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Purpose – This chapter aims to explore the strategies used by the Hong Kong government to respond to the adult worker model and the male-breadwinner model; and to explore the views of women on the desirability of these strategies. The male-breadwinner model posits that men work full-time outside the home and women take on domestic work. The adult worker model suggests that women and men should be equally expected to participate in formal employment.

Design/methodology/approach – This chapter analyses the policy measures used by the Hong Kong government to support women in their participation in formal employment and the local work-based pension scheme (the Mandatory Provident Fund) as well as other policy measures that offer potential for enabling family care providers to accumulate resources for secure retirement. Additionally, it draws on semi-structured interviews with 30 Hong Kong young women to examine their views on the extent to which the government supports them to save pension incomes.

Findings – This study shows that the Hong Kong government uses a ‘weak action strategy’ to respond to the adult worker model and the male-breadwinner model, and that this strategy fails to meet women’s diverse preferences for their roles in the labour market and the family.

Originality/value – Based on a newly developed framework, this study examines the responses made by the government to both the male-breadwinner model and the adult worker model. It sheds new insights into possible ways of assisting women to achieve secure retirement .

We explore the effects and interplay of physical and social environments on the inaccessibility of gynecological health care for women with spinal cord injury. We also explore women’s responses to the inaccessibility of this care, in hopes of trying to understand better how women navigate their gynecological health and health care when faced with physical and social environmental constraints.

The data for this phenomenological study were gathered using in-depth, qualitative interviews with 20 women living with spinal cord injuries in or around Detroit, Michigan. Each interviewee was questioned about overall health and physical functioning, accessibility of doctor offices, interactions with health care providers, gynecological health-seeking behaviors, and complementary and alternative medicine use. In this paper we report on data on women’s difficulties in securing gynecological health care experiences and related attitudes and practices.

Findings echo past literature about the inaccessibility of doctor’s offices, including the lack of suitable exam tables and medical equipment. Office staff varied in their willingness to help transfer women from wheelchairs to exam tables as well, often creating what we term an inaccessible social environment. Individual women in our sample found different strategies for navigating the environmental contexts of a doctor’s office and the encounters that they had with providers within medical settings. These strategies had varying impacts on individuals’ abilities to secure gynecological health care.

Our findings point to the possibility of an interplay between and intersection of physical and social environments within medical settings that needs to be explored further and, potentially, the primary importance of the social environment over the physical environment in determining whether an individual’s disability makes health care inaccessible.

Older women living in medically underserved areas (MUA) might have particular problems with access to health care. This is an in-depth report of the accessibility issues raised by six frail older women (age 82–93 years) during a longitudinal descriptive phenomenological study of the experience of home care. Three White women lived in the same rural MUA, and three Black women lived in the same urban MUA. The need for health service was understood subjectively and prospectively as the personal perception of a situation requiring relief or supply. Some women reported presenting needs for accessibility to providers, whereas others reported needs for their future accessibility to providers or services. Some intentions were likely linked to residence location, and residence in a rural MUA was relevant to the phenomenon of securing the help that I might need down the road. Feasibility was proposed as a new parameter of access. Research and practice implications were proposed.