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.
Table of Contents:
Foreword: Dare we hope for the erotic? HIV/AIDS, sexuality and ageing - OmiSoore H. Dryden
Introduction - Mark Henrickson, Casey Charles, Shiv Ganesh, Sulaimon Giwa, Kan Diana Kwok and Tetyana Semigina
Part 1: Women
1. The ‘disease of love’: trajectories of women living with HIV in Switzerland - Vanessa Fargnoli
2. Beyond the biomedical: HIV as a barrier to intimacy for older women living with HIV in the United Kingdom - Jacqui Stevenson
3. ‘Everyone is on their own and nobody needs us’: women ageing with HIV in Ukraine - Tetyana Semigina, Tetiana Yurochko and Yulia Stopolyanska
Part 2: Gay and bisexual men
4. Chemsex among gay men living with HIV aged over 45 in England and Italy: sociality and pleasure in times of undetectability - Cesare Di Feliciantonio
5. Freed from fear: reconstructing older gay male sexuality through PrEP – an account of a generational experience - Jacek Kolodziej
6. In the company of men: gay culture and HIV in Aotearoa New Zealand - Michael Stevens
7. Growing old with stigma: a case study of four older Chinese gay/bisexual men living with HIV in Hong Kong - Barry Man Wai Lee 李 文 偉
Part 3: Intersectional lives, multiple stigmas
8. Out in Africa: facing the HIV other in Nairobi - Casey Charles
9. Survival of an older Bangladeshi lesbian experiencing intersectional vulnerability - Kanamik Kani Khan
10. Sanjeevani: early ageing and HIV survival in queer Mumbai - Casey Charles
Afterword - Mark Henrickson
About the Author :
Mark Henrickson is Professor of Social Work at Massey University, New Zealand.
Casey Charles is Emeritus Professor of English at the University of Montana, USA.
Shiv Ganesh is Professor of Communications Studies at the University of Texas at Austin, USA.
Sulaimon Giwa is Assistant Professor of Social Work at Memorial University of Newfoundland, Canada.
Kan Diana Kwok is Associate Professor in the Department of Special Education and Counselling at The Education University of Hong Kong, Hong Kong SAR, China.
Tetyana Semigina is Professor in the Department of Social Work and Applied Psychology at the Academy of Labour, Social Relations and Tourism, Kyiv, Ukraine.
Review :
"HIV, Sex, and Sexuality in Later Life stands as a pioneering work, transcending borders, and offering a nuanced understanding of the intricate interplay between aging, HIV, and sexuality. Each chapter adds a unique perspective, creating a collective narrative that challenges stereotypes and amplifies voices often marginalized in discussions of global significance." Social Work and Education
“This volume seeks to answer 'what next?' for people living with HIV in later life. The rich research and powerful narratives give us profound insights into stigma, resilience and meaning-making.” Bryan Cochran, University of Montana
“HIV has become a largely ‘forgotten’ disease, with most individuals who experienced and survived the pandemic now in their 50s and 60s. Yet the challenges and lessons continue as long-term survivors age and medicine, policies and services adapt to HIV becoming a new chronic disease. This book is an essential look at these emerging issues.” Michael W. Ross, University of Minnesota Medical School
