Out of the multiple margins: older women managing their health care

Can J Nurs Res. 2004 Dec;36(4):90-108.


This feminist phenomenological study explores the meaning of older women's experiences as they negotiate health care. Several interviews with diverse groups of older women (immigrant, First Nations, and Japanese-Canadian women and those involved in community and social clubs) reveal that negotiating to have their health needs met was a challenging process requiring mutual support. Their health-care experiences were influenced by issues surrounding access to services, power, and poverty. For many participants, the conversational interview format served to inspire consciousness-raising, activism, and reflection. The findings suggest that such reflection may help other women to understand the "multiple margins" (being older, being a woman, being a member of a visible minority) that constrain and challenge their access to health care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Attitude*
  • Cultural Diversity*
  • Delivery of Health Care*
  • Female
  • Humans
  • Poverty