispanic. Most were single. We formulated a sex-in-aging (SAGE) framework comprising three categories and two overarching themes. Women with a history of criminal-legal system involvement have heterogeneous views on sex and sexual health and describe a range of desire and sexual activity as they age, including shifting ideas about what they expect from partners, how they keep themselves safe in sexual and intimate relationships, and how life circumstances that are often associated with criminal legal system involvement (substance use, trauma) impact their interest in sex as they age. The SAGE framework integrates these categories and themes and offers a starting point for further research and intervention development.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 5","pages":"487-503"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10450097/pdf/nihms-1883588.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10078636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting, testing, and refining a resilience intervention for older women with HIV: An open pilot study.","authors":"Christina Psaros, Amelia M Stanton, Georgia R Goodman, Greer Raggio, Elsa S Briggs, Nina Lin, Gregory K Robbins, Elyse R Park","doi":"10.1080/08952841.2022.2094163","DOIUrl":"10.1080/08952841.2022.2094163","url":null,"abstract":"<p><p>Half of persons with HIV in the United States (US), many of whom are women, are over age 50. Aging women with HIV (WWH) face unique biopsychosocial challenges, including stigma, the physiological effects of aging, and illness-associated stressors. Resilience interventions can build awareness of such stressors and aid in facilitating the relaxation response; however, no existing interventions specifically cater to the needs of older WWH. The content of the Relaxation Response Resiliency Program, which teaches positive psychology strategies, relaxation techniques, and cognitive behavioral skills, was adapted for older WWH. Thirteen WWH over 50 participated in an open pilot of the adapted intervention to iteratively refine the program and its procedures. Participants attended either 8 or 10 weekly group sessions; three groups were conducted in total. Pre- and post-intervention assessments and qualitative exit interviews were conducted. Among completers, an increase in resilience was observed. Though significance testing was not conducted, social support also increased, and depression, anxiety, and HIV stigma decreased from pre- to post-intervention. Over half of eligible women enrolled; completers reported high satisfaction with the program. However, retention was difficult; six participants withdrew or were lost to follow-up. Mean number of sessions attended was 3.5 in the 8-session group and 5 in the 10-session groups. In this small sample, the adapted intervention led to a clinically meaningful increase in resilience, though recruitment and retention were challenging. Further refinements to the intervention are needed to minimize attrition and increase acceptability before additional testing is initiated.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 4","pages":"395-415"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9732209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Silver Generation in the labor market: Work and time management of the 65+ age group in North-Eastern Hungary.","authors":"Judit Csoba,&nbsp;Tibor Ladancsik","doi":"10.1080/08952841.2022.2048591","DOIUrl":"https://doi.org/10.1080/08952841.2022.2048591","url":null,"abstract":"<p><p>The investigation of the labor market challenges generated by an aging society is currently one of the central subjects of international academic literature. Previous research mostly analyzed the labor market participation of people aged between 55 and 65. However, as the raising of the retirement age is on the agenda in several European countries, the ability and willingness of the 65+ age group to work has become a key issue. Our questionnaire survey conducted in Hajdú-Bihar county, North-Eastern Hungary (<i>N</i> = 2,625, multistage probability sample) focused on this age group, which has received relatively little attention in research with respect to their labor market status. It investigated participation in the formal and informal labor market, the time management of the 65+ age group, and the factors that determine their willingness to work. Our analysis revealed that only a rather small proportion (2.7%) of the investigated age group is engaged in the formal economy, and the vast majority (93%) is not engaged in any gainful activity even in the informal economy. However, in 68.7% of the sample we can identify certain activities that aim to reduce expenses and can be clearly considered as work. Thus the members of the Silver Generation are working to a considerably higher degree than official employment statistics show. The primary obstacle for open labor market involvement is not age but rather education level and health status. According to our research, the level of employment of the 65+ age group is highly affected by the lack of pressing financial need and also by ageism. A total of 99.2% of the respondents possess transfer incomes that cover their living expenses, so in their case there is no financial constraint forcing them to return to the open labor market. At the same time, certain widespread stereotypes about the work involvement of older people are also strongly present among members of the 65+ age group (internalized ageism) and significantly reduce their motivation to participate in employment in the formal economy even among those members of the age group who are still fit for work.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 4","pages":"319-342"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785669","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 time for me: A virtual program to engage African American caregivers.","authors":"Abiola O Keller,&nbsp;Nia C Norris,&nbsp;Bashir Easter,&nbsp;Andrea Garr,&nbsp;Gail Morgan,&nbsp;Ramona Dicks-Williams,&nbsp;Colleen Galambos","doi":"10.1080/08952841.2022.2064175","DOIUrl":"https://doi.org/10.1080/08952841.2022.2064175","url":null,"abstract":"<p><p>To address the self-care needs of African American family caregivers, a community-engaged approach was used to develop and implement a half-day virtual self-care program. This study evaluates experiences of program attendees. All attendees were emailed an electronic survey containing Likert-type and open-ended questions. Responses were examined for patterns and key content-related categories using inductive content analysis. Eleven attendees responded to the survey. All 11 strongly agreed (64%) or agreed (36%) that the event met their expectations and/or needs. In addition to providing opportunity to take time to engage in self-care, the event created a virtual space for women to focus on themselves. Women spoke about three distinct ways the event met their needs: (1) learning and trying new things, (2) access to resources, and (3) having a shared experience. These findings suggest that virtual programs may be used as an additional resource to support the health of African American women caregivers.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 4","pages":"369-382"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752516","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":"Family caregivers of people with dementia in the context of the sociocultural stress and coping model: An examination of gender differences.","authors":"Andrés Losada-Baltar,&nbsp;Carlos Vara-García,&nbsp;María Del Sequeros Pedroso-Chaparro,&nbsp;Isabel Cabrera,&nbsp;Lucia Jiménez-Gonzalo,&nbsp;José Fernandes-Pires,&nbsp;Cristina Huertas-Domingo,&nbsp;Samara Barrera-Caballero,&nbsp;Laura Gallego-Alberto,&nbsp;Rosa Romero-Moreno,&nbsp;María Márquez-González","doi":"10.1080/08952841.2022.2052705","DOIUrl":"https://doi.org/10.1080/08952841.2022.2052705","url":null,"abstract":"<p><p>The study assessed gender differences in the associations between familism dimensions, dysfunctional thoughts, and resource and outcome variables in 190 Spanish dementia family caregivers. A theoretical model was tested through path analysis, obtaining an excellent fit of the model to the data. Higher scores in the familial obligations dimension were associated with lower self-efficacy for self-care and obtaining respite and leisure frequency, and higher anxious and depressive feelings, in female caregivers only. Significant between-gender differences were obtained, suggesting that female caregivers holding strong familistic values are more vulnerable to the negative consequences of caregiving compared to male caregivers.</p>","PeriodicalId":47001,"journal":{"name":"Journal of Women & Aging","volume":"35 4","pages":"354-368"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9728103","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}