en Psicología ISSN Impreso: 0258-6444 ISSN electrónico: 2215-3535

(De)Gendering Older Patients: Exploring Views on Aging and Older Patients in Romanian General Practitioners

Catrinel Craciun



Abstract. Purpose: Demographic changes make it necessary to improve communication with older patients and design gender sensitive health promotion. The present article aimed to explore how general practitioners see old age and what role gender may play in their representations of aging. It also looked whether the gender of the older patients played a role for how general practitioners treated them. Methods: Episodic interviews were conducted with 17 women and 17 men who worked as general practitioners in Romania. Thematic coding was used to analyze data. Results: Findings showed that general practitioners saw old age as negative no matter their gender. Older patients were perceived as difficult and mostly older women were given as negative examples to illustrate treatment non-adherence and psychological or social problems related to aging. Conclusion: Negative aging views combined with a (de)gendering of aging patients may lead to maintain negative aging stereotypes and gender inequality in old age. Implications for preventing this from happening are discussed.

Resumen. Propósito: Los cambios demográficos hacen necesario mejorar la comunicación con pacientes mayores y diseñar promoción de la salud sensible al género. El presente artículo explora cómo médicos generales perciben la adultez mayor y qué rol puede jugar el género en sus representaciones sobre el envejecimiento. También examina si el género de los pacientes mayores jugó un rol en la forma en la que los médicos generales los trataron. Métodos: Se llevaron a cabo entrevistas episódicas con 17 mujeres y 17 hombres que trabajaron como médicos generales en Rumanía. Se usó codificación temática para analizar los datos. Resultados: Los hallazgos mostraron que los médicos generales ven la adultez mayor como negativa sin importar el género. Se percibió a los pacientes mayores como difíciles y se mencionó principalmente a mujeres como ejemplos negativos para ilustrar falta de adherencia al tratamiento y problemas psicológicos y sociales relacionados con el envejecimiento. Conclusión: Ejemplos de envejecimiento negativo combinados con una invisibilización del género de los pacientes puede guiar hacia el mantenimiento de estereotipos negativos sobre el envejecimiento y la desigualdad de género en la adultez mayor. Se discuten implicaciones para prevenir que esto pase.

Palabras clave

Perspectivas de envejecimiento; envejecimiento active; médicos generales; género; pacientes mayores

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Annandale, E. & Hunt, K. (2000). Gender Inequalities in Health. Buckingham: Open University Press.

Asandului, L. (2013). Population Aging in Romania: Facts and Analysis. Retrieved 12.04.2016 from http://

Austad, S. N. (2006). Why women live longer than men: Sex differences in longevity. Gender Medicine, 3(2), 79–92. doi:10.1016/s1550-8579(06)80198-1

Bird, C. E., & Rieker, P. P. (2008). Gender and Health. New York: Cambridge University Press. doi:10.1017/ cbo9780511807305

Bodogai, S. I., & Cutler, S. J. (2013). Aging in Romania: Research and Public Policy. The Gerontologist, 54(2), 147–152. doi:10.1093/geront/gnt080

Caroli, E., & Weber-Baghdiguian, L. (2016). Self-reported health and gender: The role of social norms. Social Science & Medicine, 153, 220–229. doi:10.1016/j.socscimed.2016.02.023

Connell, R. (2012). Gender, health and theory: Conceptualizing the issue, in local and world perspective. Social Science & Medicine, 74(11), 1675– 1683. doi:10.1016/j.socscimed.2011.06.006

Craciun, C. (2016). “They Do Not Know How To Use Their Health Insurance Card”: Implementation of Active Aging Policy and Aging Perceptions in Romanian General Practitioners. Ageing International, 41. doi:10.1007/s12126-015-9239-x

Craciun, C. & Flick, U. (2015). I wonder if robots will take care of me when I am old: Positive aging representations of professionals working in health promotion services. Journal of Health Psychology. doi:10.1177/1359105315587141

Craciun, C. (2011). Successful Aging-Utopia or the Result of Lifelong Learning? Meaning and Representations of Ageing in Romanian Elderly. Ageing International, 37(4), 373–385. doi:10.1007/s12126-011-9131-2

Craciun, C. (2012). Social Capital in Romanian Old People: Meanings and Opportunities for Health. Ageing International, 39(2), 106–123. doi:10.1007/ s12126-012-9157-0

Craciun, C. & Flick, U. (in press) Aging in precarious times: exploring the role of gender in shaping views on aging, Journal of Women & Aging.

Flick, U. Garms-Homolová, V., Röhnsch, G. (2012). “And mostly they have a need for sleeping pills”: Physicians’ views on treatment of sleep disorders with drugs in nursing homes. Journal of Aging Studies, 26, 484-494.

Flick, U. (2014). An Introduction to Qualitative Research – Fifth edition. London/ Thou-sand Oaks, CA/ Dehli: Sage.

Foster, L., & Walker, A. (2014). Active and Successful Aging: A European Policy Perspective. The Gerontologist, 55(1), 83–90. doi:10.1093/geront/gnu028

Lassen, A. J., & Moreira, T. (2014). Unmaking old age: Political and cognitive formats of active ageing. Journal of Aging Studies, 30, 33-46. doi:10.1016/j. jaging.2014.03.004

Mackintosh, M. (2000). Do health care systems contribute to inequality? In: Leon, David and Walt, Gill (eds). Poverty, Inequality and Health: An International Perspective. Oxford: Oxford University Press, pp. 175–193. doi:10.1093/acprof:o so/9780192631961.003.0009

Levy, B. R. (2003). Mind matters: Cognitive and physical effects of aging self-stereotypes. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 58, P203–P211. doi:10.1093/ geronb/58.4.P203

Lipsky, M. S., Cannon, M., & Lutfiyya, M. N. (2014). Gender and health disparities: The case of male gender. Disease-a-Month, 60(4), 138–144. doi:10.1016/j.disamonth.2014.02.001

Liu, Y., Norman, I. J., & While, A. E. (2013). Nurses’ attitudes towards older people: A systematic review. International Journal of Nursing Studies, 50(9), 1271– 1282. doi:10.1016/j.ijnurstu.2012.11.021

Palència, L., Malmusi, D., De Moortel, D., Artazcoz, L., Backhans, M., Vanroelen, C., & Borrell, C. (2014). The influence of gender equality policies on gender inequalities in health in Europe. Social Science & Medicine, 117, 25–33. doi:10.1016/j.socscimed.2014.07.018

Schrank, B., Ebert-Vogel, A., Amering, M., Masel, E. K., Neubauer, M., Watzke, H., … Schur, S. (2015). Gender differences in caregiver burden and its determinants in family members of terminally ill cancer patients. Psycho-Oncology, 25(7), 808-814. doi:10.1002/pon.4005

Silver, C. B. (2003). Gendered identities in old age: Toward (de)gendering? Journal of Aging Studies, 17(4), 379–397. doi:10.1016/s0890-4065(03)00059-8

Smirnova, M. H. (2012). A will to youth: The woman’s anti-aging elixir. Social Science & Medicine, 75(7), 1236– 1243. doi:10.1016/j.socscimed.2012.02.061

Titan, E., & Otoiu, A. (2014). Does Aging Influence Migration in Romania? A Comprehensive Analysis. Procedia Economics and Finance, 10, 87–96. doi:10.1016/ s2212-5671(14)00281-0

Walter, U., Flick, U., Neuber, A., Fischer, C., Hussein, R. J., & Schwartz, F. W. (2010). Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients. BMC Family Practice, 11(1), 68. doi:10.1186/1471-2296-11-68

Weicht, B. (2013). The making of “the elderly”: Constructing the subject of care. Journal of Aging Studies, 27(2), 188–197. doi:10.1016/j. jaging.2013.03.001

Wiest, M., Schuz, B., & Wurm, S. (2012). Life satisfaction and feeling in control: Indicators of successful aging predict mortality in old age. Journal of Health Psychology, 18(9), 1199–1208. doi:10.1177/1359105312459099

Wurm, S., Tomasik, M. J., & Tesch-Römer, C. (2010). On the importance of a positive view on ageing for physical exercise among middle-aged and older adults: Cross-sectional and longitudinal findings. Psychology & Health, 25(1), 25–42. doi:10.1080/08870440802311314

Wurm, S., Warner, L. M., Ziegelmann, J. P., Wolff, J. K., & Schüz, B. (2013). How do negative self-perceptions of aging become a self-fulfilling prophecy? Psychology and Aging, 28(4), 1088–1097. doi:10.1037/a0032845

UNDP, United Nations Development Program (2014). Gender Equality Strategy 2014-2017. New York: USA.

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