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Yaşlılıkta Kırılganlık: Risk Toplumu, Bakım Düzeni ve Yapısal Belirleyiciler

Yıl 2025, Cilt: 3 Sayı: 2, 253 - 275, 24.09.2025

Öz

Yaşlılık dönemi, bireylerin biyolojik değişimlerin yanı sıra ekonomik, toplumsal ve kurumsal koşullarla şekillenen çok boyutlu kırılganlıklarla karşı karşıya kaldıkları bir evredir. Yaşlılıkta kırılganlık, yalnızca bireysel sınırların değil, aynı zamanda toplumun kaynakları nasıl dağıttığının ve kurumların nasıl işlediğinin bir yansımasıdır. Gelir güvencesizliği, bakım yükünün adaletsiz paylaşımı ve sosyal bağların zayıflaması, yaşlı bireylerin yaşam kalitesini doğrudan etkileyen başlıca unsurlar arasında yer alır. Dolayısıyla yaşlılık, bireysel bir yaşam evresinden öte, toplumsal eşitsizliklerin en açık biçimde görünür hale geldiği bir süreçtir. Bu çalışma, yaşlılıkta kırılganlığı bireysel kısıtlarının ötesinde; risklerin toplumsal üretimi ve bakım düzenindeki yapısal eşitsizlikler çerçevesinde ele almaktadır. Çalışma, kırılganlığı yalnızca sağlık ve tıbbi boyutlarla sınırlı görmeyip, toplumsal ve kurumsal mekanizmalarla bağlantılı çok katmanlı bir süreç olarak kavramsallaştırmaktadır. Literatür taramasına dayanan bu çalışma; ekonomik kırılganlık ve yoksulluk, toplumsal cinsiyet ve bakım yükü ve sosyal dışlanma ve yalnızlık olmak üzere üç temel ekseni incelemektedir. Bulgular, piyasa ağırlıklı bakım düzeninin bu eksenlerle kesişerek kırılganlığı derinleştirdiğini göstermektedir. Böylece yaşlılıkta kırılganlık, bireysel bir yaşam evresinden öte, toplumsal kurumların işleyişi ve eşitsizliklerin dağılımıyla şekillenen yapısal bir olgu olarak tanımlanmaktadır.

Kaynakça

  • Agyemang, F. A. (2021). Long-term care in Africa: Trends and challenges. AARP International Journal. AARP International. google scholar
  • Ayalon, L., & Tesch-Römer, C. (2018). Introduction to the section: Ageism—Concept and origins. In L. Ayalon & C. Tesch-Römer (Eds.), Contemporary perspectives on ageism (pp. 1–10). Springer. https://doi.org/10.1007/978-3-319-73820-8_1 google scholar
  • Bauman, Z. (2019). Akışkan modernite (D. S. Çavuş, Trans.). Can Yayınları. (Orijinal eser 2000’de yayımlandı) google scholar
  • Beck, U. (1992). Risk society: Towards a new modernity. Sage. google scholar
  • Bettio, F., Simonazzi, A., & Villa, P. (2006). Change in care regimes and female migration: The ‘care drain’ in the Mediterranean. Journal of European Social Policy, 16(3), 271–285. https://doi. org/10.1177/0958928706065598 google scholar
  • Brodolini, F. G., Verashchagina, A., & Bettio, F. (2012). Long-term care for the elderly: Provisions and providers in 33 European countries. Publications Office of the European Union. google scholar
  • Butler, J. (2004). Precarious life: The powers of mourning and violence. Verso. google scholar
  • Cacioppo, J. T., & Hawkley, L. C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13(10), 447–454. https://doi.org/10.1016/j.tics.2009.06.005 google scholar
  • Campbell, J. C., & Ikegami, N. (2003). Japan’s radical reform of long-term care. Social Policy & Administration, 37(1), 21–34. https://doi.org/10.1111/1467-9515.00321 google scholar
  • Ciziceno, M. (2024). Who will take care of them? A reflection on Southern welfare regimes. Social Relations Review, 8(1). google scholar
  • Colombo, F., Llena-Nozal, A., Mercier, J., & Tjadens, F. (2011). Help wanted?: Providing and paying for long-term care. OECD Publishing. https://doi.org/10.1787/9789264097759-en google scholar
  • Daly, M., & Ferragina, E. (2018). Family policy in high-income countries: Five decades of development. Journal of European Social Policy, 28(3), 255–270. https://doi. org/10.1177/0958928717735061 google scholar
  • Daly, M., & Lewis, J. (2000). The concept of social care and the analysis of contemporary welfare states. British Journal of Sociology, 51(2), 281–298. https://doi.org/10.1111/j.1468-4446.2000.00281.x google scholar
  • Damme, M. van, Spijker, J., & Pavlopoulos, D. (2025). A care regime typology of elder, long-term care institutions. European Journal of Ageing, 22(20). https://doi.org/10.xxxx/ejag.2025.#### ← (DOI kontrol edilmeli) google scholar
  • Dykstra, P. A. (2009). Older adult loneliness: Myths and realities. European Journal of Ageing, 6(2), 91–100. https://doi.org/10.1007/s10433-009-0110-3 google scholar
  • Ellingsæter, A. L. (2012). Cash for childcare: Experiences from Finland, Norway and Sweden. International Journal of Sociology and Social Policy, 32(7/8), 444–455. https://doi. org/10.1108/01443331211249046 google scholar
  • Esping-Andersen, G. (1999). Social foundations of postindustrial economies. Oxford University Press. google scholar
  • Fang, L., Wang, Y., & Song, X. (2020). Development of long-term care insurance in China: Policy evolution and challenges. International Journal of Health Planning and Management, 35(2), 456–469. https://doi.org/10.1002/hpm.2918 google scholar
  • Fineman, M. A. (2010). The vulnerable subject and the responsive state. Emory Law Journal, 60(2), 251–275. google scholar
  • Fineman, M. A. (2014). Vulnerability, resilience, and LGBT youth. Temple Political & Civil Rights Law Review, 23(2), 307–329. google scholar
  • Fraser, N., & Gordon, L. (1994). A genealogy of “dependency”: Tracing a keyword of the U.S. welfare state. Signs, 19(2), 309–336. https://doi.org/10.1086/494886 google scholar
  • Gailán, C., Rubio, M., Escaroz, G., & Alejandre, F. (2023). Care and support systems in Latin America and the Caribbean. UNICEF. google scholar
  • Gibb, C. (2018). A critical analysis of vulnerability. International Journal of Disaster Risk Reduction, 31, 327–334. https://doi.org/10.1016/j.ijdrr.2018.05.010 google scholar
  • Glasby, J., & Littlechild, R. (2009). Direct payments and personal budgets: Putting personalisation into practice. British Journal of Social Work, 39(1), 60–79. https://doi.org/10.1093/bjsw/bcm093 google scholar
  • Glendinning, C. (2012). Home care in England: Markets in the context of under-funding. Health & Social Care in the Community, 20(3), 292–299. https://doi.org/10.1111/j.1365-2524.2011.01054.x google scholar
  • Harrington, C., Jacobsen, F. F., Panos, J., Pollock, A., Sutaria, S., & Szebehely, M. (2017). Marketization in long-term care: A cross-country comparison of large for-profit nursing home chains. Journal of Health Politics, Policy and Law, 42(2), 169–197. https://doi. org/10.1215/03616878-3766737 google scholar
  • Hochschild, A. (2000). Global care chains and emotional surplus value. In A. Giddens & W. Hutton (Eds.), Living with global capitalism (pp. 130–146). Jonathan Cape. google scholar
  • Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal. pmed.1000316 google scholar
  • International Labour Organization. (2018). Care work and care jobs for the future of decent work. International Labour Organization. google scholar
  • İzdeş Terkoğlu, Ö., & Memiş, E. (2022). Impact of elderly care on “sandwiched-generation” women in Turkey. New Perspectives on Turkey, 66, 88–121. https://doi.org/10.1017/npt.2022.9 google scholar
  • Jarzebski, M., Elmqvist, T., & Gasparatos, A. V. (2021). Ageing and population shrinking: Implications for sustainability in the urban century. npj Urban Sustainability, 1(17). https://doi.org/10.1038/ s42949-021-00020-5 google scholar
  • Karadeniz, O., & Durusoy Öztepe, N. (2013). Türkiye’de yaşlı yoksulluğu. Çalışma ve Toplum, 3(38), 77–102. google scholar
  • Kaya Akdoğan, H., & İlhan, N. (2024). Factors associated with caregiver burden in family caregivers of older adults: A cross-sectional study. Florence Nightingale Journal of Nursing, 32(3), 254–260. https://doi.org/10.5152/FNJN.2024.23358 google scholar
  • King, E. M., Randolph, H. L., Floro, M. S., & Suh, J. (2021). Demographic, health, and economic transitions and the future global need for caregiving. World Development, 140, 105371. https:// doi.org/10.1016/j.worlddev.2020.105371 google scholar
  • Kittay, E. F. (2019). Love’s labor: Essays on women, equality, and dependency (2nd ed.). Routledge. https://doi.org/10.4324/9780429499631 google scholar
  • Kolodziej, I. W., Reichert, A. R., & Schmitz, H. (2018). New evidence on employment effects of informal care provision in Europe. Health Services Research, 53(4), 2027–2046. https://doi. org/10.1111/1475-6773.12765 google scholar
  • Künemund, H., & Rein, M. (1999). There is more to receiving than needing: Theoretical arguments and empirical explorations of crowding in and crowding out. Ageing & Society, 19(1), 93–121. https://doi.org/10.1017/S0144686X99007205 google scholar
  • Kwon, S. (2009). Future of long-term care financing for the elderly in Korea. Journal of Aging & Social Policy, 21(2), 119–134. https://doi.org/10.1080/08959420902733148 google scholar
  • Leitner, S. (2003). Varieties of familialism: The caring function of the family in comparative perspective. European Societies, 5(4), 353–375. https://doi.org/10.1080/1461669032000127642 google scholar
  • Levitas, R. (2006). The concept and measurement of social exclusion. In C. Pantazis, D. Gordon, & R. Levitas (Eds.), Poverty and social exclusion in Britain (pp. 123–160). Policy Press. google scholar
  • Lyon, D., & Glucksmann, M. (2008). Comparative configurations of care work across Europe. Sociology, 42(1), 101–118. https://doi.org/10.1177/0038038507084828 google scholar
  • Mackenzie, C., Rogers, W., & Dodds, S. (Eds.). (2014). Vulnerability: New essays in ethics and feminist philosophy. Oxford University Press. google scholar
  • Nazlıer-Keser, E. (2019). Türkiye’de yaşlı yoksulluğu sorununa yönelik bir değerlendirme. Toplum ve Sosyal Hizmet, 30(2), 739–764. https://doi.org/10.33417/tsh.578944 google scholar
  • Ochiai, E. (2009). Care diamonds and welfare regimes in East and South-East Asian societies: Bridging family and welfare sociology. International Journal of Japanese Sociology, 18(1), 60–78. https://doi.org/10.1111/j.1475-6781.2009.01119.x google scholar
  • Organisation for Economic Co-operation and Development. (2020). Spending on long-term care. OECD Publishing. https://doi.org/10.1787/92ed6a8c-en google scholar
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Vulnerability in Old Age: Risk Society, Care Regime and Structural Determinants

Yıl 2025, Cilt: 3 Sayı: 2, 253 - 275, 24.09.2025

Öz

Aging is a period in which individuals face multidimensional vulnerabilities shaped by biological changes as well as economic, social, and institutional conditions. Vulnerability in old age is a reflection not only of individual limitations but also of how society distributes resources and how institutions function. Income insecurity, the unequal distribution of care burdens, and the weakening of social ties are among the primary factors that directly impact the quality of life of older individuals. Therefore, aging is more than just an individual life stage; it is a process in which social inequalities become most clearly visible. This study examines vulnerability in old age beyond individual limitations within the framework of the social production of risks and structural inequalities in caregiving. The study conceptualizes vulnerability not only as limited to health and medical dimensions but also as a multilayered process linked to social and institutional mechanisms. Drawing on a literature review, the analysis focuses on three fundamental axes: economic vulnerability and poverty, gender and care burden, and social exclusion and loneliness. The findings demonstrate that the market-oriented care system intersects with these axes, deepening vulnerability. Thus, vulnerability in old age is defined as a structural phenomenon shaped by functioning social institutions and the distribution of inequalities.

Kaynakça

  • Agyemang, F. A. (2021). Long-term care in Africa: Trends and challenges. AARP International Journal. AARP International. google scholar
  • Ayalon, L., & Tesch-Römer, C. (2018). Introduction to the section: Ageism—Concept and origins. In L. Ayalon & C. Tesch-Römer (Eds.), Contemporary perspectives on ageism (pp. 1–10). Springer. https://doi.org/10.1007/978-3-319-73820-8_1 google scholar
  • Bauman, Z. (2019). Akışkan modernite (D. S. Çavuş, Trans.). Can Yayınları. (Orijinal eser 2000’de yayımlandı) google scholar
  • Beck, U. (1992). Risk society: Towards a new modernity. Sage. google scholar
  • Bettio, F., Simonazzi, A., & Villa, P. (2006). Change in care regimes and female migration: The ‘care drain’ in the Mediterranean. Journal of European Social Policy, 16(3), 271–285. https://doi. org/10.1177/0958928706065598 google scholar
  • Brodolini, F. G., Verashchagina, A., & Bettio, F. (2012). Long-term care for the elderly: Provisions and providers in 33 European countries. Publications Office of the European Union. google scholar
  • Butler, J. (2004). Precarious life: The powers of mourning and violence. Verso. google scholar
  • Cacioppo, J. T., & Hawkley, L. C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13(10), 447–454. https://doi.org/10.1016/j.tics.2009.06.005 google scholar
  • Campbell, J. C., & Ikegami, N. (2003). Japan’s radical reform of long-term care. Social Policy & Administration, 37(1), 21–34. https://doi.org/10.1111/1467-9515.00321 google scholar
  • Ciziceno, M. (2024). Who will take care of them? A reflection on Southern welfare regimes. Social Relations Review, 8(1). google scholar
  • Colombo, F., Llena-Nozal, A., Mercier, J., & Tjadens, F. (2011). Help wanted?: Providing and paying for long-term care. OECD Publishing. https://doi.org/10.1787/9789264097759-en google scholar
  • Daly, M., & Ferragina, E. (2018). Family policy in high-income countries: Five decades of development. Journal of European Social Policy, 28(3), 255–270. https://doi. org/10.1177/0958928717735061 google scholar
  • Daly, M., & Lewis, J. (2000). The concept of social care and the analysis of contemporary welfare states. British Journal of Sociology, 51(2), 281–298. https://doi.org/10.1111/j.1468-4446.2000.00281.x google scholar
  • Damme, M. van, Spijker, J., & Pavlopoulos, D. (2025). A care regime typology of elder, long-term care institutions. European Journal of Ageing, 22(20). https://doi.org/10.xxxx/ejag.2025.#### ← (DOI kontrol edilmeli) google scholar
  • Dykstra, P. A. (2009). Older adult loneliness: Myths and realities. European Journal of Ageing, 6(2), 91–100. https://doi.org/10.1007/s10433-009-0110-3 google scholar
  • Ellingsæter, A. L. (2012). Cash for childcare: Experiences from Finland, Norway and Sweden. International Journal of Sociology and Social Policy, 32(7/8), 444–455. https://doi. org/10.1108/01443331211249046 google scholar
  • Esping-Andersen, G. (1999). Social foundations of postindustrial economies. Oxford University Press. google scholar
  • Fang, L., Wang, Y., & Song, X. (2020). Development of long-term care insurance in China: Policy evolution and challenges. International Journal of Health Planning and Management, 35(2), 456–469. https://doi.org/10.1002/hpm.2918 google scholar
  • Fineman, M. A. (2010). The vulnerable subject and the responsive state. Emory Law Journal, 60(2), 251–275. google scholar
  • Fineman, M. A. (2014). Vulnerability, resilience, and LGBT youth. Temple Political & Civil Rights Law Review, 23(2), 307–329. google scholar
  • Fraser, N., & Gordon, L. (1994). A genealogy of “dependency”: Tracing a keyword of the U.S. welfare state. Signs, 19(2), 309–336. https://doi.org/10.1086/494886 google scholar
  • Gailán, C., Rubio, M., Escaroz, G., & Alejandre, F. (2023). Care and support systems in Latin America and the Caribbean. UNICEF. google scholar
  • Gibb, C. (2018). A critical analysis of vulnerability. International Journal of Disaster Risk Reduction, 31, 327–334. https://doi.org/10.1016/j.ijdrr.2018.05.010 google scholar
  • Glasby, J., & Littlechild, R. (2009). Direct payments and personal budgets: Putting personalisation into practice. British Journal of Social Work, 39(1), 60–79. https://doi.org/10.1093/bjsw/bcm093 google scholar
  • Glendinning, C. (2012). Home care in England: Markets in the context of under-funding. Health & Social Care in the Community, 20(3), 292–299. https://doi.org/10.1111/j.1365-2524.2011.01054.x google scholar
  • Harrington, C., Jacobsen, F. F., Panos, J., Pollock, A., Sutaria, S., & Szebehely, M. (2017). Marketization in long-term care: A cross-country comparison of large for-profit nursing home chains. Journal of Health Politics, Policy and Law, 42(2), 169–197. https://doi. org/10.1215/03616878-3766737 google scholar
  • Hochschild, A. (2000). Global care chains and emotional surplus value. In A. Giddens & W. Hutton (Eds.), Living with global capitalism (pp. 130–146). Jonathan Cape. google scholar
  • Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal. pmed.1000316 google scholar
  • International Labour Organization. (2018). Care work and care jobs for the future of decent work. International Labour Organization. google scholar
  • İzdeş Terkoğlu, Ö., & Memiş, E. (2022). Impact of elderly care on “sandwiched-generation” women in Turkey. New Perspectives on Turkey, 66, 88–121. https://doi.org/10.1017/npt.2022.9 google scholar
  • Jarzebski, M., Elmqvist, T., & Gasparatos, A. V. (2021). Ageing and population shrinking: Implications for sustainability in the urban century. npj Urban Sustainability, 1(17). https://doi.org/10.1038/ s42949-021-00020-5 google scholar
  • Karadeniz, O., & Durusoy Öztepe, N. (2013). Türkiye’de yaşlı yoksulluğu. Çalışma ve Toplum, 3(38), 77–102. google scholar
  • Kaya Akdoğan, H., & İlhan, N. (2024). Factors associated with caregiver burden in family caregivers of older adults: A cross-sectional study. Florence Nightingale Journal of Nursing, 32(3), 254–260. https://doi.org/10.5152/FNJN.2024.23358 google scholar
  • King, E. M., Randolph, H. L., Floro, M. S., & Suh, J. (2021). Demographic, health, and economic transitions and the future global need for caregiving. World Development, 140, 105371. https:// doi.org/10.1016/j.worlddev.2020.105371 google scholar
  • Kittay, E. F. (2019). Love’s labor: Essays on women, equality, and dependency (2nd ed.). Routledge. https://doi.org/10.4324/9780429499631 google scholar
  • Kolodziej, I. W., Reichert, A. R., & Schmitz, H. (2018). New evidence on employment effects of informal care provision in Europe. Health Services Research, 53(4), 2027–2046. https://doi. org/10.1111/1475-6773.12765 google scholar
  • Künemund, H., & Rein, M. (1999). There is more to receiving than needing: Theoretical arguments and empirical explorations of crowding in and crowding out. Ageing & Society, 19(1), 93–121. https://doi.org/10.1017/S0144686X99007205 google scholar
  • Kwon, S. (2009). Future of long-term care financing for the elderly in Korea. Journal of Aging & Social Policy, 21(2), 119–134. https://doi.org/10.1080/08959420902733148 google scholar
  • Leitner, S. (2003). Varieties of familialism: The caring function of the family in comparative perspective. European Societies, 5(4), 353–375. https://doi.org/10.1080/1461669032000127642 google scholar
  • Levitas, R. (2006). The concept and measurement of social exclusion. In C. Pantazis, D. Gordon, & R. Levitas (Eds.), Poverty and social exclusion in Britain (pp. 123–160). Policy Press. google scholar
  • Lyon, D., & Glucksmann, M. (2008). Comparative configurations of care work across Europe. Sociology, 42(1), 101–118. https://doi.org/10.1177/0038038507084828 google scholar
  • Mackenzie, C., Rogers, W., & Dodds, S. (Eds.). (2014). Vulnerability: New essays in ethics and feminist philosophy. Oxford University Press. google scholar
  • Nazlıer-Keser, E. (2019). Türkiye’de yaşlı yoksulluğu sorununa yönelik bir değerlendirme. Toplum ve Sosyal Hizmet, 30(2), 739–764. https://doi.org/10.33417/tsh.578944 google scholar
  • Ochiai, E. (2009). Care diamonds and welfare regimes in East and South-East Asian societies: Bridging family and welfare sociology. International Journal of Japanese Sociology, 18(1), 60–78. https://doi.org/10.1111/j.1475-6781.2009.01119.x google scholar
  • Organisation for Economic Co-operation and Development. (2020). Spending on long-term care. OECD Publishing. https://doi.org/10.1787/92ed6a8c-en google scholar
  • Organisation for Economic Co-operation and Development. (2021). Pensions at a glance 2021: OECD and G20 indicators. OECD Publishing. https://doi.org/10.1787/ca401ebd-en google scholar
  • Organisation for Economic Co-operation and Development. (2023). Health at a glance 2023: Longterm care spending and unit costs. OECD Publishing. https://doi.org/10.1787/7b69a37d-en google scholar
  • Organisation for Economic Co-operation and Development. (2024a). Is care affordable for older people? OECD Health Policy Studies. https://doi.org/10.1787/5d38b2e5-en google scholar
  • Organisation for Economic Co-operation and Development. (2024b). Society at a glance 2024: OECD social indicators. OECD Publishing. https://doi.org/10.1787/82fee3f0-en google scholar
  • Özen, Y. (2020). Body work and later-life care in Turkey: A qualitative study of paid and unpaid carers of older people. Ageing & Society, 40(10), 2106–2127. https://doi.org/10.1017/ S0144686X19000496 google scholar
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Toplam 69 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Yaşlılık Sosyolojisi
Bölüm Derlemeler
Yazarlar

Emine Elif Ayhan 0000-0001-6692-0633

Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 30 Temmuz 2025
Kabul Tarihi 5 Eylül 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 3 Sayı: 2

Kaynak Göster

APA Ayhan, E. E. (2025). Yaşlılıkta Kırılganlık: Risk Toplumu, Bakım Düzeni ve Yapısal Belirleyiciler. Senectus, 3(2), 253-275. https://doi.org/10.26650/senectus.2025.3.2.0982