Kennedy J, Minkler M
Department of Community Health, University of Illinois at Urbana-Champaign 61820, USA.
Int J Health Serv. 1998;28(4):757-76. doi: 10.2190/3C1X-TQAE-7UDM-2NWQ.
Current gerontological theories and aging policy often fail to acknowledge the social and economic consequences of disability in later life, while disability theories and policies tend to focus only on the employment impacts of disability in younger populations. This article attempts to apply a critical gerontology framework to aging and disability issues. The authors review theoretical models of the disablement process, and note the primacy of environmental factors. The production and distribution of disability are assessed, using both social epidemiology and political economy insights. The authors examine the linkage of disability and work impedance and the consequences in disability programming, giving special consideration to inherent age, gender, and racial biases. Some of the historical antecedents of disability stigma in aging populations are also identified. The article concludes by suggesting that analysts and policymakers who wish to address the tremendous social and economic inequities that accompany aging and disability should look to the principles put forth by the independent living movement and to recent work on the moral economy of interdependency over the life course.
当前的老年学理论和老龄化政策往往未能认识到晚年残疾所带来的社会和经济后果,而残疾理论和政策则往往只关注残疾对年轻人群就业的影响。本文试图将批判性老年学框架应用于老龄化和残疾问题。作者回顾了致残过程的理论模型,并指出环境因素的首要地位。运用社会流行病学和政治经济学的见解,对残疾的产生和分布进行了评估。作者研究了残疾与工作障碍之间的联系以及在残疾规划中的后果,特别考虑了内在的年龄、性别和种族偏见。还确定了老年人群中残疾耻辱感的一些历史根源。文章最后建议,希望解决伴随老龄化和残疾而来的巨大社会和经济不平等问题的分析人士和政策制定者,应关注独立生活运动提出的原则以及近期关于生命历程中相互依存的道德经济的研究成果。