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Erschienen in: Current Sexual Health Reports 3/2017

15.07.2017 | Integrating the Psychosocial (B McCarthy, R Segraves and A Clayton, Section Editors)

A Review of Psychosocial and Interpersonal Determinants of Sexuality in Older Adulthood

verfasst von: Brian Joseph Gillespie, Kathleen Hibbert, Angela Sanguinetti

Erschienen in: Current Sexual Health Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

This brief review identifies a number of psychological, social, and interpersonal barriers to sexual expression among older adults.

Recent Findings

Cultural ideas about sexuality and aging as well as attitudes about sex are noted psychological factors that impact sexuality in older adulthood. Social factors, including the availability of a healthy partner, provide the opportunity structure for partnered sexual activity to occur. Among partnered individuals, interpersonal factors, such as sexual communication and relationship quality, impact individuals’ sexual desire, sex frequency, and sexual satisfaction.

Summary

Overall, this review highlights the importance of taking a more comprehensive approach to the study of aging and sexuality. In particular, researchers should continue to integrate interpersonal aspects of sexuality in older adulthood into the traditional physiological and psychosocial models.
Literatur
1.
Zurück zum Zitat Freedman VA, Wolf DA, Spillman BC. Disability-free life expectancy over 30 years: a growing female disadvantage in the US population. Am J Public Health. 2016;106:1079–85.CrossRefPubMedPubMedCentral Freedman VA, Wolf DA, Spillman BC. Disability-free life expectancy over 30 years: a growing female disadvantage in the US population. Am J Public Health. 2016;106:1079–85.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Molla MT, Centers for Disease Control and Prevention (CDC). Expected years of life free of chronic condition-induced activity limitations—United States, 1999–2008. MMWR Suppl. 2013;62:87–92.PubMed Molla MT, Centers for Disease Control and Prevention (CDC). Expected years of life free of chronic condition-induced activity limitations—United States, 1999–2008. MMWR Suppl. 2013;62:87–92.PubMed
3.
Zurück zum Zitat Hillman J. Sexuality and aging: clinical perspectives. Springer Science & Business Media. 2012. Hillman J. Sexuality and aging: clinical perspectives. Springer Science & Business Media. 2012.
4.
Zurück zum Zitat Lindau ST, Gavrilova N. 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. 2010;340:c810.CrossRefPubMedPubMedCentral Lindau ST, Gavrilova N. 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. 2010;340:c810.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Flynn T-J, Gow AJ. Examining associations between sexual behaviours and quality of life in older adults. Age Ageing. 2015;44:823–8.CrossRefPubMed Flynn T-J, Gow AJ. Examining associations between sexual behaviours and quality of life in older adults. Age Ageing. 2015;44:823–8.CrossRefPubMed
6.
Zurück zum Zitat •• DeLamater J, Koepsel E. Relationships and sexual expression in later life: a biopsychosocial perspective. Sex Relatsh Ther. 2015;30:37–59. doi:10.1080/14681994.2014.939506. This review links the biological, psychological, and social aspects of older adult sexuality. CrossRef •• DeLamater J, Koepsel E. Relationships and sexual expression in later life: a biopsychosocial perspective. Sex Relatsh Ther. 2015;30:37–59. doi:10.​1080/​14681994.​2014.​939506. This review links the biological, psychological, and social aspects of older adult sexuality. CrossRef
7.
Zurück zum Zitat •• Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med. 2007;357:762–74. This classic study used data from the National Social Life, Health, and Aging Project to examine sexual activities, behaviors, and problems among community-dwelling older adults in the US. CrossRefPubMedPubMedCentral •• Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med. 2007;357:762–74. This classic study used data from the National Social Life, Health, and Aging Project to examine sexual activities, behaviors, and problems among community-dwelling older adults in the US. CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Watson WK, Stelle C, Bell N (2016) Older women in new romantic relationships: understanding the meaning and importance of sex in later life. Int J Aging Hum Dev 0091415016680067. Watson WK, Stelle C, Bell N (2016) Older women in new romantic relationships: understanding the meaning and importance of sex in later life. Int J Aging Hum Dev 0091415016680067.
9.
Zurück zum Zitat • Gillespie BJ (2016) Correlates of sex frequency and sexual satisfaction among partnered older adults. J Sex Marital Ther 0:1–21. This quantitative study identifies interpersonal factors that impact sex frequency and sexual satisfaction among older partnered adults. • Gillespie BJ (2016) Correlates of sex frequency and sexual satisfaction among partnered older adults. J Sex Marital Ther 0:1–21. This quantitative study identifies interpersonal factors that impact sex frequency and sexual satisfaction among older partnered adults.
10.
Zurück zum Zitat Waite LJ, Laumann EO, Das A, Schumm LP. Sexuality: measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. J Gerontol Ser B. 2009;64B:i56–66.CrossRef Waite LJ, Laumann EO, Das A, Schumm LP. Sexuality: measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. J Gerontol Ser B. 2009;64B:i56–66.CrossRef
11.
Zurück zum Zitat Schick V, Herbenick D, Reece M, Sanders SA, Dodge B, Middlestadt SE, et al. Sexual behaviors, condom use, and sexual health of Americans over 50: implications for sexual health promotion for older adults. J Sex Med. 2010;7:315–29.CrossRefPubMed Schick V, Herbenick D, Reece M, Sanders SA, Dodge B, Middlestadt SE, et al. Sexual behaviors, condom use, and sexual health of Americans over 50: implications for sexual health promotion for older adults. J Sex Med. 2010;7:315–29.CrossRefPubMed
12.
Zurück zum Zitat • Gillespie BJ (2016) Sexual synchronicity and communication among partnered older adults. J Sex Marital Ther 0:1–15. This qualitative study highlights the importance of synchronicity and communication for older adults’ sex frequency and sexual satisfaction. • Gillespie BJ (2016) Sexual synchronicity and communication among partnered older adults. J Sex Marital Ther 0:1–15. This qualitative study highlights the importance of synchronicity and communication for older adults’ sex frequency and sexual satisfaction.
14.
Zurück zum Zitat Galinsky AM, McClintock MK, Waite LJ. Sexuality and physical contact in national social life, health, and aging project wave 2. J Gerontol Ser B. 2014;69:S83–98.CrossRef Galinsky AM, McClintock MK, Waite LJ. Sexuality and physical contact in national social life, health, and aging project wave 2. J Gerontol Ser B. 2014;69:S83–98.CrossRef
15.
Zurück zum Zitat DeLamater J. Sexual expression in later life: a review and synthesis. J Sex Res. 2012;49:125–41.CrossRefPubMed DeLamater J. Sexual expression in later life: a review and synthesis. J Sex Res. 2012;49:125–41.CrossRefPubMed
16.
Zurück zum Zitat Bell S, Reissing ED, Henry LA, VanZuylen H. Sexual activity after 60: a systematic review of associated factors. Sex Med Rev. 2017;5:52–80.CrossRef Bell S, Reissing ED, Henry LA, VanZuylen H. Sexual activity after 60: a systematic review of associated factors. Sex Med Rev. 2017;5:52–80.CrossRef
17.
Zurück zum Zitat Gledhill S, Schweitzer RD. Sexual desire, erectile dysfunction and the biomedicalization of sex in older heterosexual men. J Adv Nurs. 2014;70:894–903.CrossRefPubMed Gledhill S, Schweitzer RD. Sexual desire, erectile dysfunction and the biomedicalization of sex in older heterosexual men. J Adv Nurs. 2014;70:894–903.CrossRefPubMed
18.
Zurück zum Zitat Orr J, Layte R, O’Leary N. Sexual activity and relationship quality in middle and older age: findings from The Irish Longitudinal Study on Ageing (TILDA). J Gerontol Ser B. 2017; doi:10.1093/geronb/gbx038. Orr J, Layte R, O’Leary N. Sexual activity and relationship quality in middle and older age: findings from The Irish Longitudinal Study on Ageing (TILDA). J Gerontol Ser B. 2017; doi:10.​1093/​geronb/​gbx038.
19.
Zurück zum Zitat Liao L-M, Lunn S, Baker M. Midlife menopause: male partners talking. Sex Relatsh Ther. 2015;30:167–80.CrossRef Liao L-M, Lunn S, Baker M. Midlife menopause: male partners talking. Sex Relatsh Ther. 2015;30:167–80.CrossRef
20.
Zurück zum Zitat Graf AS, Patrick JH. The influence of sexual attitudes on mid-to late-life sexual well-being: age, not gender, as a salient factor. Int J Aging Hum Dev. 2014;79:55–79.CrossRef Graf AS, Patrick JH. The influence of sexual attitudes on mid-to late-life sexual well-being: age, not gender, as a salient factor. Int J Aging Hum Dev. 2014;79:55–79.CrossRef
21.
Zurück zum Zitat Fisher LL (2010) Sex, romance, and relationships: AARP survey of midlife and older adults. AARP, knowledge management. Fisher LL (2010) Sex, romance, and relationships: AARP survey of midlife and older adults. AARP, knowledge management.
22.
Zurück zum Zitat Montemurro B, Siefken JM. Cougars on the prowl? New perceptions of older women’s sexuality. J Aging Stud. 2014;28:35–43.CrossRefPubMed Montemurro B, Siefken JM. Cougars on the prowl? New perceptions of older women’s sexuality. J Aging Stud. 2014;28:35–43.CrossRefPubMed
23.
Zurück zum Zitat Sandberg L. Just feeling a naked body close to you: men, sexuality and intimacy in later life. Sexualities. 2013;16:261–82.CrossRef Sandberg L. Just feeling a naked body close to you: men, sexuality and intimacy in later life. Sexualities. 2013;16:261–82.CrossRef
24.
Zurück zum Zitat Hinchliff S, Tetley J, Lee D, Nazroo J (2017) Older adults’ experiences of sexual difficulties: qualitative findings from the English Longitudinal Study on Ageing (ELSA). J Sex Res 0:1–12. doi:10.1080/00224499.2016.1269308. Hinchliff S, Tetley J, Lee D, Nazroo J (2017) Older adults’ experiences of sexual difficulties: qualitative findings from the English Longitudinal Study on Ageing (ELSA). J Sex Res 0:1–12. doi:10.​1080/​00224499.​2016.​1269308.
25.
Zurück zum Zitat Taylor A, Gosney MA. Sexuality in older age: essential considerations for healthcare professionals. Age Ageing. 2011;40:538–43.CrossRefPubMed Taylor A, Gosney MA. Sexuality in older age: essential considerations for healthcare professionals. Age Ageing. 2011;40:538–43.CrossRefPubMed
26.
Zurück zum Zitat Montemurro B, Gillen MM. Wrinkles and sagging flesh: exploring transformations in women’s sexual body image. J Women Aging. 2013;25:3–23.CrossRefPubMed Montemurro B, Gillen MM. Wrinkles and sagging flesh: exploring transformations in women’s sexual body image. J Women Aging. 2013;25:3–23.CrossRefPubMed
27.
Zurück zum Zitat Ussher JM, Perz J, Gilbert E, Australian Cancer and Sexuality Study Team. Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer. 2015;15:268.CrossRefPubMedPubMedCentral Ussher JM, Perz J, Gilbert E, Australian Cancer and Sexuality Study Team. Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer. 2015;15:268.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Ringa V, Diter K, Laborde C, Bajos N. Women’s sexuality: from aging to social representations. J Sex Med. 2013;10:2399–408.CrossRefPubMed Ringa V, Diter K, Laborde C, Bajos N. Women’s sexuality: from aging to social representations. J Sex Med. 2013;10:2399–408.CrossRefPubMed
29.
Zurück zum Zitat Syme M. The evolving concept of older adult sexual behavior and its benefits. Generations. 2014;38:35–41. Syme M. The evolving concept of older adult sexual behavior and its benefits. Generations. 2014;38:35–41.
30.
Zurück zum Zitat Tetley J, Lee D, Nazroo J, Hinchliff S. Let’s talk about sex—what do older men and women say about their sexual relations and sexual activities? A qualitative analysis of data from the English Longitudinal Study of Ageing (ELSA). Ageing Soc. 2016; doi:10.1017/S0144686X16001203. Tetley J, Lee D, Nazroo J, Hinchliff S. Let’s talk about sex—what do older men and women say about their sexual relations and sexual activities? A qualitative analysis of data from the English Longitudinal Study of Ageing (ELSA). Ageing Soc. 2016; doi:10.​1017/​S0144686X1600120​3.
31.
Zurück zum Zitat Haesler E, Bauer M, Fetherstonhaugh D. Sexuality, sexual health and older people: a systematic review of research on the knowledge and attitudes of health professionals. Nurse Educ Today. 2016;40:57–71.CrossRefPubMed Haesler E, Bauer M, Fetherstonhaugh D. Sexuality, sexual health and older people: a systematic review of research on the knowledge and attitudes of health professionals. Nurse Educ Today. 2016;40:57–71.CrossRefPubMed
32.
Zurück zum Zitat Tillman JL, Mark HD. HIV and STI testing in older adults: an integrative review. J Clin Nurs. 2015;24:2074–95.CrossRefPubMed Tillman JL, Mark HD. HIV and STI testing in older adults: an integrative review. J Clin Nurs. 2015;24:2074–95.CrossRefPubMed
33.
Zurück zum Zitat Carpenter LM, DeLamater J (eds) (2012) Sex for life: from virginity to viagra, how sexuality changes throughout our lives. NYU Press. Carpenter LM, DeLamater J (eds) (2012) Sex for life: from virginity to viagra, how sexuality changes throughout our lives. NYU Press.
34.
Zurück zum Zitat Karraker A, DeLamater J, Schwartz CR. Sexual frequency decline from midlife to later life. J Gerontol Ser B. 2011;66B:502–12.CrossRef Karraker A, DeLamater J, Schwartz CR. Sexual frequency decline from midlife to later life. J Gerontol Ser B. 2011;66B:502–12.CrossRef
35.
Zurück zum Zitat Schwartz P, Diefendorf S, McGlynn-Wright A. Sexuality in aging. APA Handb Sex Psychol. 2014;1:523–51. Schwartz P, Diefendorf S, McGlynn-Wright A. Sexuality in aging. APA Handb Sex Psychol. 2014;1:523–51.
37.
Zurück zum Zitat Brandon M. Psychosocial aspects of sexuality with aging. Top Geriatr Rehabil. 2016;32 Brandon M. Psychosocial aspects of sexuality with aging. Top Geriatr Rehabil. 2016;32
39.
Zurück zum Zitat Radosh A, Simkin L. Acknowledging sexual bereavement: a path out of disenfranchised grief. Reprod Health Matters. 2016;24:25–33.CrossRefPubMed Radosh A, Simkin L. Acknowledging sexual bereavement: a path out of disenfranchised grief. Reprod Health Matters. 2016;24:25–33.CrossRefPubMed
40.
Zurück zum Zitat Lee DM, Vanhoutte B, Nazroo J, Pendleton N. Sexual health and positive subjective well-being in partnered older men and women. J Gerontol Ser B. 2016;71:698–710.CrossRef Lee DM, Vanhoutte B, Nazroo J, Pendleton N. Sexual health and positive subjective well-being in partnered older men and women. J Gerontol Ser B. 2016;71:698–710.CrossRef
41.
Zurück zum Zitat Fleckenstein JR, Cox DW II. The association of an open relationship orientation with health and happiness in a sample of older US adults. Sex Relatsh Ther. 2015;30:94–116.CrossRef Fleckenstein JR, Cox DW II. The association of an open relationship orientation with health and happiness in a sample of older US adults. Sex Relatsh Ther. 2015;30:94–116.CrossRef
43.
Zurück zum Zitat Fredriksen-Goldsen KI, Emlet CA, Kim H-J, Muraco A, Erosheva EA, Goldsen J, et al. The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: the role of key health indicators and risk and protective factors. The Gerontologist. 2013;53:664–75.CrossRefPubMed Fredriksen-Goldsen KI, Emlet CA, Kim H-J, Muraco A, Erosheva EA, Goldsen J, et al. The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: the role of key health indicators and risk and protective factors. The Gerontologist. 2013;53:664–75.CrossRefPubMed
44.
Zurück zum Zitat Fredriksen-Goldsen KI, Kim H-J. Count me in: response to sexual orientation measures among older adults. Res Aging. 2015;37:464–80.CrossRefPubMed Fredriksen-Goldsen KI, Kim H-J. Count me in: response to sexual orientation measures among older adults. Res Aging. 2015;37:464–80.CrossRefPubMed
45.
Zurück zum Zitat Forbes MK, Eaton NR, Krueger RF. Sexual quality of life and aging: a prospective study of a nationally representative sample. J Sex Res. 2017;54:137–48.CrossRefPubMed Forbes MK, Eaton NR, Krueger RF. Sexual quality of life and aging: a prospective study of a nationally representative sample. J Sex Res. 2017;54:137–48.CrossRefPubMed
46.
Zurück zum Zitat Flynn KE, Lin L, Bruner DW, Cyranowski JM, Hahn EA, Jeffery DD, et al. Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of U.S. adults. J Sex Med. 2016;13:1642–50.CrossRefPubMed Flynn KE, Lin L, Bruner DW, Cyranowski JM, Hahn EA, Jeffery DD, et al. Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of U.S. adults. J Sex Med. 2016;13:1642–50.CrossRefPubMed
47.
Zurück zum Zitat Garrett D. Psychosocial barriers to sexual intimacy for older people. Br J Nurs Mark Allen Publ. 2014;23:327–31.CrossRef Garrett D. Psychosocial barriers to sexual intimacy for older people. Br J Nurs Mark Allen Publ. 2014;23:327–31.CrossRef
Metadaten
Titel
A Review of Psychosocial and Interpersonal Determinants of Sexuality in Older Adulthood
verfasst von
Brian Joseph Gillespie
Kathleen Hibbert
Angela Sanguinetti
Publikationsdatum
15.07.2017
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 3/2017
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-017-0117-2

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