The will to live: gender differences among elderly persons.

The purpose of the study was to investigate the will to live by evaluating its association with the wish to prolong life and with indicators of well-being among men and women. First were assessed the strength of the will to live, and its relationship to the wish to prolong life in hypothetical illness conditions. Next, association between the will to live and explanatory factors, such as religious beliefs, fear of death and dying, physical and psycho-social dimensions of well-being were comparatively evaluated among men and women. Data were collected from a random sample of 987 Israeli elderly persons by structured interviews at the participants' homes. Findings indicated that women express a significantly weaker will to live than men, and less desire to prolong life by medical interventions in all the hypothetical health conditions presented to them. Gender differences were also found on the variables which contribute to the explanation of the will to live: For both genders, psycho-social indicators of well-being had more explanatory power than health indicators of well-being, but this finding was more striking among women. The implications of these findings for the study of the perceived meaningfulness of life, and the potential use of the will to live as an indicator of well-being are discussed.

[1]  M. T. Damsgaard,et al.  Social relations and mortality. An eleven year follow-up study of 70-year-old men and women in Denmark. , 1998, Social science & medicine.

[2]  E. Ziskind.  Social factors in psychopathology. , 1954 .

[3]  V. Florian,et al.  Aspects of fear of personal death, levels of awareness, and religious commitment , 1984 .

[4]  J. Hibbard.  Sex Differences in Health and Illness Orientation , 1983, International quarterly of community health education.

[5]  D. Mechanic,et al.  Sex differences in medical care utilization: an empirical investigation. , 1982, Journal of health and social behavior.

[6]  G. Maddox,et al.  Self-assessment of health: a longitudinal study of elderly subjects. , 1973, Journal of health and social behavior.

[7]  L. Berkman,et al.  Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. , 1979, American journal of epidemiology.

[8]  S. Carmel,et al.  Life events, sense of coherence and health: gender differences on the kibbutz. , 1991, Social science & medicine.

[9]  S. Rosenfield.  The effects of women's employment: personal control and sex differences in mental health. , 1989, Journal of health and social behavior.

[10]  A. Antonovsky.  Unraveling The Mystery Of Health , 1987 .

[11]  L. Verbrugge,et al.  The twain meet: empirical explanations of sex differences in health and mortality. , 1989, Journal of health and social behavior.

[12]  Gray De.  The twain meet. , 1990 .

[13]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[14]  Agnes Miles,et al.  Women, health, and medicine , 1991 .

[15]  C. Gilligan.  Adolescent development reconsidered. , 1987, New directions for child development.

[16]  K. Hunt,et al.  Gender differences in health: are things really as simple as they seem? , 1996, Social science & medicine.

[17]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.

[18]  J. Mirowsky.  Age and the gender gap in depression. , 1996, Journal of health and social behavior.

[19]  J. Hibbard,et al.  Gender roles, illness orientation and use of medical services. , 1983, Social science & medicine.

[20]  F. Rosner.  Modern Medicine and Jewish Ethics , 1986 .

[21]  C. Johnson,et al.  How Different Religions View Death and Afterlife , 1991 .

[22]  L. Verbrugge,et al.  From sneezes to adieux: stages of health for American men and women. , 1986, Social science & medicine.

[23]  S. Carmel,et al.  The role of age and an expanded Health Belief Model in predicting skin cancer protective behavior. , 1994, Health education research.

[24]  W. Gove.  Gender differences in mental and physical illness: the effects of fixed roles and nurturant roles. , 1984, Social science & medicine.

[25]  J. Choron.  Death and Western thought , 1963 .

[26]  R. Oye,et al.  Attitudes of hospitalized patients toward life support: a survey of 200 medical inpatients. , 1989, The American journal of medicine.

[27]  R. Kessler,et al.  Sex differences in vulnerability to undesirable life events. , 1984 .

[28]  B. K. Bhattacharya,et al.  Elderly patients' views on cardiopulmonary resuscitation. , 1986, Age and Ageing.

[29]  S. Carmel.  Medical students' attitudes regarding the use of life-sustaining treatments for themselves and for elderly persons. , 1998, Social science & medicine.

[30]  Lf Berkman.  Social networks, host resistance, and mortality , 1979 .

[31]  L. Verbrugge,et al.  Gender and health: an update on hypotheses and evidence. , 1985, Journal of health and social behavior.

[32]  B. Williams,et al.  Comparison of the activity of short stay independent hospitals in England and Wales, 1981 and 1986. , 1989, BMJ.

[33]  C. Seale,et al.  Dying at the best time. , 1995, Social science & medicine.

[34]  D. D. Vaus,et al.  Gender Differences in Religion: A Test of the Structural Location Theory , 1987 .

[35]  T. Seeman,et al.  Sex differences in reports of illness and disability: a preliminary test of the "fixed role obligations" hypothesis. , 1981, Journal of health and social behavior.

[36]  S. Carmel,et al.  Psychosocial factors among members of religious and secular kibbutzim. , 1996, Israel journal of medical sciences.

[37]  R. Katzman.,et al.  Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. , 1983, The American journal of psychiatry.

[38]  M. Lennon.  Work conditions as explanations for the relation between socioeconomic status, gender, and psychological disorders. , 1995, Epidemiologic reviews.

[39]  Robert Karasek,et al.  Work and non‐work correlates of illness and behaviour in male and female Swedish white collar workers , 1987 .

[40]  R. Kessler,et al.  Social factors in psychopathology: stress, social support, and coping processes. , 1985, Annual review of psychology.

[41]  L. Stewin,et al.  Sex differences, social desirability, masculinity, and the tendency to worry. , 1991, The Journal of genetic psychology.

[42]  S. Carmel,et al.  Wishes regarding the use of life-sustaining treatments among elderly persons in Israel: an explanatory model. , 1997, Social science & medicine.

[43]  C. Griffith,et al.  Knowledge and experience with Alzheimer's disease. Relationship to resuscitation preference. , 1995, Archives of family medicine.

[44]  M. Farquhar.  Elderly people's definitions of quality of life. , 1995, Social science & medicine.

[45]  Alan S. Miller,et al.  Risk and Religion: An Explanation of Gender Differences in Religiosity , 1995 .

[46]  E. Pfeiffer.  A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients † , 1975, Journal of the American Geriatrics Society.

[47]  G. Mcclearn,et al.  Gender and health: a study of older unlike-sex twins. , 2002, The journals of gerontology. Series B, Psychological sciences and social sciences.

[48]  C. Nathanson.  Illness and the feminine role: a theoretical review. , 1975, Social science & medicine.

[49]  C. Waters,et al.  Determination of optimal stock levels for manufacturing components using discrete event simulation , 1982 .

[50]  R. Steinberg,et al.  Compensating Differentials and the Male-Female Wage Gap: Evidence from the New York State Comparable Worth Study , 1990 .

[51]  J. Pollak.  Correlates of Death Anxiety: A Review of Empirical Studies , 1980 .

[52]  S. Roxburgh,et al.  Gender differences in work and well-being: effects of exposure and vulnerability. , 1996, Journal of health and social behavior.

[53]  G. van der Wal,et al.  Euthanasia, physician-assisted suicide, and other medical practices involving the end of life in the Netherlands, 1990-1995. , 1996, The New England journal of medicine.

[54]  S. Carmel,et al.  Preferences for different life-sustaining treatments among elderly persons in Israel. , 1997, The journals of gerontology. Series B, Psychological sciences and social sciences.

[55]  D. Parkin,et al.  Reader in Comparative Religion: An Anthropological Approach. , 1959 .

[56]  Mary L. Suddath.  On Dying and Denying , 1973 .