changing gender differences in old age – self-reported health in uk yiu-tung suen dphil sociology...
TRANSCRIPT
Changing Gender Differences in Old Age –
Self-Reported Health in UK
Yiu-tung SuenDPhil Sociology Candidate
University of [email protected]
Summary
• Data: General Household Survey time-series data
• Exploration of changes in self-reported health for men and women aged 65 or above
• Cohort Effect: Earlier Life Experience
• Period: Historical Time
Results
• Significant gender difference in reporting poor health for those born between 1880 and 1920, the difference was not observed for those born between 1921 and 1940.
• It is also found that compared to the 1970s and 1980s, gender difference in reporting poor health in old age decreased in the 1990s and diminished to a negligible level in the 2000s.
Conclusion
• Conclusion: Challenge the conventional understanding of comparative disadvantage of older women in the literature and it is concluded that historical timing plays an important role in the relationship between gender and ageing.
Structure
• Background
• Research Questions and Hypothesis
• Data and Methods
• Results
• Discussion and Conclusions
Introduction
• Rapidly Ageing Population
• At the same time, both in the developed and developing world, there were more women than men among those who were aged over 60 and over 80 (United Nations 2002: 26).
0.00
200.00
400.00
600.00
800.00
1,000.00
1,200.00
1,400.00
1,600.00
65-69 70-74 75-79 80-84 85-89 90+
Age Groups
Popu
latio
n (in
thou
sand
s)
Males
Females
Population by Age and Sex (Number in Thousands), UK
Source: Mid-2006 Population Estimates,Office of National Statistics, UK
• ‘One-sex view of gender’ when the needs of older people were discussed (Knodel and Ofstedal 2003: 677)
• Policy discussions of gender and ageing
Introduction
• Such claims present us with at least three major potential pitfalls:
• Neglecting other stratification variables such as ‘class’, ‘education’ and ‘marital status’
• The statements were not time-specific.
• The statements were not location-specific.
Introduction
Academic Literature
• Similarly, the ageing literature is biased towards focusing on older women.
• The focus shifted from older men in the 1940s to 1960s, to older women in the 1970s to 1990s, and to a call for a more balanced approach in recent years, from the late 1990s to the 2000s.
• Because of such a shift of focus to older women, it even led to the description that the field of gerontology has been feminized. Some studies on older people ‘ascribe gender as an aspect that only concerns women’ (Krekula 2007: 160).
Academic Literature
Changing Gender Relations in the UK in late 1800s and 1900s
• Early Years 1840-1870
• Golden Years 1870-1920
• The intermission 1920-1960
• Modern movement
Historical Timing andCohort Replacement
• Historical timing plays an important part in determining the environment in which men and women grow up.
• This idea may be better theorized in terms of the idea of ‘cohort’. A cohort refers to persons who are born in the same time interval and age together (Ryder 1965: 844).
• As numerous authors have suggested, earlier life stages are inextricably related to later life, and this is usually referred to the life course approach (e.g. Elder 1975, Glen 1994, Arber and Evandrou 1997, Glen et al. 2003, Settersten 2006).
• Such an approach emphasizes that human development is a life-long process, and therefore old age can not be understood completely without referring to the stages before it.
Historical Timing andCohort Replacement
Research Question
• The aim of this research is to examine the change in gender differences in old age through cohorts and historical time. The main research question is therefore ‘Have gender differences in old age changed through cohorts and historical time?’
Research Question
• Previous research has widely studied and recognized the relative economic insecurity and lower pension received by women in old age.
• However, in other areas research findings regarding gender differences in old age have observed conflicting results. One example of such is self-reported health.
Hypotheses
• Hypothesis 1: It is hypothesized that there is a decrease in gender difference in health in old age through cohorts.
• Hypothesis 2: It is hypothesized that because of cohort replacement, there is a decrease in gender difference in health in old age through historical time.
Data
• GHS time-series dataset 1972-2004• Exclusive advantage ‘to analyse trends in social
inequalities over the last 30 years’ (Uren 2006:1)• 71 variables that were asked repeatedly in most
of the waves of the survey.• Variables that were only available for a few year
s or had substantially changed over time were not included in the dataset.
• Therefore, the change in gender differences in health through time can be tested.
Possible Limitations
• Pseudo-cohort analysis. As the GHS is a cross-sectional rather than a panel study, individuals surveyed were not the same from year to year. This being the case, the same individuals were not followed throughout their life course as in the ideal situation for a cohort study (Glenn 2003).
• However, very few publicly available datasets in the UK contain information of individuals in old age, when the longitudinal datasets made available on the Economic and Social Data Service website (accessed 2008) are considered.
• Hence, although the GHS survey can only provide pseudo-cohort analysis, it appears to be the best dataset in the UK available to test the cohort replacement effect.
Sample
• Those who were 65 or older at the time of interview.
• 122, 678 cases over the years fit into this age range.
• However, the main dependent variable, self-reported health, was only available starting from 1977; cases before 1977 were dropped.
• 95,783 cases from 1977 through 2004 were kept for analysis.
Variables
• Dependent Variable:
Self-reported health
• Independent Variables
Gender
Cohort
Time
Results: Cohorts
Cohort Male Female X2(1) Pr
1881/1900 24.99 28.71 8.31 0.004
1901/1920 21.23 26 177.33 0
1921/1940 21.09 20.84 0.3 0.586
Percentage Reporting Poor Health:by Gender and Cohort Group
Results: Cohorts
Percentage Reporting Poor Health:by Gender and Cohort
Results: Cohorts
Gender Difference in Reporting Poor Health (Percentage Point:by Cohort and Age
Note: Gender Difference=% of Female Reporting Poor Health – % of Male Reporting Poor health
Results: Period
0
5
10
15
20
25
30
Male
Female
Percentage Reporting Poor Health: by Gender and Year
-10
-5
0
5
10
15
20
65-69
70-74
75-79
80+
Gender Difference in Reporting Poor Health (Percentage Point):by Year and Age
Note: Gender Difference=% of Female Reporting Poor Health –% of Male Reporting Poor Health
Conclusions
• ‘Misery’ perspective or the ‘comparative disadvantage’ paradigm in the conventional understanding of gender and ageing is inadequate
• The need for statistical analysis for men and women separately, rather than only treating gender as a variable in the whole dataset
Conclusions
• More older men are reporting poor health over time requires renewed policy and resource distribution
• The trend shown in the results suggests that more studies on older men concerning their health are not only desired but necessary
