En-gayging: older gay men and aged care provision

Abstract

This thesis explores the issue of aged care provision for Australian older gay men (OGM). Theoretical models of homosexual identity formation, life course theory and theories of ageing are used to critically explore how the experience of OGM and their aged care needs might be understood in an Australian context. OGM developed a sense of sexuality and identity during the pre gay liberation era. This time was a difficult one for gay men; they often experienced harassment and discrimination. Laws have changed to accommodate sexual minorities but the problem exists that heteronormativity remains powerful in health and aged care settings. Heterosexist assumptions about OGM men in these contexts can have the effect of denying their identity and making their presence invisible. Their voice is largely unheard as they currently have little input into aged care provision services for this stage of their lives. OGM are sometimes fearful and anxious when visiting health professionals. This avoidance can be detrimental to their health and well-being leading to isolation and depression. This study sought to explore the needs of OGM in relation to aged care provision and their experience of service utilisation. The study used a mixed methods approach employing a survey and focus groups. Respondents were recruited from gay social groups, newspapers, brochures and snowballing technique. One hundred and sixty one OGM completed the survey. Two focus group meetings were held, one in Sydney (6 men) and one at the Gold Coast (8 men). In emerging findings OGM expressed a desire to have home care provision and assistance and gay friendly aged care facilities. It was evident they preferred sensitive health care workers to attend to their care needs in the absence of gay health carers. OGM rated domestic assistance as their most desirable need. Furthermore, a large number of OGM maintain regular contact with their families. Of importance to them is also their supportive friendship networks and socialising activities which serve to reduce their likelihood of isolation. The maintenance of networks is seen as a major area for consideration in policy development for care, as also is the inclusion of policies sexual minorities in aged care in development of policy, and in training of health care workers.