scholarly journals Wealth in Middle and Later Life: Examining the Life Course Timing of Women’s Health Limitations

2018 ◽  
Author(s):  
Lindsay R Wilkinson ◽  
Kenneth F Ferraro ◽  
Sarah A Mustillo
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Later Life ◽  
The Life Course

scholarly journals The Impact of Life Course Employment and Domestic Duties on the Well-Being of Retired Women and the Social Protection Systems That Frame This

2018 ◽  
Vol 32 (5-6) ◽  
pp. 285-295 ◽  
Author(s):  
Sara Zella ◽  
Sarah Harper
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Social Protection ◽  
Positive Association ◽  
Later Life ◽  
Well Being ◽  
Welfare States ◽  
The Life Course ◽  
The Impact

Objectives: The article addresses whether specific combinations of employment and domestic duties over the life course are associated with variations in women’s health at the time of retirement. It also explores the differences of this relationship in four European welfare states. Method: Women from three waves of SHARE (Survey of Health, Aging and Retirement in Europe) are grouped using sequence analysis. Using logistic regression models, group differences in later life depression and self-reported health are tested. Predicted probabilities are applied to analyze welfares’ differences. Results: The findings confirm that a combination of employment and domestic duties across the life course has a positive association with later life health. Being outside the labor market is detrimental for women’s health. Well-being across the life course is framed by the welfare context in which women live. Discussion: We suggest that further research is needed to explore the mechanisms linking work and care trajectories to poor health and enable appropriate interventions.

scholarly journals Trajectories, Turning Points, and Interruptions: How Social Inequality Shapes Women’s Later-Life Health

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 508-509
Author(s):  
Marissa Gilbert ◽  
Jessica Kelley
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Turning Points ◽  
Later Life ◽  
Theoretical Work ◽  
Economic Benefits ◽  
Life Course Perspective ◽  
Potential Health ◽  
The Life Course

Abstract We explore women’s health in midlife and later life at the nexus of structural sexism and the life course perspective, applying Dannefer’s (2018) concept of life course reflexivity, which emphasizes social dynamism with potential health-changing ‘input’ at all ages. We present three types of reflexive changes in the gendered life course that shape women’s health as they age: (1) trajectories of lifetime labor market disadvantage leading to limited health-protective resources in later life; (2) turning points in family structure and need, with draining caregiving demands; (3) interruptions in midlife, such as divorce, erasing the social and economic benefits of marriage. We provide support for critical arguments that theoretical work on the life course has too-often utilized the ‘privileged’ or the ‘male’ life course with insufficient attention to structural sexism as a fundamental cause of women’s health disparities in later life.

scholarly journals At the crossroads: transforming health systems to address women’s health across the life course

2013 ◽  
Vol 91 (9) ◽  
pp. 622-622 ◽  
Author(s):  
Flavia Bustreo ◽  
Oleg Chestnov ◽  
Felicia Marie Knaul ◽  
Islene Araujo de Carvalho ◽  
Mario Merialdi ◽  
...  
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Health Systems ◽  
The Life Course

scholarly journals Addressing Health Challenges of Women Across the Life Course: Summary of the Women's Health 2018 Preconference Symposium

2019 ◽  
Vol 28 (6) ◽  
pp. 741-746 ◽  
Author(s):  
April Schweinhart ◽  
Victoria Cargill ◽  
Kathleen Brady ◽  
Kara Hall ◽  
Elizabeth Spencer ◽  
...  
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
The Life Course

Editorial: Health technologies and the life course of women

2004 ◽  
Vol 20 (2) ◽  
pp. 103-105
Author(s):  
Arminée Kazanjian
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Consumer Goods ◽  
Biological Processes ◽  
Health Issues ◽  
Health Technologies ◽  
The Many ◽  
The Life Course

Women's health issues have in recent years become the focus for an unprecedented degree of sophisticated technologic incursion. While much of rapid technologic advances, confined as it largely is to the richest societies of the globe, has perhaps enabled women to hold their place in the workforce, it has also taken the natural biological processes from the quiet path of individual lives and put them into the hands of expert management. Women's health is now similar to other consumer goods, available for purchase alongside the many commodities of the modern urban lifestyle.

scholarly journals Women’s health and primary care: time to get it right for the life course

2021 ◽  
Vol 71 (713) ◽  
pp. 536-537
Author(s):  
Sharon Dixon ◽  
Abigail McNiven ◽  
Anne Connolly ◽  
Lisa Hinton
Keyword(s):  
Primary Care ◽  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
The Life Course

Women's health in midlife: findings from a British birth cohort study

2003 ◽  
Vol 9 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Diana Kuh ◽  
Rebecca Hardy
Keyword(s):  
Cohort Study ◽  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Large Scale ◽  
Life Stage ◽  
Later Life ◽  
Health Study ◽  
Birth Cohort Study ◽  
Health And Disease

The Medical Research Council's National Survey of Health and Development (MRCNSHD) is a prospective cohort study of 2547 women and 2815 men, a sample of all the births that took place in England, Scotland and Wales between 3-9 March 1946. It is one of the longest running large-scale studies of human development in the world, aiming to identify lifetime biological, social and psychological pathways to health and disease, from early life to ageing. A special study of women's health in midlife and the menopausal transition in this cohort was undertaken by sending to women study members eight annual postal questionnaires from when they were 47 to when they were 54 years old. The findings from the women's health study so far have highlighted associations between multiple risk factors at each life stage, and women's health and disease in later life. The authors suggest that a life course approach may provide a better understanding of women's health during the middle years of life than an approach which restricts itself to contemporary social or hormonal experiences. Of particular interest are their results linking ovarian ageing to developmental factors. Replication of these findings in other life course cohorts is being sought.

Associations between life-course frailty and later-life heart size and function in the 1946 NSHD British birth cohort-an epidemiological study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C.C Topriceanu ◽  
J.C Moon ◽  
R Hardy ◽  
A.D Hughes ◽  
N Chaturvedi ◽  
...  
Keyword(s):  
Life Course ◽  
Birth Cohort ◽  
Frailty Index ◽  
Later Life ◽  
Left Ventricular ◽  
Step Change ◽  
Deficit Accumulation ◽  
Heart Size ◽  
And Function ◽  
The Life Course

Abstract Background Cardiovascular diseases are an important component of the multi-morbidity syndrome which is associated with negative health outcomes resulting in a major societal economic burden. An objective way to assess multi-morbidity is to calculate a frailty index based on medical deficit accumulation. Late-life frailty has been validated to predict mortality, but little is known about the association between life-course frailty and cardiovascular health in later-life. Purpose To study the association between life-course frailty and later-life heart size and function using data from the world's longest running birth cohort with continuous follow-up. Methods A 45-deficit frailty index (FI) was calculated at 4 age-intervals across the life-course (0 to 16 years old, 19 to 44 years old, 45 to 54 years old and 60 to 64 years old) in participants from the UK 1946 Medical Research Council (MRC) National Survey of Heath and Development (NSHD) birth cohort. The life-course frailty indices (FI0_16, FI19_44, FI45_54 and FI60_64) reflect the cumulative medical deficits at the corresponding age-intervals. They were used to derive FImean and FIsum reflecting overall-life frailty. The step change in deficit accumulation between age-intervals was also calculated (FI2-1, FI3-1, FI4-1, FI3-2, FI4-2, FI4-3). Echocardiographic data at 60–64 years provided: E/e' ratio, ejection fraction (EF), myocardial contraction fraction index (MCFi) and left ventricular mass index (LVmassi). Generalized linear mixed models with gamma distribution and log link assessed the association between FIs and echo parameters after adjustment for sex, socio-economic position and body mass index. Results 1.805 NSHD participants were included (834 male). Accumulation of a single deficit had a significant impact (p<0.0001 to p<0.049) on LVmassi and MCFi in all the life-course FIs and overall FIs. LVmassi increased by 0.89% to 1.42% for the life-course FIs and by 0.36%/1.82% for FIsum and FImean respectively. MCFi decreased by 0.62% to 1.02% for the life-course FIs and by 0.33%/ 1.04%. for FIsum and FImean respectively. One accumulated deficit translated into higher multiplicative odds (13.2 for FI60-64, 2.1 for FI4-1, 75.4 for FI4-2 and 78.5 for FI4-3) of elevated filling pressure (defined as E/e' ratio >13, p<0.0.005 to p<0.02).A unit increase in frailty decreased LV EF (%) by 11%/12% for FI45-54 and FI60-64 respectively, by 10% to 12% for FI2-1, FI3-1, FI4-1 and FI4-2, and 4%/15% for FIsum and FImean respectively (p<0.0014 to p<0.044). Conclusion Frailty during the life-course, overall life-frailty and the step change in deficit accumulation is associated with later-life cardiac dysfunction. Frailty strain appears to have its greatest impact on pathological myocardial hypertrophy (high LVmassi and low MCFi) potentially paving the way to later-life systolic or diastolic dysfunction in susceptible individuals. Funding Acknowledgement Type of funding source: None

scholarly journals Body size throughout the life-course and incident benign prostatic hyperplasia-related outcomes and nocturia

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saira Khan ◽  
K. Y. Wolin ◽  
R. Pakpahan ◽  
R. L. Grubb ◽  
G. A. Colditz ◽  
...  
Keyword(s):  
Body Size ◽  
Benign Prostatic Hyperplasia ◽  
Life Course ◽  
Early Life ◽  
Prostate Volume ◽  
Late Life ◽  
Later Life ◽  
Normal Weight ◽  
Prostatic Hyperplasia ◽  
The Life Course

Abstract Background Existing evidence suggests that there is an association between body size and prevalent Benign Prostatic Hyperplasia (BPH)-related outcomes and nocturia. However, there is limited evidence on the association between body size throughout the life-course and incident BPH-related outcomes. Methods Our study population consisted of men without histories of prostate cancer, BPH-related outcomes, or nocturia in the intervention arm of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) (n = 4710). Associations for body size in early- (age 20), mid- (age 50) and late-life (age ≥ 55, mean age 60.7 years) and weight change with incident BPH-related outcomes (including self-reported nocturia and physician diagnosis of BPH, digital rectal examination-estimated prostate volume ≥ 30 cc, and prostate-specific antigen [PSA] concentration > 1.4 ng/mL) were examined using Poisson regression with robust variance estimation. Results Men who were obese in late-life were 25% more likely to report nocturia (Relative Risk (RR): 1.25, 95% Confidence Interval (CI): 1.11–1.40; p-trendfor continuous BMI < 0.0001) and men who were either overweight or obese in late-life were more likely to report a prostate volume ≥ 30 cc (RRoverweight: 1.13, 95% CI 1.07–1.21; RRobese: 1.10, 95% CI 1.02–1.19; p-trendfor continuous BMI = 0.017) as compared to normal weight men. Obesity at ages 20 and 50 was similarly associated with both nocturia and prostate volume ≥ 30 cc. Considering trajectories of body size, men who were normal weight at age 20 and became overweight or obese by later-life had increased risks of nocturia (RRnormal to overweight: 1.09, 95% CI 0.98–1.22; RRnormal to obese: 1.28, 95% CI 1.10–1.47) and a prostate volume ≥ 30 cc (RRnormal to overweight: 1.12, 95% CI 1.05–1.20). Too few men were obese early in life to examine the independent effect of early-life body size. Later-life body size modified the association between physical activity and nocturia. Conclusions We found that later-life body size, independent of early-life body size, was associated with adverse BPH outcomes, suggesting that interventions to reduce body size even late in life can potentially reduce the burden of BPH-related outcomes and nocturia.

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