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Older Population. Disadvantaged Predominantly advantaged Feminization of poverty Politics. Determinants of Health. Gender Biological distinction Socioeconomic roles Experience Care giver Barriers to health care Live longer Health care. MEN Life expectancy Health behaviors
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Older Population • Disadvantaged • Predominantly advantaged • Feminization of poverty • Politics
Determinants of Health • Gender • Biological distinction • Socioeconomic roles • Experience • Care giver • Barriers to health care • Live longer • Health care
MEN Life expectancy Health behaviors Alzheimer’s deaths Heart disease Suicide Fatal illness WOMEN Outnumber men Life expectancy Chronic conditions Live alone Lower median income Caretaking role Dependent Mental illness Gender Variations
Women and Health Care • Paternalism • Provider focus • Women’s concerns • Shared features • Mismatched focus
Inappropriate Health Care • Patronized • Discounted • Overmedicated • Information withheld • Treated unnecessarily • Focus on reproduction • Excluded from research
Health Care Industry • Reactive to proactive • Organ-centric to gender-based • early access to lifelong continuum
Women Centered Care • Gender differences • Reduce inequalities • Defining problems • Diversity • Empowerment • Women’s values • Holistic • Operationalize policies
Ethnicity and Aging • Immigration (1900’s) • 4% of seniors can’t speak English/French • 12% speak another language (home) • 3% aboriginal identity- aged 65+ • over 1 in 4 seniors is an immigrant • 11% immigrant seniors live with family • 6% of seniors – part of visible minority • by 2025 minority elders- 25% of aged pop.
Ethnicity • Social differentiation based on cultural criteria (concepts, habits, institutions) • Geographical origins • Language • Religion • Traditions • Values • Foods • Perceptions of distinctiveness • Internal heterogeneity
Leading Health Problems • High blood pressure • Coronary Heart Disease • Cancer • Diabetes • Cardiovascular Disease • Stroke • Cirrhosis • Trauma • Infection • Etiology
Ethnicity • Assimilation • Acculturation • Relocation in late life • Ethnocentrism
Barriers to Health Care • Communication (verbal/nonverbal) • Access • Fear • Health beliefs • Values • Socioeconomic status
Health Beliefs • Biomedical • Magico/religious • Naturalistic/holistic