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‘I've never given it a thought’: older men's experiences with and perceptions of ageism during interactions with physicians

Published online by Cambridge University Press:  26 October 2020

Hazel MacRae Open the ORCID record for Hazel MacRae [Opens in a new window]
Hazel MacRae*
Affiliation:
Department of Sociology and Anthropology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
*
*Email: Hazel.MacRae@msvu.ca
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Abstract

The subjective experience of ageism among older men has received little research attention. This study examines older Canadian men's experiences with and perceptions of ageism during interactions with physicians. In-depth, face-to-face interviews were conducted with 21 men aged 55 years and over. The findings indicate a seeming lack of awareness of ageism among many, and many did not believe ageism was likely to occur during patient–physician interaction. Negative stereotyping of older patients was common. A large majority of the participants reported that they had not personally experienced ageism during a medical encounter, nor were they concerned about it. Numerous rationales were proffered as explanations of why a particular participant had not experienced ageism and who was more likely to be a target.

Keywords

older menageismpatient–physician relationship
Type
Article
Information
Ageing & Society , Volume 42 , Issue 6 , June 2022 , pp. 1318 - 1339
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Abrams, D, Swift, HJ and Drury, L (2016) Old and unemployable? How age-based stereotypes affect willingness to hire job candidates. Journal of Social Issues 72, 105–121.CrossRefGoogle ScholarPubMed
Adams, R, Price, G, Tucker, G, Nguyen, A and Wilson, D (2012) The doctor and the patient – how is the clinical encounter perceived? Patient Education and Counseling 86, 127–133.CrossRefGoogle Scholar
Adler, S, McGraw, SA and McKinlay, JB (1998) Patient assertiveness in ethnically diverse older women with breast cancer: challenging stereotypes of the elderly. Journal of Aging Studies 12, 331–350.CrossRefGoogle Scholar
Angus, J and Reeve, P (2006) Ageism: a threat to ‘aging well’ in the 21st century. Journal of Applied Gerontology 25, 137–152.CrossRefGoogle Scholar
Ayalon, L (2013) Feelings towards older vs. younger adults: results from the European Social Survey. Educational Gerontology 39, 888–901.CrossRefGoogle Scholar
Bai, X (2014) Images of ageing in society: a literature review. Journal of Population Ageing 7, 231–253.CrossRefGoogle Scholar
Ben-Harush, A, Shiovitz-Ezra, S, Doron, I, Alon, S, Leibovitz, A, Golander, H, Haron, Y and Ayalon, L (2017) Ageism among physicians, nurses, and social workers: findings from a qualitative study. European Journal of Ageing 14, 39–48.CrossRefGoogle ScholarPubMed
Bennett, T and Gaines, J (2010) Believing what you hear: the impact of aging stereotypes upon the old. Educational Gerontology 36, 435–445.CrossRefGoogle Scholar
Blumer, H (1969) Symbolic Interactionism: Perspective and Method. Upper Saddle River, NJ: Prentice-Hall.Google Scholar
Burroughs, H, Lovell, K, Morley, M, Baldwin, R, Burns, A and Chew-Graham, C (2006) ‘Justifiable depression’: how primary care professionals and patients view late-life depression? A qualitative study. Family Practice 23, 369–377.CrossRefGoogle ScholarPubMed
Butler, RN (1969) Age-ism: another form of bigotry. The Gerontologist 9, 243–246.CrossRefGoogle ScholarPubMed
Bytheway, B (1995) Ageism. Buckingham, UK: Open University Press.Google Scholar
Bytheway, B (2005) Ageism and age categorization. Journal of Social Issues 61, 361–374.CrossRefGoogle Scholar
Calasanti, T and King, N (2018) The dynamic nature of gender and aging bodies. Journal of Aging Studies 45, 11–17.CrossRefGoogle ScholarPubMed
Calasanti, T and Slevin, KF (2006) Introduction. In Calasanti, T and Slevin, KF (eds), Age Matters: Realigning Feminist Thinking. New York, NY: Routledge, pp. 1–17.Google Scholar
Calasanti, T, Slevin, KF and King, N (2006) Ageism and feminism: from ‘et cetera’ to center. NWSA Journal 18, 13–30.CrossRefGoogle Scholar
Calasanti, T, King, N, Pietila, I and Ojiala, H (2013) Men, bodily control, and health behaviors: the importance of age. Health Psychology 32, 15–23.CrossRefGoogle ScholarPubMed
Calasanti, T, King, N, Pietila, I and Ojala, H (2018) Rationales for anti-aging activities in middle age; aging, health, or appearance? The Gerontologist 58, 233–241.Google ScholarPubMed
Campbell, C and McGauley, G (2005) Doctor–patient relationship in chronic illness: insights from forensic psychiatry. British Medical Journal 330, 667–670.CrossRefGoogle Scholar
Charmaz, K (2006) Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. Thousand Oaks, CA: Sage.Google Scholar
Cherubini, A, Corsonello, A and Lattanzio, F (2012) Underprescription of beneficial medicines in older people. Drugs & Aging 29, 463–475.CrossRefGoogle ScholarPubMed
Chrisler, JC, Barney, A and Palatino, B (2016) Ageism can be hazardous to women's health: ageism, sexism, and stereotypes of older women in the healthcare system. Journal of Social Issues 72, 86–104.CrossRefGoogle Scholar
Cox, L, Kloseck, M, Crilly, R, McWilliam, C and Diachun, L (2011) Underrepresentation of individuals 80 years of age and older in chronic disease clinical practice guidelines. Canadian Family Physician 57, e263–e269.Google ScholarPubMed
Cruickshank, M (2003) Learning to Be Old. New York, NY: Rowman and Littlefield.Google Scholar
Cuddy, AJC, Norton, MJ and Fiske, S (2005) This old stereotype: the pervasiveness and persistence of the elderly stereotype. Journal of Social Issues 61, 267–285.CrossRefGoogle Scholar
Davis, MM, Bond, LA, Howard, A and Sarkisian, CA (2011) Primary care clinician expectations regarding aging. The Gerontologist 51, 856–866.CrossRefGoogle ScholarPubMed
Dobbs, D, Eckert, JK, Rubinstein, B, Keimig, L, Clark, L, Frankowski, AC and Zimmerman, S (2008) An ethnographic study of stigma and ageism in residential care or assisted living. The Gerontologist 48, 517–526.CrossRefGoogle ScholarPubMed
Durvasula, R (2014) HIV/AIDS in older women: unique challenges, unmet needs. Behavioral Medicine 40, 85–98.CrossRefGoogle Scholar
Edstrom, M (2018) Visibility patterns of gendered ageism in the media buzz: a study of the representation of gender and age over three decades. Feminist Media Studies 18, 77–93.CrossRefGoogle Scholar
Evans, K and Robertson, SR (2009) ‘Dr. Right’: elderly women in pursuit of negotiated health care and mutual decision-making. The Qualitative Report 14, 409–432.Google Scholar
Freidson, E (1989) Medical Work in America. New Haven, CT: Yale University Press.Google Scholar
Gendron, TL, Inker, J and Welleford, EA (2018) A theory of relational ageism: a discourse analysis of the 2015 White House Conference on Aging. The Gerontologist 58, 242–250.CrossRefGoogle ScholarPubMed
Gilleard, C and Higgs, P (2000) Cultures of Ageing: Self, Citizen and the Body. Harlow, UK: Prentice-Hall.Google Scholar
Glaser, BG and Strauss, A (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research. New York, NY: Aldine De Gruyter.Google Scholar
Greene, MG and Adelman, RD (2003) Physician–older patient communication about cancer. Patient Education and Counseling 50, 55–60.CrossRefGoogle ScholarPubMed
Hahn, S (2001) Physical symptoms and physician-experienced difficulty in the physician–patient relationship. Annals of Internal Medicine 134, 897–905.CrossRefGoogle ScholarPubMed
Helton, MR and Pathman, DE (2008) Caring for older patients: current attitudes and future plans of family medicine residents. Family Medicine 40, 707–714.Google ScholarPubMed
Hendricks, J (1995) The social construction of ageism. In Bond, LA, Cutler, SJ and Grams, A (eds), Promoting Successful and Productive Aging. Thousand Oaks, CA: Sage, pp. 51–68.Google Scholar
Hewitt, J (1991) Self and Society: A Symbolic Interactionist Social Psychology. Boston, MA: Allyn and Bacon.Google Scholar
Higashi, RT, Tillack, AA, Steinman, M, Harper, M and Johnston, CB (2012) Elder care as ‘frustrating’ and ‘boring’: understanding the persistence of negative attitudes toward older patients among physicians-in-training. Journal of Aging Studies 26, 476–483.CrossRefGoogle ScholarPubMed
Hummert, ML, Garstka, and Shaner, JL (1997) Stereotyping of older adults: the role of target facial cues and perceived characteristics. Psychology and Aging 12, 107–114.CrossRefGoogle Scholar
Hurd Clarke, L and Griffin, M (2008) Visible and invisible aging: beauty work as a response to ageism. Ageing & Society 28, 653–674.CrossRefGoogle Scholar
Hurd Clarke, L and Korotchenko, A (2016) ‘I know it exists … but I haven't experienced it personally’: older Canadian men's perceptions of ageism as a distant social problem. Ageing & Society 36, 1757–1773.CrossRefGoogle Scholar
Hurd Clarke, L, Bennett, EV and Korotchenko, A (2014) Negotiating vulnerabilities: how older adults with multiple chronic conditions interact with physicians. Canadian Journal on Aging 33, 26–37.CrossRefGoogle Scholar
Kagan, SH (2008) Ageism in cancer care. Seminars in Oncology Nursing 24, 246–253.CrossRefGoogle ScholarPubMed
Kane, RL and Kane, RA (2005) Ageism in healthcare and long-term care. Generations 29, 49–54.Google Scholar
Kite, ME and Wagner, LS (2002) Attitudes toward older adults. In Nelson, TD (ed.), Ageism: Stereotyping and Prejudice Against Older Persons. Cambridge, MA: MIT Press, pp. 129–161.Google Scholar
Koenig, H (2007) Physician attitudes toward treatment of depression in older medical patients. Aging & Mental Health 11, 197–204.CrossRefGoogle Scholar
Laz, C (2003) Age embodied. Journal of Aging Studies 17, 503–519.CrossRefGoogle Scholar
Levy, BR (2001) Eradication of ageism requires addressing the enemy within. The Gerontologist 41, 578–579.CrossRefGoogle Scholar
Levy, BR and Banaji, MR (2002) Implicit ageism. In Nelson, TD (ed.), Ageism: Stereotyping and Prejudice Against Older Persons. Cambridge, MA: MIT Press, pp. 49–75.Google Scholar
Lincoln, YS and Guba, EG (1985) Naturalistic Inquiry. Newbury Park, CA: Sage.CrossRefGoogle Scholar
Liu, Y, While, AE, Norman, IJ and Ye, W (2012) Health professionals’ attitudes toward older people and older patients: a systematic review. Journal of Interprofessional Care 26, 397–409.CrossRefGoogle ScholarPubMed
Lofland, J and Lofland, LH (1995) Analyzing Social Settings: A Guide to Qualitative Observation and Analysis. Belmont, CA: Wadsworth.Google Scholar
MacRae, H (2016) ‘It's my body, my future’: older women's views of their interactions with physicians. Journal of Women & Aging 28, 211–224.CrossRefGoogle Scholar
MacRae, H (2018) ‘My opinion is that doctors prefer younger people’: older women, physicians and ageism. Ageing & Society 38, 340–366.CrossRefGoogle Scholar
Makris, UE, Higashi, RT, Marks, EG, Fraenkel, L, Sale, JEM, Gill, TM and Carrington Reid, CM (2015) Ageism, negative attitudes, and competing comorbidities – why older adults may not seek care for restricting back pain: a qualitative study. BMC Geriatrics 15, 1–9.CrossRefGoogle Scholar
Marshall, C and Rossman, GH (2011) Designing Qualitative Research. Thousand Oaks, CA: Sage.Google Scholar
May, C, Rapley, T, Moreira, T, Finch, T and Heaven, B (2006) Technogoverance: evidence, subjectivity, and the clinical encounter in primary care medicine. Social Science & Medicine 62, 1022–1030.CrossRefGoogle Scholar
Mead, GH (1934) Mind, Self, and Society. Chicago, IL: University of Chicago Press.Google Scholar
Meinz, EJ, D'Amore-Krug, F, Gauen, BJ, Hart, CL, Weir, GR, Lanari, JE and Hurlbut, SL (2006) What do we call ‘old’ people? Changes in age-related labels across the 20th century. Individual Differences Research 4, 244–252.Google Scholar
Meisner, BA (2012) Physicians’ attitudes toward aging, the aged, and the provision of geriatric care: a systematic narrative review. Critical Public Health 22, 61–72.CrossRefGoogle Scholar
Minichiello, V, Browne, J and Kendig, H (2000) Perceptions and consequences of ageism: views of older people. Ageing & Society 20, 253–278.CrossRefGoogle Scholar
Nelson, TD (2016) The age of ageism. Journal of Social Issues 72, 191–198.CrossRefGoogle Scholar
Ojala, H, Pietila, I and Nikander, P (2016) Immune to ageism? Men's perceptions of age-based discrimination in everyday contexts. Journal of Aging Studies 39, 44–53.CrossRefGoogle ScholarPubMed
Ouchida, KM and Lachs, MS (2015) Not for doctors only: ageism in healthcare. Generations 39, 46–57.Google Scholar
Palmore, EB (1990) Ageism: Negative and Positive. New York, NY: Springer.Google Scholar
Palmore, EB (2005) Health care. In Palmore, EB, Branch, L and Harris, DK (eds), Encyclopedia of Ageism. New York, NY: Haworth Press, pp. 166–168.Google Scholar
Palmore, EB (2015) Ageism comes of age. Journals of Gerontology: Psychological Sciences and Social Sciences 70B, 873–875.CrossRefGoogle Scholar
Pasupathi, M and Lockenhoff, CE (2002) Ageist behavior. In Nelson, T (ed.), Stereotyping and Prejudice Against Older Persons. Cambridge, MA: MIT Press, pp. 201–246.Google Scholar
Pietila, I and Ojala, H (2011) Acting age in the context of health: middle-aged working-class men talking about bodies and aging. Journal of Aging Studies 25, 380–389.CrossRefGoogle Scholar
Poot, AJ, den Elzen, WPJ, Blom, JW and Gussekloo, J (2014) Level of satisfaction of older persons with their general practitioner and practice: role of complexity of health problems. PLOS ONE 9, 1–5.CrossRefGoogle ScholarPubMed
Protiere, C, Viens, P, Rousseau, F and Moatti, JP (2010) Prescribers’ attitudes toward elderly breast cancer patients: discrimination or empathy? Critical Reviews in Oncology/Hematology 75, 138–150.CrossRefGoogle ScholarPubMed
Prus, R (1999) Beyond the Power Mystique: Power as Intersubjective Accomplishment. Albany, NY: State University of New York Press.Google Scholar
Rodwin, MA (1994) Patient accountability and quality of care: lessons from medical consumerism and the patients’ rights, women's health and disability rights movements. American Journal of Law & Medicine 20, 147–167.CrossRefGoogle ScholarPubMed
Rubin, HJ and Rubin, IS (1995) Qualitative Interviewing: The Art of Hearing Data. Thousand Oaks, CA: Sage.Google Scholar
Schafer, MH and Shippee, TP (2010) Age identity, gender, and perceptions of decline: does feeling older lead to pessimistic dispositions about cognitive aging? Journals of Gerontology: Psychological Sciences and Social Sciences 65B, 91–96.CrossRefGoogle ScholarPubMed
Schroyen, S, Adam, S, Marquet, M, Jerusalem, G, Thiel, S, Giraudet, AL and Missotten, P (2018) Communication of healthcare professionals: is there ageism? European Journal of Cancer Care 27, 1–10.CrossRefGoogle ScholarPubMed
Sharpe, PA (1995) Older women and health services: moving from ageism toward empowerment. Women & Health 22, 9–23.CrossRefGoogle ScholarPubMed
Sifer-Riviere, L, Girre, V, Gisselbrecht, M and Saint-Jean, O (2010) Physicians’ perceptions of cancer care for elderly patients: a qualitative sociological study based on a pilot geriatric oncology program. Critical Reviews in Oncology/Hematology 75, 58–69.CrossRefGoogle ScholarPubMed
Silliman, RA (2009) When cancer in older adults is undermanaged: the breast cancer story. Journal of the American Geriatrics Society 57, S259–S261.CrossRefGoogle ScholarPubMed
Slevin, KF and Linneman, TJ (2010) Old gay men's bodies and masculinities. Men and Masculinities 12, 483–507.CrossRefGoogle Scholar
Stewart, TL, Chipperfield, JG, Perry, RP and Weiner, B (2012) Attributing illness to ‘old age’: consequences of a self-directed stereotype for health and mortality. Psychology and Health 27, 881–897.CrossRefGoogle ScholarPubMed
Stypinska, J and Turek, K (2017) Hard and soft age discrimination: the dual nature of workplace discrimination. European Journal of Ageing 14, 49–61.CrossRefGoogle ScholarPubMed
Tannenbaum, C, Nasmith, L and Mayo, N (2003) Understanding older women's health care concerns: a qualitative study. Journal of Women & Aging 15, 3–16.CrossRefGoogle ScholarPubMed
Van den Hoonard, WC (1997) Working with Sensitizing Concepts: Analyzing Field Research. Thousand Oaks, CA: Sage.Google Scholar
Walter, U, Flick, U, Neuber, A, Fischer, C, Hussein, RJ and Schwartz, FW (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, 68.CrossRefGoogle ScholarPubMed