000008270 001__ 8270 000008270 005__ 20240417141057.0 000008270 0247_ $$2DOI$$a10.6083/0k225b72t 000008270 037__ $$aIR 000008270 245__ $$aThe hegemonic discourse on care as free and female: women's agency in unpaid eldercare 000008270 260__ $$bOregon Health and Science University 000008270 269__ $$a2020 000008270 336__ $$aAbstract 000008270 520__ $$aIn the United States, over 20.5 million women provide unpaid care labor to an older adult. During the last year of life, over 75% of Medicare beneficiaries depend solely on the unpaid labor of their daughters and female spouses to meet daily care needs. Significant inequities exist in the impact of unpaid eldercare on the health of U.S. adults, with women consistently experiencing more negative outcomes based on myriad metrics. In order to understand and oppose the structural forces underlying these inequities, we have developed a feminist poststructuralist theory of agency for women providing unpaid eldercare. Our theory development process included reviewing existing literature, identifying dominant and subjugated discourses, defining core concepts, and illustrating these concepts with exemplars. The two central feminist poststructuralist concepts we leverage are the discursive, intersectional construction of identity and the relational nature of agency. These conceptions form sharp contrasts with dominant biological identity essentialism and conceptions of agency as synonymous with autonomy. While individual women's agency may be constrained by the hegemonic discourse on eldercare as freely given and naturally female, relational agency to oppose external and internalized oppression can be mobilized through the emancipation of subjugated discourses. 000008270 540__ $$fCC BY 000008270 542__ $$fIn copyright - joint owners 000008270 650__ $$aHealth Services for the Aged$$019906 000008270 650__ $$aFeminism$$031663 000008270 650__ $$afamily caregiving 000008270 6531_ $$aeldercare 000008270 6531_ $$atheory development 000008270 6531_ $$afeminist poststructuralism 000008270 691__ $$aSchool of Nursing$$041370 000008270 7001_ $$aTarter, Robin$$uOregon Health and Science University$$041354 000008270 7001_ $$aHassouneh, Dena$$uOregon Health and Science University$$041354 000008270 711__ $$aResearch Week$$uOregon Health and Science University 000008270 8564_ $$9167f59fe-f9b8-46f5-94d3-d718b18d804d$$s49034$$uhttps://digitalcollections.ohsu.edu/record/8270/files/Robin-Tarter.pdf 000008270 905__ $$a/rest/prod/0k/22/5b/72/0k225b72t 000008270 980__ $$aResearch Week