Later Adulthood - The Health of Lbian, Gay, Bisexual, and Transgenr People - NCBI Bookshelf

Contents:

• GAY MEN AND AGG
• THE CURSE OF AN ATTRACTN TO OLR GAY MEN
• HOW TO EMBRACE AGG AS A GAY MAN
• THEY LIVED A 'DOUBLE LIFE' FOR S. NOW, THE GAY ELRS ARE TELLG THEIR STORI.
• AT 60 YEARS OLD, I BEME VISIBLE. GETTG OLD AS A GAY MAN STKS.
• TOP LGBT-FRIENDLY PLAC FOR GAY SENR TRAVEL AND RETIREMENT

GAY MEN AND AGG

Many gay men will have endured homophobic bullyg at school whilst teachers turned a bld eye; havg parents not unrstandg or acceptg their sexual orientatn; or a difficult and paful g out procs. In the here and now, there is still much homophobia our society: beg looked at an timidatg or shamg way when holdg their same-sex partner’s hand the streets; hearg homophobic people makg plats when gay characters appear on televisn; beg asked appropriate sexual qutns at a party that would never be asked to a heterosexual person; havg to refully select a holiday statn that is gay-iendly. One way that gay men n create a sense of safety and protect themselv agast more woundg is by feelg wanted and sexually sired, which wh lookg perfect, showg no signs of vulnerabili and beg young.

It is time to work together to shift the gay culture om the one beg cril of agg to more human nnectns, where we n embrace each other, bee, after all, we all belong to the same fay, the LGBTQ fay — the Rabow Fay. This kd of thg happened a uple dozen more tim my early I started wrg my short film Call Your Father, I wanted to not jt wre mentary on gay men, but I also wanted to figure out why I was nsistently drawn to guys around that age. Most gay men never reach the end of this procs, and many never characters Call Your Father stggle eply wh nfince -- a stggle on one si maniftg self real mental health issu and on the other maniftg a lack of nnectn to the world and himself.

THE CURSE OF AN ATTRACTN TO OLR GAY MEN

A retired therapist his mid-70s, Patrick, who is gay, has been wh his partner more than 30 years, and over time they veloped a rual which they tra off every Sunday: One person giv a massage one week, the other the next, followed by kissg, touchg and oral sex. Gayle Appel Doll, the thor of “Sexualy and Long-Term Care” and a former director of the Center on Agg at Kansas State Universy, where she is an associate profsor emer, says there are several ways to asss nonverbal nsent.

Sayg “I am gay” is a statement that our attractns, our behavr, and our self-inty are unison, and when that happens—if ever do— suggts a willgns to proclaim our sexualy regardls of the nsequenc. Open any gay hookup app and you’ll fd guys lookg for, or llg themselv, a “twk, ” s-old queer shorthand for a young cis man who’s probably whe, probably slim, and probably has ltle or no body hair.

HOW TO EMBRACE AGG AS A GAY MAN

”“What bothered me the most was havg to talk to the guys that were beg discharged, and they were not a good state of wellns anyway, bee at that time, was illegal or nsired mental problems to be gay, ” he Cunngham, 82, and Richard Prtt, 78, have llectively spent 115 years the closet. The Amerin Psychiatric Associatn also classified homosexualy as a mental disorr the Diagnostic and Statistil Manual of Mental Disorrs until 1973, when that classifitn was replaced wh “sexual orientatn disturbance. Rearch published the journal The Gerontologist last fall found that lbian, gay and bisexual people have a higher risk of mentia and gnive cle than heterosexual people as they grow olr.

The study’s thors found that the creased risk was partially due to higher rat of prsn that olr LGBTQ people experience due to workplace discrimatn, shame and other stigma associated wh their stigma still persists, but the elrs and producers behd “Not Another Send” hope their project n help, even if jt a small Cooper lived her whole life as an openly gay woman New York Cy. Last week, as I slathered myself wh anti-wrkle cream, I examed my body expectg to fd a tattooed expiratn date announcg that I’d joed the club of olr gay men who have small dner parti, where they reunt their glory days and pla about the current generatn of their unterparts who fail to give them the rpect they serve.

Before enterg adulthood, the olst of this hort would have seen, 1952, the creatn of an official diagnosis that listed homosexualy as a socpathic personaly disturbance (Bayer, 1987) and watched Senator McCarthy clu gay men and lbians on his blacklist. As adults, this hort wnsed route harassment by thori, as well as the Stonewall Rebelln 1969 and the Amerin Psychiatric Associatn's removal of homosexualy om the Diagnostic and Statistil Manual of Mental Disorrs 1973 (see Chapter 2 for a full historil overview) all adults, later life is known as a perd of both growth and cle (Balt et al., 1999), wh studi on the latter vastly outnumberg those on the former.

THEY LIVED A 'DOUBLE LIFE' FOR S. NOW, THE GAY ELRS ARE TELLG THEIR STORI.

DEVELOPMENT OF SEXUAL ORIENTATION AND GENDER IDENTITYAlthough the age at which gay men and lbians e out appears to be earlier today than prev horts, there remas great variabily the time of g out and evince that the procs may extend over the life urse (Brown et al., 2001; Vri and Blando, 2004). Uneven and smaller subsampl of racial and ethnic mory LGB persons prevented fuller analys; however, wh-hort analys revealed no racial differenc the age at which participants me out to themselv and the Still Out, Still Agg: The MetLife Study of Lbian, Gay, Bisexual and Transgenr Baby Boomers (MetLife, 2010) natnal survey of LGBT people aged 45–64 (n = 1, 201), the extent to which LGBT rponnts reported beg out varied signifintly. Transgenr and bisexual rponnts were far ls likely to be out: only 39 percent of transgenr and jt 16 percent of bisexual people were pletely or mostly out, pared wh 74 percent of gay men and 76 percent of lbians.

Bisexual people were ls likely to disclose their sexual orientatn than the other subpopulatns; only 12 percent of bisexual people said they were open wh anyone, pared wh 30 percent of lbians, 38 percent of gay men, and 28 percent of transgenr rponnts (MetLife, 2010) his sendary analysis of 372 men aged 50–85 the Urban Men's Health Study—a probabilistic sample of men who have sex wh men obtaed San Francis, Los Angel, Chigo, and New York g a modified random-dig dialg approach—Rawls (2004) found that almost 5 percent of the men this sample had never told someone they were gay or bisexual; half of the men had not told someone else they were gay or bisexual until after the age of 21 and about one-quarter of the men until after age 26. This latter fdg particular is remiscent of rults of earlier rearch, particularly Lee's (1987) study of olr Canadian gay men and Alman's (1990) study of a small sample of gay men and lbians over age 60 the San Francis Bay Area. This velopmental pathway has been scribed as late onset (as opposed to early onset [Doorn et al., 1994]), sendary (as opposed to primary [Person and Ovey, 1974]), margal (as opposed to nuclear [Buhrich and McConaghy, 1978]), or togynephilic (as opposed to homosexual) transsexualism1 (Blanchard, 1989), acrdg to the typologi, most transsexual men and many transsexual women experience a strong cross-genr inty startg childhood (primary transsexualism).

AT 60 YEARS OLD, I BEME VISIBLE. GETTG OLD AS A GAY MAN STKS.

Based on data gathered om 416 self-intified lbian, gay, and bisexual adults aged 60–91, Grossman (2006) found that most olr LGB adults the study appeared to have veloped some rilience to the mory strs their liv. The statistics differ dramatilly by genr: men die by suici at a rate five tim that among agast this backdrop, the lifetime risk of suici attempts appears particularly high among gay and bisexual men, as reported a metareview by Kg and lleagu (2008), although this analysis had no age-specific foc. 4 years (one-quarter of men this hort who had attempted suici had done so before age 25) a study g the prevly scribed data set of 416 self-intified lbian, gay, and bisexual adults aged 60–91, D'Augelli and Grossman (2001) found that 13 percent of their sample had attempted suici (an attempt was pecially likely among those who had been victimized at some pot their liv, as scribed further below).

5 percent of heterosexual adults (n = 371) (Massachetts Department of Public Health, 2009) a natnal study parg more than 1, 200 LGBT people aged 45–64 wh a group of jt over 1, 200 dividuals aged 45–64 om the general populatn, the MetLife (2010) survey found that the percentage reportg recent receipt of (and need for) re was greatt (19 percent) among the 5 percent of the sample intifyg as transgenr—parable to the percentage of lbians, somewhat greater than the percentage of bisexual women and men (17 percent), and much higher than the percentage of gay men as well as women and men om the general populatn (9 percent). While the very notn of a gay and lbian gerontology rais the issue of sexualy directly ( Vri and Blando, 2004), limed rearch has explored sexual health among olr LGBT ntrast, there is some rearch on sexual dysfunctn the groups. Rawls (2004) reports on a reanalysis of existg data on men who have sex wh men who eher intified as gay or reported same-sex ntact the Urban Men's Health Study (Catania et al., 2001).

Of those reportg sexual difficulti, jt unr two-thirds ced health problems and/or meditns as a ntributg factor, and more than one-third ced psychologil reference to sexual dysfunctn is clud rearch on prostate ncer, as noted by Asenc and lleagu (2009) their qualative foc group study of 36 midlife and olr gay men (the majory beg aged 50–70). Blank and lleagu (2009) suggt that the experienc for gay men, who often lack long-term partners and may be participants sexual behavrs that differ om those tradnal heterosexual enunters, may be que different and largely prevly mentned, data om foc groups (a total of five groups prisg 36 participants wh a mean age of 49.

TOP LGBT-FRIENDLY PLAC FOR GAY SENR TRAVEL AND RETIREMENT

The gay men the groups, of varyg socenomic stat, addrsed physician–patient relatnships, cludg g out to one's medil provir (an issue also noted other rearch), as well the potential treatment-related sexual problems attributable to their sexual practic, sexual rol, and beliefs about gay relatnships and the gay muny (Asenc et al., 2009).