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Related Links: Curriculum Module on Women and Aging

Prepared by Andrew E. Scharlach and Esme Fuller-Thomson

University of California at Berkeley
School of Social Welfare
Berkeley, CA 94720-7400

Foreword



... I see you, old woman, I see the YOU, not the old. In your eyes Iread the story of the years, of the pain, the sweet delights. I see you, Woman, know yourfemininity, your graceful
movements, your healing tenderness.

... If I see you, if I can feel your pain, if I can know your joy, youare not alone. You arenot a small "i" far away like a stringless kite.

... Look at me, Woman, as I look at you. See ... we know each other;we are part of thesame rainbow. Your colors flow into mine; mine fade into yours. We arethe same combination
of sun and rain and reflection of life.

... There are those who look at you and say, "She is childish." But I view you and I say "sheis child-like." To be childish is to be petulant, temperamental, unwilling to endure frustration orpunishment or misery of any kind. But the slashes which make parenthesesaround your mouthshow pain long endured and seldom vocalized. Your eyes bear imprints oftears shed and sorrowfelt... There are traces of laughter, and in your age and your tiring bodythere still resides the childwho can awake to wonder and to the miracle of a light which is justbeginning to trace gold lineson the wall of a room.

... Old Woman, I do see the you that was and the you that is ... I seeyou in the nurseryrhyme. You still remember it, "There was an old woman who lived in a shoe ..."

... It wasn't exactly a shoe you lived in, but it seemed crowded like onewhen the children were
young.... But now you are an old woman. And the shoe is empty.... No
sound in the house. Just an old woman and an empty shoe.

... You still have so many children you don't know what to do. Mainlybecause each child hasthe solution to your old age. And no solution fits you, any more thansomeone else's shoe canmatch your foot. Each child want to uproot you, place you in a new shoe,in one which has notbeen softened to your shape with the passing years.

... You will not wither in total loneliness ... solitary, away. Myhands and those of peoplearound me will reach for you in the dungeon of your alienation, will liftyou, carefully, into theslanted sunlight of our lives.

... Our fires will bring you warmth; our companionship will give yousustenance. We willwiden our circles.... We will open doors and invite you into theroom-brightness of our lives.

... I see you, old woman. But even as I look, your face turns into myown. We stand atopposite ends of the same long corridor, reflecting the image of one another.


This material from Aging in America by Bert kruger Smith. Copyright 1973 by Bert Kruger Smith. Reprinted by permission of Beacon Press.


Preface


These curriculum materials provide a basic introductionto existing knowledge regarding older women in the United States. They are designed to provide instructors withaccurate information that can easily be integrated intoexisting undergraduate and graduate-level courses, including courses in social welfare, public health, anthropology,sociology, psychology, and gender studies. In so doing, itis hoped that these materials will enhance the quantity andquality of aging content in existing courses, so thatstudents can be better prepared for the intellectual and societal challenges facing an aging society.

The curriculum module on Women and Aging consists ofthree sections: (1) an overview of existing knowledge regarding women and aging; (2) an annotated bibliography of suggested readings; and, (3) a list of available audiovisual materials. Instructors are encouraged to adapt these materials as appropriate to their particular needs. Some instructors may wish to utilize the information summary as asource of lecture material; others may wish to assign sections for student reading and discussion. These materials also may be useful as background reading for students and professors new to this topic. However they are used, it is hoped that these materials will stimulate increased interest in and knowledge about women and aging. For further information regarding how these materials can best be utilized,instructors are welcome to contact Professor Andrew Scharlach at the School of Social Welfare, 120 Haviland Hall, Universityof California, Berkeley, CA 94720.

Also being developed as part of this project are curriculum modules summarizing information regarding a numberof other aging-related topics, including the following: (1)Demographic characteristics of an aging society; (2) Myths and stereotypes about aging; (3) The aging process; (4)Ethnicity and aging. For the cost of reproduction and mailing, these curriculum modules are available from the Center on Aging, University of California 140 Warren Hall #7360 , Berkeley, CA 94720-7360 or from Professor Scharlach at theSchool of Social Welfare.

Development of these curriculum materials was made possible by grants from the Office of Educational Development, the Media Resource Center, the Academic Geriatric Resource Program, the American Cultures Program,and the Eugene and Rose Kleiner Chair for the Study of Aging Processes, Practices and Policies. Andrew Scharlach,Professor of Social Welfare and holder of the Kleiner Chair in Aging at the University of California at Berkeley, coordinated all aspects of the project. Esme Fuller-Thomson, now at the University of Toronto School of Social Work, assisted with the literature review and information synthesis.

The authors would like to express their appreciation to Beacon Press for permission to reprint the Foreword, which originally appeared in Aging in America by Bert Kruger Smith (copyright 1973). The authors also would like to express their appreciation to the Association for Gerontology in Higher Education for permission to reprint selected annotated references from Brief bibliography: The older Woman by RuthWeg and Ellen Markson (copyright 1991). We also are indebted to the numerous faculty members in Social Welfare and other departments who took the time to review earlier drafts and make suggestions designed to increase the usefulness of these materials.


Table of Contents


Information Summary
Overview
Images of Older Women
Older Women Alone
Health
Economic Profile
Familial Roles and Relationships
Social Networks and Social Participation
Conclusion
Citations
Annotated Bibliography

Audiovisual Resources


Information Summary

Overview


Dramatic demographic shifts are occurring in the Americanpopulation. None is more profound than the increasingproportion of elderly and the disproportionate representation of women within that population. (1) In the past two decades,the population of those over 65 grew at a rate double that of the rest of the population. (2 ) Of the more than 30 millionseniors in the U.S., women compose 60% or 17.4 million.(3) Among those over 85, women outnumber men more than two to one. (4)


Until 60 years ago, the ratio of elderly women to men wasabout equal. During this century, there has been a dramaticlowering of mortality rates and improvement in lifeexpectancy, with the most substantial gains among women. Asa result, life expectancy from birth for females has increased a phenomenal 27 years since 1900. (5) Currently, life expectancy at birth for women is 78.8 years, but only 71.5years for men. Demographic predictions indicate that both the proportion of women in the elderly population and the proportion of elders in the general population will continue to increase for the foreseeable future.

Images Of Older Women


Despite the predominance of women among the elderly, itis only in the last decade and a half that older women have become a focus of research interest, (6) and gender has not yet been adequately incorporated into theories of aging. Consequently, there are many gaps in our knowledge aboutolder women, their problems, their concerns, their relationships and their strengths. Moreover, many commonly held beliefs about elderly women are based on widespread negative stereotypes.

In a society that glorifies youth, older women typicallyare portrayed on television and in other popular media assilly, eccentric, passive and "sickly." (7) An alternative stereotype of older women is of a "pleasantly plump granny who spends her time in a rocking chair knitting or sewing," (8) and having few outside interests.

Women's perception of aging as "the relentless enemy" and"culturally promoted self-hatred" are manifested in the seven billion dollar per year beauty industry. (9) The ramifications of being stereotyped can be devastating, as one seventy-six year old woman commented:
I think what finally made me decide to go back to my own house was my grandchildren's reaction to me.... They are not used to old people. The subdivision they live in is filled with young couples and small children. The six-year-old was very outspoken. He kept pointing to my wrinkles and my pronounced veins, and yelling, "Gross!" He saw me as ugly and witch like and refused to... (come) near me.... It was probably the lowest point in my life. I felt very depressed and lost a lot of my self-confidence. (10)
Many women attempt to look young so they will not be included in the common stereotype of older women as "sexually finished." (11) In fact, research indicates that older women are still capable of an active and enjoyable sex life. The decline in older women's sexual activity appears to be more due to a lack of available partners rather than to a lack of interest. (12)

In most non-Western societies, by contrast, the status of women improves as they age. Middle-age and old women are subject to fewer restrictions, more respect and authority,and greater opportunities than are younger women. For the first time, they may take on roles outside the household such as councillor, midwife, story-teller, and master artisan. (13) They receive a great deal of esteem due to their acquired wisdom and their new roles in the community, and they typically can hand over some of their more onerous domestic activities to their daughters and daughters-in-law.

Even in Western societies, despite the negativestereotypes that exist, the lot of older women is improving.Compared with previous cohorts, today's older women are better educated, healthier and more autonomous; (14) they tend to have a larger support network than do men, and they live longer on average as well. (15 ) Since the Second World War,women's participation in the work force has consistently risen. (16) Women now have greater opportunities to enter better-paying, traditionally male-dominated careers and to be eligible for private and public pensions.

Significant developments also have occurred in the organizing of older women during the last decade, partially due to the growth of the Older Women's League (OWL) with its motto, "organize don't agonize." OWL and other groups have promoted discussion in the political arena on important issues such as gender bias in private and public pensions andin health-care and the problems of the "displaced homemaker."While still disadvantaged vis-a-vis their male peers, the position of older women does appear to be improving as a result of efforts such as these.

Older Women Alone

Women are much more likely than men to live alone duringtheir later years. In one study of women over 65 years old,almost two-thirds were widowed, never-married, or divorced. (17)This is a consequence of the greater longevity of women and the tendency for women to marry men older than themselves, sothat 85% of wives outlive their husbands. (18) Consequently,12.8% of the total American female population and more thantwo-thirds of those women who are over 75 years of age are widows. (19) Among Black older women the proportion of widowsis even higher, with 78% of those over 75 being widows. (20) Only 4% of older women are divorced, but this proportion isexpected to rise significantly over the next few decades.

Despite the fact that "the major problems of aging -poverty, loneliness, vulnerability to crime and toinstitutionalization - are overwhelmingly the problems ofunmarried women", (21) there is no unanimity amongst the oldersingle women themselves as to whether their lives are worseor better than their married peers. Some older women notethat the advantages of singlehood include more freedom to runtheir own lives, to have their personal space, to have fewerfamily responsibilities and to pursue a career:
When my husband died I felt very lonely, and I was worried that no one would come to visit any more.... Shortly after my husband's death, one of the professors asked me to deliver a lecture to his students. At first I refused because...I feared that, at eighty, my mind would be rusty and I would forget things.... Now I have become something of a celebrity. I have stopped thinking of myself as a little old lady who was the wife of a famous scholar. For the first time I hold center stage and I like it.... I have been saved from a very lonely and limited old age by a skill that I didn't realize I had. There are probably many women like me who had lived in their husbands' shadows. Given the opportunity, they could contribute a great deal to society. (22)
In contrast, other single older women cite disadvantages,including rejection by married peers, loneliness, and thetrauma of unexpected economic hardship. One eighty-two yearold woman remarked:
My husband died fifteen years ago, without a pension. I live on about five hundred dollars a month. After I am finished paying for this shabby place, there is little left over for food, clothes or any entertainment. I buy my clothes at rummage sales and I don't eat very much, a little cereal, some toast, and tea. Sometimes I buy some fresh vegetables and fruit, but then I am stuck and must cut back on Kleenex, toilet paper, shampoo and the like .... My family and friends are all gone now.... (My son who) I rarely see...thinks I am managing and I guess I am, but it feels more like scrounging than really living. (23)
The 7% of older women who have never married (24) have better health than separated or divorced women, but higher rates of admission to mental hospitals and nursing homes.Their connection with family tends to be close, particularly with siblings. Never-married older women appear to be less happy than their married peers, but more satisfied than thosewho are widowed and divorced.

Health

Older women have greater longevity than men, but also in-creased likelihood of having one or more chronic illnesses such as high blood pressure, urinary incontinence, diabetesand arthritis, which often restrict their movement oractivities of daily living. Osteoporosis, the loss of bone mass, is disproportionately a disease that afflicts women. By the age of 65 or 70, women have lost 35% of the mineralcontent of their bones and are therefore very susceptible to bone fractures.(25) Men, on the other hand, are more vulnerableto acute, life-threatening illnesses. (26) Therefore women arein some ways advantaged in that they live longer, on average, than men, but they tend to suffer more years of ill health.

Older women's typically scattered work history and widowed status often result in their not being eligible fo raffordable private health insurance. Those who are notmarried nor working, but are not yet eligible for Medicare,are particularly vulnerable. Even for those older women whoare covered by health insurance, the out-of-pocket costs of health care are still considerable, totalling on average one-third of an older women's annual median income. (27)

Menopause, representing the normal phase of the lifecycle when menstruation stops and the ability to reproduce ends, occurs on average when women are 50, although it can begin as early as 40 or as late as 58. (28) Western society has adopted the disease model of menopause, connecting physiological problems and depression with the onset of menopause. However, increased depression in post-menopausal women is more apt to be a function of societal and psychological variables than of the physiological transition itself, with women who have primarily identified with their mothering role and have inadequate social support tending to be more vulnerable to depression.(29)

Women have a disproportionately higher risk of institutionalization than men. This is primarily due to two factors: women's high rates of debilitating, chronic illness, and the large proportion of women who no longer have a spouse to care for them when they need help with activities of daily living. Although at any one time only 5% of the elderly population are in institutions, the lifetime risk of institutionalization is 52% for women compared to 30% for men.(30)

Economic Profile/Work And Retirement


The elderly have less average cash income than younger adults and are more likely to be poor. Older women's medianincome is only 56% of the income of their male peers ($6,425 compared to $11,544),(31) and older women are twice as likely as men to have incomes below the poverty line (16% versus8.5%).(32) Certain subgroups of older women are even more vulnerable to poverty: the unmarried who live alone (26.8%), Black women who live alone (55%), and those over 85 (25%).(33) The higher ratio of older women in poverty results in more women exposed to the negative impact of impoverished conditions such as insufficient food, housing or medical care.


During their working years, today's older women tendedto be employed in low paying, non-unionized work, often inpart-time or short-term positions as the demands of homenecessitated. This work pattern affects women's eligibilityfor social security and for private pensions.(34) Consequently,women who have been employed are less than half as likely asmen to be covered by private pensions (20% versus 44%), andthose women who do receive benefits only receive, on average,half what their male peers receive. (35)

The financial restrictions experienced by many older women are indicated by one woman who had worked fifty yearsas a secretary:
I never made a great deal of money, but it was enough to live on....I never thought much about my old age - it seems to sneak up on you.... I haven't a dime to spare these days. Everything goes for rent, food and the like .... People are always asking me why I didn't save for my old age. To be honest, I never made enough to save. I guess I could have lived in a room like this all my life, but I'm glad that I had an apartment when I was younger - it was a great pleasure to have a home of my own, surrounded by my own things. (36)

In contrast, older women who have adequate income often find their retirement years allow them more freedom, fewerresponsibilities and new opportunities. One eighty year old woman who had raised three children on her own in poverty found a new career in her mature years. This career gives her pleasure, pride and the opportunity to pursue her interests:
I think my life really became much better from age fifty on.... I finally didn't have the heavy burden of my children wrapped around my throat. And I started to earn a decent salary for the first time.... I took up private nursing. I've been doing it for thirty years now, and I suspect I will for many years to come.... My philosophy is to make the best of things. I get up every morning feeling good, looking forward to the day.... My doctor has told me that I will probably live to be a hundred. He can't find anything wrong with me and keeps telling me that I am a medical wonder. I think part of the reason I am so healthy is that I read all the time and don't pollute my mind with television. I go to the symphony and to the theater when I can, but the public library is my greatest entertainment.... Once a year I take a trip to a country I have never seen.... It's too bad I was born when I was. The women's movement has made great changes that would have affected my life significantly .... But I can't complain. I was born with a good mind and a strong constitution.... (But) I would like to think that it will get better for other generations.(37)
However, for many elderly women who need and/or wish tosupplement their income, entering the labor force is not anoption. Hiring policies often reflect ageism, typically impacting women at younger ages than men. Furthermore, older women are unlikely to have recent paid work experience and only slightly less than half of older women have graduated from high school. (38) Consequently, in 1980, only 8% of women over 65 were in the labor force. (39)

It is likely that the current cohort of middle age womenwill be better off during their senior years, although manyare still outside the paid work-force or employed in the same"pink-collar" jobs as were their mothers. For those thathave achieved higher paying, permanent jobs with privatepension benefits, the future looks much less bleak.Continued lobbying efforts to get equal pay for equal work,to open up traditionally male-dominated careers to women, andt o promote private pensions will hopefully improve the economic situation of all women as they reach the retirement years.

Familial Roles And Relationships

The family as a whole and the role of the woman within the family have changed dramatically in recent years. At theturn of the century, the average woman could expect to bewidowed before her last child left home, the last child wouldmarry when she was 55, and she would, on average, surviveonly another 13 years. By the 1980s, a woman who married at22 would be 45 when the last child left home, 65 when she waswidowed, and 83 when she died. (40)

Marital relationship: Married women over age 60 have beenmarried for a very long time, on average 43 years. (41) Older couples seem predominantly to feel positively about each other, about their children and about life, (42) based on the development over time of the ability to comfort and support each other and also a greater tolerance and acceptance.(43) However, some studies have suggested that marital satisfaction can deteriorate over time, as sexual intercours eand the number of shared activities decrease and loneliness increases.(44)A husband's retirement can also have a negative impact on marital satisfaction, particularly for wives whoare older, less healthy, less active, less happy in their marriage in general, have husbands who were manual workers,(45) and are concerned about how their husbands will deal withtheir excess free time and whether they will interfere in their wives' domestic domain.(46) However, spousal retirement also may be seen in a positive light due to the increased free time available for joint activities.

When a husband becomes ill, the wife often performs the role of caregiver. Twenty-three percent of older wives carefor an ailing spouse. (47) Many older women have also been caregivers for their own parents. Caregiving can be an emotional burden, particularly for those women with other conflicting demands such as work and dependent or needy children or grandchildren. On the other hand, the obvious necessity of the role may give a renewed sense of meaning and purpose to wives, particularly among those who have lost other roles.(48)

Losing a spouse is one of the most distressing events of life. Widows are less likely to be included in social events composed primarily of couples and, therefore, they often find that their social support network shrinks dramatically. Widows also may be required to gain competence in numerous new responsibilities and decisions that their spouses had formerly been responsible for, such as financial managementand house and car maintenance. (49) And, of course, the loss of a life-time companion and confidante is usually an extremely difficult adjustment. One seventy year old widow commented:
Without warning, my second husband had a heart attack and died. I think I was on the verge of a nervous breakdown after his death. I was all alone and I thought I couldn't go on. This was the second time I had lost a man I loved dearly. It was almost unbearable.(50)
However, older women also tend to be very resilient, and they are less likely than men to die after losing a spouse.(51) Some women, particularly those with less than happy marriages, thrive in the new-found freedom of widowhood:
I was a slave all the years I was married.... My husband died seven years ago, leaving me nothing but a pile of debts.... Although I don't have much money, I wouldn't trade my life for anything. I have my own place and I can come and go as I please. I go swimming twice a week, I bowl, and I paint.... My life really took off when my husband died.... I have waited most of my adult life to have some time to myself, to have some fun.(52)
Parent-Child Relationships: Four out of five elderly womenhave living children.(53) Parent-child bonds tend to remainstrong across the life-span, based upon mutual affection,interdependence, and reciprocal giving.(54) In most cases, elderly mothers live near, but not with, their adult children, and have frequent contact with them either inperson or by telephone.

Older women who need assistance receive it most oftenfrom an adult daughter, particularly if the mother iswidowed. This assistance is provided despite the fact thatthe adult daughter also may be caring for her own offspring,grandchildren or spouse, and may experience physical,financial or emotional hardships as a result. Elderlymothers may also be conflicted about becoming too dependenton other family members, as one seventy-two year old disabledwidow who lives in a convalescent home commented:
Two of my daughters have said I could live with them, but I will never do it.... I prefer not to be a burden to anyone.... I had my life and I want to let them have theirs.... It's not that I don't want to see my children ... but I want some time to myself before it is too late.(55)
Grandmotherhood: It has been estimated that 94% of olderadults who have children also have grandchildren. (56) The first grandchild is usually born when the grandmother is middle-aged, typically allowing the grandmother two or three mor edecades of life to observe her grandchild's growth from infant to adult. Grandmothers are typically more satisfied than grandfathers with the grandparenting role,(57) and young adult grandchildren most frequently report that their maternal grandmother is the grandparent to whom they feel closest. In general, grandparents feel close to at least one grandchild and are happy with their relationship with their grandchildren:
My grandson is the most important person to me.... He comes to visit me. He does all these little things for me.... He took care of my car the other day.... I always had a chest of drawers in my breakfast room, and...it was always full of toys for all the kids, and they loved it.(58)

Grandmothers often provide care for their grandchildren.This care can range from the occasional provision of respitecare to the daily baby-sitting of their grandchildren whose parents work full time outside the home. Occasionally, grandmothers take custody of their grandchildren when the child's parents die, are drug addicted, or are otherwise unavailable.(59)

Siblings in Later Life: Siblings also compose a key aspectof older women's support networks in later life. One national study found that 80% of elders had a living siblingand one-third had seen a sibling within the previous week.(60) In one midwestern study, increased well-being of widows wasassociated with more frequent interaction with married sisters.(61) In addition, positive interaction with siblingshas been reported to decrease feelings of loneliness, provide emotional support, build feelings of closeness, and validate earlier life experiences.(62)

Social Networks And Social Participation

Friendships: Women are more likely than men to have an intimate friend and to have a wide variety of friends.Friends provide support and help and are critical in helping older adults deal with stress, especially for persons who are widowed.(63) One severely disabled divorced older woman remarked:
A few friends have stuck by me over the years. One friend in particular comes to visit me every week, no matter what. She does my shopping and picks up my dry-cleaning. Good friends arebetter than marriage.(64)
Volunteer Activities: Women who are now elderly belong to a cohort that traditionally has been the mainstay of community activities and charities, and involvement in organizations has been identified as a pivotal element of "successful"aging.(65) It is possible that older women will be forced to take an even more dominant role in community organizations because of younger women's work-force participation. One disabled older woman has used volunteer work to put meaning back into her life, now that she no longer can find paidwork:
I have compensated by becoming a volunteer at the (community) center. It helps me to get out of myself, and I know that there are always people worse off.... Without intend- ing to, I've become a confidante to a lot of teenage girls. They come to me for advice, especially the handicapped ones. They like to talk to someone older, someone who has made a life for herself despite a handicap.(66)
Church & Religion: Religion is another key element of most elderly women's lives. In one study, 82% of seniors said that religion was the most important influence in their lives, and 87% derived personal comfort and support from religion.(67) Older women are more likely than older men toattend church, and are more religious in their attitudes.(68) Older women's morale is highly associated with religion while older men's morale correlates first with health and then with financial status.(69)

The church is also an essential component of many older women's social support network. Among more isolated elders, church going is often the only activity that integrates the older person into the community. Many churches provide both informal and formal services to the frail elderly, checking in on them regularly, providing social contact, transportation, and/or meals-on-wheels type of services. Religion is particularly likely to be viewed as a source of strength and a way of coping with stress by the older Black woman. The importance of religion in this function has its historical roots in the slave experience, where the black church "came to fulfill in many instances the needs andfunctions that were once met by the religion-based (African) tribal and community organization."(70)

Conclusion

Older women tend to be well integrated into their families and communities, and they are experiencing new opportunities for improved health, economic status, education, and fulfillment. National organizations such as the American Association of Retired Persons and the Older Women's League are beginning to address the needs, problems and strengths of older women. Furthermore, in the last two decades research interest and studies on older women have increased dramatically. Consequently, there appears to be acase for "guarded optimism"(71) that the position of older women will improve. The speed with which this will occur may depend in part on the extent to which older women follow the slogan of the Older Women's League to "organize, not agonize."


Citations


1. This section draws its information from several overviews of woman and aging, including Coyle, J. M. (Ed.). (1989). Women and aging: A selected, annotated bibliography. New York:, Greenwood Press; Hooyman, N. R., & Kiyak, H. A. (1988). Social gerontology: A multidisciplinary perspective (pp. 499-518). Boston: Allyn and Bacon; Markson, E. W. (1983). Older women: issues and prospects. Lexington, MA: Lexington Books; O'Rand, A. (1984).
"Women." In E. B. Palmore (Ed.), Handbook on the aged in the United States (pp. 125-142). Westport, CT: Greenwood Press.

2. U.S. Senate, 1987-1988. As cited in Coyle, J. M. (1989). Women and aging: A selected, annotated bibliography (p. xv). New York: Greenwood Press.

3. Markson, E. W. (1983). Older women: Issues and Prospects. Lexington, MA: Lexington Books.
4. U.S. Senate Special Committee on Aging. (1986). As cited in Hooyman, N. R., & Kiyak, H. A. (1988). Social gerontology: A multidisciplinary perspective (P. 500). Boston: Allyn and Bacon.

5. National institute on Aging. (1988, Sept.). Health resources for older women (NIH publication No. 88-2899, p. 5).

6. Markson, 1983.

7. Payne, B. & Whittington, F. (1980). "Older women: An examination of popular stereotypes and research evidence. In M.M. Fuller and C. A. Martin (Eds.), The older woman (pp. 10-11). Springfield, IL: Charles C. Thomas. S. Payne & Whittington, 1980, P. 17.

9. Cohen, L. (1984). Small expectations: Society's-betrayal of older women (p. 19) Toronto, Canada: McClelland and Stewart.

10. Cohen, 1984, P. 157.

11. Grambs, J. D. (1989). Women over forty: visions and realities (pp. 20-21). New York: Springer.

12. Payne & Whittington, 1980, pp. 14-15.

13. Chaney, E. M. (1990). Empowering older women: Cross-cultural views (P. 7). Washington, DC: American Association of Retired Persons.

14. Weg, R. B., & Markson, E. W. (Eds.). (1991). Brief bibliography: The older woman (p. 1). Washington, DC: Association for Gerontology in Higher Education.

15. Weg & Markson, 1991, pp. 1-2.

16. Hatch, L. R. "Gender & work at midlife & beyond." Generations, XIV(3), 48-52.

17. Glick, 1979, as cited in Allen, 1989, p. 109.

18. Hooyman & Kiyak, op.cit., p. 510.

19. Lopata, R. Z. (1984). "The widowed." In E. B. Palmore (Ed.), Handbook on the aged in the United States (p. 109). Westport, CT: Greenwood Press.

20. U.S. Senate Special Committee on Aging. (1984). As cited inGrambs, op. cit., P. 132.

21. MacLean, 1981, as cited in Coyle, 1989, p. xvii.

22. Cohen, 1984, pp. 155-156.

23. Cohen, 1984, p. 131.

24. Braito, R, & Anderson, D. (1983). "The ever-single elderlywoman." In E. W. Markson, Older women: Issues and prospects (p.197). Lexington, MA: Lexington Books.

25. National Institute on Aging, op. cit., pp. 33-36, and Hooyman and Kiyak, ibid., p. 508.

26. National institute on Aging, op. cit., p. 23, and Coyle,op. cit., p xx.

27. Hooyman & Kiyak, op. cit., p. 506.

28. National Institute on Aging, ibid., pp. 13-15 and Hooyman & Kiyak, ibid., p. 508.

29. Bart, 1981 as cited in Hooyman & Kiyak, op. cit., p. 509.

30. Coyle, op. cit., p. xx.

31. Coyle, ibid., p. xviii.

32. Hooyman & Kiyak, op. cit., p. 502

33. U.S. Bureau of the census as cited in Hooyman & Kiyak, ibid., p. 502.

34. National institute on Aging, op. cit.,, pp. 52-53.

35. Hooyman & Kiyak, op. cit.,, pp. 504-505.

36. Cohen, L. (1984). Small expectations: Society's betrayal of older women (pp. 132-133). Toronto, Canada: McClelland and Stewart.

37. Cohen, 1984, pp. 148-149.

38. J. D. Grambs, op. cit., p. 157.

39. Grambs, ibid., p. 162.

40. Neugarten & Datan, 1973 as cited in Grambs, ibid., p. 123.

41. Goldman & Lord, 1983, as cited in Grambs, ibid., p. 127.

42. Atchley & Miller, 1983, as cited in Grambs, ibid., p. 127.

43. Depner & Ingersoll-Dayton, 1985, as cited in Grambs, ibid., p. 127.

44. Pineo, 1968, as cited in Grambs, ibid., p. 128.

45. Heyman & Jeffers, 1968, as cited in Grambs, ibid., p. 128.

46. Fengler, 1975, as cited in Grambs, ibid., p. 128-129.

47. Stone, Cafferata, & Sange, 1987, as cited in Grambs, ibid., p. 129.

48. K, 1986, as cited in Grambs, ibid., p. 129.

49. Grambs, op. cit.,, p. 133.

50. Cohen, 1984, p. 154.

51. Hooyman & Kiyak, op. cit.,

52. Cohen, 1984, pp. 159-160.

53. Hess, B. B., & Waring, J. (1983). "Family relationships of older women: A woman's issue." In E. W. Markson, Older women;Issues and prospects (p. 236). Lexington, MA: LexingtonBooks.

54. Johnson, E. S., & Bursk, B. J. (1980). "Relationships between the elderly and their adult children." In M. M. Fuller and C. A. Martin, The older woman: Lavender rose or gray Panther (p.159) .Springfield, IL: Charles C. Thomas.

55. Cohen, 1984, pp. 149-150.

56. Hooyman & Kiyak, op. cit.,

57. Roberto, K. A. (1990). "Grandparent and grandchild relationships." In T. H. Brubaker (Ed.), Family relationships in later life, (second Edition, p. 104). Newbury Park: Sage.

58. Allen, 1989, pp. 105-106.

59. Minkler, M. A. (1993). Grandmothers as caregivers: Raising children of the crack cocaine epidemic. Newbury Park, CA:Sage.

60. Shanas, 1980 as cited in Scott, ibid., p. 90.

61. O'Bryant, 1988, as cited in Scott, ibid., P. 91.

62. Gold, 1987, as cited in Scott, ibid., p. 91.

63. Grambs, op.cit., pp. 93-98.

64. Cohen, 1984, p. 152.

65. Payne & Bull, 1985 as cited in Grambs, ibid., p. 99.

66. Cohen, 1984, p. 151.

67. U S. Senate Special committee on Aging. (1984). As cited in Grambs, ibid., p. 102.

68. Coyle, op.cit., p. xx.

69. Koenig, Dvale, & Ferrel, 1988, as cited in Grambs, op.cit., p. 102.

70. McAdoo, 1979, as cited in Grambs, ibid., p. 214.

71. Weg & Markson, 1991, p. 1.

Selected Annotated Bibliography

General References


Arber, S., & Ginn, J. (1992). Gender and later life: A sociological analysis of resources and constraints. Newbury Park, CA: Sage.
This book considers issues of gender, class, quality oflife and ageism, and examines the possibility that thesefactors are more important than chronological age ininfluencing well-being in later life.

Barusch, A. S. (1994). Older women in poverty: Private lives and public policies. New York, NY: Springer.
This volume presents findings of an extensive study ofthe life histories of low-income older women from around thecountry. It includes detailed life stories of seven selectedwomen. The book then offers recommendations for policychanges that are desperately needed to prevent and amelioratepoverty among older women.

Chaney, E. M. (Ed.). (1990). Empowering older women: Cross cultural views. Washington, DC: Women's Initiative of the American Association of Retired Persons, in cooperation with the International Federation on Aging.
This publication is intended as an education, training,and awareness-raising module on women at midlife and olderage in cross-cultural perspective. It is designed fordiscussion groups and workshops, and as an information sourceon women's lives.

Cool, L., & McCabe, J. (1987). "The "scheming hag" and the "dear old thing:" The anthropology of aging women." In J. Sokolovsky (Ed.), Growing old in different societies: Cross cultural perspectives (pp. 56-68). Acton, MA: Copley Publ. Group.
An exploration of older women from a feministperspective, this article by two anthropologists reviewsresearch findings and stereotypes of older women in thesocial science literature. The perceived powerlessness ofolder women is contrasted to their findings on Corsican andLebanese elder women whose dominance and power increases withage. Appropriate for lower and upper division courses onwomen and aging, psychology of aging, psychology of women,and sociology or anthropology courses dealing with lifecourse issues.

Coyle, J. M. (1989). Women and aging: A selected, annotated bibliography. New York: Greenwood Press.
Selections in this compilation include various topics ofinterest relating to aging women, such as roles andrelationships, economics, employment and retirement,sexuality, housing, religion, racial/ethnic groups, policyand international concerns.

Davis, N. D., Cole, E., & Rothblum, E. D. (Eds.). (1993). Faces of women and aging. Bingham, N.Y.: Haworth.
Discover the diverse ways aging women attempt to dealwith the universal challenges of loss, sickness, and deathalong with the problems of being old women in a society thatvalues women mainly as sexual partners or producers ofchildren.

Day, A. T. (1993). Remarkable survivors: Insights into successful aging among women. Washington, DC: Urban Institute Press.
The author uses open-ended interview techniques to allowwomen to speak for themselves about what successful agingmeans. Women discuss how social expectations and structureshelp or hinder the quality of their lives.

Garner, J. D., & Mercer, S. O. (Eds.). (1989). Women as they age: Challenge, opportunity, and triumph. New York: Haworth Press.
Also published as Journal of Women and Aging, 1, 1989,this volume is an edited collection of articles contributedby sociologists, social workers, nurses, and health careworkers, all of whom have specific interest in aging.Appropriate as a text for courses on women and aging, or assupplemental reading for social gerontology and women'sstudies. An instructor's manual is also available.

Glasse, L., & Hendricks, J. (Eds.). (1990, Summer). "Gender and aging." Generations, 14(3) (entire issue).
Is there something about our gender that alters the waythe aging process unfolds? How does being male or femaleaffect us as we grow older? How important is gender to thestudy of aging? These and other similar questions are thesubject of this collection of essays.

Gould, K. H. (1989). "A minority-feminist perspective on women and aging." In D. J. Garner and S. O. Mercer, (Eds.), Women as they age: Challenge, opportunity, and triumph. New York: The Haworth Press.
This article proposes the development of a minority-feministperspective as an appropriate strategy to understandthe social reality facing older, nonwhite women. Thisperspective recognizes that racism, sexism, and ageism haveto be viewed in an interactive framework.

Johnson, M. (Ed.). (1990). Gender and aging [Special issue]. Generations, XIV(3).
This issue of Generations is comprised of sixteenarticles on gender and aging, including biology, age andpsychiatric disorders, caregiving, public policy, poverty,work and labor markets, and political mobilization. Articlesare clearly written, and the entire issue appropriate toconsider as a supplemental required text or supplement,depending on the design of the course.

Markson, E. W. (Ed.). (1984). Older women. Riverside, NJ: Macmillan.
This edited volume contains a series of articles on olderwomen authored by sociologists, psychologists, historians,social workers, and physicians. Part I contains fourarticles on "changing bodies, changing selves;" Part II dealswith women in the work force and retirement; Part IIIfocuses on women within and without families, includinghomeless older women; and Part IV details physical changesafter menopause and cardiovascular risks among elderly women.Appropriate as a text for courses on women and aging, or assupplemental reading for social gerontology and women'sstudies.

Rathbone-McCuan, E. (1984). "Older women, mental health, and social work education." Journal of Education for Social Work, 20(1), 33-41.
This article discusses a five-year training project thatdesigned and implemented a curriculum on the mental health ofolder women in graduate social work education.

Rosenthal, E. (Ed.). (1990). Women, aging and ageism. NewYork: The Haworth Press. (Published simultaneously as the Journal of Women and Aging, 2(2).)
A collection of articles presenting timely and definitiveresearch that illustrates the implications of ageism andsexism in the lives of middle aged women. Topics addressedinclude stereotypes, ageism, sexism, extended caregiving,surviving the death of a spouse, and the damagingrestrictions that society forces upon aging women.

Rossi, A. S. (Ed.). (1985). Gender and the life course. New York: Aldine.
A collection of essays representing a variety ofperspectives on the biosocial implications of gender and age.The book includes a section on historical perspectives ongender and the life course.

Rossi, A. S. (1986). "Sex and gender in an aging society." Daedalus, 115(1), 141-169.
This essay examines the unique sex characteristics of ourspecies in a comparative bio-evolutionary framework as wellas differences between the sexes as they relate to socialinstitutions. It also examines the impact on society ofhaving the majority of men and women be middle aged or older.

Thone, R. R. (1992). Women and aging: Celebrating ourselves. New York: Harrington Park Press.
Writing from her own experience, the author encourageswomen to take charge of the last third of their lives, urgingthem to honor who they are with joy, humor, celebration and freedom.

Turner, B. F., & Troll, L. E. (Eds.). (1993). Women growing older: Psychological perspectives. Thousand Oaks, CA: Sage.
Presents new research on older women and relates it tothe psychology of adult development and aging. The authorstake an adult life-span approach to Americans' gender andracial stereotypes of young, middle-aged, and elderly women.

Wheeler, H. R. (1991). "A multidisciplinary Facts on Women's Aging Quiz to enhance awareness." Journal of Women and Aging, 2(4), 91-107.
This article presents and discusses the Facts on Women'sAging Quiz (FWAQ). This awareness inventory enables the userto test student's familiarity with information about aging,and to encourage group discussion of aging issues.

Family and Friendship Relations


Allen, K. R. (1989). Single women/family ties: Life histories of older women. Newbury Park, CA: Sage.
This 146-page book uses a life-course perspective toanalyze the sociohistorical context, familistic values,midlife variations in kin-keeping and caregiving, andconnections to home and family of 30 working-class women bornbetween 1907 and 1914. Variations in the lives of never-married women arecompared to the life experiences of widows,and the pivotal importance of family relations for bothgroups is highlighted. A qualitative study, this book wouldbe appropriate as supplemental or required reading for lowerand upper division undergraduate courses on women and aging,as well as sociology or psychology of aging courses.

Kehoe, M. (Ed.). (1989). Lesbians over 60 speak for themselves. New York: The Haworth Press. (Published simultaneously as the Journal of Homosexuality, 16(3-4).)
This book examines the social, economical, physical,sexual and emotional lives of aging lesbians. Contentsinclude information about family and other socialrelationships, homosexuality, ill health and dependency,differences in marital status, educational backgrounds andincome.

Sommers, T., & Shields, L. (1987). Women take care: The consequences of caregiving in today's society. Gainesville, FL: Triad Publ. Co.
Undergraduates in both lower and upper division coursesmay find this book, written by two feminists who spearheadedawareness of displaced homemakers, an easy introduction tothe dilemma of many midlife and older women, caught betweentending to the needs of elderly parents, spouse, lover, orfriend, their own needs, and those of other family members,and to gaps in current social policies in the United States.Suggested as supplemental reading for courses in socialgerontology, women and aging, women's studies, and healthsciences.

Health and Nutrition


Grau, L., & Susser, I. (Eds.). (1989). Women in the later years: Health, social & cultural perspectives. Binghamton, NY: Haworth Press.
This well-documented volume discusses processes of agingand the older woman from four major perspectives:Intergenerational relations and public policy, health andwell being, social support, and ethnic/cross-cultural -- allareas studied empirically recently with significantimplications for health and social policy. The chapters areeasy to read and most of them would be useful to lowerdivision as well as upper division courses.

Herzog, A. R., Holden, K. C., & Seltzer, M. (Eds). (1989). Health and economic status of older women: Research issues & data sources. Amityville, NY: Baywood Publ.
An excellent book which presents historical, currentstatus, future issues and research needs concerning olderwomen. Introductory chapters set a clear stage for theparticular issues addressed in the remainder of the book (5chapters). The content is selective, and emphasis is onresearch and use of data. This book is not suitable as anintroductory text or supplementary reading for lower divisioncourses, but is recommended as an up-to-date resource forfaculty and graduate students.

National Institute on Aging. (1988). Health resources for older women. Washington, DC: U.S. Department of Health and Human Services, (Publication # 88-2899).
This guide provides resources and information on majorhealth issues affecting women over age 65. These issuesinclude normal changes that occur during the aging process(such as menopause), activities that promote health (the safeuse of medicines and accident prevention), and physicaldisorders that affect older women more frequently than othergroups (osteoporosis and arthritis).

Verbrugge, L. M. (1989). "Gender, aging and health." In K. S. Markides (Ed.), Aging and health: Perspectives on gender, race, ethnicity and class (pp. 23-78). Newbury Park: Sage.
This well-documented chapter demonstrates thatcontributing factors to observed differences between thesexes in morbidity, mortality and longevity are social andbiological. The gap in the rate of change inmorbidity/mortality in favor of women is beginning to slow asincreasing numbers of men begin to adopt more prudentlifestyles. A current societal challenge decision makersface includes reeducation of many segments of society towardshealth promotion and disease prevention. Such changes coulddelay or eliminate any potential rise in morbidity andmortality as the population grows steadily older. Contentand style are appropriate for upper division courses andusable for the motivated lower division undergraduate aswell.

Humanities and Literature

Borenstein, A. (1983). Chimes of change & hours: Views of older women in twentieth century America. Cranbury, NJ: Fairleigh Dickinson University Press.
This volume draws upon sociology, developmental andanalytic psychology, oral histories, studies of five womenwriters, and twentieth century American fiction and non-fiction aboutolder women. Writers reviewed in depth includeGertrude Atherton, Ellen Glasgow, Zor Neale Hurston, MaySarton, and Edith Wharton. Useful for purchase for collegeor university libraries as a reference work.

De Beauvoir, S. (1990). The second sex. New York: Vintage Books.
First published in 1952, this is hailed as "the classic manifesto of the liberated woman" by its American publisher. De Beauvoir's analysis of the position of women includeshistorical, sociological, psychological, and philosophicalobservations. Of particular interest for advancedundergraduates and graduate students is the chapter, "From maturity to old age." Most instructors will prefer to assign sections of this volume rather than the entire book.

MacDonald, B., & Rich, C. (1983). Look me in the eye: Old women, aging, & ageism. San Francisco: Spinsters Ink.
An angry set of essays by Barbara MacDonald and herlover, Cynthia Rich, this book calls attention to the neglectof older women in general and older lesbians in particular bythe women's movement. Appropriate for assignment for discussion of sexuality, social change, and older women amongstudents at all levels.

Work and Retirement

Morgan, L. A. (1990). "Economic security of older women: Issues and trends for the future." In B. B. Hess & E. W. Markson (Eds.), Growing old in America (4th ed.), (pp. 275-292). New Brunswick, NJ: Transaction Publs.
The gender gap in later life poverty and factors shapinglater life economic security for women are examined in thisreview article. Labor force participation, continuity oflabor force activity, sex segregation in employment, pensioninequities and social security, the growth of the servicesector as a marginal labor market for women, and retirementdecisions are evaluated as well as family related issues suchas marriage, childbearing, and divorce. Suitable forundergraduate and graduate students in women and aging,social gerontology, and social policy courses. Excellent bibliography.

Rayman, P., & Allhouse, K. (1990). Resiliency amidst inequity: Older women workers in an aging United States. Southport, CT: Project on Women and Population Aging, Southport Institute for Policy Analysis.
This monograph, the first of a six-part series on theimpact of population aging on women's issues to be publishedby the Southport Institute for Policy Analysis, examines theinteraction of the aging of the U.S. population and women'slabor force participation. The importance of older womenworkers, the economic status of older women, their strugglefor dignity against racial, age, and gender discriminationand inadequate pension benefits are documented and socialpolicies proposed. Special attention is paid to women ofcolor. Appropriate as required or supplemental reading forupper level undergraduates and graduate students.


Selected Journals and Newsletters


For studying women and older women: Women & Health; Journal of Sex and Marital Therapy; Sex Roles; International Journal on Aging and Human Development; Journal of Women & Aging.



Audiovisual Resources

Complaints of a Dutiful Daughter
Running time: 44 minutes/video
IRIS Films
5569 Lawton Avenue
Oakland, CA 94618
(510) 654-5846
A film about the progression of a woman with Alzheimer'sdisease and the difficult adjustments and decisions that herdaughter must make in caring for her. The film makes itclear that with appropriate care, acceptance and a lovingenvironment, an Alzheimer's patient can thrive even as thecourse of the disease advances. It provides inspiration forAlzheimer's caregivers, both formal and informal.

Older, Stronger, Wiser
Running time: 28 minutes/film, video
National Film Board of Canada
Indiana University Audio Visual Center
Bloomington, IN 47405
(812) 855-2103
A focus on the importance of Black women as foundationsof community-through life-long dedication to church,education, and family. Profiles 5 remarkable women who havestruggled to rise above the indignities of racism that have characterized the Black experience for years.



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