"Elana D. Buch's "Inequalities of Aging: Paradoxes of Independence in American Home Care" focuses on the topic of American home care and explores various contradictions and points of tension within the industry. It also raises awareness of the problematic inequality that exists in the American home care industry and argues for the creation of a more sustainable system."--
Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology The troubling dynamic of the American home care industry where increased independence for the elderly conflicts with the well being of caregivers Paid home care is one of the fastest growing occupations in the United States, and millions of Americans rely on these workers to help them remain at home as they grow older. However, the industry is rife with contradictions. The United States spends a fortune on medical care, yet devotes comparatively few resources on improving wages, thus placing home care providers in the ranks of the working poor. As a result, the work that enables some older Americans to live independently generates profound social inequalities. Inequalities of Aging explores the ways in which these inequalities play out on the ground as workers, who are disproportionately women of color and immigrants, earn poverty-level wages and often struggle to provide for themselves and their families. The ethnographic narrative reveals how two of the nation’s most pressing concerns—rising social inequality and caring for an aging population—intersect to transform the lives of older adults, home care workers, and the world around them. The book takes readers inside the homes and offices of people connected to two Chicago area home care agencies serving low-income and affluent older adults, respectively. Through intimate portrayals of daily life, Elana D. Buch illustrates how diverse histories, care practices, and social policies overlap and contribute to social inequality. Illuminating the lived experience of both workers and their clients, Inequalities of Aging shows the different ways in which the idea of independence both connects and shapes the lives of the elderly and the working poor.
The experience of men and women in later life varies enormously, not only along the lines of gender but also due to ethnicity, class, sexual orientation, and race. Calasanti and Slevin explore these differences, their genesis, their meaning to men and women, and their treatment in the policy arena.
This report examines how the two global mega-trends of population ageing and rising inequalities have been developing and interacting, both within and across generations.
Thanks to advances in technology, medicine, Social Security, and Medicare, old age for many Americans is characterized by comfortable retirement, good health, and fulfilling relationships. But there are also millions of people over 65 who struggle with poverty, chronic illness, unsafe housing, social isolation, and mistreatment by their caretakers. What accounts for these disparities among older adults? Sociologist Deborah Carr’s Golden Years? draws insights from multiple disciplines to illuminate the complex ways that socioeconomic status, race, and gender shape the nearly every aspect of older adults’ lives. By focusing on an often-invisible group of vulnerable elders, Golden Years? reveals that disadvantages accumulate across the life course and can diminish the well-being of many. Carr connects research in sociology, psychology, epidemiology, gerontology, and other fields to explore the well-being of older adults. On many indicators of physical health, such as propensity for heart disease or cancer, black seniors fare worse than whites due to lifetimes of exposure to stressors such as economic hardships and racial discrimination and diminished access to health care. In terms of mental health, Carr finds that older women are at higher risk of depression and anxiety than men, yet older men are especially vulnerable to suicide, a result of complex factors including the rigid masculinity expectations placed on this generation of men. Carr finds that older adults’ physical and mental health are also closely associated with their social networks and the neighborhoods in which they live. Even though strong relationships with spouses, families, and friends can moderate some of the health declines associated with aging, women—and especially women of color—are more likely than men to live alone and often cannot afford home health care services, a combination that can be isolating and even fatal. Finally, social inequalities affect the process of dying itself, with white and affluent seniors in a better position to convey their end-of-life preferences and use hospice or palliative care than their disadvantaged peers. Carr cautions that rising economic inequality, the lingering impact of the Great Recession, and escalating rates of obesity and opioid addiction, among other factors, may contribute to even greater disparities between the haves and the have-nots in future cohorts of older adults. She concludes that policies, such as income supplements for the poorest older adults, expanded paid family leave, and universal health care could ameliorate or even reverse some disparities. A comprehensive analysis of the causes and consequences of later-life inequalities, Golden Years? demonstrates the importance of increased awareness, strong public initiatives, and creative community-based programs in ensuring that all Americans have an opportunity to age well.
This book is a major reassessment of work in the field of critical gerontology, providing a comprehensive survey of issues by a team of contributors drawn from Europe and North America. The book focuses on the variety of ways in which age and ageing are socially constructed, and the extent to which growing old is being transformed through processes associated with globalisation. The collection offers a range of alternative views and visions about the nature of social ageing, making a major contribution to theory-building within the discipline of gerontology. The different sections of the book give an overview of the key issues and concerns underlying the development of critical gerontology. These include: first, the impact of globalisation and of multinational organizations and agencies on the lives of older people; second, the factors contributing to the "social construction" of later life; and third, issues associated with diversity and inequality in old age, arising through the effects of cumulative advantage and disadvantage over the life course. These different themes are analysed using a variety of theoretical perspectives drawn from sociology, social policy, political science, and social anthropology. "Aging, Globalization and Inequality" brings together key contributors to critical perspectives on aging and is unique in the range of themes and concerns covered in a single volume. The study moves forward an important area of debate in studies of aging, and thus provides the basis for a new type of critical gerontology relevant to the twenty-first century.
This collection of readings presents a variety of perspectives on ageing from different communities across the United States: Native American, Puerto Rican, African American, the elderly homeless, white working class, gay and Mexican amongst many others. The readings cover topics such as: life course; social and psychological contexts of ageing; paid and unpaid activity; the American family; and health.
Ageing, Diversity and Equality challenges and provoke the above described normativity and offer an alternative approach which highlights the heterogeneity and diversity of ageing, associated inequalities and their intersections.
The experience of men and women in later life varies enormously, not only along lines of gender but also due to ethnicity, class, sexual orientation, and race. In this text on gender issues among the aging, Calasanti and Slevin explore these differences, their genesis, their meaning to men and women, and their treatment in the policy arena. The authors also take to task traditional research on aging and how it ignores these issues. The authors cover topics of work and retirement, body image, sexuality, health, family relationships, and informal care, among many others. The current research and nuanced theoretical approach presented in this brief book makes it the ideal text to correct the stereotypic and monolithic views of the elderly for courses in gender or aging.
This book is a collection of work on aging and development from authors from the global south. Aging is steadily evolving as a public health and social crisis for which countries of the global south are ill-prepared. The forces of development and improved public health services have ensured that human being live longer. But there is enough evidence that such longevity do not commensurate with good health. As such, many countries of the global south are seeing a booming population who are aging in poor health, without the necessary safety net to ensure quality of life. This book discusses work from Asia, Africa, and South America to explore the challenges facing older adults. Topics include: aging in institutions, living arrangements of older adults, food insecurity, social isolation, end of life migration, and policy papers. This is the first book to bring together varied perspectives on the situation of older adults, and the challenges and opportunities that lie in developing innovative, sustainable programs to support elderly care services.
