Using Ageism as a Lens for Challenging Inequities in Home Care


  • Sheila M. Neysmith University of Toronto


This paper argues that ageism is a social structural dimension that riddles Canadian society but has yet to be challenged in the ways that sexism and racism are in North America. However, how the effects of ageism are experienced, how these impact the quality of life of individual elderly persons, depends on their social location. Thus, developing an intersectional analysis is essential for resisting ageism. 

The analysis builds on two of the author’s recent research projects in the home care policy field. One project used a PAR methodology involving a half-dozen activist senior citizens over a three year period. The second project, building on the knowledge generated from the earlier project, mounted a multi-faceted community engagement campaign with diverse groups of senior citizens. The article analyses these data and the operation of ageism in everyday life.


ABS. (2013). Australian Aboriginal and Torres Strait Islander Health Survey: First Results, Australia 2012-2013: Table 7 [data cube] Retrieved from[email protected]/DetailsPage/4727.0.55.0012012-13?OpenDocument

ABS. (2016). National Aboriginal and Torres Strait Islander Social Survey, 2014-05: Table 19. Selected wellbeing indicators, by long-term health condition [data cube]. Retrieved 20 March 2017, from Australian Bureau of Statistics[email protected]/DetailsPage/4714.02014-15?OpenDocument

Quality of Care Principles 2014 (2015).

AIHW. (2013). Aboriginal and Torres Strait Islander Health Performance Framework 2012: detailed analyses. Cat. no. IHW 94. Retrieved 20 March 2017, from

Alford, J. (2009). Public Value from co-production by clients Working Paper. Melbourne: Australia and New Zealand School of Government.

Bell, D., Lindeman, M. A., & Reid, J. B. (2014). The (mis)matching of resources and assessed need in remote Aboriginal community aged care. Australasian Journal On Ageing. doi: 10.1111/ajag.12164

BerButler, R. (1969). Age-ism: another form of bigotry. The Gerontologist, 9,4: 243-246.

Butler, R. (1975). Why Survive? Being Old in America. Harper and Row Publishers, New York.

Bytheway, B. and Johnson, J. (1990). On defining ageism. Critical Social Policy, 10. 29:27-39.

Calasanti, T. (2005). Ageism, gravity, and gender: experiences of aging bodies. Generations, 29, 3: 8-12.

Calasanti, T. (2009). Bodacious berry, potency wood and the aging monster: gender and age relations in anti-aging ads. Social Forces, 86, 1: 335-355.

Canadian Home Care Association [CHCA] (2015). Home care in Canada: Advancing quality improvement and integrated care. A report from Accreditation Canada and the Canadian Home Care Association. Retrieved from: .

Canadian Institute for Health Information. (2007). Public-sector expenditures and utilization of home care services in Canada: Exploring the data. Ottawa, ON: CIHI, 2007. Retrieved from:

Canadian Institute for Health information. (2011). Health Care Cost Drivers: The Facts.

Chappell, N. L., & Hollander, M. J. (2011). An evidence-based policy prescription for an aging population. Healthcare Papers, 11 (1), 8-18. doi:10.12927/hcpap.2011.22246

Cho, S., Crenshaw, K. & McCall, L. (2013). Toward a field of intersectionality studies: Theory, applications and praxis. Signs: Journal of Women, Culture and Society. 38 (4): 785-810.

Constant, A., Petersen, S., Mallory, C., and Major, J. (2011). Research Synthesis on Cost Drivers in the Health Sector and Proposed Policy Options, Canadian Health Services Research Foundation, Ottawa, February 2011.

Deraspe, R. (2011). Canada's Aging Population and Public Policy: 3. The effects on Health Care. Ottawa: Social Affairs Division. Publication No. 2011-122-E. 21 October 2011.

Elder, G., Kirkpatrick Johnson, M. and Crosnoe, R. (2003) The Emergence and Development of Life Course Theory. In Mortimer, J. and Shanahan, M. (ed.). Handbook of the Life Course. New York: Springer, pp. 3–19.

Hill-Collins, Patricia (2000). Black Feminist Thought: Knowledge, Consciousness, and the Politics of Empowerment. 2nd ed. New York: Routledge.

Hurd Clarke L. and A. Korotchenko (2016) ‘I know it exists … but I haven’t experienced it personally’: older Canadian men’s perceptions of ageism as a distant social problem. Aging & Society. 36: 1757-1773.

Jonson, Hakan (2013). We will be different! Ageism and the temporal construction of old age. The Gerontologist. 53 (2): 198-204.

Lamb, Sarah (2014). Permanent personhood or meaningful decline? Toward a critical anthropology of successful aging. Journal of Aging Studies. 29: 41-52.

Lassen, Aske Juul & Moreira, Tiago (2014). Unmaking Old Age: Political and cognitive formats of active aging. Journal of Aging Studies. 30: 33-46.

Lassonde, Karla A., Carolina Surla, Jeffrey A. Buchanan, & Edward J. O'Brien. (2012). Using the contradiction paradigm to assess ageism. Journal of Aging Studies. 26: 174-181.

Laws, G. (1995). Understanding ageism: lessons from feminism and postmodernism. The Gerontologist, 35, 1: 112-118.

Manuel, D., Garner, R., Finès, P., Bancej, C., Flanagan, W., Tu, K., & Bernier, J. (2016). Alzheimer’s and other dementias in Canada, 2011 to 2031: A microsimulation Population Health Modeling (POHEM) study of projected prevalence, health burden, health services, and caregiving use. Population Health Metrics, 14(1), 37.

MacKinnon, Catherine A. (2013). Intersectionality as method: A note. Signs 38 (4): 1019-30.

McCall, Leslie (2005). The Complexity of Intersectionality. Signs 30(3): 1771-800.

Neysmith, S. and Reitsma-Street, M. (2009). The Provisioning Responsibilities of Older Women. Journal of Aging Studies 23 (3/4): 236–244.

Roth, Erin G., Lynn Keimig, Robert Rubinstein, Leslie Morgan, J. Kevin Eckert, Susan Goldman & Amanda Peeples (2012). Baby Boomers in an Active Retirement Community: Comity Interrupted,. The Gerontologist 52 (2): 189-198.

Rowe, J. W. and Kahn, Robert L. (1998). Successful Aging. New York: Pantheon Books.

Statistics Canada (2015). The Daily — Canada's population estimates: Age and sex, July 1, 2015

Townsend, Peter (2006). Policies for the aged in the 21st century: more ‘structured dependency’ or the realisation of human rights? Aging and Society, 26 (2): 161-179.

Trentham, Barry & Sheila Neysmith (in press). Exercising Citizenship in an ageist society through Participatory Action Research: A critical occupational perspective. Journal of Occupational Science

van Dyke, Silke (2014). The appraisal of difference: Critical gerontology and the active-aging-paradigm. Journal of Aging Studies. 31: 93-103.