Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

Journal of Homosexuality

Volumn 62, Issue 5, 2015, Pages 571-587

  Halkitis, Perry N ^a,b   Kapadia, Farzana ^a,b   Ompad, Danielle C ^a   Perez Figueroa, Rafael ^a  

^a NEW YORK UNIVERSITY   (United States)

^b NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

aging; ecosocial; gay men; health; HIV AIDS

Indexed keywords

ADULT; AGED; AGING; FORECASTING; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH DISPARITY; HEALTH SERVICE; HIV SEROPOSITIVITY; HOMOPHOBIA; HUMAN; MALE; MALE HOMOSEXUALITY; MIDDLE AGED; PHILOSOPHY; PSYCHOLOGY; QUALITY OF LIFE; SOCIAL CHANGE; SOCIAL STIGMA; STATISTICS AND NUMERICAL DATA; TRENDS; UNITED STATES;

ADULT; AGED; AGING; FORECASTING; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH STATUS DISPARITIES; HEALTHCARE DISPARITIES; HIV SEROPOSITIVITY; HOLISTIC HEALTH; HOMOPHOBIA; HOMOSEXUALITY, MALE; HUMANS; MALE; MIDDLE AGED; QUALITY OF LIFE; SOCIAL CHANGE; SOCIAL STIGMA; UNITED STATES;

EID: 84928584597     PISSN: 00918369     EISSN: 15403602     Source Type: Journal    
DOI: 10.1080/00918369.2014.987567     Document Type: Article

References (83)

1. Adams, J., Braun, V., & McCreanor, T. (2007). Warning voices in a policy vacuum: Professional accounts of gay men’s health in Aotearoa New Zealand. Social Policy Journal of New Zealand, 30, 199.
2. Aidala, A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9, 251–265. doi:10.1007/s10461-005-9000-7
3. Andersen, R. (1968). A behavioral model of families’ use of health services. Chicago, IL: University of Chicago Center for Health Administration Studies.
4. Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly. Health and Society, 51, 95–124. doi:10.1111/j.1468-0009.2005.00428.x
5. Barron, J. S., Tan, E. J., Yu, Q., Song, M., McGill, S., & Fried, L. P. (2009). Potential for intensive volunteering to promote the health of older adults in fair health. Journal of Urban Health, 86, 641–653. doi:10.1007/s11524-009-9353-8
6. Bayer, R. (1987). Homosexuality and American psychiatry: The politics of diagnosis. Princeton, NJ: Princeton University Press.
7. Black, D., Gates, G., Sanders, S., & Taylor, L. (2000). Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources. Demography, 37, 139–154. doi:10.2307/2648117
8. Borsari, B., & Carey, K. B. (2003). Descriptive and injunctive norms in college drinking: A meta-analytic integration. Journal of Studies on Alcohol, 64, 331–341.
9. Bosworth, H. B., Park, K. S., McQuoid, D. R., Hays, J. C., & Steffens, D. C. (2003). The impact of religious practice and religious coping on geriatric depression. International Journal of Geriatric Psychiatry, 18, 905–914. doi:10.1002/gps.945
10. Brashers, D. E., Haas, S. M., Neidig, J. L., & Rintamaki, L. S. (2002). Social activism, self-advocacy, and coping with HIV illness. Journal of Social and Personal Relationships, 19, 113–133. doi:10.1177/0265407502191006
11. Bronfennbrenner, U. (1986). Recent advances in research on the ecology of human development. In R. K. Silbereisen, K. Eyferrth, & G. Rudinger (Eds.), Development as action in context: Problem behavior and normal youth development (pp. 286–309). New York, NY: Springer-Verlag.
12. Carpiano, R. M., Kelly, B. C., Easterbrook, A., & Parsons, J. T. (2011). Community and drug use among gay men the role of neighborhoods and networks. Journal of Health and Social Behavior, 52, 74–90. doi:10.1177/0022146510395026
13. Centers for Disease Control and Prevention. (2010). Establishing a holistic framework to reduce inequities in HIV, viral hepatitis, STDs, and tuberculosis in the United States. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
14. Chandra, A., Mosher, W. D., Copen, C., & Sionean, C. (2011). Sexual behavior, sexual attraction, and sexual identity in the United States: Data from the 2006–2008 National Survey of Family Growth. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
15. Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53–61. doi:10.1037/0022-006X.71.1.53
16. Cohen, A. B., & Koenig, H. G. (2003). Religion, religiosity and spirituality in the biopsychosocial model of health and ageing. Ageing International, 28, 215–241. doi:10.1007/s12126-002-1005-1
17. Cutts, R. N., & Parks Jr., C. W. (2009). Religious involvement among Black men self-labeling as gay. Journal of Gay & Lesbian Social Services, 21, 232–246. doi:10.1080/10538720902772147
18. Egan, J. E., Frye, V., Kurtz, S. P., Latkin, C., Chen, M., Tobin, K.,. & Koblin, B. A. (2011). Migration, neighborhoods, and networks: Approaches to understanding how urban environmental conditions affect syndemic adverse health outcomes among gay, bisexual and other men who have sex with men. AIDS and Behavior, 15, 35–50. doi:10.1007/s10461-011-9902-5
19. Everson-Rose, S. A., Skarupski, K. A., Barnes, L. L., Beck, T., Evans, D. A., & Mendes de Leon, C. F. (2011). Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults. Health & Place, 17, 793–800. doi:10.1016/j.healthplace.2011.02.007
20. Francis, A. M., Mialon, H. M., & Peng, H. (2012). In sickness and in health: Same-sex marriage laws and sexually transmitted infections. Social Science & Medicine, 75, 1329. doi:10.1016/j.socscimed.2012.05.037
21. Frye, V., Koblin, B., Chin, J., Beard, J., Blaney, S., Halkitis, P.,. & Galea, S. (2010). Neighborhood-level correlates of consistent condom use among men who have sex with men: A multi-level analysis. AIDS and Behavior, 14, 974–985. doi:10.1007/s10461-008-9438-5
22. Gee, R. (2006). Primary care health issues among men who have sex with men. Journal of the American Academy of Nurse Practitioners, 18, 144–153. doi:10.1111/j.1745-7599.2006.00117.x
23. Glass, T. A., De Leon, C. F. M., Bassuk, S. S., & Berkman, L. F. (2006). Social engagement and depressive symptoms in late life longitudinal findings. Journal of Aging and Health, 18, 604–628. doi:10.1177/0898264306291017
24. Glymour, M. M., Weuve, J., Fay, M. E., Glass, T., & Berkman, L. F. (2008). Social ties and cognitive recovery after stroke: Does social integration promote cognitive resilience? Neuroepidemiology, 31, 10–20. doi:10.1159/000136646
25. Green, K. E., & Feinstein, B. A. (2012). Substance use in lesbian, gay, and bisexual populations: An update on empirical research and implications for treatment. Psychology of Addictive Behaviors, 26, 265. doi:10.1037/a0025424
26. Halkitis, P. N. (2010). Reframing HIV prevention for gay men in the United States. American Psychologist, 65, 752–763. doi:10.1037/0003-066X.65.8.752
27. Halkitis, P. N. (2012). Obama, marriage equality, and the health of gay men. American Journal of Public Health, 102, 1628–1629. doi:10.2105/AJPH.2012.300940
28. Halkitis, P. N. (2013a, July 11). How marriage equality helps fight AIDS. Daily News. Retrieved from http://www.nydailynews.com/opinion/gay-marriage-helps-fight-aids-article-1.1395315
29. Halkitis, P. N. (2013b). The AIDS generation: stories of survival and resilience. New York, NY: Oxford University Press.
30. Halkitis, P. N., Green, K. A., & Wilton, L. (2004). Masculinity, body image, and sexual behavior in HIV-seropositive gay men: A two-phase behavioral investigation using the Internet. International Journal of Men’s Health, 3, 27–42. doi:10.3149/jmh.0301.27
31. Halkitis, P. N., & Cahill, S. (2011, May 27). Re-centering science in the fight against AIDS. Huffington Post. Retrieved from http://www.huffingtonpost.com/perry-n-halkitis-phd-ms/recentering-science-in-th_b_868310.html?ref=fb&src=sp
32. Halkitis, P. N., Kupprat, S. A., Hampton, M. E., Pérez-Figueroa, R. E., Kingdon, M., Eddy, J., & Ompad, D. C. (2012). Evidence for a syndemic in aging HIV-positive gay, bisexual, and other MSM: implications for a holistic approach to prevention and healthcare. Annals of Anthropological Practice, 36, 365–386. doi:10.1111/napa.12009
33. Halkitis, P. N., Mattis, J. S., Sahadath, J. K., Massie, D., Ladyzhenskaya, L., Pitrelli, K., … & Cowie, S. A. E. (2009). The meanings and manifestations of religion and spirituality among lesbian, gay, bisexual, and transgender adults. Journal of Adult Development, 16, 250–262. doi:10.1007/s10804-009-9071-1
34. Halkitis, P. N., Pollock, J. A., Pappas, M. K., Dayton, A., Moeller, R. W., Siconolfi, D., & Solomon, T. (2011). Substance use in the MSM population of New York City during the era of HIV/AIDS. Substance Use & Misuse, 46, 264–273. doi:10.3109/10826084.2011.523265
35. Halkitis, P. N., Wolitski, R. W., & Millett, G. A. (2013). A holistic approach to addressing HIV infection disparities in gay, bisexual, and other MSM. American Psychologist, 68, 261–273. doi:10.1037/a0032746
36. Hall, A., & Wellman, B. (1985). Social networks and social support. In S. Cohen & S. L. Symes (Eds.), Social support and health (pp. 23–41). Orlando, FL: Academic Press.
37. Hardy, D. J., & Vance, D. E. (2009). The neuropsychology of HIV/AIDS in older adults. Neuropsychology Review, 19, 263–272. doi:10.1007/s11065-009-9087-0
38. Hatzenbuehler, M. L., O’Cleirigh, C., Grasso, C., Mayer, K., Safren, S., & Bradford, J. (2012). Effect of same-sex marriage laws on health care use and expenditures in sexual minority men: A quasi-natural experiment. American Journal of Public Health, 102, 285–291. doi:10.2105/AJPH.2011.300382
39. Hiscock, R., Pearce, J., Blakely, T., & Witten, K. (2008). Is neighborhood access to health care provision associated with individual‐level utilization and satisfaction? Health Services Research, 43, 2183–2200. doi:10.1111/j.1475-6773.2008.00877.x
40. House, J. S., & Kahn, R. L. (1985). Measures and concepts of social support. In S. Cohen & S. L. Symes (Eds.), Social support and health (pp. 83–108). Orlando, FL: Academic Press.
41. Houston, E., & McKirnan, D. J. (2007). Intimate partner abuse among gay and bisexual men: Risk correlates and health outcomes. Journal of Urban Health, 84, 681–690. doi:10.1007/s11524-007-9188-0
42. Institute of Medicine. (2011). The health of lesbian, gay, bisexual and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.
43. Jacobs, R. J., Fernandez, M. I., Ownby, R. L., Bowen, G. S., Hardigan, P. C., & Kane, M. N. (2010). Factors associated with risk for unprotected receptive and insertive anal intercourse in men aged 40 and older who have sex with men. AIDS Care, 22, 1204–1211. doi:10.1080/09540121003615137
44. Kohli, R., Klein, R. S., Schoenbaum, E. E., Anastos, K., Minkoff, H., & Sacks, H. S. (2006). Aging and HIV infection. Journal of Urban Health, 83, 31–42. doi:10.1007/s11524-005-9005-6
45. Krieger, J., & Higgins, D. L. (2002). Housing and health: Time again for public health action. American Journal of Public Health, 92, 758–768. doi:10.2105/AJPH.92.5.758
46. Lang, I. A., Llewellyn, D. J., Langa, K. M., Wallace, R. B., Huppert, F. A., & Melzer, D. (2008). Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people: Analyses from the English Longitudinal Study of Ageing. Journal of the American Geriatrics Society, 56, 191–198. doi:10.1111/j.1532-5415.2007.01557.x
47. LGBT Movement Advancement Project (MAP) & Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders (SAGE). (2010, March). Improving the lives of LGBT older adults. LGBT Movement Advancement Project. Retrieved from http://www.lgbtmap.org/file/improving-the-lives-of-lgbt-older-adults.pdf
48. Lin, N. (2001). Social capital: A theory of social structure and action. New York, NY: Cambridge University Press.
49. Link, B. G., & Phelan, J. C. (1996). Understanding sociodemographic differences in health—The role of fundamental social causes. American Journal of Public Health, 86, 471–473.
50. Mayer, K. H., Bradford, J. B., Makadon, H. J., Stall, R., Goldhammer, H., & Landers, S. (2008). Sexual and gender minority health: What we know and what needs to be done. American Journal of Public Health, 98, 989–995. doi:10.2105/AJPH.2007.127811
51. Mayne, T. J., Acree, M., Chesney, M. A., & Folkman, S. (1998). HIV sexual risk behavior following bereavement in gay men. Health Psychology, 17, 403. doi:10.1037/0278-6133.17.5.403
52. Meyer, I. H. (2001). Why lesbian, gay, bisexual, and transgender public health? American Journal of Public Health, 91, 856–859.
53. McCarthy, J. F., & Blow, F. C. (2004). Older patients with serious mental illness: sensitivity to distance barriers for outpatient care. Medical Care, 42, 1073–1080.
54. MetLife. (2010). Still out, still aging: The MetLife study of lesbian, gay, bisexual, and transgender baby boomers. Westport, CT: MetLife Mature Market Institute.
55. Mills, T. C., Stall, R., Pollack, L., Paul, J. P., Binson, D., Canchola, J., & Catania, J. A. (2001). Health-related characteristics of men who have sex with men: A comparison of those living in “gay ghettos” with those living elsewhere. American Journal of Public Health, 91, 980–983.
56. New York City Department of Health and Mental Hygiene. (2011). Community health survey 2009—Epiquery: NYC interactive health data system [Data file]. Retrieved from http://nyc.gov/health/epiquery
57. Nwakeze, P. C., Magura, S., Rosenblum, A., & Joseph, H. (2003). Homelessness, substance misuse, and access to public entitlements in a soup kitchen population. Substance Use & Misuse, 38, 645–668. doi:10.1081/JA-120017388
58. Obisesan, T. O., & Gillum, R. F. (2009). Cognitive function, social integration and mortality in a US national cohort study of older adults. BMC Geriatrics, 9, 33. doi:10.1186/1471-2318-9-33
59. Omariba, D. W. R. (2010). Neighbourhood characteristics, individual attributes and self-rated health among older Canadians. Health & Place, 16, 986–995. doi:10.1016/j.healthplace.2010.06.003
60. Office of the New York City Public Advocate. (2008). Improving lesbian, gay, bisexual and transgender access to healthcare at New York City health and hospitals corporation facilities. New York, NY: Author.
61. Pappas, M. K., & Halkitis, P. N. (2011). Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City. AIDS Care, 23, 1410–1416. doi:10.1080/09540121.2011.565027
62. Paul, J. P., Catania, J., Pollack, L., & Stall, R. (2001). Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men’s Health Study. Child Abuse & Neglect, 25, 557–584. doi:10.1016/S0145-2134(01)00226-5
63. Pope, M., Wierzalis, E. A., Barret, B., & Rankins, M. (2007). Sexual and intimacy issues for aging gay men. Adultspan Journal, 6, 68–82. doi:10.1002/j.2161-0029.2007.tb00033.x
64. Population Division, United States Census Bureau (2008). 2008 national population projections: Table 12. Projections of the population by age and sex for the United States: 2010 to 2050 [Data file]. Retrieved from http://www.census.gov/population/projections/files/summary/np2008-t12.xls
65. Pruchno, R. A., Wilson-Genderson, M., & Cartwright, F. P. (2012). The texture of neighborhoods and disability among older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67, 89–98. doi:10.1093/geronb/gbr131
66. Reilly, T., & Woo, G. (2002). Access to services and maintenance of safer sex practices among people living with HIV/AIDS. Social Work in Health Care, 36(3), 81–95. doi:10.1300/J010v36n03_05
67. Saegert, S., & Evans, G. W. (2003). Poverty, housing niches, and health in the United States. Journal of Social Issues, 59, 569–589. doi:10.1111/1540-4560.00078
68. Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362–370. doi:10.4278/0890-1171-14.6.362
69. Shaw, M. (2004). Housing and public health. Annual Review of Public Health, 25, 397–418. doi:10.1146/annurev.publhealth.25.101802.123036
70. Singer, M. (2009). Introduction to syndemics: A systems approach to public and community health. San Francisco, CA: Jossey-Bass.
71. Slater, L. Z., Moneyham, L., Vance, D. E., Raper, J. L., Mugavero, M. J., & Childs, G. (2012). Support, stigma, health, coping, and quality of life in older gay men with HIV. Journal of the Association of Nurses in AIDS Care, 24, 38. doi:10.1016/j.jana.2012.02.006
72. Stall, R., Friedman, M., & Catania, J. A. (2008). Interacting epidemics and gay men’s health: A theory of syndemic production among urban gay men. In R. J. Wolitiski, R. Stall, & R. O. Valdiserri (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States (pp. 251–274). New York, NY: Oxford University Press.
73. Subramanian, S. V., Kubzansky, L., Berkman, L., Fay, M., & Kawachi, I. (2006). Neighborhood effects on the self-rated health of elders: Uncovering the relative importance of structural and service-related neighborhood environments. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61, S153–S160.
74. Theuninck, A. C., Lake, N., & Gibson, S. (2010). HIV-related posttraumatic stress disorder: Investigating the traumatic events. AIDS Patient Care and STDs, 24, 485–491. doi:10.1089/apc.2009.0231
75. U.S. Department of Health and Human Services. (2013). Healthy people 2020. Retrieved from http://www.healthypeople.gov/2020/default.aspx
76. Van Wagenen, A., Driskell, J., & Bradford, J. (2013). “I’m still raring to go”: Successful aging among lesbian, gay, bisexual, and transgender older adults. Journal of Aging Studies, 27, 1–14. doi:10.1016/j.jaging.2012.09.001
77. Vosburgh, H. W., Mansergh, G., Sullivan, P. S., & Purcell, D. W. (2012). A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS and Behavior, 16, 1394–1410. doi:10.1007/s10461-011-0131-8
78. Wasserman, S., & Faust, K. (1994). Social network analysis: methods and applications. New York, NY: Cambridge University Press.
79. Wight, R. G. (2000). Precursive depression among HIV infected AIDS caregivers over time. Social Science & Medicine, 51, 759–770. doi:10.1016/S0277-9536(00)00007-1
80. Wight, R. G., LeBlanc, A. J., de Vries, B., & Detels, R. (2012). Stress and mental health among midlife and older gay-identified men. American Journal of Public Heath, 102, 503–510. doi:10.2105/AJPH.2011.300384
81. Wolitski, R. J., Kidder, D. P., & Fenton, K. A. (2007). HIV, homelessness, and public health: critical issues and a call for increased action. AIDS and Behavior, 11, 167–171. doi:10.1007/s10461-007-9277-9
82. Zablotska, I. B., Holt, M., & Prestage, G. (2012). Changes in gay men’s participation in gay community life: Implications for HIV surveillance and research. AIDS and Behavior, 16, 669–675. doi:10.1007/s10461-011-9919-9
83. Zou, H., Fairley, C. K., Guy, R., & Chen, M. Y. (2012). The efficacy of clinic-based interventions aimed at increasing screening for bacterial sexually transmitted infections among men who have sex with men: A systematic review. Sexually Transmitted Diseases, 39, 382–387. doi:10.1097/OLQ.0b013e318248e3ff