Life-course disruption caused by a stroke and subsequent attempts on the part of stoke victims to restore continuity was explored through qualitative research with a sample of 216 persons. This research suggests: 1) that theory in gerontology could be deepened by framing continuity to include discontinuous experience in late life; and 2) that research on what elderly persons themselves make of continuity--how they perpetuate it or recreate it and the obstacles they perceive in doing so--may inform our understanding of the experience of old age and lead to applications in the practice of gerontology that address the disruption illness poses for people's lives.

Addressing differences in social class is critical to an examination of racial disparities in health care. Low socioeconomic status is an important determinant of access to health care. Results from a qualitative, in-depth interview study of 60 African Americans who had one or more chronic illnesses found that low-income respondents expressed much greater dissatisfaction with health care than did middle-income respondents. Low socioeconomic status has potentially deadly consequences for several reasons: its associations with other determinants of health status, its relationship to health insurance or the absence thereof, and the constraints on care at sites serving people who have low incomes.

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