Author: SeniorWomenWeb

  • The Likelihood Function Studied: Early Menopause and Osteoporosis

    Women who go through the menopause early are nearly twice as likely to suffer from osteoporosis in later life, suggests new research published in BJOG: An International Journal of Obstetrics and Gynaecology.scanner used to measure bone density

    The Swedish study looked at the long-term effects of early menopause on mortality, risk of fragility fracture and osteoporosis.

    In 1977, 390 white north European women aged 48 were recruited in the Malmo [Sweden] Perimenopausal Study, an observational study where women were followed from age 48 onwards.

    The women were divided into two categories; women who started the menopause before 47 and women who started the menopause at age 47 or later.

    The women’s bone mineral density (BMD) was measured. At the age of 77, all eligible women were re-measured for BMD. At this point, 298 women were still alive while 92 had died. One hundred out of the 298 women still alive had relocated or declined further participation, leaving 198 women to attend the follow-up measurement.

    The study found that at the age of 77, 56% of women with early menopause had osteoporosis, in comparison with 30% of women with late menopause.

    Women who started the menopause early were also found to have a higher risk of fragility fracture and of mortality. The mortality rate was 52.4% in the early menopause group compared to 35.2% in the late menopause group. The fracture incidence rate was 44.3% in the early menopause group compared to 30.7% in the late menopause group.

    Ola Svejme, orthopaedic surgeon at the Skåne University Hospital, Malmo, Sweden and main author of the paper said:

    “The results of this study suggest that early menopause is a significant risk factor for osteoporosis, fragility fracture and mortality in a long-term perspective. To our knowledge, this is the first prospective study with a follow-up period of more than three decades.”

    BJOG Deputy Editor-in-Chief, Pierre Martin-Hirsch, added: “The study’s strength is the length of time the women were observed.”

    “The higher mortality rate in women with an early menopause needs to be explored further as many other factors could affect this such as medication, nutrition, smoking and alcohol consumption.”

    Full Study: Svejme O, Ahlborg H, Nilsson J, Karlsson M. Early menopause and risk of osteoporosis, fracture and mortality: a 34-year prospective observational study in 390 women. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03324.x.

  • Review: A Paean to an American Museum

    ANTHROPOLOGY UNMASKED:
    Museums, Science, and Politics in New York City 
    Vol. I: The Putnam-Boas Era, 600pp; Vol. II: The Wissler Years
    By Stanley Freed
    Published by Orange Frazer Press, Wilmington, OH; ©2012, 423 pp

    Reviewed by Serena Nanda* and Joan Young**

    Holden Caulfield, the dreamy, precocious protagonist of J.D. Salinger’s Catcher in the Rye, was terrified by the unpredictable challenges of his world. He treasured the American Museum of Natural History’s diorama of the Eskimo woman fishing through the ice as the place he wished he could live: “where nothing ever changes, where everything is simple, understandable and infinite.” But as author Stanley Freed describes in his rich history of the American Museum of Natural History (AMNH), things never do remain the same. As curator of Anthropology for forty years (he is now curator emeritus), Freed’s insider knowledge, academic integrity, captivating anecdotes and droll asides transform the original documents, letters, and archives on which his history is based, into a fascinating narrative.AMNH

    Freed unmasks the conflicts and reconciliations of the Museum’s multiple, and sometimes conflicting, purposes, from its origins in the late l9th century until 1970, when he became Chair of the Anthropology Department. In his generally chronological discussions of the museum’s projects, he illuminates rural life of late 19th and early 20th century America; the history of American museums; the growth of science, including anthropology; and academic and urban politics. He introduces us to a world of exotic locales, expeditions of derring-do, and fascinating personalities — and their wives.

    The author sets the Museum’s activities in the context of international conflicts, including those with the Tsarist secret police and the new Soviet system; anti-Semitism; two World Wars; nationalistic sensitivities; the ethics of both collecting from and representing indigenous cultures; and the successes and failures of the Museum’s scientific projects.

    Unmasked ends with Freed’s back story of Margaret Mead, the Museum’s senior woman par excellence and one of America’s best known commentators on American culture. His allusion to Mead’s romantic tryst with celebrated anthropologist Edward Sapir on the eve of her first journey to Samoa brings her to life, as does his account of Colin Turnbull, the empathetic anthropologist whose ethnography of the gentle Mbuti of the Ituri forest in central Africa, captivated the American public. Unmasked also unmasks Turnbull’s tenure at the Museum, where in addition to designing the controversial African exhibit, he raised hackles by frequently bringing his black, gay paramour to the Department offices.

    The AMNH grew out of P.T. Barnum’s American Museum, an enterprise by the “Prince of Humbugs” that featured “freaks” and other human oddities, but also included a useful natural history collection. The elite patrons of the newer AMNH were loathe to identify their institution with that of the “huckster showman,” but in fact, had the same goals of entertainment and education. They also viewed their new institution as essential for New York City to outshine Boston and Philadelphia, and later Chicago, as the most cosmopolitan city in America.

    Politicians supporting the AMNH hoped to attract the working classes, school children and immigrants, believing this would promote social stability and public order. Tammany Hall’s Boss Tweed, “honest” John Kelly and George Plunkitt all offered support, but only if the Museum would agree to Sunday openings, so that working people could visit. Boss Tweed characterized Tammany’s machinations on behalf of the new, expanded Museum as “honest graft” and Plunkitt himself hand carried the necessary documents to the state house. As Freed wryly notes, the Museum trustees took care not to oppose city politicians on a politically sensitive issue in the future.

    The AMNH’s initial interest was to expand and dramatically exhibit their cultural and natural history collections. Under Morris Jesup, the AMNH’s third president, “the Heart, Brain, and Soul” of the Museum, scientific research, especially in paleontology and anthropology, joined entertainment and education as key goals. Jesup hoped the paleontological exhibits would promote the idea of evolution, a topic of great public interest. Unfortunately, the large “stuffed” animals at the core of these exhibits, which were temporarily stored in the basement, created “big smells” that emanated throughout the Museum building.

     

  • Who’s Your Best Friend? A spouse or a daughter or both? Perhaps a sister or a daughter-in-law?

    Social evolution: Best friends aren’t foreverMother and Her Daughter

    An analysis of a large database of mobile phone usage, published in the journal Scientific Reports, highlights the differences between the friendship preferences of men and women and how these choices change throughout our lifetime. The patterns observed may reflect the way the reproductive investment strategies of the two sexes change across lifespan.

    Robin Dunbar and colleagues analyzed a database of 1.95 billion phone calls and 489 million text messages to study gender preferences in close friendships and how these preferences change throughout lifetime. They focused on each individual’s three most preferred friends, as indexed by the frequency of contact, which has previously been shown to be a good proxy for emotional closeness.

    The authors found that young people tend to prefer their ‘best friend’ (the person with whom they are most frequently in contact) to be of the opposite gender and same age group — probably their spouse. From the age of about 50, a woman’s male best friend tends to move into second place, replaced by a younger female, potentially her daughter.

    Conversely, men are more likely to have a female best friend throughout their lives. The results indicate that women may be more focused on opposite-sex relationships during their reproductively active years, suggesting they invest more heavily in creating and maintaining pair bonds. As they age, women’s attention shifts from their spouse to younger females, assumed to be daughters, reflecting, perhaps, a shift in reproductive strategy from mate choice to personal reproduction to grandparental investment.

    Scientific Reports (a Nature Publishing Group), Sex differences in intimate relationships: Vasyl Palchykov, Kimmo Kaski, Janos Kertész, Albert-László Barabási & Robin I. M. Dunbar

    Painting: Henri-François Riesener (1767 – 1828) Mother and her daughter, oil on canvas, between 1816 and 1823

  • Relationships: The Tale of a Hairdo

    by Julia Sneden

    The other day at the doctor’s office, I noticed that his nurse, Karen, had a new, really short hairdo. When I commented on it (because it did look very unusual for her), she rolled her eyes, and groaned “Right. Short.”Goddess Sif

    “Blame my hairdresser,” she said. “She’s someone who loves to talk about herself and her problems. She and her husband have been in the process of separating or of reconciling, alternately and non-stop, for years. The worse her life gets, the shorter she cuts my hair. When I had an appointment the other day, I learned that she was having husband trouble yet again, and wanted to tell me all about it. She just grew angrier and angrier as she spoke, snip-snip-snip, and by the time she was through with her sorry tale, I was nearly bald.

    “The visit before that one, she and her husband had recently made up. Beyond offering that information, she just gave a dreamy smile and said not another word. She quietly shaped my hair with a light hand, and I was in and out in less than ten minutes. My hair looked great.

    “I’ve been going to her for a long time, and she’s a great hair person, but by now I should have known enough to walk out as soon as she said: ‘Well, the rat is gone again.’ She carried on for about 30 minutes, and my hair just kept getting shorter and shorter. That was two weeks ago, and I still don’t recognize myself in the mirror.”

    It’s a funny little story, but it triggered something that got me to thinking about the effect that a hairdo can have on one’s equilibrium. Anyone who has ever suffered a disastrous haircut can relate to Karen’s story.

    There’s no question that hair occupies an absurdly powerful position in relation to a woman’s self-esteem. Why else have so many of us fallen in with the kill-the-gray, color-in-a-bottle industry?

    Our skin may crinkle and sag; the roses in our cheeks may fade; our eyesight may mandate bifocals; our undergarments may sequé from lacy, sexy stuff to sturdy cotton-cum-underwire; our fingernails may ridge-up or turn brittle; our feet may grow calluses or odd bumps: but somehow we can live with those changes, and maybe even take them with a sense of humor.

    But when hair begins to thin, and patches of pink scalp show through; when curly hair becomes limp or limp hair develops odd cowlicks where none ever existed; when hair absolutely refuses to be controlled by gel or spray or hot curler or back-brushing, a woman finds herself bang up against that universal truth: Hair matters.

    I recall the blue hair of my high school history teacher, back in the pre-Clairol days when, if they were over 60, ladies who regularly put bluing into their loads of white laundry always saved a few drops for their post-shampoo rinse. My teacher obviously had a rather heavy hand in the matter, as her hair often verged on a blue that was closer to lavender.

    Painting:   Sif, of  the golden hair, from mythology by John Charles Dollman, 1909

  • More Than Just a Pretty Program: Birdsong on Masterpiece Classic

    Birdsong's First Edition in England

    Birdsong is a 1993 war novel by English author Sebastian Faulks. Faulks’ fourth novel, it tells of a man called Stephen Wraysford at different stages of his life both before and during World War I. Birdsong is part of a trilogy of novels by Sebastian Faulks which includes The Girl at the Lion d’Or and Charlotte Gray which are all linked through location, history and several minor characters.

    The novel came 13th in a 2003 BBC survey called the Big Read which aimed to find Britain’s favourite book. It has also been adapted three times under the same title — for radio (1997), the stage (2010) and television (2012).

    Watch Birdsong Preview on PBS. See more from Masterpiece.

    Reception

    Birdsong has been said to be Sebastian Faulks’ best work of fiction — it received an ‘also mentioned’ credit in The Observer’s 2005 poll of critics and writers to find the Best British book of the last 25 years (1980 –2005). Birdsong has been one of the most consistently selling books of the last decade, continuously in the top 5,000 sales figures.

    His literary retelling of the events and attitudes towards the Battle of the Somme and life in the trenches is highly acclaimed and is often likened to the work of writers such as Erich Maria Remarque and Ernest Hemingway, providing a modern contrast to World War I literature.

    Plot

    While most of the novel concentrates on Stephen’s life in France before and during the war, the novel also focuses on the life of Stephen’s granddaughter, Elizabeth, and her attempts to find out more about her grandfather’s experiences in World War I. The story is split into seven sections which cover three different time periods.

    Birdsong has an episodic structure which moves between three different periods of time before, during and after the war. This is similar in many ways to the structure he would adopt in his later novel The Long White Winter.

  • Silver: A State of Mind

    From the website for the exhibition:Silver: A State of Grey

    the process while others fight it tooth and nail.  But from whichever camp, there is a lot of active thinking
    happening today about what that process implies.
    The women interviewed and photographed here possess one of the most distinctive outward signs of aging—silvering hair.  This shared badge provides an ideal entry into the topic of aging as dilemmas about gray hair lead to other deeper
    issues about the kinds of personal challenges we all face.  The women speak on many themes, from society’s views
    on aging and feminism to attitudes in the work place, authenticity, and more.
    These photographs aim to capture a sensibility, a spark of energy, the intelligence and beauty conveyed in a glance.
    Many of the women seem as if they are about to speak, maybe even to address the very questions you may ask of yourself.

    “Aging is a loaded word, perhaps more so for women, regardless of their age.  Some thoroughly embrace the process while others fight it tooth and nail.  But from whichever camp, there is a lot of active thinking happening today about what that process implies. The women interviewed and photographed here possess one of the most distinctive outward signs of aging — silvering hair.  This shared badge provides an ideal entry into the topic of aging as dilemmas about gray hair lead to other deeper issues about the kinds of personal challenges we all face.  The women speak on many themes, from society’s viewson aging and feminism to attitudes in the work place, authenticity, and more.  These photographs aim to capture a sensibility, a spark of energy, the intelligence and beauty conveyed in a glance.”

    “Many of the women seem as if they are about to speak, maybe even to address the very questions you may ask of yourself.”

    The Buck Institute for Research on Aging is hosting the inaugural exhibition of  Silver: A State of Mind. The photo exhibit celebrates the opening of the Institute’s new Regenerative Medicine Research Center.

    The exhibit features a selection of twelve portraits from Bay Area photographer Vicki Topaz’s recent series honoring fifty-two remarkable women, mostly in their late 50’s and older, who have let their hair go grey.  The black and white photographs and their accompanying stories reveal women who are confronting issues relevant to all women — issues of aging, authenticity, attractiveness, illness, and more.  Topaz invites the viewer to explore aging by interacting with these candid and vulnerable portraits, which reveal each subject’s beauty, grace and strength as they boldly face the camera, bow their heads in introspection, or toss their hair with joy.

    The broader selection of portraits from SILVER: A State of Mind can be viewed online at http://www.womenonaging.com.  The community is welcome to join the project on Facebook to continue the dialog and learn about updates on the work:  https://www.facebook.com/womenonaging.

    Photo: ©Vickie Topaz

  • Worth/Mainbocher: Demystifying the Haute Couture

    The Museum of the City of New York has launched an  on-line exhibition focused on the  elegant work of two of the fashion world’s  important and intriguing designers, Charles Frederick Worth and Main Rousseau Bocher (also known as Mainbocher).worth/mainbocher

    “Worth/Mainbocher: Demystifying the Haute Couture” explores the work of the two masters of their times. The exhibition presents 57 Worths and 62 Mainbochers judged to be significant examples on the basis of design and workmanship. Although separated by 70 years, the two men shared much in common — both enjoyed a clientele and reputation as the fashion arbiters of their day.

    The web presentation allows participants to view fine points of their construction and finishing techniques. The images are high-resolution, allowing viewers to zoom in and see individual threads and stitches.

    The exhibition presents  catalogue entries with social histories, to give a sense of the designers’ time and place, as well as biographical essays written by fashion writers Hamish Bowles and Caroline Rennolds Milbank.

    “To truly understand New York’s obsession with fashion, one needs to know the work of Worth and Mainbocher and understand the role they played in high fashion and high society,” said Susan Henshaw Jones, Ronay Menschel Director of the Museum of the City of New York. The exhibition was curated by Phyllis Magidson, the Museum’s Curator of Costumes and Textiles. Claire Schaeffer consulted on couture techniques.

    Featuring photographs by David Arky, the exhibition is the result of a project to analyze and digitize these  garments and provide a look at the artistry and technical virtuosity of the two defining figures of haute couture.

  • What’s At Stake At the Debate About Health Care; How Consumers Could Be Affected

    With legal arguments at the Supreme Court over, the fate of the Obama administration’s health care law is in the hands of the justices. Stanford’s Jay Bhattacharya, a professor of medicine and a health economist, explains how consumers could be affected.

    by Brooke Donald, Stanford Social Scienes Writerhealth policy

    The US Supreme Court has wrapped up three days of arguments over the nation’s sweeping health care reform law.

    At issue is whether the government is allowed to require that every American have health insurance coverage or pay a penalty, and whether Congress has the power to expand the Medicaid program for the poor, as called for in the law passed two years ago.

    Much of the law doesn’t go into effect until 2014, and a decision from the court is not expected until June.

    Stanford’s Dr. Jay Bhattacharya, an associate professor of medicine and a health economist with the Freeman Spogli Institute’s Center for Health Policy, spoke with the Stanford News Service about the law and what the effect would be on consumers should the court throw it out, toss part of it or keep it all.

    “The goal of the law is to insure another 35 million people by 2020,” Bhattacharya explains. “But someone has to pay for that. And how to do that has generated a lot of controversy.”

    Q: What’s under attack?

    There are two major parts of the law, in addition to the hundreds of regulations and other provisions. There is the large expansion of Medicaid, which is the federal and state health plan for the poor. And there is a provision called the individual mandate that requires people to buy insurance or face a penalty. These are the provisions the court is tackling.

    Q: Many legal scholars and court watchers believe the individual mandate will be struck down by the court. What happens then?

    The reason why there is a mandate is to help pay for the expansion of care. The younger, healthier person essentially helps pay for the older, sicker person not yet eligible for Medicare — those people in their late 50s, early 60s. In effect, health insurers have a larger pool of insured under the mandate so they can afford to take on a less healthy and more expensive clientele.

    If you didn’t have the mandate, then many of those young people would say, “It doesn’t seem like a good deal for me,” and really it’s not a good deal for them, and that would make it harder for older people to get affordable care.

    Q: So no mandate equals more expensive care for some?

    Yes. The main effect of throwing out the mandate would be that the older population who does not get health insurance through their employer would be paying more to be insured. And an estimated 15 million people who would be insured under the law now would choose to go without insurance.

    Q: What if the court tosses the Medicaid provision?

    The effects of the justices’ decision on Medicaid are much more straightforward. If the provision is cut down, the 20 million people who were to be covered by 2020 won’t have insurance.

    Q: If these people remain uninsured, does it make health care more expensive in general?

    There’s a debate among health economists over this. Suppose you don’t have insurance and you break your arm. You go to the emergency room and they treat you anyway. The provider, who doesn’t want to eat the loss, then shifts the costs onto other people to subsidize the uninsured, in part. It’s called cost-shifting. But there’s debate over how much effect that has on premiums. Some people say small, some say large.

    Q: Is there a way to calculate the costs to society of not having 35 million more people insured?

    You could do such a calculation but I don’t think it would be meaningful. The meaningful political trade-off is insuring 35 million versus paying $200 billion or so in costs each year to keep them insured. How do you finance all that and who pays for it versus how good is it to have 35 million extra people with insurance? That’s the big question. And often it’s a political one more than economical.

  • Elaine Soloway’s Caregiving Series: The Wrong War

    Air Force Wings

    by Elaine Soloway

    In 1956, when he was 21, Tommy enlisted in in the US Air Force, where he trained as a radio operator. Eventually, he rose to the rank of Corporal and was stationed in Japan until honorably discharged in 1959.

    I didn’t know Tommy in his youth; we didn’t meet until 1996, and then married two years later in a Las Vegas ceremony officiated by an ecumenical minister. But, I often pictured that affable boy in those long ago days — trim in his uniform, cap atop his military crew cut, proud to serve his country.

    Those images surfaced recently when I dug through my husband’s papers to learn if he would be eligible for a US Department of Veterans Affairs benefit called “Aid and Attendance.”

    If he passed the test, the V.A. would pay up to $1,644 per month to hire a home health aide. The application for benefits required a copy of  Tommy’s separation papers, medical evaluation from a  physician, and current medical issues. The Air Force papers were in my hand. His 2009 diagnosis of Primary Progress Aphasia, a form of dementia affecting the brain’s language center, was filed in the folder marked “Brain.”

    For nearly a year, my daughters — who live in Los Angeles and Boston — had been urging me to find someone who could stay overnight with Tommy. They were disappointed that I halted my travels after I believed it was no longer safe to leave my husband home alone. I knew he could handle normal activities, but what if he had to call for help? His aphasia would have rendered him powerless in any emergency calls to 911 or neighbors.

    When he was well, I travelled to either coast at least three times a year. Tommy, a stepfather who became bored at my desire to do nothing but stare at my grandchildren, or shadow my daughters, opted to stay put and housesit the dog.

    While away, I would call him nightly. “Get your butt home,” he’d tease. Then, I knew all was fine. But, eventually that phrase was absent. Or, if he did manage a few words, they were dangerously frayed.

    So, I saw that $1,644 monthly benefit as my salvation. That would be enough money to enlist the services of a home health agency to give me an occasional break, and to be assured Tommy would be safely tucked in his own home if I travelled to fawn over my offspring and theirs.

  • The Wage Gap Persists In Nearly All of the Most Common Occupations for Women and Men

    April 17 is designated as Equal Pay Day, a day to mark the fact that women still only earn 77 percent for each dollar earned annually by men and 82 percent of each dollar earned weekly. A new fact sheet released today by the Institute for Women’s Policy Research (IWPR) shows that the gender wage gap is a common feature of women’s working lives in nearly all of the most common occupations for women and men.

    The fact sheet, based on an analysis of median weekly data across occupations for full-time workers from the US Bureau of Labor Statistics, is released annually by IWPR. It reviews earnings and the gender wage gap in the 20 most common occupations for women and for men, and provides earnings data by sex, race, and ethnicity across the seven major occupational groups in the labor force.custom's officers boarding a ship

    IWPR’s research finds that women have lower median earnings than men in all but one of the 20 most common occupations for women, ‘bookkeeping and auditing clerks,’ where women and men have the same median earnings. In one of the twenty most common male occupations, ‘stock clerks and order fillers,’ women out-earned men by 3 percent of median male earnings.

    Women working as ‘property, real estate, and community association managers’ face the largest gender earnings gap of all occupations: in 2011 their median full-time weekly earnings were only 61 percent of men in that occupation, $728 compared to $1201 per week. Among the 20 most common occupations for women, ‘financial managers’ face the largest earnings gap ($991 compared to $1,504, an earnings ratio of 65.9 percent). Women who are ‘chief executives’ face the largest earnings gap ($1,464 per week earned by women compared to $2,122) in the 20 most common occupations for men.

    “These gender wage gaps are not about women choosing to work less than men — the analysis is comparing apples to apples, men and women who all work full time — and we see that across these 40 common occupations, men nearly always earn more than women,” said Ariane Hegewisch, a Study Director at IWPR. “Discrimination law cases provide us with some insights on the reasons that the wage gap persists: women are less likely to be hired into the most lucrative jobs, and — when they work side by side with men — they may get hired at a lower rate, and receive lower pay increases over the years. Discrimination in who gets hired for the best jobs hits all women but particularly black and Hispanic women.”

    Three of the most common occupations for women and two for men have median weekly earnings that, after a full year of full-time work, are still too low to keep a family of four out of poverty. More than twice as many women as men and four out of ten Hispanic women work in occupations that pay poverty wages.

    “It is shocking that important occupations such as teaching assistants or nurses, psychiatric and home health aides — stressful and responsible jobs that are critical to the well-being of our society — are likely to leave a woman unable to support her family even when she works full time and year round,” said Dr. Heidi Hartmann, President of IWPR.

    The Institute for Women’s Policy Research (IWPR) conducts rigorous research and disseminates its findings to address the needs of women and their families, promote public dialogue, and strengthen communities and societies. IWPR is a 501(c)(3) tax-exempt organization that also works in affiliation with the women’s studies and public policy programs at The George Washington University.

    Photo: Female [and male] US Customs and Border Protection (CBP) officers going aboard a ship to examine cargo. United States Department of Homeland Security