In Houston, these percentages were 1. But given the shift that had occurred from the oppressive, secretive gay world of the postwar era to an increasingly open and public one, these urban gay communities were better placed to respond to the epidemic than they would have been a mere decade earlier. As Gorman and Nelson , pp.
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But the impact of such a history on gay male Baby Boomers is further complicated by the fact that many are themselves now aging with HIV in the context of an enduring high incidence and prevalence of HIV infection and AIDS deaths among their gay male contemporaries, now aged 47—65 years. As Martin and colleagues , p.
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Members of these further subcohorts of HIV-positive older gay men have very different personal histories whose effects on social support, mental health, and everyday life remain unknown. Compared with the late diagnosed, the long-term infected have longer and arguably more complex histories of multiple HIV-related conditions, social stigmatization, and health-related interruption to professional career at ages traditionally devoted to securing financial status and thus bringing severe financial repercussions.
These include short-term mortality, where older adults diagnosed late had 2. Yet, profound gaps in our knowledge and understanding of the consequences of this disaster for these men endure, as the three key mechanisms interdependence, agency, and timing by which life course theory argues environment shapes lives remain underused in relevant research. These gaps are particularly wide given the preponderance of clinical and psychological research.
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But, as with much research in this area, the more intricate phenomenon of interdependence , so central to life course research, is often overshadowed by a concern with social networks or support as dependent or independent variables rather than areas of investigation in their own right see e. Particularly lacking is research into the consequences and management of AIDS deaths among MSM within the African American community, which suffered so disproportionately from these deaths but see e.
Research also generally elides the second mechanism identified by life course theory, agency , in failing to examine how gay male Baby Boomers rebuilt their social networks, relations, and identities, both throughout the epidemic and in later years. Despite a substantial literature on AIDS activism Brown, ; Epstein, ; Gamson, ; Gould, , social attitudes and political beliefs and activities among gay male Baby Boomers in particular remain underresearched. Such research is essential for understanding the full impact and long-term effects of this disaster on the lives of gay male Baby Boomers.
It can also further understanding of how communities more generally rebuild themselves in the aftermath of disaster—a potentially fruitful area given both the aging of society and the increasing likelihood of disruption to social networks on which those in later life rely posed by environmental changes and global conflicts.
Moreover, few studies consider that gay men who experienced these multiple losses did so in their early adult through middle years and that these losses thus intersected with age and life course factors to shape later life. An obvious example is the massive number of premature deaths within a relatively young cohort, disrupting not only individual and collective health but also normative expectations and life plans held by a range of actors linked through family, families of choice, and romantic and friendship ties.
Finally, that gay male Baby Boomers aging with HIV fall into two further subcohorts based upon the historical era in which they were infected further demonstrates the lasting—and highly complex—role of timing in human development, as medical developments shape how HIV infection plays out in later life. Researching similarities and differences within this subcohort of gay men would shed important light on the long-term effects of illness in political context, and personal, social, and community disruption on aging and the life course.
In addition to identifying the implications for policy and service development, such study could, we suggest, further our understanding of life course theory in the light of an ongoing illness scenario rarely seen in modern times and of the interlocking multiplicity of factors that continue to shape the lives of the Baby Boom generation.
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E-mail: d. Oxford Academic. Ruth D. Smith, BSc, MSc. Select Format Select format. Permissions Icon Permissions. Open in new tab Download slide. Studying baby boom cohorts within a developmental context: Conceptual and methodological issues. Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources. Google Scholar Crossref. Search ADS. Centers for Disease Control. Gay New York: Gender, urban culture, and the making of the gay male world, — Warfare and armed conflicts: A statistical reference to casualty and other figures, — The diverse older HIV-positive population: A national profile of economic circumstances, social support, and quality of life.
Sexual politics, sexual communities: The making of a homosexual minority, — Social dynamics of the life course: Transitions, institutions and social relations. From a far place: Social and cultural considerations about HIV among midlife and older gay men. The life course development of human sexual orientation: An integrative paradigm. Caregiving and post-caregiving experiences of midlife and older gay men and lesbians. Adjustment among people who have experienced AIDS-related multiple loss: The role of unsupportive social interactions, social support, and coping.
An in-depth examination of an emerging population: Who are these older adults living with HIV? The politics of homosexuality: How lesbians and gay men have made themselves a political social force in modern America. The older HIV-positive adult: A critical review of the medical literature. Psychological wellbeing among individuals aging with HIV: The value of social relationships.
Heteronormativity and homonormativity as practical and moral resources: The case of lesbian and gay elders. What do we know about older adults and HIV? A review of social and behavioral literature. HIV infection as leading cause of death among young adults in US cities and states. HIV transmission and high rates of late diagnoses among adults aged 50 years and over.
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