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Aging with grace: Health evaluation...

McMullen, Carmit Kurn.

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Aging with grace: Health evaluation and identity among African-American elders.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Aging with grace: Health evaluation and identity among African-American elders./
作者:	McMullen, Carmit Kurn.
面頁冊數:	312 p.
附註:	Source: Dissertation Abstracts International, Volume: 64-05, Section: A, page: 1732.
Contained By:	Dissertation Abstracts International64-05A.
標題:	Anthropology, Cultural. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3092019

Aging with grace: Health evaluation and identity among African-American elders.
McMullen, Carmit Kurn.

Aging with grace: Health evaluation and identity among African-American elders. - 312 p.

Source: Dissertation Abstracts International, Volume: 64-05, Section: A, page: 1732.

Thesis (Ph.D.)--Case Western Reserve University, 2003.

Although much gerontological research has investigated why some people age well whereas others do not, defining healthy aging poses challenges. These include: (1) moral connotations of labeling people as healthy; (2) incorporation of elders' perceptions of healthy aging; (3) cross-cultural variation in the meaning of a good old age; (4) increasing ethnic diversity among U.S. elders; and (5) structural inequalities that shape the likelihood of attaining healthy aging. Taken together, these facts point to ethical and demographic imperatives to understand local meanings and political-economic aspects of healthy aging for diverse groups of Americans. Accordingly, this ethnographic research had two main goals: (1) clarify how African-American elders in one Philadelphia neighborhood appraised health in old age; and (2) account for how evaluations of health reflected experiences of inequality. Health appraisal was conceptualized as an identity formation process, and the appraisal was conceptualized as an identity formation process, and the term health identity was used to describe its product. A sample of 35 neighborhood residents, ages 65 to 80, was stratified by SRH and sex to assure variability in health and life experiences. Data collection included in-depth interviews (N = 35) and three years of ethnographic observations in neighborhood settings. Elders viewed aging as a performance in the face of life's many challenges; a good performance allowed the assertion of desired identities. Elders agreed on four criteria for health: independent functioning; physical condition; control and responsibility for health; and how one feels overall. Distinct evaluative rationales that further shaped health appraisals included: comparisons; restricted possibilities for self-evaluation; and ways of handling adversity. Lower health states were accompanied by increasing incursions into valued life ways and desired identities. Evaluative rationales generally buffered low health evaluations or minimized the impact of undesirable health identities. Cultural discourses on racial discrimination and adversity, uniquely African-American interpretive tools, were mobilized to evaluate the aging process, usually in a positive light. Good physical health was not the only measure of healthy aging. Concrete practices such as good living, gratitude to God, avoiding complaint, and demonstrating resilience were important components of healthy aging that could be enacted when physical health declined. Implications for health promotion and knowledge about SRH are discussed.Subjects--Topical Terms:

735016
Anthropology, Cultural.

Aging with grace: Health evaluation and identity among African-American elders.
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