Older Women and Well-Being - A Global Perspective

Older Women and Well-Being - A Global Perspective

von: Mala Kapur Shankardass

Springer-Verlag, 2021

ISBN: 9789811646058

Sprache: Englisch

411 Seiten, Download: 5843 KB

 
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Older Women and Well-Being - A Global Perspective



  Acknowledgements 5  
  Contents 6  
  About the Editor 8  
  1 Older Women: Global Concerns and Responses Toward Their Well-Being, Is a Serious Issue—An Introductory Note 9  
  2 Beyond the Barriers of Aging—Coping, Caring, and Contributions of Older Women 15  
     Introduction 15  
     Women and Aging 16  
     Successful Aging 17  
     Case Studies 18  
        Case Study 1—Namrata Patil (83 Years) 20  
        Case Study 2—Savita Dwivedi (67 Years) 21  
        Case Study 3—Vidya Talati (66 Years) 22  
        Case Study 4—Pallavi Desai (71 Years) 23  
        Case Study 5: Geeta Nanavati (71 Years) 24  
        Case Study 6: Purna Shah (65 Years) 26  
        Case Study 7—Usha Joshi (72 Years) 27  
        Case Study 8—Jayna Soni (73 Years) 28  
        Case Study 9: Ganga Patel (84 Years) 29  
     Analysis and Discussion 30  
        Health 30  
        Exercise, Meditation, and Yoga 31  
        Religion and Spirituality 31  
        Economic Security 32  
        Meaningful Engagement 32  
        Contributions 33  
        Social Support 34  
        Childhood and Other Life Experiences 35  
        Travel and Exposure 35  
        Positive Outlook and Acceptance of Change 36  
     Conclusion 36  
     References 37  
  3 Women as Elder Caregivers in a Global Context 39  
     Introduction 40  
        Cultural Landscape of Eldercare 42  
        Consequences of Care 42  
        Health and Caregiving 43  
        Ethnic and Racial Differences in Caregiving 44  
        Public Policy and Caregiving 45  
        Caregiving Options and Work 46  
        Career-Related Coping 47  
     Conclusion 48  
     References 49  
  4 Understanding and Responding to the Needs of Older Women Who Have Experienced Mistreatment 52  
     Introduction 53  
     State of Knowledge 54  
        Defining Mistreatment 54  
        Estimating the Scope of the Problem 54  
        Ascertaining the Obstacles and Incentives for Older Women in Requesting Help 55  
        Determining the Obstacles to, and Incentives for, Asking for Help in the Specific Context of Mistreatment of Older Women (N = 8 Articles) 57  
        Conclusion on the Status of Knowledge for All Genders Combined 58  
     Methodology 59  
        Research Design 59  
        Recruiting Participants 59  
        Sample Characteristics 60  
        Data Collection 60  
     Findings 60  
        Data Collection Findings 62  
        Final Conceptual Framework 67  
        Validating the Findings 68  
     Discussion 70  
     Conclusion 71  
     References 73  
  5 Health and Well-Being in Older Women: A Universal Issue 77  
     Introduction 78  
     Physical Health Issues in Older Women Across Continents 80  
        Health Issues of Aging Women in America 80  
        Health Issues of Aging Women in Africa 81  
        Health Issues of Aging Women in Asia 81  
        Health Issues of Aging Women in Europe 82  
     Psychological Well-Being of Older Women 83  
        America 84  
        ?Africa 85  
        ?Asia 86  
        ?Europe 88  
     Emotional Health and Social Wellbeing 89  
        America 89  
        Africa 90  
        Asia 90  
        Europe 91  
     Need for Recognition and Attention: Policy Making 92  
     Challenges for Older Women 93  
        America 93  
        Africa 93  
        Asia 94  
        Europe 95  
     Positive Developments for Older Women 95  
     Conclusion 96  
     References 96  
  6 Depression in Elderly Women: Clinical Challenges 101  
     Introduction 101  
     Epidemiology of Geriatric Depression in Women 102  
     Geriatric Depression in Women in Underdiagnosed 102  
     Factors Implicated in Geriatric Depression in Women 103  
        Risk Factors 103  
        Protective Factors 103  
        Spousal Loss and Grief 104  
        Depression in Women Who Are Caregivers 104  
        Depression in Women with Medical Illnesses 104  
     Clinical Features of Geriatric Depression in Women 105  
     Subsyndromal Depression in Elderly Women 106  
     Treatment of Geriatric Depression in Women 106  
        Early Detection and Diagnosis 106  
        Managing Patient Adherence and Compliance 107  
        Approach to the Treatment of Geriatric Depression in Women 107  
        Collaborative Care in Women with Geriatric Depression 108  
     Health Care Issues that Must Be Addressed 108  
     The Role of the Family 108  
     Specific Areas that Need to Be Addressed 109  
        Need to Create Awareness About Geriatric Depression 109  
        Training of Family Physicians and Mental Health Professionals 110  
     Overlap of Depression and Dementia 110  
     Conclusions 110  
     References 111  
  7 Older Women Killed by Their Partners: A Socio-Demographic Analysis and Risk Factors 115  
     Relevant Definitions 115  
        Violence 115  
        Gender-Based Violence: Partner Violence 116  
        Elder Abuse/Maltreatment 121  
     Gender-Based Violence Against Elderly Women 126  
     Analysis of 30 Cases of Intimate Partner Femicides of Elderly Women in Spain 128  
     Conclusion 133  
     Bibliography 134  
  8 Life World of the Oldest–Old Women from Phenomenological Persepective 137  
     Theoretical Background 138  
     Limitations of the Study 140  
     Objectives of the Study 140  
     Sample 140  
     Aging Scenario in India, Karnataka and in the Study Area 141  
     First Round of Interview 142  
     Second Round of Interview 144  
     Third Round of Interview 145  
     Results 149  
     References 150  
  9 Older Women in India: Differential Vulnerabilities and Empowerment Interventions 152  
     Introduction 152  
     Aging in India 154  
     Health Vulnerability 155  
     Economic Vulnerability 156  
     Psycho-Social Vulnerability 158  
     Theorizing Vulnerability and Empowerment 160  
     Initiatives on Empowerment of Elderly Women in India 163  
     Conclusions and Suggestive Interventions 169  
     References 170  
  10 WHO CARES? Challenges of Women Aging in Contemporary Indonesia 172  
     On Aging in Indonesia 173  
     Feminization of the Elderly is Irrespective of Gender Compositions of the Youth 174  
     Indonesian Elderly Women and Men in the Household 180  
     Who to Live with in Old Age? 186  
     Access to Housing 189  
     Hygiene and Sanitation 192  
     So, Who Cares? 198  
     The Strength of the Family Throughout Life 200  
     References 202  
  11 Plight of Older Americans: Insights into the Lives of African American Women 207  
     Physical and Mental Health Outcomes and Health-Seeking Behaviors 210  
     References 213  
  12 Older Women and Agism 215  
     Introduction 215  
     The Rise of “Agism” 216  
     Gendered Agism 217  
     The Double Jeopardy of Aging 218  
     Images of Women, the Mass Media, and Aging 218  
     Gendered Agism and the Labor Market 220  
     Gendered Agism and Health 221  
     Conclusion 224  
     References 227  
  13 Dementia and Women—Global Concerns 231  
     Introduction 231  
     Life Course Perspective 232  
     Terminology Used in the Chapter 232  
     Few Considerations 232  
     Epidemiological Concerns 233  
     Dementia and Its Global Burden 233  
     Lack of Access to Dementia Care 234  
     Lack of Diagnosis in Women 234  
     Risk Factors for Dementia in Women 235  
     Treatment Response in Women 236  
     Dementia Care for Women 236  
     Elder Abuse and Dementia in Women 237  
     Women as Caregivers in the Dementia Process 237  
     Future Research Needs 238  
     Conclusions 238  
     References 239  
  14 Negotiating with an Acquired Disability: Experiences of Elderly Women in Kashmir 242  
     Introduction 243  
     Elderly in Kashmir 244  
     Methodology 245  
     Conclusion 250  
     References 251  
  15 Some Insights on the Living Arrangements and Quality of Life of Older Women 253  
     Introduction 254  
        Elderly Women as a Vulnerable Group 255  
     Research Design 256  
        Operational Definitions 256  
        Measures Used in the Study 258  
        Sampling Procedure 259  
        Framework of Analysis 259  
     Results 259  
        Profile of the Respondents 260  
        Family Background 260  
        Work and Economic Background 262  
        Living Arrangements of the Sample Elderly Women and Their Quality of Life 264  
        Factors that May Influence the QoL and Related Domains of Older Women in LAs 268  
     Discussion 272  
        Who Were These Older Women? 272  
        Living Arrangements of Elderly Women and Their Quality of Life 273  
        Factors Influencing the QoL and Related Domains of Elderly Women 275  
     Suggestions and Implications for Social Work Practice 276  
        Suggestions for Specific Programs to Update Policy and Legislation for the Older Women 276  
        Implications for Social Work Practice 277  
     Bibliography 278  
  16 Psychosocial Challenges of Older Women and Services to Facilitate Their Well-Being 280  
     Introduction 280  
        Psychosocial Challenges in Old Age 280  
        Androcentry in Gerontology 281  
        Sexism and Gender in Old Age 281  
        Feminization of Aging 282  
        Conclusion 282  
     Challenges of Changing Family Life for Older Women 283  
        Living Arrangements 283  
        Changing Family Roles and Relationships 283  
        Challenges of Caregiving 284  
        Challenges of Neglect and Abuse 285  
        Conclusion 286  
     Challenges of Changing Marital Life for Older Women 286  
        Changing Marital Roles and Relationships 286  
        Challenges of Sexuality in Old Age 286  
        Conclusion 289  
     Challenges of Grief and Bereavement for Older Women 289  
        Challenges of Grief and Bereavement 289  
        Challenges of Widowhood 289  
        Conclusion 291  
     Summary of Psychosocial Challenges faced by Older Women and Services to Facilitate Psychosocial Well-Being 291  
        Summary of Psychosocial Challenges Faced by Older Women 291  
        Psychosocial Well-Being 292  
        Workshops for Life Skills Development 293  
        Facilitation of Reminiscences and Life Reviews 294  
        Death Education 295  
     References 299  
  17 Project Nana: Seasoning Our Seasoned Women 301  
     Background 303  
     Rationale 305  
     Community Analysis 307  
     Solutions to Meet the Needs 310  
     Planning Procedures 314  
     Theoretical Approach 315  
        Theory of Planned Behavior 315  
        Social Cognitive Theory 316  
     Intervention Design 317  
     Evaluation Design 322  
     Method of Evaluation 322  
     Results from Pilot Workshop 323  
     Discussion 325  
     References 326  
  18 The Status and Well-Being of Elderly Women Suffering from Dementia: Case Studies from Bengaluru 329  
     Introduction 330  
     Methodological and Theoretical Background of the Study 331  
     Understanding Dementia 332  
     Understanding Dementia as Caregiver’s Challenge 334  
     The Impact of Dementia Care 336  
     Findings on Family Caregivers 345  
     Findings from Institutional Case Studies 347  
     Limitations in Personal Care 347  
     Issues in the Use of Antipsychotic Medication for People with Dementia 348  
     Comprehensive and Affordable Dementia Care Model 352  
     Toward a Geriatric Inclusive and Dementia Friendly Social Order 354  
     References 356  
  19 Women Workers in Informal Economy and Aging Concerns 358  
     Introduction 359  
     Aging Population—Trends and Challenges 359  
     Employment of Older Workers 360  
     Women in the Labor Force 363  
     Nature of women’s Work 365  
     Informal Economy and Aging Concerns 367  
     Access to Social Protection and Entitlements 370  
     Conclusion and Way Forward 372  
     References 375  
  20 The Elderly Women #metoo Left Out 377  
     Introduction: A Resounding Silence 377  
     No Common Definition 378  
     The Abusers 380  
     The Silent Victims 381  
     The Silenced Victims 382  
     Underreported Crimes 383  
     Denial of Proper Care 385  
     Failing Healthcare Services 388  
     Failing Justice 390  
     Conclusion: Breaking the Silence 392  
     References 392  
  21 Neglect, Abuse, and Violence in Later Life: Intersectionality of Gender and Age 398  
     Introduction 398  
     Population Aging and Gender 399  
     Feminization of Aging 399  
     Theoretical Perspectives 399  
     Examples of Older Adult Abuse in Three Frames and Implications of Older Women 401  
     Definitions of Older Adult Abuse 401  
     Abuse of Older Women as a Human Rights Violation 402  
     Implications of Different Frameworks 403  
     Implications for Policy and Practice 404  
     What Practitioners and Policymakers Need to Know About Interventions 405  
     Barriers to Effective Elder Abuse Practice 406  
     Promoting the Interests of Older Women at the United Nations and Internationally 406  
     United Nations Organizational Changes to Promote Gender Equality 407  
     Examples of Researchers Who Challenge Siloed Approaches to Understanding Neglect, Abuse, and Violence Against Older Women 408  
     Gaps in Prevention and Intervention 409  
     Summary and Recommendations 409  
     References 410  

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