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With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from theU.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.

Narrating Midlife: Crisis, Transition, and Transformation is rooted in a discussion about why it is important to address the midlife years in ways that challenge and interrogate the myths that surround this phase of life. Although readers are free to construct their own meaning after reading each narrative, they are encouraged to attend to the ways in which each narrative reveals how the author grapples with their particular issues communicatively. More important, readers are invited to see the power of narrative re-framing as authors seek to understand, interpret and “live” midlife change(s) in ways that are empowering and life affirming. In this book, contributors spin compelling and meaningful narratives about change at midlife. The empty nest, the surprise discovery of cancer, re-defining one's life at midlife and re-imagining long term commitment after divorce are just some of the topics explored in this book. Auto-ethnographically crafted, the narratives presented throughout the book aim to show how managing and living through change at midlife is very much a communicative endeavor.

In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.

Lesbian, Gay, Bisexual, and Transgender Aging brings together cutting-edge research, practical information, and innovative thinking regarding the characteristics and processes of aging among lesbian, gay, bisexual, and transgender individuals. Written by experts in the field, the book covers a range of subjects and provides a comprehensive knowledge base for practitioners, students, and researchers. Contributors address topics such as sexuality, relationships, legal issues, retirement planning, physical and mental health, substance abuse, community needs, gay and lesbian grandparents, and a model agency dedicated to delivering services to the senior LGBT population. Their writing takes a gay-affirmative approach that focuses on resilience, coping, and successful adaptation to aging and is sensitive to the importance of historical oppression in the lives of older members of sexual minorities. The authors also pay close attention to ethnic and cultural issues and identify where further research is needed.Lesbian, Gay, Bisexual, and Transgender Aging is a groundbreaking collection of some of the most significant voices in this area of research today. Gerontologists and those who serve the LGBT community are in great need of the information contained in this singular and definitive resource.

By borrowing from a wide range of disciplines such as psychology, sociology, anthropology, psychiatry, and the humanities, this book gives a more “human,” personal voice to the many experiences of aging. The result is a new sort of social science research, one which often reads more like literature than social science. Indeed, the author uses a wide variety of techniques borrowed from the humanities, from hermeneutics to oral histories, in addition to the more traditional social science methods.