Baby boomers' attitudes to maintaining sexual and intimate relationships in long-term care.

OBJECTIVES: Australian aged care policy is wholly focused on individual "consumers" and consequently neglects the needs of dyadic partners. This paper highlights partnered baby boomers' attitudes to maintaining sexual and intimate relationships in residential care. METHODS: In 2016, cross-sectional data were collected using an online survey of partnered baby boomers recruited using social media. Qualitative data were analysed using word frequency, keywords-in-context and thematic analysis. Descriptive statistics were generated from quantitative data. RESULTS: There were 168 participants (85% female), aged 51-71 years. Many reported that remaining together and continuing physical and sexual contact were important in aged care contexts-necessitating private couple's suites, shared beds, access to condoms, lubricants and sexual health professionals. CONCLUSIONS: Considerable cultural change will be required to raise residential aged care to the standard expected by some partnered baby boomers. Shifting to a more couple-centred approach may benefit partnered residents' health and well-being.

Happily partnered older adults' relationship-enhancing behaviours.

OBJECTIVE: Relationship-enhancing behaviours that contribute to older adults' well-being are scarcely considered in "active ageing" discourses despite relationship quality having been repeatedly linked to health outcomes. This paper explores such behaviours in older adults. METHODS: Cross-sectional data were collected in 2016 from 168 partnered baby boomers (born 1946 to 1965) using an online survey. The 36 qualitative and quantitative questions were analysed using mixed methods. RESULTS: Participants were predominantly women (85%), with a mean age of 62 years (SD = 5.2). Relationship-enhancing behaviours included verbal and non-verbal cues, physical affection and pleasurable sexual activities. A couple's shared bed was an important relationship setting. CONCLUSION: For happily partnered older adults, relationship quality improves personal well-being. As a social determinant of healthy ageing, health policies and programs are needed to support older adults' relationship quality. To this end, the development of targeted relationship interventions for delivery in health settings is warranted.

Methadone maintenance treatment: disciplining the 'addict'.

This article examines key aims, objectives, technologies, strategies, and procedures utilised in Australian methadone maintenance programs over the past thirty years. An examination of the major policy documents reveal that, in addition to medico-health concerns, methadone programs have been strategically deployed to manage specific sociopolitical problems including illicit drug use, crime, and the spread of infectious diseases. The techniques, technologies, and procedures utilised in methadone programs and the 'disciplinary monotony 'of the methadone regime itself aim to produce a more compliant, conforming, and self-regulating subject. It is argued that the promotion of methadone maintenance as a 'treatment' modality obscures these disciplinary objectives and the political goals that have fostered them.

Governing at a distance: mainstreaming of Australian HIV/AIDS treatments and services 1989-1996 reconsidered.

This article examines the controversy around the proposal in the late 1980s and early 1990s to mainstream HIV/AIDS treatment, services, and care in Australia. With the predicted increase in HIV infections, and with improved prophylaxis and antiretroviral therapy (such as AZT) extending the lives of people with HIV/AIDS, mainstreaming was proposed as a strategy that could meet the anticipated increased demand in HIV/AIDS services. Our analysis suggests that mainstreaming was strategically positioned as a necessary intermediary step between specialist and community control, one in which general practitioners and local health workers would serve as conduits through which specialist knowledge and information could be deployed. The strategy also reflected a general shift in thinking and acting on public health that emerged in the late 1980s, a shift that sought, inter alia, to reorientate health services towards fostering the self-managing capacities of HIV/AIDS affected communities.