Social and Cultural Perspectives on the Self-Care and Care for Nonagenarians and Centenarians in Rural Areas in Chile
No. 31 (2018-04-01)Author(s)
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Paulina Osorio-Parraguez
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Ignacia Navarrete Luco
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Samuel Briones Barrales
Abstract
This article describes the processes of self-care practiced by people of a very old age in rural localities in southern Chile. Self-care, in this case, is also a response to a wider context of the provision of home care for the elderly. Using a qualitative approach, we implemented an ethnographic strategy to study the experiences of aging and longevity. This approach allowed us to obtain data from the long-lived individuals themselves and their families, in their own words, and their observable behavior and interactions in family, social and institutional contexts. The present article aims to understand how the phenomenon of self-care is shaped in rural areas in order to deal with illness in subjects aged 90 or more. The results show that the transformations of family structures resulting from the social and demographic changes of the last decades; the relationship that long-lived people and their caregivers establish with health institutions, and the biographical trajectories of medicalization of these subjects are important factors in shaping the nature of self-care in the context of longevity in rural areas. The reality of both the family and the relevant institutions combine to play a role in processes of health/illness/care through the shaping of self-care. Examining illnesses long-lived persons suffer from allowed us to gain insights into the personal, social and collective dimensions of self-care and the provision of healthcare at that stage of life.
References
Acosta, Elaine.2009. “El cuidado de personas dependientes en las políticas sociales en Chile: ¿Quién cuidará de nosotros/as?”. A-mérika 2 (3): 1-27.
Andersen-Ranberg, Karen, Marianne Schroll y BernardJeune. 2001. “Healthy Centenarians Do Not Exist, but Autonomous Centenarians Do: A Population-Based Study of Morbidity among Danish Centenarians”. Journal of the American Geriatrics Society 49 (7): 900-908.
Antonini, Francesco Maria, Stefano Magnolfi, Enrico Petruzzi, Pamela Pinzani, Francesca Malentacchi, I Petruzzi y GiulioMasotti. 2008. “Physical Performance and Creative Activities of Centenarians”. Archives of Gerontology and Geriatrics 46 (2): 253-261. https:// doi.org/10.1016/j.archger.2007.04.005.
Arganis, Elia.2005. “La autoatención en un grupo de ancianos con diabetes residentes en Iztapalapa D.F”. Cuicuilco 12 (33): 11-25.
Arriagada, Irma.2010. “La crisis de cuidado en Chile”. Revista de Ciencias Sociales 27: 58-67.
Baltes, Paul B. y JacquiSmith. 2003. “New Frontiers in the Future of Aging: From Successful Aging of the Young Old to the Dilemmas of the Fourth Age”. Gerontology 49 (2): 123-135. https://doi.org/10.1159/000067946.
Barrientos, Armando.2004. “Latin America: Towards a Liberal-Informal Welfare Regime”. En Insecurity and Welfare Regimes in Asia, Africa and Latin America. Social Policy in Development Contexts, editado por IanGough y GeofWood, 121-168. Cambridge: Cambridge University Press.
Cavalli, Stefano, Jean-FrançoisBickel y ChristianJ. Lalive d’Epinay. 2007. “Exclusion in Very Old Age: The Impact of Three Critical Life Events”. International Journal of Ageing and Later Life 2 (1): 9-31. https://doi.org/10.3384/ijal.1652-8670.07219
Citarella, Luca.2000. “Medicinas y culturas en la Araucanía”. En La articulación entre medicinas en perspectiva: Hacia una propuesta intercultural en salud, editado por LucaCitarella, 537-573. Santiago: Editorial Sudamericana.
Durán Heras, María Ángeles. 2002. Los costes invisibles de la enfermedad.Bilbao: Fundación BBVA.
Evert, Jessica, Elizabeth Lawler, Hazel Bogan y ThomasPerls. 2003. “Morbidity Profiles of Centenarians: Survivors, Delayers, and Escapers”. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 58 (3): 232-237.
Franceschi, Claudio y MassimilianoBonafè. 2003. “Centenarians as a Model for Healthy Aging”. Biochemical Society Transactions 31 (2): 457-461. https://doi.org/10.1042/
Freeman, Shannon, Hajime Kurosawa, Satoru Ebihara y MasahiroKohzuki. 2010. “Understanding the Oldest Old in Northern Japan: An Overview of the Functional Ability and Characteristics of Centenarians”. Geriatrics & Gerontology International 10 (1): 78-84. https://doi.org/10.1111/j.1447-0594.2009.00550.x.
Geertz, Clifford. 2005. La interpretación de las culturas.Barcelona: Gedisa.
Gilleard, Chris y PaulHiggs. 2013. “The Fourth Age and the Concept of a ‘social Imaginary’: A Theoretical Excursus”. Journal of Aging Studies 27 (4): 368-376. https://doi.org/10.1016/j.jaging.2013.08.004
Gobierno RegionalLos Lagos. 2009. “Estrategia Regional de Desarrollo Región de Los Lagos”, Equipo Institucional encargado del proceso de actualización de la Estrategia Regional de Desarrollo 2009-2020, Puerto Montt, Chile.
Huenchuan, Sandra, Mónica Roqué y ClaudiaArias. 2009. “Envejecimiento y sistemas de cuidados: ¿oportunidad o crisis?”. Colección Documentos de Proyectos. Santiago de Chile: CEPAL.
Instituto Nacional de Estadísticas.2014. Anuario de estadísticas vitales, 2014.Santiago de Chile: INE.
Kleinman, Arthur.1986. “Understanding the Impact of Illness on the Individual and the Family”. Journal of Psychosocial Nursing and Mental Health Services 24 (4): 33-36.
Lalive d’Épinay, Christian y EdithGuilley. 2004. “Les Dernières Années de Longues Vies”. Gérontologie et Société 110 (3): 121-129. https://doi.org/10.3917/gs.110.0121
Lalive d’Épinay, Christian y DarioSpini. 2007. “Le Grand Âge: Un Domaine de Recherche Récent.” Gérontologie et Société 123 (4): 31-54. https://doi.org/10.3917/gs.123.0031
Martínez, Juliana. 2007. Regímenes del bienestar en América Latina.Madrid: Fundación Carolina.
Menéndez, Eduardo L.1993. “Familia, participación social y proceso salud/enfermedad. Acotaciones desde la Antropología Médica”. En Familia, salud y sociedad : Experiencias de investigación en México, editado por CatalinaDenman, AgustínEscobar, ClaudiaInfante, FranciscoJavier Mercado y LeticiaRobles, 130-160. México: Centro de Investigaciones y Estudios Superiores en Antropología Social.
Menéndez, Eduardo L.2003. “Modelos de atención de los padecimientos: de exclusiones teóricas y articulaciones prácticas”. Ciência & Saúde Coletiva 8 (1): 185-207. https://doi.org/10.1590/S1413-81232003000100014
Menéndez, Eduardo L.2005. “Intencionalidad, experiencia y función: la articulación de los saberes médicos”. Revista de Antropología Social 14: 33-69.
Oddone, María Julieta. 2014. “Ancianas cuidadoras, redes y estrategias en el uso de programas sociales”. Cadernos de Pesquisa 44 (152): 354-377. https://doi.org/10.1590/198053142871
Osorio-Parraguez, Paulina. 2013. “Health and Widowhood: Meanings and Experience of Elderly Women in Chile”. Health 5 (8): 1272-1276. https://doi.org/10.4236/health.2013.58173
Osorio, Paulina.2006. “La longevidad: más allá de la biología. Aspectos socioculturales”. Papeles del CEIC 22: 1-28.
Robles Silva, Leticia. 2004. “El cuidado en el hogar a los enfermos crónicos: Un sistema de autoatención”. Cadernos de Saúde Pública 20 (2): 618-625. https://doi.org/10.1590/S0102-311X2004000200032
Salazar, Carola.2017. “Social Contract on Elderly Caregiving in Contemporary Chile”. Anthropology & Aging 38 (1): 60-79. https://doi.org/10.5195/AA.2017.134.
Sunkel, Guillermo.2007. “Regímenes de bienestar y políticas de familia en América Latina”. En Familias y políticas públicas en América Latina. Una historia de desencuentros, editado por IrmaArriagada, 171-186. Santiago de Chile: CEPAL-UNFPA.
Troncoso Miranda, Deiza. 2015. “Cuidado informal a mayores dependientes en Chile: Quiénes cuidan y con qué políticas sociales cuentan”. América Latina Hoy 71: 83-101. https://doi.org/10.14201/alh20157183101
Vaupel, James W.2010. “Biodemography of Human Ageing”. Nature 464 (7288): 536-542. https://doi.org/10.1038/nature08984