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Sex
? slow, gradual decrease in frequency
? menopause
? cessation of women's menstrual periods
? may be accompanied by emotional, physiological changes
? highly variable: most women report no major problems
? men: no equivalent to menopause (although some hypothesize
"andropause"
? generally, slow decline in testosterone
? may lead to some degree of erectile dysfunction
? 75% of dysfunction due to physiological problems
? much of this associated with lifestyle (smoking, drinking,
nutrition)
HEALTH IN MIDDLE ADULTHOOD
? fewer accidents, more diseases
? few infectious, mostly chronic
? heart disease most common, then cancer
? sex differences
? men
? more: heart disease, cancer, stroke
? divorced men: greater incidence
? women
? nonfatal illnesses (i...
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Subclinical to Threshold of Chronic Diseases
? 40 y, chronic diseases are mostly still in sub-clinical state
? 50 y, reach a threshold to become clinical disease
? 60 y, if untreated, then disease becomes severe
? examples:
i/ atherosclerosis
? lifetime of smoking, poor nutrition and lack of exercise
? by the 40 ?s, lesions (plaques) found in arteriogram
? by the 50's, pain reported in extremities
? in some cases: angina, stroke, heart attack occur before 60
ii/ diabetes
? lifetime of poor nutrition (especially obesity), no exercise, some
medications
? by the 40's, elevated blood glucose
? by the 50's, sugar in urine
? may require treatment (insulin)
2...
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General points of the essay
Northern Middle-class women (1981 DBQ)
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