Day 2 0900 - robert ablenas

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Day 2 0900 - robert ablenas

  1. 1. Robert Ablenas, PhD with support from: Health Initiative for Men, Interior Health Authority, Providence Health Care, and CIHR
  2. 2. Toward Successful Aging of Baby Boomer and Gen X Gay Men Seniors in Canada  2006-2011, all age groups with a growth rate > 20% were age > 60 Statistics Canada, 2012
  3. 3. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support  social support: the reciprocal giving, receiving, and exchange to fulfill the needs of the support recipient Antonucci, 1985
  4. 4. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support  social support: the reciprocal giving, receiving, and exchange to fulfill the needs of the support recipient  social support networks: the conduits through which the transfer and exchange of social support take place Ikeda & Kawachi, 2010
  5. 5. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support and Health  reduced stress Hirdes & Forbes, 1992 House, Robbins, & Metzner, 1982 Kaplan, Wilson, Cohen, et al., 1994 Kawachi et al., 1996 Seeman, 1996
  6. 6. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support and Health  reduced stress  among individuals living with HIV: a) improved psychological well-being b) slower disease progression Robinson, Petty, Patton, & Kang, 2008 Mavandadi et al., 2009 Leserman et al., 1999
  7. 7. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support and Health  more effective maintenance of cognitive function and prevention of the onset of dementia Crooks et al., 2008 Fratiglioni et al., 2000
  8. 8. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support and Health  more effective maintenance of cognitive function and prevention of the onset of dementia  lower incidence of stroke and fatal coronary heart disease Eng et al., 2002 Kawachi et al., 1996
  9. 9. Toward Successful Aging of Baby Boomer and Gen X Gay Men Social Support and Health  more effective maintenance of cognitive function and prevention of the onset of dementia  lower incidence of stroke and fatal coronary heart disease  higher survival rate from prostate and colorectal cancers Reynolds & Kaplan, 1990 Vogt et al., 1992
  10. 10. Toward Successful Aging of Baby Boomer and Gen X Gay Men 60+ Gay Men  2003 and 2005, 31.5% of adult gay men were age 45-59 Tjepkema, 2008
  11. 11. Toward Successful Aging of Baby Boomer and Gen X Gay Men 60+ Gay Men  2003 and 2005, 31.5% of adult gay men were age 45-59  2013 and 2015 …  Baby Boomers → 1947 to 1966  Gen X → 1967 to 1979 Tjepkema, 2008 (Doug Owsram, David Foot)
  12. 12. Toward Successful Aging of Baby Boomer and Gen X Gay Men 60+ Gay Men  quality life  mental, physical, sexual, social health  self-determination and independence  community capacity building
  13. 13. Toward Successful Aging of Baby Boomer and Gen X Gay Men Strikes Against 60+ Gay Men  Men: a) straight b) gay Aguinaldo, 2008
  14. 14. Toward Successful Aging of Baby Boomer and Gen X Gay Men Strikes Against 60+ Gay Men  Baby Boomer and Gen X: a) life course: “mortality and bereavement, the search for meaning and wholeness in life in the context of a heterosexist society, occupation- and family-related stress, fear of physical illness, and internalized ageism as a result of the emphasis on physical attractiveness and youth in the gay male community.” Reisner et al., 2011 Addis et al., 2009 McDonald, 2011
  15. 15. Toward Successful Aging of Baby Boomer and Gen X Gay Men Strikes Against 60+ Gay Men  Baby Boomer and Gen X: a) life course b) the staying power of the past
  16. 16. Toward Successful Aging of Baby Boomer and Gen X Gay Men 60+ Gay Men and Social Support  senior straight men v. senior gay men Heaphy, 2009 Masini & Barrett, 2008 Yakushko, 2005
  17. 17. Toward Successful Aging of Baby Boomer and Gen X Gay Men 60+ Gay Men and Social Support  senior straight men v. senior gay men  younger gay men v. senior gay men Blank, Asencio, Descartes, & Briggs, 2009 David & Knight, 2011
  18. 18. Toward Successful Aging of Baby Boomer and Gen X Gay Men What to Do?
  19. 19. Toward Successful Aging of Baby Boomer and Gen X Gay Men Needs of 60+ Gay Men  Self-transcendence  Self-actualization  Esteem  Belongingness and love  Safety  Physiological (survival) Koltko-Rivera, 2006
  20. 20. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  The Event-Related Measurement Instrument
  21. 21. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  Life Course Events and Circumstances People: 1. a) b) c) d) e) un-partnered partnered from a straight marriage coming out friendships Death, Loss, Losing / Birth, Gain, Gaining: 2. a) b) aging relationship palliative caregiving / recuperative caregiving
  22. 22. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  Life Course Events and Circumstances (continued) 3. Change in Personal Habits 4. Health: a) b) c) d) proactive prevention maintenance reactive Financial: 5. a) b) c) limited income no saving divorce settlement
  23. 23. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  Life Course Events and Circumstances (continued) 6. Living Circumstances 7. Injustice 8. Homonegativity 9. Stigma: a) b) c) d) e) gay senior living with HIV trans-gendered single
  24. 24. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  Life Course Events and Circumstances (continued) 10. Quality of Life 11. Work-related 12. Community-related 13. Intimacy 14. Cultural: a) b) urban rural
  25. 25. Toward Successful Aging of Baby Boomer and Gen X Gay Men Initial Observations
  26. 26. Toward Successful Aging of Baby Boomer and Gen X Gay Men

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