Tuesday, March 29, 2011

Consistent Economic Burden is a Contributor to affect Older Women’s Health

Women are amazing, particularly those who are mothers because they take responsibility for everything for their families. Although their housework is not paid, they generally work more than their husbands; they even care for their older parents who have dementia in a personal home. In my practice setting, I observed many family members that visit their loved ones are mostly women who are also the young-old adults. Where are the men? In general, these young-old women frequently contribute their care to the family before the older parents are placed in the personal care home even though they also have their own problems. Such a traditional gendered role and economic burden in gendered workplaces have negative mental and physical health effects to the women’s later life.

In terms of women’s traditional gendered roles, it is meaningful to see the reason that women take more responsibilities for families through a life course framework. Women’s lives cannot be clearly described without considering women’s income inequality, which is a huge factor that affects women’s lives, and where the gendered inequality stems from. Gazso (2010) articulates that mother’s management of their market, such as paid workplace and family experiences, were manipulated by structural constraints in our society, which are imposed by political and economic contexts based on gender, race, sexuality and class. In particular, it is understandable for me why many feminist gerontologists, who focus on studying aging and gender, have paid attention against income inequality for a long time in our society. These feminist gerontologists investigate privilege and oppression by taking look at the life situation of women.

Interestingly, according to Gazso (2010), wage inequality is one of the reasons women are expected to care for their families because women’s unstable jobs help them often quit immediately and take on greater family responsibilities when they face problems in family. This means that men are more likely to be employed on a full time basis with good benefits. In other words, such income inequality in gendered workplaces may account for why women live poorly in their later life.

According to Novak and Campbell (2010), older women traditionally live below the poverty line compared to older men. While “men tend to have more diverse sources of income, including pension income, in retirement in our society” (p. 200), women generally have part-time jobs without pension income, which makes women’s lives insecure in their later life. This perspective supports my assumption that women who suffer from income inequality in their younger life may have negative effects in their later life in terms of both their mental and physical health.

For example, observing older women who are struggling with their insufficient finances in my practice setting, I feel that their emotional well-being status may be influenced by their income which was not enough. Some older women I observed wanted to spend more money for managing their beauty or purchasing necessities, but they could not buy what they wanted. I, therefore, wonder how women’s economic burden in terms of income inequality in younger life affects their later health.

According to Lynch et al. (1994), “men who had experienced economic hardships both as children and adults were twice as likely to die as those whose economic fortunes improved in adulthood. Moreover, the effects on health exerted by persistent economic hardships are over and above those of other [health] conditions that might also be harmful to health” (as cited in Kahn & Pearlin, 2006. p. 27).

Unfortunately, I fail to find studies that clarify how economic burden on gender differences affect older women’s later health. However, based on this perspective, and the idea that explains how many older women live below the poverty line, it is not difficult to assume that older women may face more financial difficulties compared to older men. According to Kahn and Pearlin (2006), economic burden over the life course are more persistently harmful to later health. However, economic burden alone does not affect health. Instead, the health is consistently affected by the ability of economic burden that establishes disturbance in other areas of life.

In addition, these economic stressors may become greater for Black, Aboriginal, and lesbian older women because, as might be expected they experience fewer opportunities for good jobs in their younger lives in light of racism and discrimination in workplaces. It is not difficult to imagine how these women experience greater stress from greater responsibility, and more obligations in terms of their roles in paid and unpaid work. As a social work student, it is important to know how these women’s diverse oppressions or inequality were shaped through their life courses. It is also important to know how I perceive these oppressions and help them improve their strengths, and empower themselves. By examining women’s experiences through the lens of life course, we can help older women reduce their emotional stress. -Eunkyeong

References

Gazso, A. (2010). Mothers’ maintenance of families through market and family care relations. In N. Mandell (Ed.), Feminist issues (pp. 219-246). Toronto: Pearson

Canada Kahn, R. J., & Pearlin, I. L. (2006, March). Financial strain over the life course and health among older adults. Journal of Helath and Social Behvaviour 47(17), 17-31. DOI: 10.1177/002214650604700102

Novak, M., & Campbell. L. (Eds.). (2010). Aging and society: A Canadian perspective. United States: Nelson Education.

4 comments:

  1. Eunkyeong,

    Good post, it is filled with lots of facts and information. Another aspect that has a hard on women is widowhood. Widowhood is another part of life that affects women typically at old age. Compare with older men, older women are more likely to be widowed and living alone due to their longer life expectancy.
    As a young woman knowing these statistics, it encourages me to make change, work hard and ensure I will not live in poverty as an older woman who may be widowed one day by setting up RRSP's and contribute to pension plans like CPP.

    Melissa

    ReplyDelete
  2. Thanks Eunkyeong! You made a very clear argument concerning the struggles many women live through in life and into end of life.

    I have also seen the difficulties that come as women in poverty age. Some people feel that because we have subsidized long-term care, that all people will have their needs met; I have seen that this is not the case. Monthly fees may be reduced at the facility to fit one's income, but that does not take into account dentures, a wheelchair, hearing aids, or other outstanding debts outside of the resident's facility rent.

    It is not as though the burdens some women carry throughout life end once they enter long-term care. One patient I have met with is months behind in rent, and yet continues to allow her daughter (POA) to live off of her monthly income while her daughter looks for work. She continues to say this is the choice she wants to make for her daughter, but this means she cannot pay her rent, or afford new dentures, or a wheelchair.

    Poverty does not end once one enters the system. One's outside life is not held at the doors.

    -Nikki.

    ReplyDelete
  3. thank you for your post!

    This entry brought to mind a situation that I encountered in my placement when I was asked to help cover the emergency department. There was an elderly gentleman who had been living in an assisted living facility who had fallen and ended up in the emergency room. Although all of his children lived outside of Winnipeg, the two children that came to be by his side were his two daughters, one of which had travelled from Italy, the other who had travelled from Kelowna. He did have a son who lived in Ottawa but it became very apparent that the responsiblity of caring for, and making decisions for the father fell on the daughters. I know that this role traditionally falls on daughters because of traditional economic gender roles, but I also wonder how much of this had to do with culture. The family was Italian and it seemed that this role was due in part to some cultural expectations placed on the daughters. As future social workers I believe it will be important to understand the cultural framework in which roles are expected to be take on.

    Kendall

    ReplyDelete
  4. Hi Eunkyeong,

    I admire the thoroughness of your gender analysis. In our contemporary society, women are expected to work full time as much as their partners do. This is due to the fact that in order to survive nowadays, both parties should be employed. Unfortunately, despite working full time, women are still expected to do the “traditional” household chores and care-giving responsibilities that they have been doing since the dawn of history. And oftentimes, this overwhelming load and expectations cause many women to burn out or acquire some health and/or mental health issues. Just like your experience, I also see that 80-90% of primary contacts, POA, and health proxies in long term care are women. On the other hand, a number of male caregivers is growing and I'm looking forward to see this trend becoming more profound in the near future!

    -Darnel

    ReplyDelete