Disability and Active Life Expectancy Among Older Cambodians

Older adults in Cambodia are survivors of harsh living conditions, including poverty and periods of extreme violence. Although these experiences may affect health outcomes, little data has existed to monitor Cambodia's older population. The current paper uses data from the 2004 Study of the Elderly in Cambodia (SEC) and focuses on disability status. The data is the first of its kind for Cambodia—a comprehensive survey employing a representative sample of adults 60 and older living across the country. Disability prevalence by age and sex, Active Life Expectancy (ALE) and common correlates of disability, using Activity of Daily Living (ADL) items, are examined. In addition, disability prevalence rates are compared to those for older adults living in other countries in South-east Asia. The results indicate that older Cambodians are more disabled than their counterparts living elsewhere. Possible reasons include long-term influence of social disruption and poverty. Women live longer than men, but spend a greater proportion of their remaining life in states of disability and severe disability. Correlates of disability show that younger age, being male, having higher income satisfaction, being married and living in urban areas associate with lower probabilities of reporting disability. A contribution of the analysis is the examination of a basic measure of health among a population of which little is known.     

OUT-MIGRATION FROM MATLAB—A RURAL AREA OF BANGLADESH

Rural landlessness and pauperisation are ongoing processes in Bangladesh, forcing people to migrate to other areas or countries in search of a livelihood. The study estimates levels of and differentials in out-migration of adult Bangladeshis, and examines reasons for migration and place of destination, using longitudinally collected migration data in the International Centre for Diarrhoeal Disease Research, Bangladesh's (ICDDR,B's) Matlab surveillance area during the periods 1997–1999 and 2006–2008. The out-migration rate increased over time (48 per cent men versus 28 per cent women). Men migrated primarily for economic reasons (73–76 per cent), and women, for familial reasons (77–78 per cent). The younger, educated and well-off were more likely to migrate to urban areas and foreign countries than their older, less educated and poorer peers, who were more likely to migrate to other rural areas. Effective steps are needed to check rural-urban migration, and its numerous adverse consequences.     

Gender and living arrangements of the elderly in Iran

In 2006, the aging population in Iran had increased to about four million, representing about 7 per cent of the total population. We examined marital status and the living arrangements of this growing population based on a public use sample of the 2006 census and published data from the 1976 census. We observed a gender-based transition in living arrangements of the elderly; men continued to live with a spouse, perhaps through remarriage, continuing to be the head of household. The living pattern for women was noticeably different: about 20 per cent were unmarried and living alone but otherwise living with married children, predominantly sons. This analysis revealed a decline from the traditional pattern of co-residence with married children between 1976 and 2006 and an increase in solitary living among women. However, it raised several questions that need extensive research concerning the social, economic, and health status of the elderly in relation to their living arrangement.     

Socio-economic inequalities in health among older adults in two rural sub-districts in India and Bangladesh: a comparative cross-sectional study

Health inequalities have been observed among older people in many developing countries, particularly among those with least social protection and low socio-economic (SES) status. This study attempted to examine effects of SES on the health of older adults, and related gender differences, in two rural sub-districts - Matlab, Bangladesh and Vadu, India. The study utilised the WHO SAGE-INDEPTH Wave 1, 2007 Matlab, Bangladesh and Vadu, Pune District, India datasets. Both gender and SES indicators were strongly associated with all health indicators of older adults in the Bangladesh site, whereas in India, education and asset quintiles were not consistently associated with self-rated health, quality of life and functional ability score but gender was consistently associated with all health indicators except the quality of life score. The SES-health gradient was noticeably higher amongst older adults in Matlab, Bangladesh than in Vadu, India. Education was also found to be an important predictor of health outcome in both sites.     

Mortality differences according to marital status among men and women in Kuwait

Higher mortality among unmarried persons compared with currently married ones has been reported in many previous studies. There is paucity of such studies in developing countries. We analysed the association between marital status and mortality in Kuwait, an oil-rich Gulf Muslim country. Data were obtained from the Public Authority for Civil Information that has maintained a linked record database of population characteristics with death notifications since 2005. Deaths during 2005–2010 were aggregated for the analysis. Age-specific death rates and standardized mortality ratios (SMRs) were calculated according to marital status (married, never married, divorced and widowed), age (15–49, 50–64 and 65+), gender, and nationality (Kuwaiti vs. non-Kuwaiti). Among Kuwaiti nationals, the SMRs for widowed, divorced, and never married were 1.75, 1.68 and 1.15 compared to the married. Higher mortality was found among unmarried men and women at almost all ages. These findings may be indicative of considerable public health problems such as higher disability and depression among the unmarried.     

Changing intergenerational contracts: gender,cohorts and elder care in central rural China, 2005–2013

In the absence of stable pension systems, elder care arrangements in rural China depend on intergenerational contracts. The existing scholarship on elder care in rural China tends to treat the elderly as a homogeneous group and depict them mainly as ‘care recipients’. Based on a diachronic qualitative study in central rural China between 2005 and 2013, this research examines the changing intergenerational contracts between two cohorts of rural elderly and their adult children. These cohorts hold different positions in terms of family structure, number and sex composition of adult children, living arrangement, physical situation, economic standing and appreciation of intergenerational exchange. These differences further produce different social exchange patterns and disparate elder care modalities between genders and cohorts. Drawing upon insights from gender theory on social gerontology, this research identifies the ‘agency’ of older rural women and explores ageing issues among older rural men. This study also presents policy implications by identifying the most disadvantaged group in terms of elder care support.     

Changing trends in international marriages between Korean men and Southeast Asian women, 1993–2013

Korea witnessed a large increase in the fraction of men marrying spouses from Southeast Asia. In the 1990s, about one per cent of Korean men’s new marriages were to Southeast Asian women but by 2005, this increased to over nine per cent with even higher rates in rural areas. With the use of a logit model and Marriage Register data from 1993–2013, the determinants of international marriages are explored using a more rigorous approach and over a longer period of observation compared to previous studies. Older Korean men with lower socioeconomic status were more likely to marry a woman from Southeast Asia (compared to a fellow Korean). The predictors of international marriage differed depending on the wife’s birth country: if the wife had some college education there was a higher probability of marriage to a Filipino woman, but less likely to a woman from China or Vietnam, compared to marriage to a Korean woman. Finally, over the past two decades the education level, age at marriage, and country of origin of the foreign wives have changed substantially. The data shows fewer women migrating from China (of which about 70% are ethnically Korean), and a rising number from Vietnam. This ‘marriage migration’ has implications for the demographics, ethnicity, and occupational composition of those living in Korea.     

Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada

In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.     

Engaging in the disablement process over space and time: narratives of persons with multiple sclerosis in Ottawa, Canada

This article presents an interpretive analysis of the narratives of 15 men and women who have been diagnosed with multiple sclerosis (MS) living in the city of Ottawa, Ontario, Canada. Relatively little is known about how people who are affected by MS cope with the challenges posed by social and physical barriers in their environment. Our research investigates two objectives: (1) to explore how those who have developed MS cope with their disease and resulting impairments, both in terms of the bodily experiences of becoming a chronically ill person and in terms of how they cope with changing relationships, changing identities and challenges in their physical environment; and (2) how they engage in the process of disablement over time and space as a result of these changing social and spatial relationships. We argue that the physical body and its social placings in public and private spaces are intertwined and both affect experiences of health, ability, impairment, disability and chronic illness. We further argue that these relationships are experienced across time and space, and in place, as people who have developed a chronic illness, such as MS, engage in, with and through the process of disablement. This article demonstrates the need for researchers to pay more attention to the role and significance of the simultaneity of space, place and time in shaping the experiences of people with disabilities and chronic illnesses, as it has been shown that these variables played a significant role in regulating the everyday experiences of this study's respondents.     

Vietnamese Aging and Marital Sexual Behavior in Comparative Perspective

This study examines marital sexual activity in relation to age and its significance for marital relationships in Vietnam with particular attention to older persons. Results are compared with Thailand and the US. Two regional surveys provide the first quantitative assessment of marital sex in Vietnam. As elsewhere, marital sexual activity declines with age. At older ages, substantial proportions of married Vietnamese are sexually inactive. Levels of activity among older Vietnamese and Thais are remarkably similar and substantially lower than in the US. Contrary to US studies, the frequency of sexual activity shows little relationship to marital satisfaction and harmony in Vietnam. Possible explanations for these differences are discussed in terms of biases in the data, differences in health and living arrangements, and societal, cultural and normative contexts. We speculate that a main reason underlying the differences is a lesser societal emphasis on sex in general and on the importance of sexual and physical intimacy in marital relationships in Vietnam and Thailand than in the US.     

The family, love, and suicide in early modern Geneva

Analysis of criminal proceedings and death records for early modern Geneva reveals an explosion in suicides after 1750. New attitudes toward courtship, marriage, and the familly contributed to this dramatic increase, as unprecedented numbers of people took their lives because of family concerns, such as marital breakdown, unhapppy love stories, and deaths of family members. Greater interest in the companionate marriage was central to these changes. After 1750, marriage, even more than parenthood, offered immunity to suicide, as married people were underrepresented among those who took their lives. Although men constituted the large majority of suicides, women and men shared the growing emphasis on conjugal sentiment, which cut across class lines.     

Counselling in rural Scotland: care,proximity and trust

People living in small rural communities tend to interact with each other in multiple aspects of their lives and are generally less anonymous to one another than those living in urban places. This density of social connectedness tends to militate against the boundaries normally associated with professionalised forms of care. This article explores how these tensions are negotiated by people who have developed local counselling services in two rural areas in Scotland. Counselling is becoming increasingly widely used as a response to a variety of forms of distress and is argued to constitute a modern urban and feminised form of care. However, notwithstanding its urban origins and associations, people in some rural places in Scotland have successfully arranged for training to be delivered locally to men as well as women. Nevertheless they recognise that for many rural residents, counselling continues to be alien and viewed with suspicion. They describe how they protect the identities of service-users using locational and social network strategies. They also discuss the issues that flow from the challenges of providing well-boundaried relationships. In so doing they point to an inverse relationship between social proximity and trust, thereby supplementing existing accounts of the disadvantages of social proximity in rural places.     

Childhood in the rural areas of Chile,intergenerational and gendered perspectives

ABSTRACT

This article triangulates intergenerational (childhood, adulthood, and old age) visions on the social representation of childhood in rural areas of Chile. These visions were considered within the framework of identity constructs (perceptions, social behaviours, preferences, and ambitions) and were compared against emerging transformations in the spheres of family, and gender relations. A qualitative methodology was used to analyse 68 individual interviews (41 children; 21 women old age; and 6 adult women). It was concluded that, in a context of globalization, rural boys and girls use modern, urban symbols and conform to traditional gender stereotypes. In a familial environment, rural children have acquired discursive protagonism in alliance with older women, a reality that conflicts with the conservative vision of middle-aged adults who have poor awareness regarding the participation of children. Contrasting visions exist between adult women and seniors concerning the responsibilities assigned to children in general and, particularly, to girls.     

The Evolution of the Contemporary Blackening

‘The blackening’ is a pre-nuptial rite of passage for men and women that takes the form of capturing, dirtying, and cleansing the bride and groom. I show that it evolved from an older ritual called the feet-washing. Scottish in origin, widespread as a feet-washing ritual, both in urban and rural settings, the blackening is now a predominantly rural tradition. Although it can and does occur for men anywhere in the country, it is mainly confined to northern and, particularly, north-east Scotland for women, and it is women who are the main focus of this article. I describe the contemporary blackening, before tracing its evolution. I then consider the form and function of blackening’s predecessor, the feet-washing, before discussing how and why it evolved to become the ritual it is today.     

Disabilities,gender and employment: social exclusion,employment equity and Canadian banking1

People with disabilities, especially women, suffer from appallingly high rates of poverty, and paid work is frequently cited as a primary route out of poverty. I draw on feminist analyses of work and disability studies to reflect on the Canadian federal government's Employment Equity Act. I use the example of the ‘Big Six’ banks to investigate the numerical representation and occupational distribution of women and men with disabilities compared to their counterparts without disabilities. However, social justice in the workplace is at least as much about the quality of social relationships as it is about statistical effects. Reaching workplace equity also involves the creation of a workplace climate where people with disabilities experience supportive and responsive supervision, along with a sense of being respected and valued. I assess the banks’ progress towards identifying and eliminating discriminatory disabling barriers. I close with a discussion of workplace climate and locate the Act in the context of a broader network of change that includes challenging ableism.     

BIRTH CONTROL,PREGNANCY AND ABORTION AMONG ADOLESCENTS IN CHIANG MAI,THAILAND

The authors studied more than 1750 young urban Chiang Mai residents regarding pre-marital sex, contraception and reproductive health outcomes. Almost two-thirds of the males had had sexual intercourse, compared to one-third of the females. Withdrawal was the most popular method of birth control followed by condom use. There were more females (30.5 per cent) reporting that they had been pregnant than males (17.5 per cent) reporting that they had caused pregnancies. Two-thirds of the respondents who had experienced or caused pregnancy reported that it ended in abortion. Almost half of those who had experienced abortion had induced it themselves, usually using illegal abortifacients. One-third went to a private clinic or hospital illegally. Self-induced abortions were sometimes associated with complications that were treated with pharmacy medications or severe complications requiring hospital treatment. Adolescents in northern Thailand need improved sexual health services and programmes. To be effective though, attention should also be given to underlying cultural attitudes toward sexuality and young people, especially women.     

Gendered struggles over land: shifting inheritance practices among the Serer in rural Senegal

Although women’s land rights are often affirmed unequivocally in constitutions and international human rights conventions in many African countries, customary practices usually prevail on the ground and often deny women’s land inheritance. Yet land inheritance often goes unnoticed in wider policy and development initiatives to promote women’s equal access to land. This article draws on feminist ethnographic research among the Serer ethnic group in two contrasting rural communities in Senegal. Through analysis of land governance, power relations and ‘technologies of the self’, this article shows how land inheritance rights are contingent on the specific effects of intersectionality in particular places. The contradictions of legal pluralism, greater adherence to Islam and decentralisation led to greater application of patrilineal inheritance practices. Gender, religion and ethnicity intersected with individuals’ marital position, status, generation and socio-ecological change to constrain land inheritance rights for women, particularly daughters, and widows who had been in polygamous unions and who remarried. Although some women were aware that they were legally entitled to inherit a share of the land, they tended not to ‘demand their rights’. In participatory workshops, micro-scale shifts in women’s and men’s positionings reveal a recognition of the gender discriminatory nature of customary and Islamic laws and a desire to ‘change with the times’. While the effects of ‘reverse’ discourses are ambiguous and potentially reinforce prevailing patriarchal power regimes, ‘counter’ discourses, which emerged in participatory spaces, may challenge customary practices and move closer to a rights-based approach to gender equality and women’s land inheritance.     

COITAL EXPERIENCE AMONG ADOLESCENTS IN THREE SOCIAL-EDUCATIONAL GROUPS IN URBAN CHIANG MAI,THAILAND

This article compares coital experience of Chiang Mai 17–20-year-olds who were: (1) out-of-school; (2) studying at vocational schools; and (3) studying at general schools or university. Four-fifths, two-thirds and one-third, respectively, of males in these groups had had intercourse, compared to 53, 62 and 15 per cent of females. The gender difference for general school/university students, but not vocational school students, probably reflects HIV/AIDS refocusing male sexual initiation away from commercial sex workers. Vocational school females may have been disproportionately affected. Loss of virginity was associated, for both sexes, with social-educational background and lifestyle, and was less likely in certain minority ethnic groups. Among males, it was also associated with age and parental marital dissolution, and among females, with independent living and parental disharmony. Within social-educational groups, lifestyle variables dominated, but among general school/university students, parental marital dissolution (for males) and disharmony (for females) were also important, and Chinese ethnicity deterred male sexual experimentation.     

Coital Experience Among Adolescents in Three Social-Educational Groups in Urban Chiang Mai, Thailand

This article compares coital experience of Chiang Mai 17-20-year-olds who were: (1) out-of-school; (2) studying at vocational schools; and (3) studying at general schools or university. Four-fifths, two-thirds and one-third, respectively, of males in these groups had had intercourse, compared to 53, 62 and 15 per cent of females. The gender difference for general school/university students, but not vocational school students, probably reflects HIV/AIDS refocusing male sexual initiation away from commercial sex workers. Vocational school females may have been disproportionately affected. Loss of virginity was associated, for both sexes, with social-educational background and lifestyle, and was less likely in certain minority ethnic groups. Among males, it was also associated with age and parental marital dissolution, and among females, with independent living and parental disharmony. Within social-educational groups, lifestyle variables dominated, but among general school/university students, parental marital dissolution (for males) and disharmony (for females) were also important, and Chinese ethnicity deterred male sexual experimentation.     

Marital distance and its geographical orientation in England and Wales, 1979

"A representative sample of just over one thousand marriages solemnized in England and Wales in 1979 is used to analyse the distribution of the distances between the partners' addresses at marriage....according to various social and demographic variables also derived from the same source. Comparison with other surveys suggests that marriages in which both partners give the same address are likely to be those of couples who cohabit before marriage. Partners who work in unskilled manual occupations, or who marry with a civil ceremony, or who have been married before, appear more likely than the average to cohabit. Of the marriages where different addresses are given, about one-half bring together partners living within 5 km of each other." It is found that "there is a strong relationship between high social class and increased marital distance, and also between greater marital distance and older ages up to about age 40. Longer-range marriages show clear evidence of geographical orientation, the effect being more pronounced at longer distances. This is attributed to variations in population density over the country and geographical constraints on settlement patterns."