Helen Hamlin

Helen Hamlin, who has known my grandmother since they were 15, was the first interview we set up for this project. Her role as an interview subject was double. First, as an 89-year-old lifelong New Yorker, she had fascinating stories to tell about her own aging experience. Second, she is somewhat of an expert on the topic. Helen has worked as the International Federation on Aging’s representative to the United Nations for 20 years.

It is difficult to advocate for the elderly, she said. “Most people like to go to children. Children are so cute,” she laughed. “We don’t know enough about people in their later, later, later years.”

Helen has always wanted to be a social worker, and she attributes that to being very involved with a settlement house growing up. She was more crazy about summer camp than school, but she attended Hunter College and then Columbia for graduate school. She is currently on a committee to plan her 70th college reunion.

She played the role of army wife during World War II and then followed her husband to Washington, D.C., where she worked for the Travelers Aid Society. Zionism has been a lifelong passion for Helen and her husband, though they never moved to Israel. She had three children “after a long struggle” and now has five grandchildren: two in New York and three in Texas.

Even as an expert on the topic, Helen finds aging difficult. She now wears hearing aids, which was “sort of a blow,” even though she fondly remembers that when her husband got hearing aids, he heard the snow under his feet for the first time. And though she uses a cane, “it would take a lot of psyching out on my part to go out with a walker.”

Helen has a living will and a health care proxy, but she hopes she will be included in end-of-life decisions as much as possible, because she anticipates that she might change her mind when the time comes. She and her husband discussed death, and “I felt empowered to fulfill his wishes” when they time came, she said.

Helen’s mantra at the United Nations is that “older people can still be productive” and must be included in all policies, she said. “The thing that we are most concerned about now are the human rights of older persons.”

She plans to live until 115, as long as she can stay busy.

“People age from the moment they are born,” she told us. “Unless you’re open to learning at any age, it’s just like — forget it.”


Diabetes across the states

Diabetes came up constantly during our interviews. Several of the women we spoke to have been diagnosed with the disease, and many others watched family members and loved ones die from it.

As you can see from the map below, our Southwestern-Southeastern route passed right through many of the states with the highest diabetes rates, so — sadly — it’s not surprising that we encountered the topic in almost every city we visited.

Source: Kaiser Family Foundation: State Health Facts.org, 2009

Diabetes rates are higher among obese populations and ethnic minorities, particularly African Americans and Native Americans, and the prevalence of diabetes in those communities did not go unnoticed by the women we interviewed.

Many of them mentioned how diabetes — and other diseases connected with poor diets and obesity — were largely unknown when they were younger, but their communities are much more aware of these issues today.

Petra Sanchez‘s husband had diabetes, along with other health conditions, and she now is much more aware of eating healthily than she used to be. Except for special occasions, she told us, laughing — tamales need lard.

Mary Nell McClellan, a white Mississippian, has “borderline” diabetes that she is hoping won’t get worse. Her only child has already died of the disease.

Ben Barney, our Navajo host in Arizona, told us that diabetes is a huge problem on his reservation and that access to healthy food is a big concern. According to the Indian Health Service, 16.3% of Native American and Alaska Native people have diabetes, and they are three times more likely to die from the disease than the U.S. population as a whole.

Among African-Americans, 1 in 4 women over the age of 55 has diabetes, according to the American Diabetes Association. Mother Mary Jenkins was trained as a community health advisor in Mississippi and speaks to people in her community about diabetes, among other topics.

The statistics are shocking, and prevention is far from being a cure, but the widespread knowledge and awareness we encountered in the people we interviewed was heartening. For many of them, such awareness signaled a change, within their own lifetime, in the way health issues are addressed in this country, particularly in minority communities.


Gitelle Meyers

Gitelle Meyers was born on March 8, 1916, in Brooklyn, NY. Her father was in the dress business. Her mother also worked in the business. They dreamed of packing up and immigrating to Palestine, but the business was doing too well. Then the Depression came. They lost everything. “Can we go now?” her father said.

In Palestine, Gitelle met and married her husband. She was 18. After her first son was born, they returned to New York. She later gave birth to two more sons. Now she has four grandchildren and eight great-grandchildren. Gitelle worked in the billing department of a laboratory for 27 years. Her husband died of a heart attack in 1968. She was 52. She retired at age 83.

Gitelle has lived in the same apartment in the same building for the last 59 years. The families in her building used to celebrate the Sabbath together every Friday. Now, the group mostly contains widows, and many are too old and too weak.

Gitelle loves the theater. She says continuing education classes at Brooklyn College have kept her alive. She says old age is difficult. She doesn’t want to give up driving.  She can no longer read the newspaper, she says. There’s too much she doesn’t understand. She has never owned a computer and she doesn’t ever plan to.

Gitelle is also – full disclosure – my great-grandmother. And so last Sunday, we took the train into Brooklyn to the apartment she’s lived in for the last 59 years, to visit with her.

Here are video excerpts from our conversation:


Quick facts: New York

Current location: Providence, RI

Total miles traveled: 3,754

Stuck in the snow

We made it back to Providence in time for school, though it seemed for awhile like we might be permanently stuck on Gili’s lawn. Only a few posts left…

We did our last two interviews in New York City and its surrounding suburbs. Here are some statistics on the area and New York state, to put our conversations in context:

  • Population: 19,247,700 (nearly 16% of the national population)
  • 21% of the population lives in poverty (compared to 20% in the nation as a whole)
    • Among adults older than 65, 17% live in poverty
    • 20% of adult females live in poverty
  • The 8% unemployment rate is lower than the national average
  • The life expectancy is 80.4 years — higher than the national average of 78.6 years
    • For females, the life expectancy is 82.7 years
  • 58% of Medicare recipients are female, and 73% are white

Source: statehealthfacts.org


Gwendolyn Kelly

We traveled to Atlanta from Jackson, Mississippi, and so did Gwendolyn Kelly. She was born in Jackson, though she won’t tell us which year, and lived there until her first daughter was born in 1951.

Growing up in Mississippi was wonderful, Mrs. Kelly said. “I know Mississippi gets a very bad reputation,” she said. “We grew up feeling quite good about ourselves.”

Her father edited The Jackson Advocate newspaper, registered black voters and met President Ford.

Mrs. Kelly attended Dillard University for two years before transferring to Tougaloo College, a historically black college outside Jackson, to study sociology. Tougaloo was a hotbed of civil rights activism in the 1960s, but Mrs. Kelly told us she graduated a little before it really got radical. She entered teaching because it offered “definite hours.” She taught 3rd grade for 27 years.

Her husband was also a teacher, and he served in the military before she met him at Tougaloo. When they moved to Atlanta, he worked for Lockheed Martin. The house she lives in now was “as far as black people were moving in Atlanta” at the time, she said. “So we were part of desegregating Atlanta.”

Mrs. Kelly’s sister still lives in Atlanta, as do her son and two granddaughters. Her daughter and three other grandchildren are scattered but visit her often. None of her grandchildren are married, but she hopes for great-grandchildren someday, she said.

She has lived alone since her husband died in 1987. She would be “reluctant” to give up driving, she said, even though she saw how dangerous her mother’s driving became near the end of her life.

Medical care is different now than it was when her parents were getting older, she said. People were “just beginning to talk about high cholesterol” then, and black people only had access to certain doctors and hospitals. Now she receives excellent medical care for her stenosis, she said.

Mrs. Kelly talks openly with her children about her end of life plans. “I think they should know and they think they should know,” she said. She hopes to write her memoirs soon, so that her memories and stories can be preserved within her family.


Driving across the states

In every interview, we asked whether the city we were in had changed since the interviewee first moved there. Much to our surprise, the most common answer was: “Traffic.”

Conflicted attitudes toward driving are embedded in American culture. The national highway system carried us from California to Rhode Island — first I-40, dry and flat, to the southern I-20, which crosses the Mississippi River, and finally onto the familiar I-95, leading us up the East Coast. But as fascinating as the network of interstate highways is, the sprawling system is clogged with trucks, badly maintained in some states and (except in the Southwest) mostly devoid of interesting landscapes.

Dallas’ transformation came when traffic spread off the highways and onto the city streets, Jane Kinch said.

And in Georgia, Carmen Holman immediately chose traffic as the symbol of urban growth, telling us that Atlanta is much bigger than it used to be “in terms of the hustle and bustle and the traffic.”

Yet as the population continues to grow, the number of teenagers interested in driving has gone down. Everybody talks about road trips and reads On The Road, but few actually undertake the kind of cross-country drive we just completed. Is driving less rebellious and liberating than it used to be?

Petra Sanchez told us that while Albuquerque and New Mexico have changed, her lifestyle has not. She lives the same life she did when she was younger, she said, with the only difference being “basically, traffic.”

In Dallas, Margaret Spearman cited traffic as the reason she’s stopped driving. “The traffic in Dallas has gotten so much worse. So I tried and it just wasn’t much to do it. I can’t go back to work if somebody sues me,” she said.

For many of the women we spoke to, the loss of driving marked a loss of self-reliance and a separation from communities and activities with which they were involved. As teenagers connect more online than in person, driving may not hold the same meaning for future generations of elderly people.

We asked these women “How has your city changed?” because we were after clues into the city’s deeper makeup. We wanted wise words, profound insights, something worth writing about.  The answer we got was obvious, but one we entirely overlooked because we are liberal arts students who have been thinking about liberal arts for the last four years, so much so that many of the concrete realities of daily life have not been our realities. What matters in the day-to-day is, of course, the traffic — how long it takes to get from one place to the next, from your house to the church down the road, to the office a few blocks away, to a friend’s house in the next neighborhood, to your children.


Religion across the states

Can faith help us live longer?  It’s a question we’ve been asking ourselves now that we’ve conducted our final interview.

“A spiritual core is essential to really living,” Shirley Woodward of Dallas told us.

Indeed, many of the women with whom we spoke identified with some religious group. Mary Jenkins of Jackson had just come from her church down the road when we interviewed her. And Mary Nell McClellan, also of Jackson, was on her way there. Those whom we didn’t interview on Sunday still spoke of attending church with their children or mentioned their religion in some other context.

A 2007 Pew Forum Poll ranked the states based on importance of religion, frequency of worship service attendance, frequency of prayer, and certainty of belief of God. Mississippi topped the list, with Georgia and Texas following closely behind.

Source: Date for importance of religion, frequency of worship service attendance, frequency of prayer and certainty of belief of God from the Pew Forum’s 2007 U.S. Religious Landscapes Survey.  

So, it of course comes as no surprise that many women we interviewed belong to a religious community. More interesting, though, is that many invoked God or religion when we asked “What do you see in your future?” or “What is it like to grow old?” They told us that they feel blessed just waking up in the morning, or that they know the lord will take care of them, or that they look forward to a better life than this. Many of them seemed to accept their old age, and all the obstacles that come with it, with a certain amount of calm. There were those who had suffered through multiple strokes and surgeries and those who had watched their parents, their spouses, and in some cases their children die. Still, they had faith in what was to come and felt grateful for all that they had. So, is that faith helping to keep them alive? A quick Google search revealed, not surprisingly, that the question has been explored before. A 1999 study conducted by Duke University, for example, found that people who attended religious services at least once a week were 46 percent less likely to die during the six-year study.

We had asked Shirley Woodward whether that spiritual core, which she called essential, need be based in religion. She thought for a moment and told us no, maybe not. Religion, though, seemed to offer many of the women the perspective and spirituality necessary to carry them through life’s challenges.


Carmen Holman

Carmen Holman is looking for a job. The 62-year-old Atlanta native was laid off in October from an educational nonprofit. In her own words:

As it is, I’m seeking new employment. And trying to keep myself composed as I say that. It’s difficult at this age, at this day and time, to be faced with such a decision. So I had to look at Social Security, and other options, and make some really — you know, learn a lot of information very quickly. So I’m in that process right now, evaluating what is best for me to do at this time and sustain myself.

Ms. Holman attends an aerobics class every morning, to shed the morning stress of waking up without a job to go to. She stays busy maintaining her house and yard, organizing her finances and seeing friends and family. Her son lives next door, and while her daughter lives in California, they see each other often.

Ms. Holman attended college in Winona, Minnesota, where she was one of 7 black students. She spent her junior year at Fisk, a historically black university in Nashville, Tenn., which “kind of pulled me back into the real world,” she said. She has lived in the South ever since, moving between Georgia, North Carolina and Florida for various jobs, mostly teaching reading at college campuses. After divorcing 9 years ago, she lived in an apartment in Atlanta until purchasing her current house. Finding her home “was my fate, I believe, and I marvel at it each day,” she said.

Ms. Holman recently started driving again after a car accident two years ago, which she said was scary but “didn’t take away my bravery.”

Thanks to her severance package, Ms. Holman will continue to have health insurance through June. But Medicare will not kick in for another 3 years, when she is 65, so she is hoping to find another job with benefits before her current plan runs out.

“It couldn’t have happened at a worse time,” she said.

Because she is hereditarily vulnerable to high blood pressure, “the first thing in my mind is to keep myself calm,” Ms. Holman said. She said her family is very aware of health issues and living healthily, particularly since heart conditions and other diseases can be prominent in African-American communities.

“Tomorrow’s not promised to anybody,” she said. Still, her parents lived very long lives, and she hopes to live to age 95, as long as she is self-sufficient. She attends church every week and sings in a choir for a different church.

Ms. Holman would be open to remarriage, she said, though “pickings are slim for 62-year-old African-American women.” But she is busy, she said, and does not feel lonely or unhappy.

She still hopes to travel extensively and maybe earn a PhD, but her plans have been derailed by her current employment status. She recently found a staffing agency that works with people over the age of 50, and she is considering contacting them for help.

“When you get to this point in your life, why should you worry about your job security?” she asked.

For now, Carmen is hoping to find a job and then spend two weeks in California before she begins working again, visiting Yosemite and enjoying jazz concerts at Yoshi’s.


Quick facts: Georgia

Our last time zone switch of the trip

Here are some health facts about Georgia, to give context to our next two interviews.

  • Population: 9,671,400
  • 24% of the population lives in poverty (compared to 20% in the nation as a whole)
    • Among adults older than 65, 18% live in poverty
    • 22% of adult females live in poverty
  • The unemployment rate is 9.9%
  • The life expectancy is 77.1 years — 79.8 for females
    • Life expectancy is just 74.4 for African Americans (who make up 29% of the state’s population)
  • 57% of Medicare recipients are female, and 69% are white

Source: statehealthfacts.org


Mary Jenkins

Mary D. Jenkins, commonly called Mother, is the first woman we interviewed with great-great-grandchildren.

Mary Jenkins

The 95-year-old Ms. Jenkins has lived in Pearl, Miss., a small city outside Jackson, since 1962. She was born in Crystal Springs, Miss., the second youngest of 11 children. She lived in Crystal Springs until she moved to Jackson with her husband. After her husband died of leukemia, she “‘got acquainted with a gentleman that lived in Pearl” and moved to Pearl after she married him. Her second husband died in 1989, when he was 94 years old.

After raising 8 children of her own, Ms. Jenkins raised 4 of her grandchildren after her eldest daughter died of lung cancer. It was “a little rough,” she said, “but I had enough love to make it.”

She was “kind of lonesome” after she had no children left at home, but she kept busy taking care of her husband and making sure her children were on the right track.

The last time she saw everyone in her family was on her 90th birthday, when all five generations gathered to celebrate. Her children and grandchildren call all the time to check on her, especially on Sundays. The phone rang several times during our conversation. “They don’t need to worry about me,” Ms. Jenkins said, shaking her head.

Ms. Jenkins still drives her car to church and to the store. She doesn’t plan to stop anytime soon and proudly reported that she’s never gotten a ticket. She walks at least a mile today, either in the park or on the treadmill in her house.

She hopes to live “as long as I can kinda be up and do things for myself,” she said. Eight years ago, she and her granddaughter, who lives with her, took a class to become community health advisors. She talks to someone in the community nearly every day about one of the topics she learned about in that class, from diabetes to nutrition.

Mrs. Jenkins has only been in the hospital once in her life, to have a tumor removed from her stomach when she was in her 50s.

She asked us what we would name the story we were writing of her life. We said we didn’t have a title, and asked if she had any suggestions. She couldn’t think of any that she liked, but she said she was sure we’d come up with something good.

“Really don’t have too much future,” she said. “I just know the Lord has been good to me so far.”


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