title: Out of the multiple margins: older women managing their health care.
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.
authors.affiliation: Faculty of Nursing, University of Calgary, Alberta, Canada. jkinch@ucalgary.ca
authors.forename: Janice L
authors.initials: JL
authors.lastname: Kinch
authors.forename: Sonya
authors.initials: S
authors.lastname: Jakubec
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude; D018864:Cultural Diversity; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D011203:Poverty