The Quality of Life, Social Care and Family Relationships of Older Unmarried Saudi Women Living in Jeddah: a Qualitative Study
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The Quality of Life, Social Care and Family Relationships of Older Unmarried Saudi Women Living in Jeddah: A Qualitative Study Seham Hassan Salamah Submitted for the Degree of Doctor of Philosophy Department of Sociology Faculty of Arts and Social Sciences University of Surrey September 2017 82,201 - word count Abstract __________________________________________________________________ Changes in the Saudi family structure are having profound effects on the current cohort of older Saudi women. This is reflected in living arrangements whereby family patterns have been transformed from extended to nuclear ones. Previous social research has not examined the current situation of older Saudi women, with little known about their Quality of Life (QoL). This study explores the QoL of older unmarried Saudi women by analysing their family relationships, social lives and daily activities. It examines how family relationships, social integration, health and financial aspects are influenced by social policies and gender-related issues. The study is based on in-depth interviews with a purposive sample of 50 widowed, divorced and never-married women aged 60-75 in Jeddah, Saudi Arabia from a range of socio-economic classes; 25 lived alone and 25 lived in inter-generational households. Gender segregation was a decisive factor that adversely affected the QoL of interviewees. They were dependent on their family or maids socially, instrumentally, and some financially on the ‘Goodwill’ of their children or relatives. Older divorced women were particularly likely to experience financial and social problems. Lower class and many middle class older women who lived alone were dissatisfied and suffered from depression, isolation and loneliness, whereas higher class women living alone demonstrated greater autonomy, independence and life satisfaction. Most interviewees had poor health and multiple chronic diseases, such as diabetes and high blood pressure, which are linked to their socially and geographically restricted lives. Also, urbanization and associated cultural changes have adversely affected their QoL. Gender segregation driven by ultra-conservative patriarchy has resulted in the economic and social dependency and restricted lives of older unmarried Saudi women. State intervention is needed to improve the general situation of older women, such as establishing care homes, increasing social insurance income and providing medical insurance. 1 Declaration This thesis and the work to which it refers are the results of my own efforts. Any ideas, data, images or text resulting from the work of others (whether published or unpublished) are fully identified as such within the work and attributed to their originator in the text, bibliography or in footnotes. This thesis has not been submitted in whole or in part for any other academic degree or professional qualification. I agree that the University has the right to submit my work to the plagiarism detection service TurnitinUK for originality checks. Whether or not drafts have been so-assessed, the University reserves the right to require an electronic version of the final document (as submitted) for assessment as above. Seham Hassan Salamah 30th September 2017 2 For my beloved husband and children 3 Acknowledgements All praise and thanks to God for helping me overcome what seemed like insurmountable obstacles. Since the beginning of my PhD program, especially when I started the interviews, I have found it difficult to hear the sad stories of older Saudi women. However, amazing people supported and strongly inspired me; they are the reason I was able to complete this work. Specifically, I would like to thank the following. First, I would like to thank the participants for their time and honesty in providing the information I needed to complete this study. I would like to say to them: “Do not ever allow numbers (age) to break you. Instead, stay proud and be productive. You can do anything. Always put your trust and faith in God.” My heartfelt thanks to my PhD supervisor, Professor Sara Arber, for her constant, diligent and patient guidance as she read every word of my drafts. She provided an effective direction for the success of this thesis and also created a code to encourage me with the words “you can do it.” Special mention goes to my local supervisor, Dr. Nora al-moussed. I am grateful for her years of assistance. She did not hesitate to support me with constructive feedback. An extraordinary gratitude goes to the most beautiful and beloved mother in the world. Thank you for your patience and support. I love you. God keep you long. To my beloved husband, Hani: Your patience has been indescribable. You even played the role of mother to our children. You’ve supported me with all your possessions. Without you, this work would not have been possible. “You are an angel in human form.” 4 Thank you to my son Abdullah for spending your childhood years with the mentality of a man who feels a responsibility toward – and who supports – his mother. I love you, my beloved son. To my sweetheart Tooli: You have suffered so much throughout my PhD study. You encouraged me in the most difficult of circumstances while you yourself needed help. I can only say that you inspired me to help these older women because I learned to understand their anguish even more from your suffering. I love you so much, my daughter, and I am very proud of you. I would also like to thank Professor Zawawi, whom I consider my second and spiritual father. You are the backbone of my study sample, the greatest gatekeeper. Your experience added scientific and practical knowledge to my work. God keep you long. I am hugely appreciative to Dr. Bagader and Dr. Al-Subais for your time and for providing me with reliable information. My sincere appreciation also goes to the gatekeepers who helped me access the study’s participants. I thank you for your dedication in completing each interview. To the best Nanny in the world, Maysoon: Thank you for your devotion and unmatched support. I love you, my sister. I am grateful to my sisters, colleagues and friends, especially my sister Samah, Dr. Raja Alghatani, and my friends Abeer and Khadija, for their inspiration and encouragement. Many thanks go to the staff of Social Insurance. I credit you with the success of the interviews I conducted in your department. You comforted me and provided private office space for some of the interviews. 5 Finally, but by no means least, thank you to the staff of the Ministry of Health for the information you gave me. 6 TABLE OF CONTENTS Page ABSTRACT ................................................................................................................................ 1 ACKNOWLEDGEMENTS ................................................................................................................. 4 LIST OF TABLES ......................................................................................................................... 11 LIST OF APPENDICES .................................................................................................................. 12 GLOSSARY ................................................................................................................................. 13 CHAPTER 1: INTRODUCTION TO RESEARCH .................................................... 15 SECTION 1.1: INTRODUCTION ..................................................................................................... 15 SECTION 1.2: FOCUS OF THE RESEARCH ..................................................................................... 19 SECTION 1.3: RESEARCH PROBLEM ............................................................................................ 22 SECTION 1.4: AIMS OF THE STUDY AND RESEARCH QUESTIONS ................................................ 24 SECTION 1.5: STRUCTURE OF THE THESIS .................................................................................. 26 CHAPTER 2: SAUDI ARABIAN SOCIETY. FAMILY STRUCTURE AND WOMEN’S POSITION ....................................................................................................................... 31 SECTION 2.1: INTRODUCTION ..................................................................................................... 31 SECTION 2.2: OVERVIEW OF THE KINGDOM OF SAUDI ARABIA .................................................. 31 Subsection 2.2.1: Geography .................................................................................................. 33 Subsection 2.2.2: The settings: Jeddah City ........................................................................... 34 Subsection 2.2.3: Population and life expectancy .................................................................. 35 SECTION 2.3: SAUDI ARABIAN SOCIETY AND FAMILY STRUCTURE ............................................ 36 SECTION 2.4: WOMEN’S POSITION IN SAUDI SOCIETY ............................................................... 39 SECTION 2.5: THE POSITION OF OLDER WOMEN ........................................................................ 44 SECTION 2.6: GENDER ROLES ..................................................................................................... 46 Subsection 2.6.1: Gender Segregation ................................................................................... 47 Subsection 2.6.2: Salafism ...................................................................................................... 49 Subsection 2.6.3: Gender Inequalities ...................................................................................