Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T16:34:44.763Z Has data issue: false hasContentIssue false

Attitudes to aging: a comparison of obituaries in Canada and the U.K.

Published online by Cambridge University Press:  01 August 2009

Ruth E. Hubbard*
Affiliation:
Geriatric Medicine Research Unit, Dalhousie University and Queen Elizabeth Health Sciences Centre, Halifax, Canada.
Eamonn M. P. Eeles
Affiliation:
Division of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada
Sherri Fay
Affiliation:
Geriatric Medicine Research Unit, Dalhousie University and Queen Elizabeth Health Sciences Centre, Halifax, Canada.
Kenneth Rockwood
Affiliation:
Geriatric Medicine Research Unit, Dalhousie University and Queen Elizabeth Health Sciences Centre, Halifax, Canada. Division of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada
*
Correspondence should be addressed to: Dr. R. Hubbard, Geriatric Medicine Research Unit, Dalhousie University and Queen Elizabeth Health Sciences Centre, 5955 Veterans’ Memorial Lane, Halifax, B3H 2E1, Canada. Phone: +1-902-473-8631; Fax: +1-902-473-1050. Email: [email protected].
Get access

Abstract

Background: Populations worldwide are aging and the overall prevalence of dementia at death is now 30%. Since the contemporary social impact of a disease is indicated by the frequency of its newspaper coverage and since obituary notices illuminate conceptions of death, we hypothesized that obituary notices placed by families would reflect societal attitudes to aging and dementia.

Methods: We undertook critical discourse analysis of obituaries in representative national and local newspapers in Canada and the U.K.

Results: In the 799 obituaries studied, chronological age, suggested donations in memory of the deceased, and donations to dementia charities were each included in significantly more obituaries in Canadian newspapers than in U.K. ones. Military service was explicit for significantly more men aged ≥ 80 years in Canada compared to the U.K. (41% versus 4%; p < 0.05). Of the donations to medical charities, nearly half (n = 117) were to cancer charities and one-fifth (54) to heart and stroke foundations. In the U.K., obituaries for those aged ≥ 70 years were more likely to recommend donations to children's charities (n = 12) or the Royal National Lifeboat Institution (8) than dementia charities (7).

Conclusions: Donations to dementia charities were significantly more common in obituaries in Canada than in the U.K. In both countries, donations to medical charities did not reflect disease prevalence or impact to the individual. Societal attitudes in the U.K. may be impacted by the fragmentation of aging research and antipathy to geriatric medicine in the national medical press.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adelman, R. C. and Verbrugge, L. M. (2000). Death makes news: the social impact of disease on newspaper coverage. Journal of Health and Social Behavior, 41, 347367.CrossRefGoogle ScholarPubMed
Age Concern (2006). How ageist is Britain? Available at: http://www.ageconcern.org.uk/AgeConcern/A659AB1ADB204411B4C8B6FA713AFC6C.asp (last accessed March 2009).Google Scholar
Alzheimer's Society of Canada (2003). Stigma and Alzheimer's Disease. Available at: www.alzheimer.ca/english/media/stigma03-release.htm (last accessed January 2009).Google Scholar
Bergman, H. et al. (2007). Frailty: an emerging research and clinical paradigm: issues and controversies. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 62, 731737.CrossRefGoogle ScholarPubMed
Bond, J., Stave, C., Sganga, A., O'Connell, B. and Stanley, R. L. (2005). Inequalities in dementia care across Europe: key findings of the Facing Dementia Survey. International Journal of Clinical Practice, 59 (Suppl. 146), 814.CrossRefGoogle Scholar
Brayne, C., Gao, L., Dewey, M., Matthews, F. E., Medical Research Council Cognitive Function and Ageing Study Investigators (2006). Dementia before death in ageing societies: the promise of prevention and the reality. PLoS Medicine, 3, e397.CrossRefGoogle ScholarPubMed
Brocklehurst, H. and Laurenson, M. (2008). A concept analysis examining the vulnerability of older people. British Journal of Nursing, 17, 13541357.CrossRefGoogle ScholarPubMed
Canadian Institutes of Health Research (2000). The Future is Aging: The CIHR Institute of Aging Strategic Plan 2007–2012. Available at: http://www.cihrirsc.gc.ca/e/34013.html (last accessed December, 2008).Google Scholar
Connell, C. M., Scott, R. J. and McLaughlin, S. J. (2007). Public opinion about Alzheimer disease among blacks, hispanics, and whites: results from a national survey. Alzheimer Disease and Associated Disorders, 21, 232240.CrossRefGoogle ScholarPubMed
Corner, L. and Bond, J. (2004). Being at risk of dementia: fears and anxieties of older adults. Journal of Aging Studies, 18, 143155.CrossRefGoogle Scholar
Crisp, A. H, Gelder, M. G., Rix, S., Meltzer, H. I. and Rowlands, O. J. (2000). Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177, 47.CrossRefGoogle ScholarPubMed
Crisp, A., Gelder, M., Goddard, E. and Meltzer, H. (2005). Stigmatization of people with mental illnesses: a follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists. World Psychiatry, 4, 106113.Google ScholarPubMed
Denaro, C. P. and Mudge, A. (2008). Should geriatric medicine remain a specialty? No. BMJ, 337, 515.CrossRefGoogle ScholarPubMed
Franco, O. H. et al. (2007). Ten commandments for the future of ageing research in the U.K.: a vision for action. BMC Geriatrics, 7, 10.CrossRefGoogle Scholar
Harrison, M. (1998). The Economics of World War II: Six Great Powers in International Comparison. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Hicks, J. and Allen, G. (1999). Trends in U.K. Health Statistics since 1900. House of Commons Research Paper 99/111. Available at: www.parliament.U.K./commons/lib/research/rp99/rp99-111.pdf (last accessed December 2008).Google Scholar
Hinton, W. L. and Levkoff, S. (1999). Constructing Alzheimer's: narratives of lost identities, confusion and loneliness in old age. Culture, Medicine and Psychiatry, 23, 453475.CrossRefGoogle ScholarPubMed
Hodges, B. D., Kuper, A. and Reeves, S. (2008). Discourse analysis. BMJ, 337, 570572.CrossRefGoogle ScholarPubMed
Kennedy, T. and Lingard, L. A. (2006). Making sense of grounded theory in medical education. Medical Education, 40, 101108.CrossRefGoogle ScholarPubMed
King, M. et al. (2008). Prevalence of common mental disorders in general practice attendees across Europe. British Journal of Psychiatry, 192, 362367.CrossRefGoogle ScholarPubMed
Louria, D. B. (2005). Extraordinary longevity: individual and societal issues. Journal of the American Geriatrics Society, 53, S317S319.CrossRefGoogle ScholarPubMed
Nord, D. P. (1990). Teleology and news: the religious roots of American journalism, 1630–1730. Journal of American History, 77, 938.CrossRefGoogle Scholar
Office for National Statistics (2003). Census 2001. London. Available at: www.statistics.gov.uk.Google Scholar
Patten, S. B. et al. (2006). Descriptive epidemiology of major depression in Canada. Canadian Journal of Psychiatry, 51, 8490.CrossRefGoogle ScholarPubMed
Peterson, R. A. (1994). Culture studies through the production perspective. In Crane, D. (ed.), The Sociology of Culture: Emerging Theoretical Perspectives. New York: Blackwell.Google Scholar
Phillips, J. B. (2007). The changing presentation of death in the obituary, 1899–1999. Omega, 55, 325346.CrossRefGoogle ScholarPubMed
Pope, C., Ziebland, S. and Mays, N. (2000). Analysing qualitative data. In Pope, C. and Mays, N. (eds.), Qualitative Research in Health Care. London: BMJ Books.Google ScholarPubMed
Rockwood, K. (2005). An unsuitable old age: the paradoxes of elder care. Canadian Medical Association Journal, 173, 15001501.Google ScholarPubMed
Rockwood, K. and Mitnitski, A. (2007). Frailty in relation to the accumulation of deficits. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 62, 722727.CrossRefGoogle Scholar
Spilka, B., Lacey, G., and Gelb, B. (1980). Sex discrimination after death: replication, extension and a difference. Omega, 10, 227233.CrossRefGoogle Scholar
Werner, P. (2004). Perceptions about memory problems and help seeking in elderly persons: a qualitative analysis. Clinical Gerontologist, 27, 1930.CrossRefGoogle Scholar
Werner, P. (2005). Lay perceptions about mental health: where is age and where is Alzheimer's disease? International Psychogeriatrics, 17, 371382.CrossRefGoogle ScholarPubMed
Whitbourne, S. K. and Sneed, J. R. (2002). Paradox of well-being, identity processes and stereotype threat. In Nelson, T. D. (ed.), Ageism: Stereotyping and Prejudice Against Older Persons. pp. 247273. London: MIT Press.CrossRefGoogle Scholar
Williams, J. E. (1997). Discourses on death: obituaries and the management of spoiled identity. Omega, 34, 301319.CrossRefGoogle Scholar