Open Access Out of the Multiple Margins: Older Women Managing Their Health Care Sorties d'une marginalité multiple: les femmes d'âge mûr s'affirment sur le plan des soins de santé

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Abstract:

This feminist phenomenological study explores the meaning of older women's experiences as they negotiate health care. Several interviews with diverse groups of older women (immigrant, First Nations, and Japanese-Canadian women and those involved in community and social clubs) reveal that negotiating to have their health needs met was a challenging process requiring mutual support. Their health-care experiences were influenced by issues surrounding access to services, power, and poverty. For many participants, the conversational interview format served to inspire consciousness-raising, activism, and reflection. The findings suggest that such reflection may help other women to understand the "multiple margins" (being older, being a woman, being a member of a visible minority) that constrain and challenge their access to health care.

French
Cette étude phénoménologique féministe explore le sens des expériences vécues par les femmes d'âge mûr au fil de leurs négociations avec le système de santé. Plusieurs entrevues réalisées auprès de divers groupes de femmes d'âge mûr (immigrantes, autochtones, canado-japonaises et les femmes qui adhèrent à des groupes communautaires et sociaux) ont révélé que les négociations qu'elles devaient mener pour obtenir des soins de santé correspondant à leurs besoins constituaient un processus difficile qui nécessitait l'apport d'un soutien mutuel. Des facteurs liés à l'accès aux services, au pouvoir et à la pauvreté influaient sur leurs expériences en matière de soins. Les entrevues axées sur une approche interactive ont stimulé chez plusieurs participantes des prises de conscience, un désir de militer et une réflexion. Les résultats suggèrent que de telles réflexions peuvent aider d'autres femmes à comprendre le concept de « marginalité multiple » (être d'âge mûr, être femme, être membre d'une minorité visible) qui contraint et rend difficile leur accès à des soins de santé.

Keywords: ACCESS; FEMINISM; OLDER WOMEN; PHENOMENOLOGY; POVERTY

Document Type: Research Article

Publication date: December 1, 2004

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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