Individual perceptions of their age through the prism of medicalization in the older
https://doi.org/10.21869/2223-1552-2025-15-1-222-231
Abstract
Relevance. In modern research, more and more attention is being paid to finding an understanding of the features of aging and the aspects that affect the perception of this process. However, there is still no methodological unity in the social sciences in describing aging and its specific purpose.
The purpose of this study is to analyze the perception of age by older people through the study of an important aspect characteristic of Russian society ‒ the understanding of old age as a time of health problems and various difficulties.
The objectives of the study are to study the description of their age and aging by older people through medicalization and the medical discourse present in society regarding the older.
Methodology. The empirical basis of the study consisted of 60 interviews with older residents of St. Petersburg of various generations 65+ and 75+ — 30 interviews with representatives of each generation. The main method of analysis is thematic.
Results. Discrimination against older people based on their health is manifested both in private communication with relatives and in various media discourses. She is actively supported by doctors and medical staff. The interview narratives identified an important problem: older people often define their age as a period of health problems.
Conclusions. Based on the research data, we concluded that the importance of individual aspects of the perception of age and aging, as well as the impact of medication on the understanding of their age by the older. Analyzing these aspects allows for a better understanding of how older people identify with the older generation.
About the Author
K. A. GalkinRussian Federation
Konstantin A. Galkin, Candidate of Sciences (Sociology), Senior Researcher
Researcher ID: 2316964
7th Krasnoarmeyskaya Str. 25, St. Petersburg 190005, Russian Federation
References
1. Grigorieva I.A., Ukhanova Yu.V., Smoleva E.O. Transformation of social policy in Russia in the context of population aging. Ekonomicheskie i social'nye peremeny: fakty, tendencii, prognoz = Economic and Social Changes: Facts, Trends, Forecast. 2019;12(5):124-140. (In Russ.)
2. Basov A.V. New approaches to understanding medicalization in foreign sociology of medicine. Sociologiya medicinyт = Sociology of Medicine. 2017;16(2):72-74. (In Russ.)
3. Petrov A.M., Antonova O.V., Mustafayeva S.R. Problems of population aging and their priority position in the list of problems of the present time of society development. Ekonomicheskie nauki = Economic Sciences. 2020;(191):252-255. (In Russ.)
4. Mikhaleva A.V. The effect of medicalization on the health of the older. Vestnik SanktPeterburgskogo universiteta. Sociologiya = Bulletin of St. Petersburg University. Sociology. 2009;(2-1):130-140. (In Russ.)
5. Shabalin V.N., Shatokhina S.N. The influence of the social environment on the formation of mental health of an elderly person. Ul'yanovskij mediko-biologicheskij zhurnal = Ulyanovsk Medical and Biological Journal. 2018;(3):124-132. (In Russ.)
6. Kislitsyna O.A. Factors influencing Russians' satisfaction with the healthcare system. Social'nye aspekty zdorov'ya naseleniya = Social Aspects of Public Health. 2020;66(2):8. (In Russ.)
7. Ogneva E.Yu., Khalfin R.A., Madyanova V.V., Tajiev I.Ya. Assessment of the availability and quality of medical care in municipal healthcare institutions. Problemy standartizacii v zdravoohranenii = Problems of Standardization in Healthcare. 2010;(1-2):30-39. (In Russ.)
8. Locker D., Dunt D. Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care. Soc. Sci. Med. 1978;12:283-292.
9. Hekkert K., Borghans I., Cihangir S., Westert G.P., Kool R.B. What is the impact on the readmission ratio of taking into account readmissions to other hospitals? A cross-sectional study. B.M.J. Open. 2019;9(4):e025740.
10. Binney E.A., Estes C.L., Ingman S.R. Medicalization, public policy and the elderly: Social services in jeopardy? Social Science & Medicine. 1990;30(7):761-771.
11. Zola I.K. The medicalization of aging and disability. Routledge; 2017. P. 37-53.
12. Buch E.D. Anthropology of aging and care. Annual Review of Anthropology. 2015;44(1):277-293.
13. Taylor B.A., Bengtson V.L. Sociological perspectives on productive aging. Productive aging: Concepts and Challenges. Baltimore, Md.: Johns Hopkins University Press; 2001. P. 120-144.
14. Holstein M.B., Minkler M. Critical gerontology: Reflections for the 21st century. In: Critical perspectives on ageing societies. Bristol: Policy Press; 2007. P. 13-26.
15. Mikhel D.V. Medicalization as a social phenomenon. Vestnik Saratovskogo gosudarstvennogo tekhnicheskogo universiteta = Bulletin of the Saratov State Technical University. 2011; 4(2):256-263. (In Russ.)
16. Parfenova O.A., Galkin K.A. Social activity and participation of elderly Russians in the context of active longevity. Zhurnal sociologii i social'noj antropologii = Journal of Sociology and Social Anthropology. 2023;26(1):200-223. (In Russ.)
17. DiPietro L. Physical activity in aging: changes in patterns and their relationship to health and function. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(2):13-22.
18. He D., Workman C., Kenett Y.N., He X., Chatterjee A. The effect of aging on facial attractiveness: An empirical and computational investigation. Acta Psychologica. 2021;219:103385.
19. Maestripieri D., Klimczuk A.C.E., Traficonte P.M., Claire Wilson M. A greater decline in female facial attractiveness during middle age reflects women’s loss of reproductive value. Frontiers in Psychology. 2014;5:179.
20. Miklyaeva A.V. Infantilization of the elderly in everyday interaction: towards a problem statement. Zhurnal issledovanij social'noj politiki = Journal of Social Policy Research. 2018;16(1):109-124. (In Russ.)
21. Adelman R.D., Greene M.G., Ory M.G. Communication between older patients and their physicians. Clinics in Geriatric Medicine. 2000;16(1):1-24.
22. Conrad P. The shifting engines of medicalization. Journal of Health and Social Behavior. 2005;46(1):3-14.
23. Parakhonskaya G.A. An elderly man in the family. Sociologicheskie issledovaniya = Sociological Research. 2002;(6):103-110. (In Russ.)
24. Taqui A.M., Itrat A., Qidwai W., Qadki Z. Depression in the elderly: Does family system play a role? A cross-sectional study. BMC Psychiatry. 2007;7:1-12.
Review
For citations:
Galkin K.A. Individual perceptions of their age through the prism of medicalization in the older. Proceedings of the Southwest State University. Series: Economics. Sociology. Management. 2025;15(1):222-231. (In Russ.) https://doi.org/10.21869/2223-1552-2025-15-1-222-231