Arendell T, Estes C L
School of Nursing Department of Social and Behavioral Sciences University of California, San Francisco 94143.
Int J Health Serv. 1991;21(1):59-73. doi: 10.2190/RJ5L-6BVQ-8VCQ-8DXU.
This article explores the social, economic, and institutional factors that affect older women throughout the life cycle, and recent policy and ideological changes that will continue to affect older women in the decades ahead. The situation of the older woman is shown to result from lifelong patterns of socioeconomic and gender stratification in the larger society. The consequences for women flow from the complex and often subtle relationships in the social institutions of the family, the labor market, and the state and its social policy. The female roles of worker, unpaid caregiver, and beneficiary of public policies continue to be systemically unequal to those of men. The patriarchal structure of (and control over) the labor market and policy-making promotes the informalization of long-term care, ageism and sexism toward older women attempting to reenter the labor market, and the devaluing of female work that is not economically remunerated. The failure of social problems to address the underlying structural inequities of women perpetuates their disadvantaged economic and health situation throughout old age. Changes in social policies are required to address the problem of access to basic resources, including Social Security, housing, health, and long-term care, but most importantly, to abridge and compensate for the gendered division of labor and the lifelong discrimination that women experience.
本文探讨了影响老年妇女一生的社会、经济和制度因素,以及近期的政策和观念变化,这些变化将在未来几十年继续影响老年妇女。老年妇女的状况表明是由更大社会中社会经济和性别分层的终身模式造成的。对妇女的影响源于家庭、劳动力市场、国家及其社会政策等社会机构中复杂且往往微妙的关系。女性作为劳动者、无薪照料者和公共政策受益人的角色在制度上仍然与男性不平等。劳动力市场和决策过程中的父权结构助长了长期护理的非正规化、对试图重新进入劳动力市场的老年妇女的年龄歧视和性别歧视,以及对无经济报酬的女性工作的贬低。社会问题未能解决妇女潜在的结构性不平等问题,使她们在整个老年时期一直处于经济和健康劣势状况。需要改变社会政策来解决获取基本资源的问题,包括社会保障、住房、医疗和长期护理,但最重要的是,要缩小并弥补性别分工以及妇女所经历的终身歧视。