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Drawing on international perspectives and research, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life (50+).
Sexual Deviance in Health and Aging: Uncovering Later Life Intimacy explores life course health experiences and unmet care needs of populations perceived as sexually deviant in the United States. These groups include but are not limited to: gay, lesbian, and bisexual people; asexual and demisexual people; trans, nonbinary, and gender nonconforming people; intersex people; nonmonogamous and polyamorous people; kink and fetishism practitioners; sex and adult entertainment workers; individuals labeled as sexual offenders and predators; people living with sexually transmitted infections; people identifying as neuroatypical and/or autistic; and people with chronic conditions and disabilities who lead active sexual lives. Lacey J. Ritter and Alexandra C.H. Nowakowski analyze the social, cultural, and political origins of perceptions of these groups as sexually deviant. In the process, they provide history and context for the health care experiences of people within each of these broad groups. Simultaneously, Sexual Deviance in Health and Aging highlights the complexity and individuality of different people’s journeys through sexuality in health and aging.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
"This book explores the sexuality of gay and bisexual men in terms of both men's sexuality in a holistic sense and in terms of how this translates into meaningful action in terms of prevention of HIV. The authors highlight the struggles faced by HIV-positive gay and bisexual men as sexual beings and also describe the myriad ways in which many of these men are able to celebrate their sexuality and have satisfying sex lives that support their own and their partners' physical and mental health. The volume presents all of the dimensions of the sexual lives and behaviors of HIV-infected gay and bisexual men. It explains what is at stake as gay and bisexual men attempt to come to terms with the meaning of HIV in their sexual lives and the risks and gambles associated with disclosure and sharing information that may say something about one's past but certainly speaks volumes about how that person is going to live and relate in the future. Most important, this book uses that information to construct an approach to HIV prevention that goes beyond a health education or cognitive-behavioral approach and attempts to place HIV prevention within a sexual context." (PsycINFO Database Record (c) 2006 APA, all rights reserved)
Despite decades of attention on building a global HIV research and programming agenda, HIV in older populations has generally been neglected until recently. This new book focuses on HIV and aging in the context of ageism with regard to prevention, treatment guidelines, funding, and the engagement of communities and health and social service organizations. The lack of perceived HIV risk in late adulthood among older people themselves, as well on the part of providers and society in general, has led to a lack of investment in education, testing, and programmatic responses. Ageism perpetuates the invisibility of older adults and, in turn, renders current medical and social service systems unprepared to respond to patients’ needs. While ageism may lead to some advantages – discounts for services, for example – it is the negative aspects that must be addressed when determining the appropriate community-level response to the epidemic.
Despite increased awareness of sexual diversity, older people's accounts of sex and intimacy remain marginalised. This edited volume addresses diversity in sexual and intimate experience later in life (50+) and captures international research and analysis relating to intersectional identities. Contributors explore how being older intersects with differences of ethnicity, gender, sexuality and class. Offering a critical focus and original contribution to an emerging, although still relatively neglected field, this collection extends knowledge concerning intimacies, practices and pleasures for those thought to represent normative, non-normative and 'new normative' forms of sexual identification and expression.
In 1998, approximately 30 million people worldwide were living with HIV/AIDS, about 5 million of whom became infected that year. The epidemic continues to expand, with an estimated doubling time of 10 years, making AIDS the leading infectious cause of death ahead of tuberculosis and malaria. Even in the U.S.A. where the death rate from AIDS is declining as a result of effective drug therapies, HIV infection rates continue to climb in several population groups. The prevalence of AIDS among people over the age of 50 is steadily increasing, and most older people are unprepared to address it for a number of reasons, including the widespread discomfort with matters sexual and homosexual and the belief that elderly people are not sexually active and therefore not at risk. This guide for care providers seeks to educate and inform readers about the difficulties and complications that accompany the disease in older people. Thus, while the appendix includes technical descriptions of methodology, data, and results, the narratives in the chapters describing the findings and their practical implications are written in layman's language. Topics covered include biomedical aspects, demographics, sexuality, stressors, mental health, older women, and patient care, all of which are supported by case studies.
Drawing on international perspectives and research, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life (50+).