No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Social support has been shown to positively impact various aspects of health across the lifespan, including sexual health and well-being. While past research on sexual well-being has tended to focus on the earlier stages of the life course, notably adolescence and young adulthood, this is a largely ignored area of research past the reproductive stage of life. Current research finds that while social support, from partners, family, and friends alike, has generally positive influences on health in mid to late adulthood, these outcomes are varied in regards to sexual well-being. This thesis aims to (1) assess the role of friend support in the sexual well-being of older adults and (2) to explore if physical and mental health are significant mediators of this relationship, using data from Wave II of the National Social Life, Health, and Aging Project (NSHAP). This study found that sixty two percent of older adults are not having sex as much as they would like and 61% feel that their sex life is lacking in quality. Increased feelings of openness with friends was associated with satisfaction with sexual frequency (p=.055). However, a significant association could not be established between satisfaction with quality of sex life and friend support. In addition, physical and mental health status were not found to be significant mediators.

貧窮既是一種客觀況，又是一種主觀心感受。既有的研究很少關注老年人自身關於貧窮的經驗，特別是缺乏華人社會背景下貧窮老人主觀經驗的研究。本研究試圖從個體的層面考察貧窮對於中國城市老人多重面向的負面影響，以及他們如何回應這些負面影響，在此基礎上為改善與貧窮老人有關的社會政策提出適切的建議。 / 基於這一研究目的，本研究從批判老年學和抗逆力的理論視角出發，採取建構主義範式和生命故事的研究取向，以中國北京的城市貧窮老人為例，選取17位城市貧窮老人為研究物件，深入研究中國城市貧窮老人的各種壓力，以及抗逆力的內外保護性因素回應這些壓力的機制及其所起到的作用。 / 研究發現，中國城市貧窮老人面臨經濟壓力、疾病與老化的壓力、逆反哺與照顧配偶的壓力，以及貧窮恥感的壓力。貧窮在城市老人的主觀經驗裡意味著多重壓力的相迭，這從主觀經驗的角度揭示了中國城市貧窮老人的多重弱勢。 / 作為抗逆力外在保護性因素的社會支持，它的實現機制因其類型的不同而相異。代際支持對提升抗逆力的作用受到代際團結和代際張力的共同影響；其他非正式支持對提升抗逆力的作用受到互惠關係的影響；社會政策的支持對提升抗逆力的作用受到人情倫理的雙重性和代群差異的影響。這些機制共同決定了貧窮老人的非正式支援日趨弱化，而社會政策和專業服務提供的正式支援有待加強。 / 作為貧窮老人抗逆力的內在保護性因素，工具性策略由獨立性的要求所驅動，意義創造遵循追尋自我價值和重構貧窮經驗這兩條路徑。意義創造在貧窮老人的內在保護性因素中發揮著更為根本性的作用。內外保護性因素的比較有助於我們識別城市貧窮老人中更脆弱的次群體。 / 基於這一研究發現，本研究在原有研究框架的基礎上，補充了貧窮老人的多重壓力和保護性因素的實現機制，擴展了貧窮老人抗逆力研究的研究框架。文章的最後提出了社會政策的具體建議。 / Poverty is both an objective condition and a kind of subjective psychological feeling. However, existing studies pay little attention to older people’s own experience of poverty, especially lacking of studies on subjective experience of the aged poor in the Chinese context. This research attempts to explore from the individual level, the multi-dimensional negative effects of poverty on the aged poor in urban China and how they respond to these impacts. On this basis, appropriate social policies were proposed to improve the living conditions of the aged poor. / Taking the constructivist position and life story approach, this study was conducted from the perspectives of resilience theory and critical gerontology and used the urban aged poor in Beijing, China as an example. Seventeen urban aged poor were selected as the sample for in-depth interview and their multiple stresses, and the mechanisms of internal and external protective factors of resilience in response to their stresses and their functions were investigated. / Research findings show that China’s urban aged poor suffer stresses from economic pressure, diseases and aging, taking care of their spouses, inverse nurturing, and shamefulness of poverty. Poverty means a combination of multiple stresses in the subjective experience of the urban poor elderly. This perspective reveals the multiple disadvantages of the Chinese urban aged poor. / Social support as the external protective factor of resilience, its implementation mechanisms are different by its types. The intergenational support in enhancing the function of resilience is influenced by intergenational solidarity and intergenational tension. Other informal social support in enhancing the function of resilience is affected by reciprocal relationship. Formal support from social policy in enhancing the function of resilience is influenced by the dual nature of interpersonal ethics as well as cohort differentiation. These mechanisms together determine that informal social support of the urban aged poor is gradually weakened. As a result, formal social support coming from social policy and professional social service has to be strengthened. / As one of the internal protective factors of resilience of the aged poor, the instrumental strategies are driven by the demands of independence. The other one of the internal protective factors, the creation of meaningfulness, develops towards two paths, one of which is in search of self-worthiness and the other reconstruction of experience of poverty. The significance of creation of meaningfulness in the internal protective factors of the aged poor exerts a more fundamental function. A combination of the internal and external protective factors can help us differentiate the more disadvantaged sub-group among the urban aged poor. / Based on the findings of the study, the original conceptual framework is reconstructed by supplementing the multiple stresses and the operating mechanisms of protective factors. This has expanded the research framework of studying resilience of the aged poor. Finally, some specific recommendations of social policy are provided. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / 陳岩燕. / Thesis subitted: December 2012. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 456-499) / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Chen Yanyan. / Chapter 第一章 --- 緒論 --- p.1 / Chapter 第一節 --- 研究背景 --- p.1 / Chapter 第二節 --- 研究目的與研究意義 --- p.11 / Chapter 第三節 --- 本文的結構 --- p.13 / Chapter 第二章 --- 文獻回顧 --- p.14 / Chapter 第一節 --- 貧窮老人研究的回顧 --- p.14 / Chapter 第二節 --- 與老年貧窮相關的社會政策與研究發現 --- p.49 / Chapter 第三節 --- 與貧窮老人相關的理論解釋 --- p.80 / Chapter 第四節 --- 現有研究的不足 --- p.125 / Chapter 第三章 --- 研究設計 --- p.132 / Chapter 第一節 --- 概念框架 --- p.132 / Chapter 第二節 --- 研究方法 --- p.143 / Chapter 第四章 --- 中国城市貧窮老人的多重壓力 --- p.183 / Chapter 第一節 --- 經濟壓力 --- p.183 / Chapter 第二節 --- 老化和疾病的壓力 --- p.187 / Chapter 第三節 --- 逆反哺和照顧配偶的壓力 --- p.202 / Chapter 第四節 --- 貧窮恥感的壓力 --- p.226 / Chapter 第五節 --- 多重壓力相疊 --- p.237 / Chapter 第五章 --- 貧窮老人與非正式社會支持 --- p.240 / Chapter 第一节 --- 貧窮老人與代際支持 --- p.240 / Chapter 第二節 --- 貧窮老人與擴展家庭的支持 --- p.259 / Chapter 第三節 --- 貧窮老人與鄰里支持 --- p.271 / Chapter 第四節 --- 貧窮老人與其他非正式支持 --- p.291 / Chapter 第六章 --- 貧窮老人與正式社會支持 --- p.297 / Chapter 第一節 --- 貧窮老人與社會政策的支持 --- p.297 / Chapter 第二節 --- 貧窮老人對待社會政策支持的例外個案 --- p.319 / Chapter 第三節 --- 社會政策基層執行者的支持 --- p.325 / Chapter 第四節 --- 其他的正式社會支持 --- p.336 / Chapter 第七章 --- 貧窮老人的工具性策略與意義創造 --- p.347 / Chapter 第一節 --- 貧窮老人的工具性策略 --- p.348 / Chapter 第二節 --- 貧窮老人的意義創造 --- p.372 / Chapter 第八章 --- 討論 --- p.410 / Chapter 第一節 --- 多重壓力：中國城市貧窮老人的多重弱勢 --- p.411 / Chapter 第二節 --- 外在保護性因素：社會支持的再審視 --- p.414 / Chapter 第三節 --- 內在保護性因素 --- p.435 / Chapter 第四節 --- 對貧窮老人抗逆力理論框架的補充 --- p.441 / Chapter 第九章 --- 社會政策的啟示 --- p.445 / Chapter 一、 --- 優勢為本的社會政策 --- p.445 / Chapter 二、 --- 支持家庭的社會政策 --- p.446 / Chapter 三、 --- 雙重權利系統的社會政策 --- p.447 / Chapter 四、 --- 適度普惠的社會政策 --- p.448 / Chapter 第十章 --- 總結 --- p.450 / Chapter 第一節 --- 總結 --- p.450 / Chapter 第二節 --- 本研究的貢獻與局限 --- p.453 / p.456 / 附錄 --- p.500 / Chapter 附錄1： --- 200-2050年中國各年齡段男、女性人口增長趨勢 --- p.500 / Chapter 附錄2： --- 北京市歷年社會保障相關標準（1994-2011） --- p.501 / Chapter 附錄3： --- 受訪者的訪談時間與合計訪談時長 --- p.502 / Chapter 附錄4： --- 2009年11月第一次訪談大綱 --- p.504 / Chapter 附錄5： --- 2010年9月第二次訪談大綱 --- p.507