Thursday, April 28, 2016

Does HIV Accelerate Aging?

The long-term effects of HIV is one of the hottest topics in the field, along with that of Pre-exposure prophylaxis,PrEP. But it might be something we will never know because we can not disassociate the effects of HIV from the ongoing "aging" process, the medications (and which types of meds), co-occurring  conditions, like diabetes, and the interactions among all of them. 

The latest study, featured on NPR (People Who Are HIV-Positive May Be Aging Faster Than Their Peers), tries to get at this question via our DNA -- an innovative technique reminiscent of an archeological exploration. The results hint at -- as most medical studies do, it could go as far as suggesting-- an accelerated aging effect. But this does not offer any new clues for prevention and treatment, yet. The conclusion actually applies to everybody: see your doctor, exercise, and eat well.  

Tuesday, February 2, 2016

The Labor Force in Geriatrics Is Shrinking


forever youngWe all pay the price for ageism – our negative views of old age. Most of us will need some form of care as we age, yet the work force of geriatrics and gerontology is shrinking. I argue, as this article in the NYT does, that our views about old age discourage younger people to enter into professions related to health and human services for the elderly.


Our challenge is to incentivize entry into the fields of gerontology. And rational arguments don’t do the job. We frequently remind students of two main facts: Most of us will reach older age and older people will become the larger population sector in the United States pretty soon. But they, young students, want to learn about global health, sexuality, obesity, and the environment.


I do not think we have the answers to this challenge yet and it will take a combination of factors: likely, we will rely on recent immigrants for the supply of care; in our market economy we would need to increase financial rewards for those working in geriatrics; and we would have to re-conceptualize old age, which is the most difficult task we face.  

Tuesday, January 5, 2016

Twists and Turns of Sexuality: A Gay Man's Tale at 90.

From NPR: 90-Year-Old Gay Man Recalls Long Struggle With His Sexuality

Hector Black - a 90 year old gay man-- shares the story of his sexuality with NPR. Listen here or read next the full transcript. My take-home message: sexuality is not straight, as in a straight trajectory, but circumstantial, contextual, puzzling, and, of course, contested.


ARI SHAPIRO, HOST:
If Hector Black had written an autobiography, we would interview him about it. But he hasn't written one yet, and he's 90 years old. So we decided to talk to him about his life anyway.
HECTOR BLACK: I felt like I was nobody in the whole dang world - was a weirdo like me.
SHAPIRO: Did you even have a word for it?
BLACK: No, no word for it at all. I had nothing. I had no idea what it was. All I knew was that I was attracted to men.
SHAPIRO: 2015 was a revolutionary year for gay rights. Same-sex marriage is now legal in all 50 states. When Hector Black was born in 1925, the phrase gay rights didn't even exist.
BLACK: The word gay was never even mentioned, or even homosexual. It was whispered if it was used at all.
SHAPIRO: We should warn you that a more offensive term for gay people shows up later in this story. Hector represents thousands of men and women whose names we will never know, a generation of people who were forced to live in secret. Radio reporters have visited him before. He's been on StoryCorps, Radiolab, The Moth. But this is a story he's never told. He lives in a valley in rural Tennessee, where his family runs a plant nursery.
BLACK: This is a mulberry - delicious mulberry.
SHAPIRO: Yeah.
I sat with him in the flagstone patio overlooking his garden, wind chimes joining in behind us, under a canopy of trees that he planted decades ago. The first time he realized there were other people like him in the world was at Harvard in the 1940s, where he studied social anthropology. That's also where Hector had his first sexual experience.
BLACK: I thought this is not me. This cannot be me. And I was just horrified. And then, you know, after a few months, I started thinking about it and then I realized that I'd wanted to experience this again. And - and so we became lovers.
SHAPIRO: Hector served in the Army in World War II but soon realized he couldn't kill another human being. He was interested in social justice, pacifism and communal living. That interest carried him to a commune in Paraguay, where there was zero tolerance for homosexuality. So like many gay men in the middle of the last century, Hector agreed to undergo treatment.
BLACK: It was the treatment that people felt was the right treatment in those days - you take estrogen. And so I took that until I started growing breasts. And then, of course, they said OK. So I quit, and then I seemed to be OK.
SHAPIRO: He moved back to the United States.
BLACK: And that was when I met Susie.
SHAPIRO: Susie Maendel. They fell in love, married and had children.
BLACK: I felt that I was cured. I don't think I'd have done it otherwise. It wouldn't have been right.
SHAPIRO: When did you realize you were not cured?
BLACK: I was at the nursery and dealing my plants and all that - there was a young fellow who was sort of giving me the eye, you could say.
SHAPIRO: He told his wife he had to go to a meeting. He met the young man instead. The next day...
BLACK: A friend of ours came and said where you at the meeting, Hector?
SHAPIRO: In front of Susie?
BLACK: Yeah. And so I was a wreck.
SHAPIRO: He told Susie the truth and promised never to do it again. It was now the 1960s, Hector wanted to be part of the civil rights movement, so he moved his family to Atlanta, the only white family in an all-black neighborhood.
BLACK: There were some things just amazing how being gay helped me to understand what it means to be different - although I could blend in - the African-Americans could never blend in - but I knew what it was like to be a despised minority.
SHAPIRO: But temptation persisted - Hector would come to his wife in tears - transgression, confession, repeat. Finally, he thought to himself...
BLACK: This is for the birds. I'm hurting Susie, and I'm wretched. And so I started leading a double life, which (laughter) believe it, I moved up here from Atlanta to get away from the temptations of the city.
SHAPIRO: He's laughing because he moved here to rural Tennessee in the 1970s without realizing that he was landing on the doorstep of a hidden gay commune. Even becoming friends with people from that community was not enough to nudge him fully out of the closet.
BLACK: I felt as though all the work I was doing would be thrown in the garbage if it turned out I was just a [expletive].
SHAPIRO: Hector finally came out 20 years ago, at age 70. There were few gay role models in public life even then. I asked Hector what made him end the double life? He told me it was his daughter. She came out first, to Hector and Susie.
BLACK: We both loved her just as much as ever - more even because I knew how much she had been through, how much she suffered because of who she was. And I just said this is it - that I can't - how can I love her and hate myself for what I am?
SHAPIRO: After nearly 40 years of marriage, Hector offered Susie a divorce, and Susie said no.
BLACK: She said I'd be free to find somebody. And she said she hoped she'd like him.
SHAPIRO: That was two decades ago. Susie died late this past summer. Her grave rests in a nearby clearing under a canopy of trees, overlooking the creek that runs through the land.
You know her well enough now to be able to answer this question. If she were sitting here this whole time listening to everything you said, and I turned to her right now and I say OK, Susie, what's Hector leaving out? What would her answer be?
BLACK: I think she'd probably say he's still fighting a battle that I fought and got over 20 years ago.
SHAPIRO: But what I hear you say is that you might have some regrets about some choices that you've made. But you do not regret the life that you lived, even though you only really came out at age 70.
BLACK: I don't really because I think a lot of that - it's a weird thing to say, but I really think that suffering can be - it certainly isn't always by any means - but it certainly can be a way of understanding other people, opening. You know, Mother Teresa said, Lord, break my heart so completely that the whole world falls in. I can't say that. You know, that's - but I really am grateful that my heart has been broken a good many times because it does help me to love.
SHAPIRO: We went back inside the house that Hector built. He leaned on my arm. That evening, about a dozen people came over. The community he has built in this valley - friends, relatives, neighbors - they all prepare dinner in the kitchen while Hector Black sat down and played the piano.
BLACK: (Playing piano).

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Monday, September 28, 2015

The New Gay Men Over 50



tommy+alan photography
 They look sexy, manly, hot as fuck, lean, muscular, confident, and worry-free. These are the men beautifully photographed in the “Men over 50 Project.” These men are pushing the limits of old age – 50 is the new 30! This is the model of the new older gay male – no longer lonely, depressed, and uninviting. Only a few can achieve such a standard, of course. The rest of us are left either struggling to accomplish the prototype or feeling guilty and failed for not realizing it.


tommy+alan photography


The project squarely places age on our bodies and physical outlook – as mainstream gay culture has done since AIDS. The body is where our sense of self resides; where virtuosity and futility live.

See the complete project -- including photos and the men's voices at Men over 50

Thursday, September 10, 2015

The Aging Experience is not Equal

The aging experience is not equal across populations -- and it's not just about homophobia. Many older LGBT folks do not have access to the resources the "traditional" family provides to the old, and that we take for granted.

Listen to this new study, by our colleague Mark Williams at the University in Wisconsin, on the experiences of older LGBT people in Milwaukee.



Thursday, January 8, 2015

Aging Drag Queens



 
Drag queens have now become mainstream, thanks to TV shows and social media. The images we see are largely glorified – they look young, thin, feminine, and glamorous.  James Hoskins has created this short film to counter this idea.  “Beautiful by Night” shows older drag queens, from the heart of San Francisco, doing their job. Their stories are about the aging body and the labor of the drag queen. The beauty, for me, is not on their looks, but the labor and performance.

See a review and interview with Hoskins @ the

Tuesday, October 28, 2014

The Golden Gays

Photographer captures the lost legacy of Justo Justo's Filipino Home of the Golden Gays

 


Queer aging and place -- this is what I thought reading this beautiful piece published by the The Independent.  By place, I mean not only our home, but also the idea of cultures and societies shaping the way we age and express our gender.


In the Seventies, Filipino activist Justo Justo opened a care home for elderly gay people in the city of Pasay. When he died in 2012, the home went with him. So what happened to its residents? 

In 1975, Justo Justo, a Lesbian, Gay, Bisexual and Transgender (LGBT) spokesperson and columnist, founded the Home of the Golden Gays, a care facility for elderly homosexuals in the city of Pasay, the Philippines. A prominent voice in the promotion of equal rights and Aids awareness, Justo popularised the gay lingo 'Swardspeak' – a playful combination of Tagalog, Spanish and English littered with references to Mariah Carey, the playwright Noël Coward and items from the McDonald's menu. His optimistic campaign, characterised not just by this, but by his get-up too – the kiss-curl and the TV-friendly smile – attracted scores of ageing gay men to the refuge for over three decades. These included Walter J Dempsey, whose ordeal as a sex slave held by Japanese soldiers during the Second World War is retold in the Filipino film, Markova: Comfort Gay (2001).

Until Justo Justo's death in May 2012, the Home of the Golden Gays offered security, freedom of expression and a sense of community to the gay and poor elders of the Manila community, who are not subject to a real state pension scheme. Yet with the personal bond between its founder and landlord extinguished, residents were forced to disband, leaving Ramon Busa, a disciple of Justo's, to take the group's reigns.

Photographer Esther Theaker found herself working in the Philippines in 2012 and became interested in the lo-fi gay-bar scene, much less brash and explicit than she had experienced in Thailand. In April 2013, she made a return to Pasay to document the beauty pageant of the Golden Gays. Held at a local high-school, thanks to the support of its sympathetic principal, the pictures capture a culture indebted to American pop-culture, of playful one-upmanship and inner strength as members of the group, referred to as the 'Lolas', took to the stage to parade their looks.
 "Watching the Lolas transform into their characters was unlike anything I had ever seen," Theaker says. "There's a professional poise and precision with which they assemble their looks. They might not have a home but they have a shared aesthetic and attitude. At the pageant itself, the Lola's sing and dance to recent pop songs. Despite the adversity they face, the atmosphere is decidedly upbeat."

These gatherings take place every few months and are the sole opportunity for the wider community of the Golden Gays to meet, with clothes and make-up supplied by donors who are invited to serve on a panel of judges.

"We have five winners, because I could only afford five crowns from the shop," the group's leader Busa tells me, laughing. "For the non-winners, I don't want them to go home with tears in their eyes, so we give them a reasonable amount – around 300 peso [approximately £4] for their efforts, because in older age, putting on make-up and wearing high heels for three hours can be difficult."

That said, the Golden Gays' oldest member, 87-year-old Mother Leone, can still walk the ramp for three solid hours. Another of the group's oldest members, seen here in a white wedding-style dress and blue eyeshadow (who wished to remain anonymous) exemplifies for Theaker the dignity and poise of the whole community. The 148 members are now divided into two tiers of 'golden girls' (aged 61 upwards) and 'silver girls' (45 upwards), the former of which passes down knowledge in a mentoring capacity which Busa hopes will ensure the Golden Gays' legacy is carried forward into future generations.

'Resident giving the peace sign' (Esther Theaker) 
'Resident giving the peace sign' (Esther Theaker)

"All of the Golden Gays take strength from wearing these beautiful clothes and accessories," he explains. "It's a strength that helps them to survive. We are the only group to have lasted this long and remained this healthy. Disease does not hold us back, despite being given no attention by the government. We have survived all the worst odds in life. We are survivors and we achieve this through awareness. Our Facebook group and website is updated with news concerning health and LGBT rights, which is a great resource for our members, and means that we are now a leader for other groups."

Tenacity on the part of Busa following the loss of the Golden Gays' permanent facility has led to him harnessing modern technology and widening the group's reach to deliver important LGBT messaging to a bigger audience.

"It is important that people can see that we are still going," Busa explains. "We don't want to be cut off from the rest of the world, and for that we need to remain healthy and engaged. We are always bringing in new members for the sake of ensuring that our legacy lives on. We want to inspire young gay people to look after themselves – to show them that they can live and be beautiful far into old age."

Yet the necessity to replace the permanent facility and offer the elderly LGBT community in Pasay a place of shelter must not be downplayed. While the Philippines, as a Catholic and relatively matriarchal society compared to many neighbouring East Asian states, is relatively progressive in its attitude towards the gay community, it is by no means free of prejudice. Busa tells me that it is common for health attendants to ridicule the gay community who rely on their services, and for the LGBT community to encounter verbal and physical abuse in public bathrooms.

After they were forced to leave the permanent facility, many members of the Golden Gays returned to the streets of Pasay, where they sleep in doorways of malls or abandoned tower blocks.

"They find their own place under the Moon," Busa tells me. "Unless it is raining, then they must take refuge under a bridge."

Theaker explains that, in lieu of a physical headquarters, the distinctive look of the Golden Gays is tantamount to keeping their community together – but it is small compensation. Without the requisite financial support, the bright flame of the Golden Gays could soon be reduced to little more than an ember.
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