We are the UK’s leading publisher of books on Ageing and Gerontology and our titles fill a clear gap in the current literature. The list interrogates the challenges of an ageing population, push forward knowledge and reframe perspectives.
Central to this are the international and comparative works in the Ageing in a Global Context series, published in association with the British Society of Gerontology, and the Longitudinal and Lifecourse Studies journal.
Ageing and Gerontology
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Following the development of anti-retroviral therapies (ARVs), many people affected by HIV in the 1980s and 1990s have now been living with the condition for decades.
Drawing on perspectives from leading scholars in Bangladesh, Canada, Hong Kong, New Zealand, Switzerland, Ukraine, the UK and the US, as well as research from India and Kenya, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life (50+). Contributions consider the impacts of stigma, barriers to intimacy, physiological sequelae, long-term care, undetectability, pleasure and biomedical prevention (TasP and PrEP).
With increasing global availability of ARVs and ageing populations, this book offers essential future directions, practical applications and implications for both policy and research.
This piece is written as an autoethnographic memoir and study of how it has been and is to live as an HIV-positive gay man from Aotearoa New Zealand across a time of great cultural change. It is a reflection through a sociological and historical lens of how the personal side of my life as a gay man intersects with wider cultural, political and health-related themes.
This volume, third in a series of five on sexuality in later life, brings together the experiences of women, gay men, trans women and hijra from around the world as they describe what it means to live with HIV and navigate the often fraught areas of sex, sexuality, intimacy and relationships in later life. New drug treatments have transformed the lives and expectations of people living with HIV. In this book we hear from people living in Aotearoa New Zealand, Bangladesh, India, Kenya, Switzerland, Ukraine and the United Kingdom who are not only living with HIV but also facing stigma imposed on them by others. Too often they have learned to stigmatise themselves. Since no single approach or way of writing can capture the richly diverse experiences of people in later life living with HIV, the book includes a variety of empirical research as well as personal accounts, poetry and other forms of writing from an array of perspectives and academic disciplines. As always with HIV, we find that poverty challenges our notions about the length, expectations and quality of life.
The idea of writing about the lives of older people living with HIV for much or most of their lives would have been unthinkable in the earliest years of the pandemic. Yet we are here now because new technologies allow people living with HIV to live longer and because, as people are sexually active throughout their entire lives, they are being diagnosed in later life. As people live longer, practical and policy support for older persons and their sexual lives will be increasingly important. Authors in this volume also point out that in parts of the world, later life does not refer to being older in years. Experiences of intersectional stigma and oppression are common throughout the world. The introduction concludes by introducing the chapters that make up the volume.
On a trip to Kenya to participate in a writing workshop, the author, an HIV-positive gay man in his fifties from Montana, finds himself compelled to face the precarious lives of other long-term survivors, attending a support group in the slum of Korogocho, and finding a level of intimacy that leads to a realisation and expression of the uncanny similarity in the different lives of women and men living with the global virus.
Three case studies from Mumbai illustrate the effects of immunosenescence on long-term HIV survivors. Many of the medical, psychological and social characteristics of ageing characterise the condition of positive women and men in their thirties and forties, demonstrating the way age is in many ways a social construct, but also showing how long-term survival depends on social support networks, like the community-based organisation Sanjeevani, which promotes intimacy and activism.
Living as an older lesbian in a society that stigmatises marginalised communities is challenging. Patriarchy significantly impacts the experience of gender and sexually diverse populations in Bangladesh, especially for lesbians. This chapter explores the experiences of an older lesbian that speak to the intersectional oppression with which she lives. Bangladeshi society is significantly patriarchal, and women continue to experience that patriarchy as oppression. Being an older lesbian brings additional vulnerability, because older people often lack adequate financial support and health and social care. Her experience as an older lesbian is used as a lens to understand what it is like to live an identity that sits outside enforced cultural norms and to get access to health, social care and social relationships. This chapter further investigates the impacts of religion in her life and the implications of mental health support for people with HIV, based on her experiences.
This volume, third in a series of five on sexuality in later life, brings together the experiences of women, gay men, trans women and hijra from around the world as they describe what it means to live with HIV and navigate the often fraught areas of sex, sexuality, intimacy and relationships in later life. New drug treatments have transformed the lives and expectations of people living with HIV. In this book we hear from people living in Aotearoa New Zealand, Bangladesh, India, Kenya, Switzerland, Ukraine and the United Kingdom who are not only living with HIV but also facing stigma imposed on them by others. Too often they have learned to stigmatise themselves. Since no single approach or way of writing can capture the richly diverse experiences of people in later life living with HIV, the book includes a variety of empirical research as well as personal accounts, poetry and other forms of writing from an array of perspectives and academic disciplines. As always with HIV, we find that poverty challenges our notions about the length, expectations and quality of life.
Research on the impact of caring for patients with an acoustic neuroma is scarce. Findings from 12 interviews with primary carers of this patient population highlight six key themes: life disruption, support, well-being, the carer role, lessons learned and the impact of COVID-19. Carers need more practical information and emotional support, starting from the diagnosis stage through to recovery. Recommendations include routine carer assessments, early signposting to auxiliary services and information materials about recovery. This study contributes to the UK literature gap of this under-studied population and demonstrates the importance of carer assessments, as set out in the Carers Act 2014.
We adapt the concept of the ‘consumption ensemble’ to capture the nuanced collaborations between actors in the provision and receipt of home care. Data were from a ten-year study of home care clients, family carers and workers in selected Canadian provinces. Using the lens of the ‘ensemble’, we analysed interviews with 24 dyads (carers and clients) and reviewed findings of our previously published research. Evidence of agency as collective endeavour supporting client autonomy and of improvisation in the ensemble informed a revision of our previous interactive model of care, emphasising the bidirectional nature of care relationships.
