Sexuality as an important part of life has not been well studied in Malaysia, particularly among older adults. The main aim of this study was to investigate the racial and socioeconomic differences in sexual activity among older married Malaysians. Data for this study consisting of 1036 older married adults aged 60 years and older were obtained from the nationwide community-based cross-sectional survey entitled "Determinants of Wellness among Older Malaysian: A Health Promotion Perspective", conducted in 2010. Data were analyzed using SPSS version 21 for Windows. The results showed that 57.3% (95% CI: 54.3-60.3) of the respondents (61.6% of men and 50.6% of women) had engaged in sexual intercourse during the last 12 months. The adjusted multivariate logistic regression analysis revealed that ethnicity and educational attainment were independently and significantly associated with sexual activity, after controlling for the possible confounding effects of chronic medical conditions and demographic characteristics. The findings from this study do support the notion that sexuality is a lifelong need and cultural teachings and formal education may have important role in maintaining the quality of sexuality in later life.

Background: Due to the factor of age and pre-existing medication conditions, older persons pose a higher risk of COVID-19 infection and experience more severe complication compared to others. Adherence preventive measures become one of the best ways in fighting COVID-19, which largely influenced by knowledge, attitudes, and practices (KAP).Objective: This study aims to determine level of knowledge, attitudes, and practices towards COVID-19 among Malaysian older persons. Methods:An online cross-sectional study was conducted among 501 Malaysian older persons from 18th to 21st June 2020. The KAP instrument consisted of demographics details, knowledge (14 items), attitudes (3 items) and practices (2 items), adapted from previous study.Results: of this study showed participants had an overall correct rate of 91.3%, indicating a good knowledge level. Participants showed positive attitudes towards social distancing (98.6%), compliance to health authorities' precautions (99.0%) and successful control (84.6%) of spreading of COVID-19 in Malaysia. The participants also taking preventive measures by refraining themselves from visiting crowded place (88.2%) and wore mask when leaving home (97.4%). Findings from this study showed participants' high knowledge level of COVID-19 translated into good and safe preventive measures, during the recovery MCO in Malaysia.Conclusions: Continuous education and outreach from health authorities are essential to improve knowledge of COVID-19 and promote the newly adapted cultural norms, especially among older persons.

Background Malaysia is experiencing population ageing and expects to be an aged nation by 2030. Depression is one of the common disorder among elderly worldwide and the prevalence of depression in Malaysia is expected to increase as a result of population ageing. The association of depression and sexual satisfaction was unclear, particularly among the elderly. Therefore, this study aimed to examine the association between depression and sexual satisfaction among the Malay elderly population. Methods One hundred and nine married community-dwelling elderly (Mean age = 63.23 years old) participated in this cross-sectional study. Hierarchical logistics regression was used to examine the association of depression on sexual satisfaction while controlling for potential confounders. Results Prevalence of depression and sexual dissatisfaction were 26.6% and 20.2%, respectively. Depression was significantly associated with sexual satisfaction (P = 0.002; OR = 0.19, 95% CI = 0.06, 0.66). Depressed participants were 81% less likely to experience sexual satisfaction compared to those without depression. Limitations Cross-sectional study design assessing the association between depression and sexual satisfaction. Conclusions Findings from this study suggest that attention should be given to the prevention and treatment of depression among the elderly as a mechanism to improve sexual health.

In response to the rising number of COVID-19-related deaths among older adults in Malaysia, observation concerning COVID-19-related mortality among older adults is of urgent public health importance. This study presents a review of the COVID-19-related death cases among older adults in Malaysia. Clinical and social demographic data of death cases officially released by the Ministry of Health Malaysia were reviewed. As of 12 June 2020, 81 older adult death cases were identified and included in this study. The mean age of the death cases was 71.88 years old. Even though 79% of these cases were male, gender was not likely to be associated with mortality. A substantial difference between the prevalence of diabetes among death cases and the nationwide population indicated that diabetes was more likely to be associated with mortality. Most of the studied deaths were individuals with pre-existing medical conditions, predominantly diabetes and hypertension, and those aged 70 years old or above. The mean time from hospitalisation to death was 11.83 days. Extra focus should be given to older adults in the prevention and control of COVID-19.

Rapid transportation development may be welcomed by many, but older adults might find it difficult to keep up with their transportation uses and remain active. This study reviewed published articles on the travel behavior of older adults in Malaysia and associated transportation determinants to explore how sustainable the transportation system is for this vulnerable cohort. The authors searched four databases: PubMed, Scopus, ProQuest, and EBSCOhost. Inclusion criteria were older respondents, living in a community in Malaysia, addressing any travel behavior characteristics, and being written in English. Review papers, letters, book citations, comments, editorials, and experimental and animal studies are excluded from this study. A total of seven studies were included in this review extending from 2007 to 2020. The result showed that the transportation use of older adults has shifted from relying on public transport to driving their own vehicles to move around. According to the findings of this study, besides personal and health factors, the transport use of older adults is affected mainly by cost, public transport availability, road traffic and safety, the complexity of the transportation system, distance to public transit, availability of parking space, as well as road conditions and signage. It is concluded that an effective strategy to improve the transportation system is needed to prevent the unmet travel needs of older adults in Malaysia.