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Robert Ablenas, PhD
with support from: Health Initiative for Men,
Interior Health Authority, Providence Health Care, and CIHR
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
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
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
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
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
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
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
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
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
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)
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
Toward Successful Aging of Baby Boomer and Gen X Gay Men

Strikes Against 60+ Gay Men
 Men:
a)

straight

b)

gay

Aguinaldo, 2008
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
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
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
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
Toward Successful Aging of Baby Boomer and Gen X Gay Men

What to Do?
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
Toward Successful Aging of Baby Boomer and Gen X Gay Men

Measures
 The Event-Related Measurement Instrument
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
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
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
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
Toward Successful Aging of Baby Boomer and Gen X Gay Men

Initial Observations
Toward Successful Aging
of Baby Boomer and Gen X Gay Men

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Day 2 0900 - robert ablenas

  • 1. Robert Ablenas, PhD with support from: Health Initiative for Men, Interior Health Authority, Providence Health Care, and CIHR
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. Toward Successful Aging of Baby Boomer and Gen X Gay Men Strikes Against 60+ Gay Men  Men: a) straight b) gay Aguinaldo, 2008
  • 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. 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. 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. 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. Toward Successful Aging of Baby Boomer and Gen X Gay Men What to Do?
  • 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. Toward Successful Aging of Baby Boomer and Gen X Gay Men Measures  The Event-Related Measurement Instrument
  • 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. 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. 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. 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. Toward Successful Aging of Baby Boomer and Gen X Gay Men Initial Observations
  • 26. Toward Successful Aging of Baby Boomer and Gen X Gay Men