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A Cross-National Study of Subjective Sexual Well-Being Among Older Women and Men: Findings From the Global Study of Sexual Attitudes and Behaviors

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Subjective sexual well-being refers to the cognitive and emotional evaluation of an individual's sexuality. This study examined subjective sexual well-being, explored its various aspects, examined predictors across different cultures, and investigated its possible associations with overall happiness and selected correlates, including sexual dysfunction. Data were drawn from the Global Study of Sexual Attitudes and Behaviors, a survey of 27,500 men and women aged 40–80 years in 29 countries. The cross-national variation of four aspects of sexual well-being (the emotional and physical satisfaction of sexual relationships, satisfaction with sexual health or function, and the importance of sex in one's life) was explored using cluster analysis, and relationships among sexual well-being, general happiness, and various correlates were examined using ordinary least squares regression and ordered logistic regression. Results from the cluster analysis identified three clusters: a gender-equal regime and two male-centered regimes. Despite this cultural variation, the predictors of subjective sexual well-being were found to be largely consistent across world regions.

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Notes

  1. The 500 cases collected in Hong Kong were dropped from the analyses reported here because they were too few to sustain statistical analysis and there was no statistical justification for assigning them to the sample collected in mainland China. As a result, the analyses reported here were based on a total sample of 27,000.

  2. We also inspected Cronbach's α values across countries and gender in order to assess internal reliability among the four aspects of sexual well-being. In most countries and both genders, the α values were between .60 and .80, which just marginally support one underlying factor. Despite the striking sociocultural differences across the world regions, the fundamental similarity in the dominant factor across the three regions may attest to the presence of an underlying “universal” mechanism generating judgments about subjective sexual well-being.

REFERENCES

  • Anastasiadis, A. G., Davis, A. R., Ghafar, M. A., Burchardt, M., & Shabsigh, R. (2002). The epidemiology and definition of female sexual disorders. World Journal of Urology, 20, 74–78.

    Article  PubMed  Google Scholar 

  • Berman, J. R., Berman, L., & Goldstein, I. (1999). Female sexual dysfunction: Incidence, pathophysiology, evaluation, and treatment options. Urology, 54, 385–391.

    Article  PubMed  CAS  Google Scholar 

  • Blanker, M. H., Bosch, J. L. H. R., Groeneveld, F. P. M. J., Bohnen, A. M., Prins, A., Thomas, S., et al. (2001). Erectile and ejaculatory dysfunction in a community-based sample of men 50–78 years old: Prevalence, concern, and relation to sexual activity. Urology, 57, 763–768.

    Article  PubMed  CAS  Google Scholar 

  • Blumstein, P., & Schwartz, P. (1983). American couples: Money, work, sex. New York: Morrow.

    Google Scholar 

  • Braun, M., Wassmer, G., Klotz, T., Reifenrath, B., Mathers, M., & Engelmann, U. (2000). Epidemiology of erectile dysfunction: Results of the “Cologne Male Survey.” International Journal of Impotence Research, 12, 305–311.

    Article  PubMed  CAS  Google Scholar 

  • Cain, V. S., Johannes, C. B., Avis, N. E., Mohr, B., Schocken, M., Skurnick, J., et al. (2003). Sexual functioning and practices in a multi-ethnic study of midlife women: Baseline results from SWAN. Journal of Sex Research, 40, 266–277.

    PubMed  Google Scholar 

  • Carson, C. C., Glasser, D. B., Laumann, E. O., West, S. L., & Rosen, R. C. (2003). Prevalence and correlates of premature ejaculation among men aged 40 years and older: A United States nationwide population-based study [Abstract 1249]. Journal of Urology, 169, 321.

    Article  Google Scholar 

  • Diener, E., & Suh, E. (1999). National differences in subjective well-being. In D. Kahneman, E. Diener, & N. Schwartz (Eds.), Well-being: The foundations of hedonic psychology (pp. 434–450). New York: Sage.

    Google Scholar 

  • Dunn, K. M., Croft, P. R., & Hackett, G. I. (1999). Association of sexual problems with social, psychological, and physical problems in men and women: A cross-sectional population survey. Journal of Epidemiology and Community Health, 53, 144–148.

    Article  PubMed  CAS  Google Scholar 

  • Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. (1994). Impotence and its medical and psychosocial correlates: Results of the Massachusetts Male Aging Study. Journal of Urology, 151, 54–61.

    PubMed  CAS  Google Scholar 

  • Fugl-Meyer, A. R., & Fugl-Meyer, K. S. (1999). Sexual disabilities, problems and satisfaction in 18–74-year-old Swedes. Scandinavian Journal of Sexology, 2, 79–105.

    Google Scholar 

  • Haavio-Mannila, E., & Kontula, O. (1997) Correlates of increased sexual satisfaction. Archives of Sexual Behavior, 26, 399–419.

    Article  PubMed  CAS  Google Scholar 

  • Helgason, A. R., Adolfsson, J., Dickman, P., Arver, S., Fredrikson, M., Gothberg, M., et al. (1996). Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: A population-based study. Age Ageing, 25, 285–291.

    Article  PubMed  CAS  Google Scholar 

  • Kadri, N., McHichi Alami, K. H., & McHakra Tahiri, S. (2002). Sexual dysfunction in women: Population-based epidemiological study. Archives of Women's Mental Health, 5, 59–63.

    Article  PubMed  CAS  Google Scholar 

  • Kahneman, D., Diener, E., & Schwartz, N. (Eds.). (1999). Well-being: The foundations of hedonic psychology. New York: Russell Sage Foundation.

    Google Scholar 

  • Laumann, E. O., Gagnon, J., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press.

    Google Scholar 

  • Laumann, E. O., Nicolosi, A., Glasser, D. B., Paik, A., Gingell, C., Moreira, E., et al. (2005). Sexual problems among women and men aged 40–80 years: Prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. International Journal of Impotence Research, 17, 39–57.

    Article  PubMed  CAS  Google Scholar 

  • Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA, 281, 537–544.

    Article  PubMed  CAS  Google Scholar 

  • McEwan, R. T., Harrington, B. E., Bhopal, R. S., Madhok, R., & McCallum, A. (1992). Social surveys in HIV/AIDS: Telling or writing? A comparison of interview and postal methods. Health Education Research, 7, 195–202.

    Article  PubMed  CAS  Google Scholar 

  • Moreira, E. D. Jr., Abdo, C. H. N., Torres, E. B., Lobo, C. F. L., & Fittipaldi, J. A. S. (2001). Prevalence and correlates of erectile dysfunction: Results of the Brazilian Study of Sexual Behaviour. Urology, 58, 583–588.

    Article  PubMed  Google Scholar 

  • Nebot, M., Celentano, D. D., Burwell, L., Davis, A., Davis, M., Polacsek, M., et al. (1994). AIDS and behavioural risk factors in women in inner city Baltimore: A comparison of telephone and face-to-face surveys. Journal of Epidemiology and Community Health, 48, 412–418.

    Article  PubMed  CAS  Google Scholar 

  • Nicolosi, A., Laumann, E. O., Glasser, D. B., Moreira, E., Paik, A., & Gingell, C. (2004). Sexual behavior and sexual dysfunctions after age 40: The Global Study of Sexual Attitudes and Behaviors. Urology, 64, 991–997.

    Article  PubMed  Google Scholar 

  • Nicolosi, A., Moreira, E. D., Shirai, M., Bin Mohd Tambi, M. I., & Glasser, D. B. (2003). Epidemiology of erectile dysfunction in four countries: Cross-national study of the prevalence and correlates of erectile dysfunction. Urology, 61, 201–206.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., & Rusting, C. (1999). Gender differences in well-being. In D. Kahneman, E. Diener, & N. Schwarz (Eds.), Well-being. The foundations of hedonic psychology (pp. 330–350). New York: Russell Sage Foundation.

    Google Scholar 

  • Oberg, K., Fugl-Meyer, K. S., & Fugl-Meyer, A. R. (2002). On sexual well-being in sexually abused Swedish women: Epidemiological aspects. Sexual and Relationship Therapy, 17, 329–341.

    Article  Google Scholar 

  • Prins, J., Blanker, M. H., Bohnen, A. M., Thomas, S., & Bosch, J. L. (2002). Prevalence of erectile dysfunction: A systematic review of population-based studies. International Journal of Impotence Research, 14, 422–432.

    Article  PubMed  CAS  Google Scholar 

  • Reiss, I. L. (1967). The social context of premarital sexual permissiveness. New York: Holt, Rinehart, & Winston.

    Google Scholar 

  • Reiss, I. L., & Reiss, H. M. (1997). Solving America's sexual crises. Amherst, NY: Prometheus.

    Google Scholar 

  • Richters, J., Grulich, A. E., de Visser, R. O., Smith, A. M., & Rissel, C. E. (2003). Sexual difficulties in a representative sample of adults. Australia New Zealand Journal of Public Health, 27, 164–170.

    Article  Google Scholar 

  • Schwartz, N., & Strack, F. (1999). Reports of subjective wellbeing: Judgmental processes and their methodological implications. In D. Kahneman, E. Diener, & N. Schwartz (Eds.), Well-being: The foundations of hedonic psychology (pp. 61–84). New York: Russell Sage Foundation.

    Google Scholar 

  • Simons, J. S., & Carey, M. P. (2001). Prevalence of sexual dysfunctions: Results from a decade of research. Archives of Sexual Behavior, 30, 177–219.

    Article  PubMed  CAS  Google Scholar 

  • Wadsworth, J., Field, J., Johnson, A. M., Bradshaw, S., & Wellings, K. (1993). Methodology of the National Survey of Sexual Attitudes and Lifestyles. Journal of the Royal Statistical Society Series A, 156, 407–421.

    CAS  Google Scholar 

  • Waite, L. J., & Joyner, K. (2001). Emotional and physical satisfaction with sex in married, cohabiting, and dating sexual unions: Do men and women differ? In E. O. Laumann & R. T. Michael (Eds.), Sex, love, and health in America: Private choices and public policies (pp. 239–269). Chicago: University of Chicago Press.

    Google Scholar 

  • Ward, J. H. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58, 236–244.

    Article  Google Scholar 

  • Weinhardt, L. S., Forsyth, A. D., Carey, M. P., Jaworski, B. C., & Durant, L. E. (1998). Reliability and validity of self-report measures of HIV-related sexual behavior: Progress since 1990 and recommendations for research and practice. Archives of Sexual Behavior, 27, 155–180.

    Article  PubMed  CAS  Google Scholar 

  • Widmer, E. D., Treas, J., & Newcomb, R. (1998). Attitudes toward non-marital sex in 24 countries. Journal of Sex Research, 35, 349–358.

    Article  Google Scholar 

  • World Database of Happiness. Available from URL: http:/ /www.eur.nl/fsw/research/ happiness.

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ACKNOWLEDGMENTS

The Global Study of Sexual Attitudes and Behaviors (GSSAB) was funded by Pfizer Inc. As independent consultants charged with directing the design, analysis, and interpretation of the collected data, a scientific advisory board was assembled to include researchers and practitioners whose primary institutional affiliations are with universities or government research institutes or in public or private practice. The analysis and interpretation of the results are the sole product of discussions among the co-authors, represent the consensus of the co-authors, and have not been subject to editorial revision by Pfizer Inc. The authors acknowledge the contribution of their colleagues on the international advisory board for this study: Gerald Brock (Canada), Jacques Buvat (France), Uwe Hartmann (Germany), Sae-Chul Kim (Korea), Rosie King (Australia), Ken Marumo (Japan), Ferruh Simsek (Turkey).

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Correspondence to Edward O. Laumann Ph.D..

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Laumann, E.O., Paik, A., Glasser, D.B. et al. A Cross-National Study of Subjective Sexual Well-Being Among Older Women and Men: Findings From the Global Study of Sexual Attitudes and Behaviors. Arch Sex Behav 35, 143–159 (2006). https://doi.org/10.1007/s10508-005-9005-3

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