Year: 2019
Type: dissertation
Abstract: The scholarship on aging among lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults has, in recent years, experienced unprecedented growth. Despite this emerging body of literature, research on older gay men’s health care experiences remains limited. This qualitative study, which is framed theoretically by Foucauldian governmentality and intersectionality, and informed methodologically by a poststructuralist approach to grounded theory known as situational analysis, attempts to address this gap in the literature. Specifically, drawing on interviews with 27 Toronto-based gay men ages 50 and over, 16 of whom reported being HIV-positive at the time of recruitment, the study offers insight on the health care experiences of older gay men. More specifically, the study highlights processes of subjugation and resistance reflected in the accounts of the participants. Chapter 1 provides a critical review of the literature, highlights the role of Foucauldian governmentality and intersectionality in situating the study theoretically, and outlines the study’s research design. Chapter 2 contains an overview of the study’s key findings, which specifically delineate how sociohistorically significant discursive forces rooted in homophobia and HIV stigma, older gay men’s interpretations of medical practices, as well as institutional constructions of gay aging bodies, together reflect the role of the HIV/AIDS epidemic in shaping older gay men’s subjugation and resistance across health settings. Drawing on the study’s insights, and the centrality of Foucauldian governmentality in supporting the conceptualization of these findings, chapter 3 examines the utility of this theoretical framework in guiding and enriching qualitative studies informed by situational analysis. Chapter 4 utilizes the accounts of this study’s HIV-positive participants to identify the health care and social service needs of this population, and incorporates an intersectional lens to conceptualize variations in the service priorities of this group along dimensions of difference such as socioeconomic status, ability, and race. Finally, chapter 5 concludes with a discussion of the study’s contributions to substantive and theoretical bodies of scholarship, and an overview of the inquiry’s implications for policy and practice in the area of gay aging.
Source: TSpace (University of Toronto)
Author: Hannah Kia
Language: English
Subfield: Social Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2981742823