Sexual health among the oldest old: a population-based study among people aged 85 years and older in Stockholm, Sweden

IF 2.6 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Sexual Medicine Pub Date : 2024-04-01 DOI:10.1093/sexmed/qfae022
Marios Politis, K. Kosidou, Stefan Fors, Martina Nord
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Abstract

Abstract Background Sexual health is an important contributor to the well-being and life satisfaction of people aged ≥85 years, known as the oldest old. However, little is known about sexual health in this population. Aim To examine aspects of sexual health among the oldest old and explore its associations with sociodemographic, health-related, and lifestyle factors. Methods We conducted a population-based cross-sectional study including 183 individuals aged ≥85 years who were residents in Stockholm County, Sweden. Responders (response rate, 63%) were interviewed on a range of health, sociodemographic, and lifestyle parameters, including aspects of sexual health. Participants’ responses to the sexual health items were reported as proportions with 95% CIs. Associations were examined with multivariable logistic regression. Outcomes We examined sexual activity, sexual satisfaction, problems related to sexual health, and inquiries on sexual health by a health care provider. Results Twelve percent of participants (95% CI, 8%-17.6%) were sexually active, and 63.9% (95% CI, 56.5%-70.9%) were satisfied with their sexual lives during the past year. A third (35%; 95% CI, 28.4%-42.2%) reported at least a problem related to sexual health. Only 2.2% (95% CI, 0.6%-5.5%) were asked about sexual health by a health care provider, while 8.2% (95% CI, 4.7%-13.2%) identified a need for such an assessment. Yet, 85.2% (95% CI, 79.3%-90.0%) indicated no need for their sexual health to be evaluated by a health care provider. Being partnered was positively associated with sexual activity (adjusted odds ratio, 9.13; 95% CI, 2.53-32.90), whereas having strong social support was positively associated with being satisfied with one’s sexual life (adjusted odds ratio, 2.96; 95% CI, 1.53-5.74). Clinical Implications Health care providers should be proactive in assessing the sexual health of the oldest individuals. Strengths and Limitations A representative sample of an underresearched population was used in this study. However, the generalizability of our findings may be restricted due to the small sample. To maintain statistical power from a relatively small sample, we might have lost explanatory power. Given the observational cross-sectional nature of the data, we cannot draw causal inferences based on the observed associations. Conclusions A 10th of participants were sexually active, and the majority were satisfied with their sexual lives. Although many participants reported problems related to sexual health, few expressed the need to discuss sexual health with health care providers. Future studies should explore potential barriers to addressing sexual health and unmet health care needs among the oldest old.
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高龄老人的性健康:一项针对瑞典斯德哥尔摩 85 岁及以上老人的人口研究
摘要 背景 性健康是影响年龄≥85 岁(即高龄老人)幸福感和生活满意度的重要因素。然而,人们对这一人群的性健康知之甚少。目的 研究高龄老人性健康的各个方面,并探讨其与社会人口学、健康相关因素和生活方式的关系。方法 我们对瑞典斯德哥尔摩县 183 名年龄≥85 岁的居民进行了一项基于人群的横断面研究。受访者(回复率为 63%)接受了一系列健康、社会人口和生活方式参数的调查,其中包括性健康方面的参数。受访者对性健康项目的回答以比例和 95% CIs 的形式报告。相关性通过多变量逻辑回归进行检验。结果 我们研究了性活动、性满意度、与性健康有关的问题以及医疗保健提供者对性健康的询问。结果 12% 的参与者(95% CI,8%-17.6%)性生活活跃,63.9% 的参与者(95% CI,56.5%-70.9%)对过去一年的性生活感到满意。三分之一(35%;95% CI,28.4%-42.2%)的受访者至少报告了一个与性健康有关的问题。只有 2.2%(95% CI,0.6%-5.5%)的人被医疗保健提供者询问过性健康问题,而 8.2%(95% CI,4.7%-13.2%)的人认为需要进行此类评估。然而,85.2%(95% CI,79.3%-90.0%)的人表示不需要医疗服务提供者对其性健康进行评估。有伴侣与性活动呈正相关(调整后的几率比为 9.13;95% CI,2.53-32.90),而拥有强大的社会支持与对性生活的满意度呈正相关(调整后的几率比为 2.96;95% CI,1.53-5.74)。临床意义 医疗服务提供者应积极评估老年人的性健康。优势与局限 本研究采用了研究不足人群的代表性样本。然而,由于样本较小,我们的研究结果的普遍性可能会受到限制。为了保持相对较小样本的统计能力,我们可能会失去解释能力。鉴于数据的观察性横断面性质,我们无法根据观察到的关联得出因果推论。结论 10%的参与者性生活活跃,大多数人对自己的性生活感到满意。尽管许多参与者报告了与性健康有关的问题,但很少有人表示有必要与医疗保健提供者讨论性健康问题。今后的研究应探讨老年人在解决性健康问题和未满足的医疗保健需求方面可能存在的障碍。
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来源期刊
Sexual Medicine
Sexual Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.40
自引率
0.00%
发文量
103
审稿时长
22 weeks
期刊介绍: Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.
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