Table of Contents

 

 

 

 

Preface

xv

 

Acknowledgments

xvii

Chapter 1

Aging and Society

1

 

Dimensions of Aging

2

 

Physical Aging

2

 

Psychological Aging

3

 

Social Aging

4

 

Social Construction of Aging

5

 

Societal Aging

5

 

Ways of Categorizing People by Age

6

 

Chronological Age

6

 

Functional Age

7

 

Life Stage

8

 

Ageism

8

 

The Rise of Old Age as a Social Category

9

 

Generational Consciousness

10

 

The Aging Population as a Social Force

11

 

The Life Course and Old Age

12

 

Social Perspectives on Aging

13

 

Social Gerontology

13

 

The Sociological Imagination

15

 

Micro and Macro Perspectives

16

 

Patterning of Experience: Diversity and Heterogeneity

16

 

Summary

18

 

Web Wise

19

 

Key Terms

19

 

Questions for Thought and Discussion

20

Chapter 2

Studying Aging

21

 

Why do We Conduct Research?

21

 

The Role of Theory

23

 

How do We Conduct Research on Aging?

24

 

Age as a Variable

25

 

Sorting Out Age, Period, and Cohort Effects

25

 

Aging Effects: Criminal Behavior by Age

29

 

Cohort Effects: The Case of Voting Among Women After the Nineteenth Amendment

30

 

Period Effects: A Hypothetical Example of Consumer Spending Over the Life Course

31

 

Designs and Methods Targeted to Research on Aging

32

 

Longitudinal/Panel Studies

32

 

Secondary Analysis

33

 

Qualitative, Quantitative, or Combined Methods

34

 

Event History Analysis

35

 

Life History and Reminiscence

37

 

Other Special Issues in Studying Aging

37

 

Separating Normal from Pathological Aging

37

 

Increasing Variability with Age

38

 

Sampling Adequately

38

 

Ethical Issues in Research on Aging

40

 

Cohort-Centrism, Dynamism, and Limits of Current Knowledge

40

 

Sociology of Knowledge and Research Activism

41

 

Applying Theory: Cohort Size and Life Chances: The Easterlin Hypothesis

42

 

Summary

44

 

Web Wise

44

 

Key Terms

45

 

Questions for Thought and Discussion

45

 

Topical Essay: will They Play the Rolling Stones at the Nursing Home?

47

Chapter 3

An Aging World: Demographic Perspectives

51

 

The Aging of Societies

51

 

Applying Theory: Demographic Transition Theory

53

 

How do Populations Age?

55

 

Measures of Population Aging

55

 

Population Pyramids

55

 

Proportion Aged

59

 

Median Ages

59

 

Aging Index

60

 

Dependency Ratios

60

 

Life Expectancy

62

 

Prospective Age

66

 

Global Aging

66

 

Demographic Characteristics of the U.S. Aging Population

68

 

Living Arrangements

68

 

Geographic Distribution

69

 

Gender Composition

70

 

Increasing Diversity

70

 

Centenarians

71

 

Interpreting and Using Demographic Data

71

 

The Fallacy of the Demographic Imperative

72

 

Summary

73

 

Web Wise

73

 

Key Terms

74

 

Questions for Thought and Discussion

75

Chapter 4

The Aging Individual in Social Context

77

 

Setting the Stage: Psychology of Aging

77

 

Human Development and Aging

78

 

Social Context and Individual Aging

79

 

Environmental Gerontology

79

 

Social Context

80

 

The Life Course

80

 

Social Time

82

 

Social Roles

82

 

Age Norms

84

 

Age Norms and Life Course Flexibility

86

 

Age Norms and Ageism

88

 

Structural Lag

88

 

Life Course Perspective in Gerontology

90

 

Summary

91

 

Web Wise

91

 

Analyzing Theory: The Emergence of Developmental Science

92

 

Key Terms

93

 

Questions for Thought and Discussion

93

 

Topical Essay: Love, Sex, and Longevity

94

Chapter 5

Aging and the Family: Personal and Institutional Contexts

97

 

The Family Os an Institution

97

 

The Meanings of Generation

98

 

Aspects of Family Variation

98

 

Core Norms and Expectations of Family Relationships

99

 

Independence and Dependence

100

 

Voluntarism and Obligation

102

 

Applying Theory: Family Life Cycle Theory and Individual Dependency in the Family

103

 

Families as a Personal Network

104

 

Strengths in Later-Life Families

104

 

Continuity and Change in Lacer-Life Families

105

 

Key Familial Roles and Relationships

105

 

Spouses/Aging Couples

106

 

Marital Satisfaction Throughout the Life Course

107

 

Termination of Marriage: Widows and Widowers

108

 

Grandparents

110

 

Voluntary Grandparenting in Middle-Class Families

111

 

Surrogate Parenting and Grandfamilies

112

 

Families as Caregivers

112

 

Context of Caregiving: Family Norms of Mutual Assistance

113

 

Intergenerational Support

113

 

Family Members as Caregivers to Frail Elders

115

 

Who are Family Caregivers?

116

 

Women in the Middle

116

 

Caregiver Burden and Rewards

117

 

Involvement of Older Adults in their Care

117

 

Family Conflict: Elder Abuse and Neglect

118

 

Social Changes and the Family’s Future

118

 

Changes in Marriage

119

 

Changes in the Size and Shape of Families

119

 

Future Changes in the Timing of Family Life Events

120

 

Growing Complexity of Family Relations

120

 

Summary

121

 

Web Wise

122

 

Key Terms

123

 

Questions for Thought and Discussion

123

Chapter 6

Work and Retirement in the Life Course

125

 

Employment as an Organizing Force in the Life Course

125

 

Dynamics of the Labor Force

125

 

Employment and Life Chances

127

 

The Occupational Life Cycle

129

 

Older Workers and the Dynamics of the Labor Force

131

 

Skills and Employability of Older Workers

132

 

Special Programs for Older Workers

133

 

Age Discrimination in Employment: Problems and Policies

134

 

Applying Theory: Rocking Chairs or Rock Climbing: Disengagement and Activity Theories

135

 

Defining Retirement

137

 

The Social Construction of Retirement

137

 

The Institutionalization of Retirement in the United States

139

 

The Role of Social Security

139

 

The Role of Employer Pensions

140

 

Gender and Retirement

142

 

Race/Ethnic and Social Class Variations

143

 

The Deconstruction of Retirement?

144

 

Individual Retirement

144

 

Determinants of the Retirement Decision

145

 

Employment After Retirement—Bridge Jobs

146

 

Retirement Consequences for Individuals and Couples

147

 

Rethinking Work and Retirement for the Future

149

 

Changes in Policies and Political Attitudes

149

 

Changes in the Economy and the Nature of Work

149

 

Applying Theory: Continuity Theory and the Busy Ethic

150

 

Summery

151

 

Web Wise

152

 

Key Terms

153

 

Questions for Thought and Discussion

153

 

Topical Essay: Ironies of Crime: Silver-Haired Victims and Criminals

154

Chapter 7

Economics and the Aging of Society

157

 

The Role of Economics in Aging

157

 

Policy and the Economic Status of Older Adults

157

 

Income Maintenance Policies

157

 

Income Maintenance in the United States

158

 

International Views on Income Maintenance

159

 

Sources of Income

159

 

Social Security: Background and Contemporary Issues

160

 

Employer Pensions

165

 

Personal Savings/Assets

168

 

Economic Weil-Being of Older Americans

169

 

Alternatives for Measuring Economic Well-Being

169

 

Measures of Economic Status

169

 

Rates of Poverty

170

 

Economic Well-Being and Inequality Among Older People

173

 

Effects of Population Aging on the Economy

175

 

Spending and Saving Over the Life Course

175

 

Applying Theory: The Stratified Life Course and Economic Diversity

176

 

Consumption Patterns

178

 

Prospects for the Future Economic Status of the Elderly

180

 

Summary

181

 

Web Wise

182

 

Key Terms

182

 

Questions for Thought and Discussion

182

 

Topical Essay: E-Elders

183

Chapter 8

Aging and Health: Individuals, Institutions, and Policies

185

 

Physical Aging

185

 

The Health Status of Older People

187

 

Prevalence Rates for Chronic Conditions

187

 

Functional Ability

188

 

Self-Assessment

190

 

Mortality

191

 

The Social Context of Mortality: Death and Dying

192

 

Mental Health and Aging

194

 

Explaining Gender and Race Variations in Health

195

 

The U.S. Health Care System

196

 

The Medical Model of Health Care

197

 

Elements of the Health Care System

200

 

Access and Utilization

200

 

Financing Health Care for Older Americans

201

 

Applying Theory: The Political Economy of Health Core Access

202

 

Medicare

203

 

Medicare Part D

206

 

Medicaid

206

 

Long-Term Care in the United States

207

 

Unpaid Long-Term Care

208

 

Nursing Homes

209

 

Assisted Living

210

 

Community-Based Long-Term Care

210

 

Continuing Care Retirement Communities

211

 

Financing Long-Term Care

211

 

CLASS Act

212

 

Summary

212

 

Web Wise

213

 

Key Terms

214

 

Questions for Thought and Discussion

214

 

Topical Essay: Antiaging: Cosmetics and Aesthetics

216

Chapter 9

Politics, Government, and Aging in America

219

 

Age-Based Government Policies

219

 

The Old-Age Welfare State

219

 

The Older Americans Act

221

 

The Aging Enterprise

222

 

Aging and Politics

222

 

Age Norms and Rules for Political Participation

222

 

Age, Period, and Cohort Effects on Political Behavior

223

 

Voting and Activism: The Potential for Old-Age Political Power

224

 

Attitudes and Party Affiliation

228

 

Working the Political System: Age-Based Advocacy

230

 

AARP and Capitol Hill

231

 

Recent Legislation: Medicare Part D and Health Care Reform

232

 

Generational Politics: Conflict and Consensus

233

 

The Debate on Age and Need Entitlements

234

 

The Battle Over Social Security

236

 

The Generational Equity Debate

237

 

The Potential for Generational Conflict

239

 

Rethinking Age-Based Policies?

240

 

Applying Theory: Age Stratification Theory

241

 

Summary

243

 

Web Wise

244

 

Key Terms

244

 

Questions for Thought and Discussion

244

Chapter 10

Global Aging

247

 

Global Aging and Regional Economies

247

 

More, Less, and Least Developed Designations

248

 

Demographic Overview of Global Aging

249

 

Speed of Population Aging

249

 

Demographic Dividends

250

 

Cultural Traditions, Population Aging, and Social Change

252

 

China: One Child Policy

253

 

Germany: Inverted Pyramid

255

 

Kenya: Health Challenges

255

 

Aging and the Welfare State

258

 

History of the Welfare State

258

 

Program Types and Eligibility

260

 

Welfare State and the Role of the Family

261

 

The Study of Global Aging

262

 

Comparative Methods

263

 

Applying Theory: Modernization Theory

264

 

Beyond the “Exotic Other”

265

 

International Initiatives on Aging

266

 

Summary

267

 

Web Wise

268

 

Key Terms

269

 

Questions for Thought and Discussion

269

Chapter 11

Baby Boomers and the Changing Landscape of Aging

271

 

Cohort Flow and Changing Aging

272

 

Who are the Baby Boomers?

273

 

Characteristics of the Baby Boomer Cohort

274

 

Education

275

 

Sharing Lives and Households

276

 

Health

278

 

Diversity

280

 

Summary of Demographic and Health Characteristics

282

 

Generational Characteristics

282

 

But are They Happy?

283

 

Avoiding Stereotypes

284

 

New Landscapes of Aging

285

 

The Third Age: A New Phase of the Life Course

285

 

Productive Aging: Expanded Opportunities, Altered Expectations

285

 

Civic Engagement: Productive Aging for the Public Good

287

 

Employment and Productive Aging

288

 

Encore Careers

288

 

Workforce Needs for an Aging Society

289

 

Lifelong Learning

289

 

Summary

290

 

Web Wise

291

 

Key Terms

292

 

Questions for Thought and Discussion

292

Chapter 12

The Dynamics of Aging in Our Future

293

 

Aging in a Changing Social World

294

 

Rethinking Old Age and the Life Course

294

 

Long-Term Changes in Aging: Beyond the Boomers

296

 

Growth and Change: The Aging of the Older Population

297

 

Centenarians

298

 

Changing Family Structures

300

 

Changes in Health: Incremental Changes and Breakthroughs

301

 

The Risks of Prediction

302

 

The Uniqueness of Aging in Each Cohort

303

 

Challenges and Opportunities for the Field

304

 

Disciplinary Frameworks

304

 

Micro/Macro Distinctions: Implications for Policy and Practice

305

 

Firming Our Theoretical Foundations

306

 

Addressing Diversity in Policy and Practice

307

 

Transforming Knowledge to Inform Policy and Practice

307

 

Your Future Aging Self

308

 

Summary

309

 

Web Wise

310

 

Key Terms

310

 

Questions for Thought and Discussion

311

 

References

313

 

Index

345