Predictive variables of sexual inactivity in the elderly
Abstract
Extensive studies carried out in recent decades have noted the relevance of sexual activity to the health, well-being and quality of life of older people. In this context, we propose this research work that aims to know the factors that can potentially explain sexual inactivity in older populations. In addition to the sociodemographic factors that have traditionally been associated with sexual activity, we explored the explanatory potential and the sensitivity in the estimation of sexual inactivity in the last year of health perceptions and attitudes towards sexuality in a sample of 200 subjects between 62 and 91 years old (M = 71.30, SD = 5.48). The results obtained suggest important percentages of variance explained by the regression model where variables such as the existence of a partner, age and place of origin are incorporated (R2 = .295). Our results also point to the fact that, both the perception and concern for sexual health and the considerations regarding sexual relations before marriage or sex without love, would explain the sexual inactivity of the elderly. These results allow us to suggest the potential of the intervention centered on stereotypes and attitudes towards sexuality.
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References
Agocha, V. B., Asencio, M. & Decena, C. U. (2014). Sexuality and culture. In D. L. Tolman, L. M. Diamond, J. A. Bauermeister, W. H. George, J. G. Pfaus & L. M. Ward (Eds.), APA handbook of sexuality and psychology (pp. 183–228). Washington, DC, US: American Psychological Association.
Bauer, M., Haesler, E. & Fetherstonhaugh, D. (2016). Let's talk about sex: older people's views on the recognition of sexuality and sexual health in the health‐care setting. Health Expectations, 19(6), 1237-1250. doi: 10.1111/hex.12418
Baumeister, R. & Mendoza, J. (2011). Cultural variations in the sexual marketplace: Gender equality correlates with more sexual activity. The Journal of Social Psychology, 151(3), 350–360. doi:10.1080/00224545.2010.481686
Cayo, G., Flores, E., Perea, X., Pizarro, M. & Aracena, A. (julio 2003). La sexualidad en la tercera edad y su relación con el bienestar subjetivo [Sexuality in the elderly and its relationship with subjective well-being]. En S. Huenchuan (Presidencia), Simposio Viejos y Viejas Participación, Ciudadanía e Inclusión Social. Simposio llevado a cabo en el 51 Congreso Internacional de Americanistas, Santiago de Chile, Chile.
Dominguez, L. J. & Barbagallo, M. (2016). Ageing and sexuality. European Geriatric Medicine, 7, 512–518. doi 10.1016/j.eurger.2016.05.013
Ekström, M., Johnson, M. J., Taylor, B., Luszcz, M., Wohland, P., Ferreira, D. H. & Currow, D. C. (2018). Breathlessness and sexual activity in older adults: The Australian Longitudinal Study of Ageing. NPJ Primary Care Respiratory Medicine, 28, 1-20. doi: 10.1038/s41533-018-0090-x
Fischer, N., Traeen, B. & Martin, G. (2018). Predicting partnered sexual activity among older adults in four European countries: the role of attitudes, health, and relationship factors. Sexual and Relationship Therapy. doi: 10.1080/14681994.2018.1468560
Freixas, A. & Luque, B. (2009). El secreto mejor guardado: la sexualidad de las mujeres mayores [The best kept secret: the sexuality of older women]. Política y Sociedad, 46(1-2), 191-203. Retrieved from https://bit.ly/2KeqKvu
Gagnon, J. H. (1990). The explicit and implicit use of the scripting perspective in sex research. In J. Bancroft (Ed.), Annual Review of Sex Research, v. 1, (pp. 1-44). Lake Mills, IA: The Society for the Scientific Study of Sex.
García, J. L. (2000). Educación sexual y afectiva en personas con minusvalías psíquicas. Cádiz. Asociación Down Lejeune: Cádiz.
García, J. L. (2005). La sexualidad y la afectividad y en la vejez [Sexuality and affectivity and in old age]. Informes Portal Mayores, 41. Madrid: Portal Mayores. Retrieved from https://bit.ly/2W5IuLM
Gewirtz-Meydan, A., Hafford-Letchfield, T., Benyamini, Y., Phelan, A., Jackson, J. & Ayalon, L. (2018). Ageism and Sexuality. In L. Ayalon & C. Tesch-Römer (Eds.), Contemporary Perspectives on Ageism. International Perspectives on Aging (pp. 149-162). doi: 10.1007/978-3-319-73820-8_10
Ginsberg, T. B., Pomerantz, S. C. & Kramer-Feeley, V. (2005). Sexuality in older adults: behaviors and preferences. Age and Ageing, 34(5), 475-80. doi: 10.1093/ageing/afi143
Gott, M. & Hinchliff, S. (2003). How important is sex in later life? The views of older people. Social Science & Medicine, 56(8), 67-1628. doi 10.1016/S0277-9536(02)00180-6
Haavio-Mannila, E. & Kontula, O. (2003). Sexual trends in the Baltic sea area. Helsinki: Publication of the Population Research Institute. Retrieved from https://bit.ly/30UyJDQ
Huang, A. J., Subak, L. L., Thom, D. H., Van Den Eeden, S. K., Ragins, A. I., Kuppermann, M., Shen, H. & Brown, J. S. (2009). Sexual function and aging in racially and ethnically diverse women. Journal of the American Geriatrics Society, 57(8), 1362–1368. doi: 10.1111/j.1532-5415.2009.02353.x
Kontula, O. & Haavio-Mannila, E. (2009). The impact of aging on human sexual activity and sexual desire. Journal of Sex Research, 46(1), 46-56. doi: 10.1080/00224490802624414
Lee, D., Nazroo, J., O’Connor, D., Blake, M. & Pendleton, N. (2016). Sexual health and well-being among older men and women in England: Findings from the English Longitudinal Study of Ageing. Archives of sexual behavior, 45(1), 133-144. doi: 10.1007/s10508-014-0465-1
Leyva-Moral, J. M. (2008). La expresión sexual de los ancianos: Una sobredosis de falsos mitos [The Sexual Expression of the Elderly: An Overdose of False Myths]. Index de Enfermería, 17(2), 124-127. Retrieved from https://bit.ly/2Z0JItD
Lindau S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C. A. & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. The New England Journal of Medicine, 357(8), 762–774. doi: 10.1056/NEJMoa067423
Lindau, S. & Gavrilova, N. (2010). Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ, 340, 810. doi: 10.1136/bmj.c810
Mercer, C. H., Tanton, C., Prah, P., Erens, B., Sonnenberg, P., Clifton, S.,… Johnson, A. M. (2013). Changes in sexual attitudes and lifestyles in Britain through the life course and over time: Findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet, 382(9907), 1781–1794. doi:10.1016/S0140-6736(13)62035-8
Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N.,… Wellings, K. (2013). Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet, 382(9907), 1817–1829. doi:10.1016/S0140-6736(13)62366-1
Mitchell, K. R., Ploubidis, G. B., Datta, J. & Wellings, K. (2012). The Natsal-SF: a validated measure of sexual function for use in community surveys. European Journal of Epidemiology. 27(6), 409-418. doi: 10.1007/s10654-012-9697-3
Nagelkerke, N. J. D. (1991). A note on a general definition of the coefficient of determination. Biomerrika, 78(3), 691-692. Retrieved from https://bit.ly/2YZ9xKu
O’Connor, D. B., Corona, G., Forti, G., Tajar, A., Lee, D. M., Finn, J. D.,… Wu, F.C. (2008). Assessment of sexual health in aging men in Europe: Development and validation of the European Male Ageing Study sexual function questionnaire. Journal of Sexual Medicine, 5(6), 1374–1385. doi: 10.1111/j.1743-6109.2008.00781.x.
Palacios, D., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Jiménez-García, R. & Fernández-de-las-Peñas, C. (2012). Sexual Behaviors among Older Adults in Spain: Results from a Population‐Based National Sexual Health Survey. Journal of Sexual Medicine, 9(1), 121-129. doi: 10.1111/j.17436109.2011.02511.
Rodríguez-Llorente, C., Piñeiro, I., Rodríguez, S., Regueiro, B., Estévez, I. & Freire, C. (2018, septiembre). Práctica sexual y salud percibida en personas mayores [Sexual practice and health perceived in olders]. Póster presentado al 4º Congresso da Ordem dos Psicólogos Portugueses, Braga, Portugal.
Sáez, S. (2010). Sexo Básico. De los genitales al cerebro, de la fecundación a la vejez. [Basic Sex. From genitalia to brain, from fertilization to old age]. Editorial Fundamentos: Madrid.
Sandfort, T., Hubert, M., Bajos, N. & Bos, H. (1998). Sexual behaviour and HIV risk: Common patterns and differences between European countries. In M. Hubert, N. Bajos & T. Sandfort (Eds.), Sexual behaviour and HIV/AIDS in Europe (pp. 403–426). London: UCL Press.
Schick, V., Herbenick, D., Reece, M., Sanders, S. A., Dodge, B., Middlestadt, S. E. & Fortenberry, J. D. (2010). Sexual behaviours, condom use, and sexual health of Americans over 50: Implications for sexual health promotion for older adults. The Journal of Sexual Medicine, 7(5), 315–329. doi: 10.1111/j.1743-6109.2010.02013.x.
Smith, L. J., Mulhall, J. P., Deveci, S., Monaghan, N. & Reid, M. C. (2007). Sex After Seventy: A Pilot Study of Sexual Function in Older Persons. The Journal of Sexual Medicine, 4(5), 1247–1253. doi: 10.1111/j.1743-6109.2007.00568.x
Snyder, R. J. & Zweig, R. A. (2010). Medical and psychology students´ knowledge and attitudes regarding aging and sexuality. Gerontology and Geriatrics Education, 31(3), 235-255. doi: 10.1080/02701960.2010.503132.
Steptoe, A., Breeze, E., Banks, J. & Nazroo, J. (2013). Cohort Profile: The English Longitudinal Study of Ageing. International Journal of Epidemiology, 42(6), 1640–1648. doi:10.1093/ije/dys168.
Syme, M. L. & Cohn, T. J. (2016). Examining aging sexual stigma attitudes among adults by gender, age and generational status. Aging & Mental Health, 20(1), 36-45. doi: 10.1080/13607863.2015.1012044
Waite, L. J., Laumann, E. O., Das, A. & Schumm, L.P. (2009). Sexuality: Measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64(1), 56-66. doi: 10.1093/geronb/gbp038.
Wang, T. F., Lu, C. H., Chen, I. J. & Yu, S. (2008). Sexual knowledge, attitudes and activity of older people in Taipei, Taiwan. Journal of Clinical Nursing, 17(4), 443-450. doi 10.1111/j.1365-2702.2007.02003.x
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