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de Souza EV, Cruz DP, Siqueira LR, Pirôpo US, Rosa RS, da Silva BF, Sawada NO. Sexuality and its effects on older adults' depressive symptoms and quality of life. Rev Bras Enferm 2023; 76:e20210645. [PMID: 36753192 PMCID: PMC9901350 DOI: 10.1590/0034-7167-2021-0645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 08/12/2022] [Indexed: 02/09/2023] Open
Abstract
OBJECTIVES to analyze the effects of sexuality on depressive symptoms and quality of life in older adults. METHODS a cross-sectional and analytical study, developed with 596 older adults, who completed four instruments for data collection. Data were analyzed using the Kruskal-Wallis test and Structural Equation Modeling, with a 95% Confidence Interval. RESULTS among the sexuality dimensions, only physical and social adversities exerted statistically significant effects on depressive symptoms (SC=-0.095; p=0.003), but with low magnitude. Moreover, all sexuality dimensions had statistically significant effects on quality of life, being of low magnitude for sexual act (SC=0.171; p=0.010) and for physical and social adversities (SC=0.228; p<0.001), and moderate magnitude for affective relationships (SC=0.474; p<0.001). CONCLUSIONS effects of different magnitudes were observed between sexuality dimensions on participants' depressive symptoms and quality of life.
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Affiliation(s)
| | - Diego Pires Cruz
- Universidade Estadual do Sudoeste da Bahia. Jequié, Bahia, Brazil
| | | | | | - Randson Souza Rosa
- Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil
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Fraser AM, Leavitt CE, Yorgason JB, Price AA. "Feeling It": Links between elements of compassion and sexual well-being. Front Psychol 2023; 13:1017384. [PMID: 36687821 PMCID: PMC9846806 DOI: 10.3389/fpsyg.2022.1017384] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 11/22/2022] [Indexed: 01/06/2023] Open
Abstract
Introduction Compassion may be a particularly important component of a sexual relationship as it facilitates needed self-awareness, understanding, and connection to frame deeply intimate expressions of sexual emotion and vulnerability. Given the lack of research on how broad concepts of compassionate elements may be linked to sexual well-being, we examine how mindfulness (an ability to maintain awareness in the present moment), compassionate relational attitudes (i.e., accessibility, responsiveness, and engagement), and compassionate relational behaviors (i.e., forgiveness and gratitude), are linked to sexual well-being (sexual harmony, orgasm consistency, and sexual frequency), and sexual mindfulness (a state of being mindful during sex) for oneself and one's partner. Methods We constructed an actor partner structural equation model with newly married couples (n = 2,111) and regressed sexual outcomes at time 1 and time 2 on each partner's compassionate attitudes, behaviors and mindfulness reported at time 1. Results Results showed that cross-sectionally, nearly all elements of one's compassion related to one's own sexual well-being for both partners. Strongest paths included positive significant relations for women between mindfulness and non-judgment and from compassionate relational attitudes and behaviors to sexual harmony. Men's compassionate behaviors were positively related to their own sexual awareness. Perhaps more importantly, women's and men's compassionate behaviors had significant effects on their partner's sexual well-being longitudinally. Discussion Implications include an emphasis on compassion as a key mechanism that can increase sexual satisfaction and strengthen relationships, particularly in the critical time of early marriage where patterns of interconnectedness are being established.
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Souza Júnior EVD, Cruz DP, Siqueira LR, Pirôpo US, Rosa RS, Silva Filho BFD, Sawada NO. Sexualidade e seus efeitos na sintomatologia depressiva e qualidade de vida de pessoas idosas. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167-2021-0645pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
RESUMO Objetivos: analisar os efeitos da sexualidade na sintomatologia depressiva e qualidade de vida de pessoas idosas. Métodos: estudo transversal e analítico, desenvolvido com 596 pessoas idosas, que preencheram quatro instrumentos para a coleta dos dados. Os dados foram analisados com o Teste de Kruskal-Wallis e a Modelagem de Equações Estruturais, com Intervalo de Confiança de 95%. Resultados: dentre as dimensões da sexualidade, somente as adversidades física e social exerceram efeitos estatisticamente significantes na sintomatologia depressiva (CP=-0.095; p=0,003), porém com fraca magnitude. Além disso, todas as dimensões da sexualidade exerceram efeitos estatisticamente significantes na qualidade de vida, sendo de fraca magnitude para o ato sexual (CP=0.171; p=0,010) e para as adversidades física e social (CP=0.228; p<0,001), e moderada magnitude para as relações afetivas (CP=0.474; p<0,001). Conclusões: observaram-se efeitos de diferentes magnitudes entre as dimensões da sexualidade sob a sintomatologia depressiva e qualidade de vida dos participantes.
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Barbagallo F, Cucinella L, Tiranini L, Martini E, Bosoni D, Molinaro P, Battista F, Albani F, Calogero AE, Nappi RE. Relationship between personality traits and sexual function in symptomatic postmenopausal women. Maturitas 2022; 166:50-57. [PMID: 36057183 DOI: 10.1016/j.maturitas.2022.08.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 07/06/2022] [Accepted: 08/19/2022] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Female sexual function relies on a complex interplay of physical, psychosocial, and neurobiological factors. Over the last decades, increasing attention has been paid to the influence of personality traits on general health and many aspects of quality of life, including sexuality. OBJECTIVE To assess whether dimensions of the personality are related to the domains of sexual function (desire, arousal, lubrication, orgasm, satisfaction, and pain) in symptomatic postmenopausal women. Mood was also investigated to explore its association with female sexual dysfunction (FSD). METHODS Validated questionnaires to assess sexual function [the Female Sexual Functioning Index (FSFI)], mood [the State-Anxiety Inventory (STAI), and Zung Self Rating Depression Scale (SDS)], and personality traits [the Tridimensional Personality Questionnaire (TPQ)] were filled in by 130 early postmenopausal women experiencing hot flushes (≥30/week). RESULTS 61.5 % (n = 80) of the women had an FSFI total score lower than 26.55, the standard cut-off for FSD. A clinical state of anxiety was present in 53.8 % (n = 70), whereas only 12.3 % (n = 16) showed clinically relevant depressive symptoms. According to the FSFI cut-off score, women with sexual disorders had statistically significantly higher levels of anxiety, depression (p < 0.001 for both), and harm avoidance (HA) (p = 0.004) than women without such disorders. Significantly higher levels of anxiety were found in women in the lower quartile (LQ) of the distribution of the total FSFI score than in women in both the interquartile range (IQR) and in the upper quartile (UQ) (p < 0.05). Moreover, women in the UQ had a lower grade of depression and HA than others (p < 0.05). The Sobel test showed that the personality trait HA significantly mediated the relationship between anxiety and FSFI total score (Z = -2.19, p < 0.05) and between depression and FSFI total score (Z = -2.35, p < 0.05). CONCLUSIONS The present data suggest the personality trait HA is relevant to sexual function and mediates the impact of mood on FSD in symptomatic menopausal women. In clinical practice, the use of validated psychometric tools for mood screening is useful to establish appropriate diagnosis and treatment of sexual disorders in menopausal women. Moreover, the assessment of personality traits could provide additional information that directs clinicians towards an increasingly tailored and multidimensional treatment of FSD.
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Affiliation(s)
- Federica Barbagallo
- Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - Laura Cucinella
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Lara Tiranini
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Ellis Martini
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy
| | - David Bosoni
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Pietro Molinaro
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Federica Battista
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Francesca Albani
- Gynecological Endocrinology Clinic, Unit of Internal Medicine and Endocrinology, IRCCS Maugeri, Pavia, Italy
| | - Aldo E Calogero
- Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - Rossella E Nappi
- Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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Souza Júnior EVD, Souza CS, Silva Filho BFD, Siqueira LR, Silva CDS, Sawada NO. Sexual function positively correlated with older adults' sexuality and quality of life. Rev Bras Enferm 2022; 75:e20210939. [PMID: 35946725 DOI: 10.1590/0034-7167-2021-0939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 03/31/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to analyze sexual function and its correlation with sexuality and quality of life in male older adults. METHODS a cross-sectional study, developed with 231 male older adults. Participants completed four instruments to obtain biosociodemographic data, sexual function, sexuality and quality of life. Analyzes were performed using the Mann-Whitney test and Spearman Correlation. RESULTS sexual function was positively correlated with sexuality in a moderate magnitude and with quality of life in a low magnitude. Male older adults without sexual dysfunction experienced their sexuality better and had a better quality of life. Finally, partner overall satisfaction was the facet of sexual function that had the highest positive correlation with sexuality, while self-confidence had the highest positive correlation with quality of life. CONCLUSIONS we suggest that sexual function should be addressed more frequently in Primary Health Care services, as we found statistically significant correlations with sexuality and quality of life components.
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Kolodziejczak K, Drewelies J, Pauly T, Ram N, Hoppmann C, Gerstorf D. Physical Intimacy in Older Couples' Everyday Lives: Its Frequency and Links with Affect and Salivary Cortisol. J Gerontol B Psychol Sci Soc Sci 2022; 77:1416-1430. [PMID: 35286380 DOI: 10.1093/geronb/gbac037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Physical intimacy is important for communicating affection in romantic relationships. Theoretical and empirical work highlights linkages between physical intimacy, affect, and physiological stress among young and middle-aged adults, but not older adults. We examine physical intimacy and its associations with positive and negative affect and cortisol levels in the daily lives of older couples. METHOD We applied actor-partner multilevel models to repeated daily life assessments of physical intimacy (experienced and wished) and affect obtained six times a day over seven consecutive days from 120 older heterosexual German couples (Mage= 71.6, SDage= 5.94). Physiological stress was indexed as total daily cortisol output, the area under the curve with respect to ground (AUCg). RESULTS Physical intimacy experienced and wished were reported at the vast majority of occasions, but to different degrees at different times. Within persons, in moments when participants experienced more physical intimacy, older women reported less negative affect, whereas older men reported more positive affect. Between persons, higher overall levels of physical intimacy experienced were associated with higher positive affect and less negative affect among women and with lower daily cortisol output among men. A stronger wish for intimacy was related to more negative affect among both women and men, and to higher daily cortisol output among men. DISCUSSION Physical intimacy is linked with mood and stress hormones in the daily life of older couples. We consider routes for future inquiry on physical intimacy among older adults.
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Affiliation(s)
| | - Johanna Drewelies
- Humboldt University Berlin, Department of Psychology.,Charité Universitätsmedizin Berlin, Department of Gender in Medicine
| | | | - Nilam Ram
- Stanford University, Departments of Psychology and Communication
| | - Christiane Hoppmann
- University of British Columbia, Department of Psychology and Center for Hip Health & Mobility
| | - Denis Gerstorf
- Humboldt University Berlin, Department of Psychology.,German Institute for Economic Research (DIW)
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Souza Júnior EVD, Souza CS, Silva Filho BFD, Siqueira LR, Silva CDS, Sawada NO. Função sexual positivamente correlacionada com a sexualidade e qualidade de vida do idoso. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0939pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivos: analisar a função sexual e sua correlação com a sexualidade e com a qualidade de vida de homens idosos. Métodos: estudo transversal, desenvolvido com 231 homens idosos. Os participantes preencheram quatro instrumentos para obtenção dos dados biosociodemográficos, função sexual, sexualidade e qualidade de vida. Realizaram-se as análises com o Teste de Mann-Whitney e Correlação de Spearman. Resultados: a função sexual esteve positivamente correlacionada com a sexualidade em moderada magnitude e com a qualidade de vida em fraca magnitude. Os homens idosos sem disfunções sexuais melhor vivenciaram sua sexualidade e possuíram melhor qualidade de vida. Por fim, a satisfação geral do(a) parceiro(a) foi a faceta da função sexual que obteve maior correlação positiva com a sexualidade, enquanto que a autoconfiança apresentou maior correlação positiva com a qualidade de vida. Conclusões: sugerimos que a função sexual seja trabalhada com maior frequência nos serviços da Atenção Primária à Saúde, visto que encontramos correlações estatisticamente significantes com os componentes da sexualidade e da qualidade de vida.
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Souza Júnior EVD, Rosa RS, Brito SDA, Cruz DP, Silva Filho BFD, Silva CDS, Sawada NO. Associação entre as vivências em sexualidade e características biosociodemográficas de pessoas idosas. ESCOLA ANNA NERY 2022. [DOI: 10.1590/2177-9465-ean-2021-0342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo analisar a associação entre as vivências em sexualidade e características biosociodemográficas de idosos. Método estudo transversal, desenvolvido com 3.740 idosos. Os participantes preencheram dois instrumentos para a obtenção das variáveis biosociodemográficas e sobre as vivências em sexualidade. Os dados foram analisados com os Testes de Mann-Whitney e Kruskal-Wallis, com intervalo de confiança de 95% para todas as análises. Resultados houve predominância de participantes do sexo masculino (62,6%) e que nunca receberam orientações sobre sexualidade pelos profissionais de saúde (77,6%). As melhores vivências em sexualidade foram observadas entre os participantes do sexo masculino (p=0,002), com idade entre 60 e 74 anos (p<0,001), autodeclarados pardos (p<0,001), adeptos às religiões de origens africanas (p<0,001), que possuem parceria fixa (p<0,001), que convivem com o cônjuge por tempo igual ou inferior a cinco anos (p<0,001), que não possuem filhos (p<0,001), e os homossexuais (p<0,001). Conclusão e implicações para a prática todas as variáveis biosociodemográficas se associaram significativamente com, pelo menos, uma dimensão da escala de sexualidade. Nesse sentido, os profissionais de saúde terão evidências científicas e atuais das variáveis que mais necessitam de atenção no cuidado ao idoso no que diz respeito à sua sexualidade.
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de Souza Júnior EV, Fernandes da Silva Filho B, Pires Cruz D, Souza Rosa R, Magalhães Cairo G, dos Santos Silva C, Reis Siqueira L, Okino Sawada N. Efeitos da Sexualidade na Funcionalidade Familiar e na Qualidade de Vida de Pessoas Idosas: Estudo Transversal. REVISTA CUIDARTE 2022. [DOI: 10.15649/cuidarte.2296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introdução: a literatura já aponta que a família, muitas vezes, é o principal obstáculo que impede as pessoas idosas vivenciarem sua sexualidade. Porém, até onde sabemos, não existem estudos que identifiquem os efeitos da sexualidade na funcionalidade familiar. Objetivo: analisar os efeitos da sexualidade sobre a funcionalidade familiar e sobre a qualidade de vida de pessoas idosas. Materiais e métodos: estudo seccional realizado com 692 pessoas idosas entre os meses de julho e outubro de 2020 por meio da utilização de instrumentos autoaplicáveis. Os dados foram analisados com o teste de Kruskal-Wallis, correlação de Pearson e modelagem de equações estruturais. Resultados: as pessoas idosas com algum grau de disfuncionalidade familiar apresentaram pior vivência na sexualidade e pior qualidade de vida. O domínio relações afetivas da sexualidade foi o único a exercer efeito de forma positiva, de moderada a forte magnitude com a funcionalidade familiar (CP=0,472 [IC95%=0,301-0,642] p<0,001). A qualidade de vida, por sua vez, sofreu efeito positivo, de fraca a moderada magnitude, de todos os domínios da sexualidade: ato sexual (CP=0,339 [IC95%=0,190-0,488] p<0,001); relações afetivas (CP=0,117 [IC95%= -0,041-0,275] p<0,001) e adversidades física e social (CP=0,150 [IC95%=0,074-0,226] p<0,001). Conclusão: a sexualidade entre as pessoas idosas pode ser explorada com maior frequência nos serviços de saúde, uma vez que, exerceu efeitos positivos na funcionalidade familiar e na qualidade de vida dessa população. Espera-se que com os resultados deste estudo, haja valorização da temática nos serviços assistenciais e que a sexualidade na velhice seja explorada com as pessoas idosas, especialmente na atenção primária à saúde.
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Waite LJ, Duvoisin R, Kotwal AA. Social Health in the National Social Life, Health, and Aging Project. J Gerontol B Psychol Sci Soc Sci 2021; 76:S251-S265. [PMID: 34918156 PMCID: PMC8678439 DOI: 10.1093/geronb/gbab138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES In this article, we present the theoretical framework that guided the development of the National Social Life, Health, and Aging Project (NSHAP) including the measures of social health. We discuss the literature that links social measures to other outcomes, and we discuss in detail how researchers might construct common measures of social health, including those that reflect social relationships, sexuality, social networks, social resources, and social participation. METHODS The NSHAP includes multiple detailed measures of social health, collected in the rounds of data collection carried out in 2005, 2010, and 2015, allowing for study of changes over time and as people age among a nationally representative sample of the community-dwelling population of older adults in the United States. RESULTS We define indicators of social health, describe measures of each in the 2015 round of NSHAP, and show the distribution of the measures by gender and age. We present scales of dimensions of social health that have been developed elsewhere and describe their properties. DISCUSSION We briefly discuss the distribution of these measures by age and gender in the 2015 round of NSHAP. Simple analyses of these categorized measures reveal differences by age and gender that deserve closer attention in future investigations using the NSHAP data.
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Affiliation(s)
- Linda J Waite
- Department of Sociology, University of Chicago, Illinois, USA
- NORC at the University of Chicago, Illinois, USA
| | | | - Ashwin A Kotwal
- Division of Geriatrics, Department of Medicine, University of California San Francisco, USA
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Wong JS, Hsieh N. Couple Analysis in the National Social Life, Health, and Aging Project. J Gerontol B Psychol Sci Soc Sci 2021; 76:S276-S286. [PMID: 34918155 PMCID: PMC8678438 DOI: 10.1093/geronb/gbab061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Marital and intimate partner relationships are some of the most important social ties that shape older adults' health and well-being. This paper provides analytic guidelines for the couple data in Round 2 (2010-2011) and Round 3 (2015-2016) of the National Social Life, Health, and Aging Project (NSHAP) to encourage more research on marriage and partnership in late life. METHOD First, we describe the recruitment of couples and outline how to identify partners in the data sets. Second, we provide descriptive information about the couple sample. Third, we offer guidance for analyzing the dyadic data cross-sectionally and longitudinally. RESULTS Round 2 interviewed all primary respondents and a sample of their current cohabiting partners and spouses (n = 955 couples). In Round 3, NSHAP reinterviewed the primary respondents and partners who participated in Round 2 (Cohort 1; n = 621 couples) and recruited a new sample of age-eligible adults along with any cohabiting romantic partners (Cohort 2; n = 766 couples). Couples can be identified using a household ID variable in Round 2 and a partner ID variable in Round 3. Demographic characteristics of the couple sample vary by round and cohort. DISCUSSION Researchers can use data from either round to conduct cross-sectional dyadic analyses to examine issues faced by older couples. A common strategy for couple analysis is the actor-partner interdependence model. With 2 rounds of couple-level data, researchers may consider using cross-lagged models in their research.
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Affiliation(s)
- Jaclyn S Wong
- Department of Sociology, University of South Carolina, Columbia, USA
| | - Ning Hsieh
- Department of Sociology, Michigan State University, East Lansing, USA
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Herrero Ó. Agresores Sexuales que Cometen su Primer Delito cuando Son Mayores. ¿Un Problema del Ciclo Vital? Ó. ANUARIO DE PSICOLOGÍA JURÍDICA 2021. [DOI: 10.5093/apj2021a20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Souza Júnior EVD, Silva CDS, Pirôpo US, Santos BFMD, Guedes TP, Siqueira LR, Sawada NO. Effects of sexuality on frailty and quality of life in the elderly: a cross-sectional study. Rev Bras Enferm 2021; 75:e20210049. [PMID: 34614082 DOI: 10.1590/0034-7167-2021-0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 04/11/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to analyze the effects of sexuality on frailty and quality of life in the elderly. METHODS a sectional study conducted with 662 elderly people between July and October 2020. Four self-administered instruments were used to collect bio-sociodemographic variables, sexuality, frailty and quality of life. Correlation analysis and structural equation modeling were performed. RESULTS among the dimensions that assess sexuality, sexual intercourse had a weak, positive effect on quality of life (SC: 0.134, 95%CI: 0.153 - 0.254, p = 0.027), while affective relationships had a strong, positive effect (SC: 0.556, 95%CI: 0.442 - 0.670, p < 0.001). Frailty was only significantly related to a weak to moderate negative effect with sexual intercourse (SC: -0.216, 95%CI: -0.385 - -0.047, p = 0.012). CONCLUSIONS two dimensions of sexuality, Sexual intercourse and Affective relationships, were found to have an effect on the quality of life and frailty of the elderly people investigated.
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Waite LJ, Iveniuk J, Kotwal A. Takes Two to Tango: Cognitive Impairment and Sexual Activity in Older Individuals and Dyads. J Gerontol B Psychol Sci Soc Sci 2021; 77:992-1003. [PMID: 34460903 DOI: 10.1093/geronb/gbab158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES This paper examines the association between cognitive impairment, including mild cognitive impairment (MCI) and early dementia (ED), and sexual activity in a large, longitudinal sample of community-dwelling older adults. We focus here on sexual activity, which includes both sexual activity with a partner and masturbation. METHODS We analyzed 3777 older individuals and members of 955 intimate dyads using the National Social Life, Health and Aging Project (2010 and 2015). We used ordered-probit regression, cross-lagged panels models, and probit regression. RESULTS We find that older adults with cognitive limitations, either MCI or early dementia, are about as likely to be sexually active with a partner as those with normal cognitive function. This is the case both in the cross section and longitudinally. Both men and women with early dementia are less likely to have masturbated, however. Among married and cohabiting couples, we find no association between cognitive impairment in either the husband, the wife, or in both partners and their joint sexual activity. Women whose measured cognitive function is lower than their husband's are less likely to report any masturbation. DISCUSSION Sex with a partner, a fundamentally social activity, seems to be conserved in the face of cognitive limitation but masturbation, a solitary activity, does not. We argue that the intimate dyad plays an important role in conserving partnered sexual activity. Results can inform strategies to maintain sexual well-being of older adults with cognitive impairment and their partners as part of overall strategies to improve quality of life.
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Affiliation(s)
- Linda J Waite
- University of Chicago & NORC at the University of Chicago
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Driscoll JJ, Hughes AA. Sexuality of Aging Adults: A Case Study Using Narrative Therapy. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-021-09589-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hong Y, Chen Y. University online education file management under the background of big data. JOURNAL OF INTELLIGENT & FUZZY SYSTEMS 2021. [DOI: 10.3233/jifs-219098] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
With the rapid development of computer communication technology, the level of archives information services in colleges and universities continues to improve. More and more universities have created archives management halls to promote digital archives services in depth. As an important part of information resources, the development and use of archive information resources have also attracted the attention of all walks of life. University archives are the pioneers in the development of archives in my country, and their computerization level will directly affect the development and utilization of information resources in my country’s archives. This article aims to analyze the management of online education archives in colleges and universities under the background of big data, analyze the management of online education archives in colleges and universities, and explore the management of archives under the background of online education in colleges and universities. Use the university network archives construction evaluation model calculation and investigation research method to study the current situation and mode of university network education archives management, and provide reference value for the rational connection of various tasks of university network education archives management under the background of big data. The experimental results of this article show that 55% of college students believe that the current college archives need to be combined with the requirements of the development of the times, and it is necessary to innovate the archive management methods of colleges and universities to improve the quality of archive management services in universities and ensure the real-time storage of network information and maximize the development of archive information the value of.
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Affiliation(s)
- Yun Hong
- Department of Human Resources, Tianjin University of Technology and Education, Tianjin, China
| | - Yuchan Chen
- Department of Human Resources, Tianjin University of Technology and Education, Tianjin, China
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Li W, Li S, Lu P, Chen H, Zhang Y, Cao Y, Li G. Sexual dysfunction and health condition in Chinese doctor: prevalence and risk factors. Sci Rep 2020; 10:15180. [PMID: 32938977 PMCID: PMC7494859 DOI: 10.1038/s41598-020-72072-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 08/21/2020] [Indexed: 01/23/2023] Open
Abstract
To our knowledge, little attention has been paid to the sexual function of health workers. The aim of the present study was to assess the frequency of sexual dysfunction among Chinese doctors. In addition, the risk factors for sexual dysfunction were analyzed. This was a questionnaire-based multicenter cross-sectional survey performed in five large academic medical centers in China. A total of 539 male doctors, 547 female doctors were evaluated. We analyzed doctors' demographic characteristics, quality of life, sexual function and attitudes towards sexual problems. Chinese doctors are at high risk of sexual dysfunction and poor health. The prevalence of sexual dysfunction appears to increase with age, and is associated with various social and demographic factors including monthly income, physical exercise, working hours, night shift and health-related quality. The quality of life and sexual health of doctors deserves special attention as a significant public health concern. Alleviating work pressure, increasing income, improving quality of life and therapeutic sexual problems should be considered comprehensively.
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Affiliation(s)
- Weiran Li
- Institute of Dermatology and Department of Dermatology, the First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China.,Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, Anhui, China
| | - Shixing Li
- Norman Bethune Health Science Center of Jilin University, Changchun, Jilin, China.,China-Japan Union Hospital of Jilin University, Changchun, Jilin, China
| | - Pengfei Lu
- The First Affiliated Hospital of Xingjiang Medical University, Wulumuqi, Xingjiang, China.,Xingjiang Medical University, Wulumuqi, Xingjiang, China
| | - Haibin Chen
- Jiangsu Province Hospital, Nanjing, Jiangsu, China.,The First Affiliated Hospital With Jiangsu Medical University, Nanjing, Jiangsu, China
| | - Yunyu Zhang
- The Second Affiliated Hospital of Guangdong Medical University, Guangzhou, Guangdong, China
| | - Yu Cao
- The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Guanjian Li
- The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. .,Anhui Medical University, Hefei, Anhui, China.
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Freak-Poli R, Malta S. An overview of sexual behaviour research in later life-Quantitative and qualitative findings. Australas J Ageing 2020; 39 Suppl 1:16-21. [PMID: 32567181 DOI: 10.1111/ajag.12773] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 01/08/2020] [Accepted: 01/09/2020] [Indexed: 12/19/2022]
Abstract
AIM This article provides an overview of current sexual behaviour research in later life by describing associated factors, including the physical and psychological benefits. METHODS Recent systematic reviews were interrogated for findings on sexual behaviour research in adults aged 60+. RESULTS Regardless of research methods employed, all studies showed that there were a range of physical and psychological benefits to remaining sexually active in later life. While quantitative studies placed an emphasis on measuring penile-vaginal intercourse, they provided no definitive conclusion about the benefits due to 'inconsistent results' across studies. Qualitative studies described the myriad ways in which older adults redefine what constitutes sexual activity despite the onset of dysfunction and disability. CONCLUSION While the different research methods show that engaging in sexual behaviour has physical and psychological benefits at all adult ages, there is limited conclusive evidence about what the overall benefits might be in later life.
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Affiliation(s)
- Rosanne Freak-Poli
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic., Australia.,Department of Epidemiology, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Sue Malta
- Sexual Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia.,National Ageing Research Institute, Parkville, Vic., Australia
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Ricoy-Cano AJ, Obrero-Gaitán E, Caravaca-Sánchez F, Fuente-Robles YMDL. Factors Conditioning Sexual Behavior in Older Adults: A Systematic Review of Qualitative Studies. J Clin Med 2020; 9:jcm9061716. [PMID: 32503157 PMCID: PMC7356633 DOI: 10.3390/jcm9061716] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 05/28/2020] [Accepted: 06/01/2020] [Indexed: 12/18/2022] Open
Abstract
The sexual behavior of older adults, especially women, has undergone changes in recent years, though there are still certain stereotypes today related to pathophysiology, beliefs, culture and tradition that negatively affect older adults’ sexual activity. The aim of our review is to present the main qualitative studies analyzing how physiological and psychosocial factors affect sexual behavior in older adults. A systematic review of these qualitative studies was carried out. All stages of this review were carried out peer-to-peer in order to guarantee minimized bias. A bibliographical search was completed between February and April 2019, in Web of Science, Scopus, PubMed Medline, PsycINFO ProQuest and CINAHL. To analyze the findings of the selected qualitative studies, a “Thematic Synthesis Analysis” was performed, using Eppi-Reviewer 4 software (UCL Institute of Education, University of London, UK). The quality of the studies was assessed with a CASP-Qualitative-Checklist. A total of 16,608 references were screened and 18 qualitative studies were included in this review. The studies involved 2603 participants across seven countries, most being women (approximately 80%). We identified a wide variety of physiological and psychological factors that can influence the sexual behavior of older adults, such as the presence of pathologies (erectile dysfunction and menopause), the strength of spiritual beliefs, and patriarchal roles upheld by upbringings conveying that women’s role is to provide men with sexual pleasure. Biological age in relation to stereotypical models of sexual behavior, emphasized as a risk factor in the contraction of sexual diseases, seems to play a relevant role as a factor limiting sexual behavior in older adults.
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Affiliation(s)
- Adrián Jesús Ricoy-Cano
- Social Work Department, University of Jaén, 23071 Jaén, Spain; (A.J.R.-C.); (F.C.-S.); (Y.M.D.L.F.-R.)
| | - Esteban Obrero-Gaitán
- Physiotherapy Area, Department. of Health Sciences, University of Jaén, 23071 Jaén, Spain
- Correspondence: ; Tel.: +34-953212381
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Souza Júnior EVD, Silva CDS, Lapa PS, Trindade LES, Filho BFDS, Sawada NO. Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review. AQUICHAN 2020. [DOI: 10.5294/aqui.2020.20.1.6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Objective: this work sought to inquire on the influence of sexuality on the health of the elderly during dementia. Materials and Methods: this was an integrative review. A careful search was conducted in nine databases; however, only five databases provided articles fulfilling the scope of the study: Medline, Lilacs, BDENF, Scopus, and Web of Science (WoS). The health science descriptors (DeCS) were adopted: “sexualidad”, “demencia” and “anciano”, and the descriptors cataloged in the Medical Subject Headings (MeSH): “sexuality”, “dementia” and “aged”. After applying the inclusion criteria, eight articles were selected to comprise the study sample. Results: the practice of sexuality influences upon the health of the elderly with dementia with some beneficial effects, given that it provides, especially, better perception of quality of life and wellbeing. Nevertheless, it cannot be generalized due to methodological insufficiency evidenced in the studies found to construct this review. Conclusions: due to the limitation of studies addressing the theme and the methodological insufficiency of those included in this review, it is necessary to conduct research that shows in depth the influence of sexuality on this population, given that it can be constituted as another approach for the promotion and protection of health in the elderly with dementia.
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Carr D, Utz RL. Families in Later Life: A Decade in Review. JOURNAL OF MARRIAGE AND THE FAMILY 2020; 82:346-363. [PMID: 33633412 PMCID: PMC7904069 DOI: 10.1111/jomf.12609] [Citation(s) in RCA: 63] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Accepted: 08/13/2019] [Indexed: 05/06/2023]
Abstract
Later-life families encompass the legal, biological, romantic, and kin-like relationships of persons ages 65 and older. Research on older families has flourished over the past decade, as population aging has intensified concerns regarding the capacities of families to care for older adults and the adequacy of public pension systems to provide an acceptable standard of living. Shifting patterns of family formation over the past half-century have created a context in which contemporary older adults' family lives differ markedly from earlier generations. Decreasing numbers of adults are growing old with their first and only spouse, with rising numbers divorcing, remarrying, forming non-marital romantic partnerships, or living single by choice. Remarriage and the formation of stepfamilies pose challenges and opportunities as older adults negotiate complex decisions such as inheritance and caregiving. Family relationships are consequential for older adults' well-being, operating through both biological and psychosocial mechanisms. We synthesize research from the past decade, revealing how innovations in data and methods have refined our understanding of late-life families against a backdrop of demographic change. We show how contemporary research refines classic theoretical frameworks and tests emerging conceptual models. We organize the article around two main types of family relationships: (1) marriage and romantic partnerships and (2) intergenerational relationships. We discuss how family caregiving occurs within these relationships, and offer three promising avenues for future research: ethnic minority and immigrant families; older adults without close kin ("elder orphans"); and the potentials of rapidly evolving technologies for intergenerational relationships and caregiving.
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Affiliation(s)
- Deborah Carr
- Department of Sociology, Boston University, 100 Cummington Mall, Boston, MA 02215
| | - Rebecca L Utz
- Department of Sociology, University of Utah, Social & Behavior Sciences Building, Salt Lake City, UT 84112-0250
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‘When it faded in her … it faded in me’: a qualitative study exploring the impact of care-giving on the experience of spousal intimacy for older male care-givers. AGEING & SOCIETY 2019. [DOI: 10.1017/s0144686x19000850] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractOlder male care-givers play an increasingly important role in informal care-giving, yet they have received little attention in the literature. The aim of this study was to explore the impact of care-giving on the experience of spousal intimacy for older male care-givers. Twenty-four older male care-givers, drawn from a region of the United Kingdom, participated in one-to-one interviews about their care-giving role. Thematic analysis was used to analyse data, and the study was underpinned by theories of masculinity. Three main themes were identified: (a) ‘Impact of care-giving on the experience of sexual intimacy’; (b) ‘Impact of care-giving on the experience of emotional intimacy’; and (c) ‘Not up for discussion’. When sexual intimacy declined, some older male care-givers prioritised emotional intimacy; some struggled with the decline; and some were reluctant to discuss the issue. Additionally, some care-givers reported that they had not received support from external support providers for declining sexual or emotional intimacy. Intimacy has been highlighted as important for care-givers given its link with care-giver wellbeing and quality of life. Results of this study suggest that sexual and emotional intimacy was an issue for older male care-givers, and that this issue should be considered by external support providers as part of a holistic assessment of need in order to tailor effective support.
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Štulhofer A, Hinchliff S, Jurin T, Carvalheira A, Træen B. Successful aging, change in sexual interest and sexual satisfaction in couples from four European Countries. Eur J Ageing 2018; 16:155-165. [PMID: 31139030 DOI: 10.1007/s10433-018-0492-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Although the importance of sexuality and physical intimacy for well-being of older adults has been recognized, the role of sexuality in successful aging (SA) has been largely neglected. Building on our previous work, here we further validated a three-dimensional model of SA and examined its associations with sexual satisfaction and change in sexual interest among older heterosexual couples (aged 60-75 years). Participants were recruited in a probability-based survey, which was carried out in 2016-2017 in four European countries. Using structural equation modeling of the Actor-Partner Interdependence, we observed significant relationships between SA and sexual satisfaction for both male and female partners across countries. Among women, their retrospectively assessed change in sexual interest over the past 10 years was consistently associated with sexual satisfaction. Partner effects were gender-specific: male partners' SA was significantly related to their female partners' change in sexual interest, which in turn was linked to male partners' sexual satisfaction. The findings point to substantial ties between successful aging and sexuality in older European couples. Taking into account the prevalent stereotypes about old age and sexuality, this study's findings can assist professionals working with aging couples.
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Affiliation(s)
- Aleksandar Štulhofer
- 1Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, I. Lučića 3, 10000 Zagreb, Croatia
| | - Sharron Hinchliff
- 2School of Nursing and Midwifery, University of Sheffield, Sheffield, UK
| | - Tanja Jurin
- 3Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Ana Carvalheira
- 4Department of Clinical Psychology, William James Center for Research, ISPA-University Institute, Lisbon, Portugal
| | - Bente Træen
- 5Department of Psychology, University of Oslo, Oslo, Norway
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Tabatabaeichehr M, Mortazavi H, Abadi MH, Moayed L. Sexual Desire and Related Factors in Middle-Aged and Elderly Married Women: A Cross-Sectional Study in Iran. Open Access Maced J Med Sci 2018; 6:1906-1911. [PMID: 30455772 PMCID: PMC6236044 DOI: 10.3889/oamjms.2018.383] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 09/09/2018] [Accepted: 09/10/2018] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND The sexual desire in the middle-aged and senior women is one of the factors affecting their quality of life and psychological well-being. AIM The present study was aimed to assess the sexual desire and related factors among married women aged 50-70 years. MATERIALS AND METHODS In this descriptive-analytical study, 210 married menopausal women aged 50-70 years were selected by cluster sampling method. Data were collected using a demographic profile questionnaire and Sexual Desire Inventory (SDI), and analysed by SPSS version 22 software using descriptive statistics and independent t-test, ANOVA and Pearson correlation coefficient tests. RESULTS The mean age of women was 59.40 ± 5.93 years, and the mean sexual desire score was 22.66 ± 17.78 (out of 112). There was a significant relationship between sexual desire score and age, educational level, occupation of women and spouses, age of menopause, marital history, number of pregnancies and children, individual health and pain level (P < 0.001). The sexual desire score had a significant association with diabetes, hypertension, heart disease, high cholesterol, chronic pain, gastrointestinal problems, chronic ulcers, bladder and intestinal problems, joint and bone disorders, taking cardiac medications, antihypertensive, anticoagulant, insulin, cholesterol-lowering drugs (P < 0.001). CONCLUSION The low sexual desire score and its reduction with age and the presence of various diseases and factors affecting sexual desire highlight the importance of diagnostic screening, family related educational planning and the role of health care providers in the health status of the older adults.
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Affiliation(s)
- Mahbubeh Tabatabaeichehr
- Geriatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Hamed Mortazavi
- Geriatric Care Research Center, Department of Geriatric Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Mahdi Hares Abadi
- Geriatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Leili Moayed
- Student Research Committee, Gerontological Care Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
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Umberson D, Donnelly R, Pollitt AM. Marriage, Social Control, and Health Behavior: A Dyadic Analysis of Same-sex and Different-sex Couples. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2018; 59:429-446. [PMID: 30052080 PMCID: PMC6261275 DOI: 10.1177/0022146518790560] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Prior research based on studies of heterosexual populations suggests that men's health benefits more from marriage than women's, in part because women do more than men to influence the health habits of their spouse. We extend this work by using dyadic survey data from 838 spouses in 419 gay, lesbian, and heterosexual marriages to consider differences in social control tactics across same-sex and different-sex couples-that is, how spouses monitor and regulate each other's health habits. Results suggest that although gender differences in social control are common, gendered patterns sometimes differ depending on whether one is in a same-sex or different-sex marriage. Results also point to the importance of health habits as strong drivers of relationship dynamics across gay and lesbian as well as heterosexual marriages.
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Rodrigues DMMR, Labegalini CMG, Higarashi IH, Heidemann ITSB, Baldissera VDA. The dialogic educational pathway as a strategy of care with elderly women in sexuality. ESCOLA ANNA NERY 2018. [DOI: 10.1590/2177-9465-ean-2017-0388] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: Unveiling the critical knowledge mediated by a care-educational dialogic pathway in sexuality with elderly women. Method: Qualitative and participatory study, outlined in educational action research approach, for which it was anchored in the Paulo Freire's Research Itinerary. 15 elderly women from a group of socialization participated in the study. Three ethical precepts were followed. Results: It was evident that the women of this study had difficulty in conceptualizing sexuality, reducing the concept to sex. In addition to diverging sexuality for men and women and configuring it as a practice of the youth. Conclusion and implications for practice: Dialogic educational activity proved to be an important care tool, since it allowed the unleashing of prejudice concerning sexuality in Aging, promoting elderly health and showing new ways of care.
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Fileborn B, Hinchliff S, Lyons A, Heywood W, Minichiello V, Brown G, Malta S, Barrett C, Crameri P. The Importance of Sex and the Meaning of Sex and Sexual Pleasure for Men Aged 60 and Older Who Engage in Heterosexual Relationships: Findings from a Qualitative Interview Study. ARCHIVES OF SEXUAL BEHAVIOR 2017; 46:2097-2110. [PMID: 28299563 DOI: 10.1007/s10508-016-0918-9] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Revised: 10/04/2016] [Accepted: 12/07/2016] [Indexed: 05/12/2023]
Abstract
That many older individuals continue to engage in various forms of sexual expression well into later life is now well established in the literature. To date, however, only a small body of qualitative research has examined older men's experiences and understandings of sex in later life. Likewise, the ways in which older men's discussions on sex may be used as an avenue for "doing" masculinity remain underexplored. Older men are particularly interesting in this regard, as they inhabit an increasingly subordinated position in relation to hegemonic masculine ideals because of their age. To what extent might this limit or, alternatively, open up the possibilities for sexual expression and subjectivity in later life? Drawing on a subset of findings from Sex, Age, and Me: A National Study with Australian Women and Men Aged 60 and Older, data from qualitative interviews with 27 Australian men were explored in this article. The first Australian study of its kind, we argue that older men who engage in heterosexual relationships draw on a diverse and complex array of discursive positions regarding sex, relationships, and masculinity in making sense of their experiences of sex in later life. Older men are a heterogeneous group, and their experiences and understandings of sex do not simplistically follow "decline" or "success" narratives of aging. The findings of this research build upon and extend emerging research illustrating the centrality of intimacy to older men's sexual lives, while simultaneously highlighting the ways in which the body and discursive constructions of sex intersect to shape older men's sexual subjectivities.
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Affiliation(s)
- Bianca Fileborn
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia.
| | - Sharron Hinchliff
- School of Nursing and Midwifery, University of Sheffield, Sheffield, UK
| | - Anthony Lyons
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
| | - Wendy Heywood
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
| | - Victor Minichiello
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- School of Justice, Faculty of Law, Queensland University of Technology, Brisbane, Australia
| | - Graham Brown
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
| | - Sue Malta
- National Ageing Research Institute, University of Melbourne, Parkville, Australia
- Swinburne Institute of Social Research, Swinburne University of Technology, Melbourne, Australia
| | - Catherine Barrett
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
| | - Pauline Crameri
- Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia
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Freak-Poli R, Kirkman M, De Castro Lima G, Direk N, Franco OH, Tiemeier H. Sexual Activity and Physical Tenderness in Older Adults: Cross-Sectional Prevalence and Associated Characteristics. J Sex Med 2017; 14:918-927. [DOI: 10.1016/j.jsxm.2017.05.010] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 05/02/2017] [Accepted: 05/15/2017] [Indexed: 10/19/2022]
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