Day 2 1100 - phillip hammack

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Day 2 1100 - phillip hammack

  1. 1. + Gay Men’s Health and Identity from a Life Course Perspective Phillip L. Hammack University of California, Santa Cruz
  2. 2. Gay = AIDS = Death
  3. 3. + ① Gay men’s health: 2013 ② Gay men and the life course: 3 principles ③ Gay men and the life course: 5 generations ④ Implications for research, practice, and advocacy
  4. 4. + Gay men’s health: 2013 HIV prevalence among gay men, 2008 (%) 00 19 HIV+ HIV81 Source: NHSB Report, CDC, 2008
  5. 5. + Gay men’s health: 2013 Major depression prevalence, ages 50-69 (%) 00 17 Major depression 83 Source: Institute of Medicine, 2011
  6. 6. + Gay men’s health: 2013 Prevalence of suicide attempts, ages 18-59 (%) 00 15.6 Suicide attempt 84.4 Source: Institute of Medicine, 2011
  7. 7. + Gay men’s health: 2013  Minority stress processes  Victimization and harassment  Stigma experiences and expectations  Internalized homophobia  Effects of these processes on the body  Eating disorders  Substance abuse  Cancer
  8. 8. + Gay men’s health: 2013 Primary health research focus, 2013 16.67% HIV/RSB Substance Abuse 7.14% Mental and Physical Health/WellBeing 8.33% 67.86% Other (e.g., Stigma, Relationships, SelfImage, Identity, Disclosure, Spirituality , Homophobia, Minority Stress) Source: Hammack et al., in preparation (84 published or in-press empirical studies in 2013; key words gay men, health)
  9. 9. + Gay men’s health: 2013 HIV prevalence among gay men, 2008 (%) Primary health research focus, 2013 00 19 16.67% HIV+ HIV81 HIV/RSB 7.14% 8.33% 67.86%
  10. 10. + Gay men’s health: 2013 Population focus, 2013 US-White Majority (>50% White) 26.34% 26.30% US-Multiracial (<50% White) Australian 13.16% 34.20% Source: Hammack et al., in preparation (84 published or in-press empirical studies in 2013; key words gay men, health)
  11. 11. + Gay men’s health: 2013 HIV prevalence among gay men, 2008 (%) Primary health research focus, 2013 00 19 16.67% HIV+ HIV81 HIV/RSB 7.14% 8.33% 67.86%
  12. 12. “…you are asking to die….” “…we can’t carry the burden of everyone who died before us….”
  13. 13. + ① Gay men’s health: 2013 ② Gay men and the life course: 3 principles ③ Gay men and the life course: 5 generations ④ Implications for research, practice, and advocacy
  14. 14. + The life course paradigm
  15. 15. + Gay men and the life course: 3 principles 1. Historical time and place
  16. 16. + Gay men and the life course: 3 principles 2. Linked lives
  17. 17. + Gay men and the life course: 3 principles 3. Human agency
  18. 18. + ① Gay men’s health: 2013 ② Gay men and the life course: 3 principles ③ Gay men and the life course: 5 generations ④ Implications for research, practice, and advocacy
  19. 19. + Gay men and the life course: 5 generations 1. The Stigma Generation • Born in the 1930s • Today in their 70s and 80s • Gay and Lesbian Civil Rights Movement • Declassification of homosexuality as mental illness • AIDS epidemic
  20. 20. + Gay men and the life course: 5 generations 2. The Stonewall Generation • Born in the 1940s • Today in their 60s and 70s • Gay and Lesbian Civil Rights Movement at the height of adulthood • Gay culture in the 1970s • AIDS
  21. 21. + Gay men and the life course: 5 generations 3. The AIDS 1 Generation • Born in the 1950s and 1960s • Experienced adolescence and early adulthood post-Stonewall • Today in their 40s, 50s, and early 60s • Hardest hit by AIDS • Significant cultural trauma
  22. 22. + Gay men and the life course: 5 generations 4. The AIDS 2 Generation • Born in the 1970s • Childhood and adolescence during AIDS • Gay identity = gay sex = death • Health and mental health support • Emergence of Internet • Treatment advances for HIV • From AIDS to marriage equality • Today in our 30s and 40s
  23. 23. + Gay men and the life course: 5 generations 5. The Post-AIDS/Marriage Equality Generation • Born in the 1980s and 1990s • Today in their teens and 20s • Lawrence v. Texas (2003) • Gay sex ≠ death • Cultural support for sexual orientation diversity • GSAs and Modern Family
  24. 24. + ① Gay men’s health: 2013 ② Gay men and the life course: 3 principles ③ Gay men and the life course: 5 generations ④ Implications for research, practice, and advocacy
  25. 25. + Implications for research, practice & advocacy  Reconsider surveying our practices and charting our “norms”  Reconsider the standard scientific paradigm  “Thick description” and interpretation, not surveillance  Whose voices?
  26. 26. + Implications for research, practice & advocacy  Historical sensitivity and reflexivity  Health-related attitudes and practices in generational perspective  Awareness of one’s own generational position and its impact on practice
  27. 27. + Implications for research, practice & advocacy
  28. 28. + Acknowledgments  Terry Trussler, Rick Marchand & Olivier Ferlatte  At UC Santa Cruz: James E. Lykens  At UCLA: Ilan Meyer  At Columbia University: David Frost  In memoriam: Bertram J. Cohler (1938-2012)

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