Rejuvenation’s Return: Anti-aging and Re-masculinization in Biomedical Discourse on the ‘Aging Male’

Marshall, Barbara

doi:10.1007/s12376-009-0019-3

Cited by 19 publications

(10 citation statements)

References 58 publications

(35 reference statements)

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“… [34] Indeed, in our study we found that rates of topical TRT use have increased consistently since its introduction in 2005 as compared to rates of oral and injectable TRT use, which have remained relatively stable since 2006. Finally, publications related to testosterone use are given considerable exposure in the lay and medical press, which further drives medicalization of aging, drug campaigns and development of new products [35] , [36] .…”

Section: Discussionmentioning

confidence: 99%

The Impact of Drug Reimbursement Policy on Rates of Testosterone Replacement Therapy among Older Men

et al. 2014

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BackgroundDespite a lack of data describing the long-term efficacy and safety of testosterone replacement therapy (TRT), prescribing of testosterone to older men has increased with the availability of topical formulations. The magnitude of this increase and the impact of formulary restrictions on testosterone prescribing are poorly characterized.MethodsWe conducted a time series analysis using the linked health administrative records of men aged 66 years or older in Ontario, Canada between January 1, 1997 and March 31, 2012. We used interventional autoregressive integrated moving average models to examine the impact of a restrictive drug reimbursement policy on testosterone prescribing and examined the demographic profile of men initiating testosterone in the final 2 years of the study period.ResultsA total of 28,477 men were dispensed testosterone over the study period. Overall testosterone prescribing declined 27.9% in the 6 months following the implementation of the restriction policy (9.5 to 6.9 men per 1000 eligible; p<0.01). However, the overall decrease was temporary and testosterone use exceeded pre-policy levels by the end of the study period (11.0 men per 1000 eligible), largely driven by prescriptions for topical testosterone (4.8 men per 1000 eligible). Only 6.3% of men who initiated testosterone had a documented diagnosis of hypogonadism, the main criteria for TRT reimbursement according to the new policy.ConclusionGovernment-imposed restrictions did not influence long-term prescribing of testosterone to older men. By 2012, approximately 1 in every 90 men aged 66 or older was being treated with TRT, most with topical formulations.

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Section: Discussionmentioning

confidence: 99%

The Impact of Drug Reimbursement Policy on Rates of Testosterone Replacement Therapy among Older Men

et al. 2014

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“…As Tiefer (:287) notes, the triumph of oral erectile medications “succeeded so thoroughly in rationalizing the idea of sexual correction and enhancement through pills that it only seems fair that such a product be made available to women,” launching the “hunt for pink Viagra” (Wyllie ). There has also been renewed interest in identifying a hormonal (and thus pharmaceutically correctable) basis for symptoms of sexual decline linked to the “male menopause” or “andropause” (Marshall ; Watkins ).…”

Section: The Medicalization Of Sexualitymentioning

confidence: 99%

The Graying of “Sexual Health”: A Critical Research Agenda

Marshall

2011

Canadian Review of Sociology/Revue canadienne de sociologie

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This paper critically interrogates the concept of sexual health as it has evolved in relation to older adults. I draw on social and cultural studies of aging, feminist studies, and science and technology studies to outline a research agenda which treats sexual health as a point of articulation for a range of technologies and processes which shape mid- and late-life sexualities. Such an agenda may be able to more fully interrogate the sites and processes by which sexualities are being shaped, the forms of sexual agency on offer to older people, and the contemporary reconstruction of sexual life courses.

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“…It thus aligns with other ways of recuperating successful aging futures through, for example, anti-aging culture's promotion of sexuo-pharmaceuticals and other 6 There is also clearly a reassertion of patriarchal linearity here, although this is beyond the scope of the present paper. biomedical means of restoring happy futures [13,50,51]. As Emily Wentzell [52] cautions, expansion of biomedical control over non-normative bodies risks deflecting attention away from the social interventions that could create the conditions for a diversity of more livable futures.…”

Section: Repairing the Future?mentioning

confidence: 99%

Queering Aging Futures

Sandberg

Marshall

2017

Societies

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This paper explores the potential for cultural gerontology to extend its ideas of diversity in aging experiences by opening space to rethink conceptions of successful aging futures. We propose a 'queering' of aging futures that disrupts the ways that expectations of a good later life and happy aging are seen to adhere to some bodies and subjectivities over others. Drawing on feminist, queer, and crip theories, we build on existing critiques of 'successful aging' to interrogate the assumptions of heteronormativity, able-bodiedness and able-mindedness that shape the dividing lines between success and failure in aging, and which inform attempts to 'repair' damaged futures. Conclusions suggest that recognizing diversity in successful aging futures is important in shaping responses to the challenges of aging societies, and presents an opportunity for critical cultural gerontology to join with its theoretical allies in imagining more inclusive alternatives.

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Rejuvenation’s Return: Anti-aging and Re-masculinization in Biomedical Discourse on the ‘Aging Male’

Cited by 19 publications

References 58 publications

The Impact of Drug Reimbursement Policy on Rates of Testosterone Replacement Therapy among Older Men

The Impact of Drug Reimbursement Policy on Rates of Testosterone Replacement Therapy among Older Men

The Graying of “Sexual Health”: A Critical Research Agenda

Queering Aging Futures

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