Barriers to older adults seeking sexual health advice and treatment: A scoping review

Ezhova, Ivanka; Savidge, Laura; Bonnett, Clare; Cassidy, Juliet; Okwuokei, Anthony; Dickinson, Tommy

doi:10.1016/j.ijnurstu.2020.103566

Cited by 62 publications

(60 citation statements)

References 43 publications

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“…At this point, men's desires, demands and expectations are often beyond the expected competences of HPs, since previous studies showed that HPs lack education and competences in the field of sexuality. [15][16][17][18] To meet the needs of men in cardiovascular secondary prevention and rehabilitation, HPs should be professional, educated, and competent in this field. Another ethical aspect was the men's concerns about their own and other men's integrity and boundaries regarding HPs' address of sexuality, ED and i-PAVED.…”

Section: Discussionmentioning

confidence: 99%

“…She told us about ED and something like that, because we were all cardiac patients. So nearly all of us had the same problem" (16).…”

Section: Prospectivementioning

confidence: 99%

“…13 Common barriers for HPs' address of sexuality and sexual issues such as ED are due to lack of HP education, competences and professionalism in the field of sexuality, or HPs' perception that addressing sexuality is embarrassing for patients, being too intimate, private and potentially offensive to discuss. [14][15][16][17][18] Furthermore, HPs' reason for not inquiring about sexual function and ED can be attributed to their impression of cardiac patients' lack of readiness and reluctance to bring up the subject. 14,18,19 .…”

Section: Introductionmentioning

confidence: 99%

“…37 Men do not seek treatment or tell HPs about ED when they are not asked or invited to do so by HPs. 10,16,17 Men with cardiovascular diseases lack knowledge and understanding of the links between cardiovascular diseases and ED. 30,38 Studies have indicated that patients with cardiovascular diseases feel that it would be helpful to discuss ED with HPs.…”

Section: Introductionmentioning

confidence: 99%

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Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

et al. 2021

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Introduction In the developing phase of the complex health intervention: Physical Activity to reduce Vascular Erectile Dysfunction (PAVED), it is crucial to explore whether men can accept the communicative component regarding information that regular aerobe Physical Activity can reduce Erectile Dysfunction (i-PAVED). This information is provided by health professionals (HPs) in cardiac rehabilitation, where sexuality issues such as erectile dysfunction (ED) are otherwise rarely addressed. Aim To explore how acceptance of cardiac HPs’ address of sexuality, ED, and i-PAVED can be identified in men's narratives. Methods In this descriptive qualitative study, we conducted semi-structured individual interviews with 20 men (range 48-78 years of age) attending municipal cardiac secondary prevention and rehabilitation programmes on their acceptance of HPs’ address of sexuality, ED, and i-PAVED. The Theoretical Framework of Acceptability components (affective attitude, burden, ethicality, intervention coherence, perceived effectiveness, opportunity costs and self-efficacy) and three temporal perspectives (retrospective, concurrent and prospective) were used in the concept-driven first step of a content analysis, which was followed by a thematically data-driven second step. Main Outcome Measures Men anticipated and experiential acceptance was identified in six out of seven components of Theoretical Framework of Acceptability. Results Men acceptance was identified as “expression of interest,” “addressing sexuality,” “attitudes and values,” “understandable and meaningful,” “insights” and “motivation,” whereas no narratives were identified in relation to the component of opportunity costs. Conclusion As an aspect of the development of the complex cardiovascular health care intervention PAVED, this qualitative study showed that men attending cardiac secondary prevention and rehabilitation seemed to prospectively accept the communicative component of PAVED being HPs’ address of sexuality, ED, and i-PAVED, if the HPs are professional, educated and competent in the field of sexual health. Gerbild H, Areskoug-Josefsson K, Larsen CM, et al. Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation. Sex Med 2021;9:100369.

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Section: Discussionmentioning

confidence: 99%

“…She told us about ED and something like that, because we were all cardiac patients. So nearly all of us had the same problem" (16).…”

Section: Prospectivementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

et al. 2021

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“…La religión con sus mandatos, la familia con su opresión y el personal de salud con su falta de educación ayudan a configurar los prejuicios inhibidores de la expresión sexual (Jalenques et al, 2020;Perdomo et al, 2013;Ramírez et al, 2017;Ševčíková & Sedláková, 2020;Uchôa et al, 2016). Además, Ezhova et al (2020) afirman que ciertos constructos culturales vinculan la sexualidad con la inmoralidad, situación ahondada por factores de género, raza y edad.…”

Section: -5459unclassified

Factores psicosexuales y habilidades sociosexuales en los adultos mayores: una revisión sistemática de la literatura.

Trelles¹

2021

S. F. J. of Dev.

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La particularidad actual de varios países es el envejecimiento poblacional, la cual visibiliza a los adultos mayores (AM) como individuos con propias necesidades y permite cuestionar las condiciones en las que están envejecimiento, en especial, en el ámbito sexual expresado por los factores psicosexuales y las habilidades sociosexuales, mismo que denota vacíos investigativos. El objetivo de la investigación es identificar y sintetizar la información disponible sobre los factores psicosexuales y habilidades sociosexuales en un segmento específico de AM. Se realizó una revisión de la literatura científica en la última década por medio de 4 bases de datos digitales Scopus, Scielo, Dialnet y Web of Science, posterior a la lectura y análisis a texto completo se seleccionaron estudios cuantitativos, cualitativos y revisiones de la literatura asegurando su aporte de interés por medio de los criterios de selección. Como resultados, la revisión arrojó 42 referencias utilizadas para sintetizar la información disponible, posterior al análisis, los datos fueron agrupados en factores psicosexuales, expresados en 6 variables, habilidades sociosexuales, expresados en 3 variables, y la edad, entendida como una variable transversal a todas las mencionadas. Concluyendo, esta revisión de la literatura aporta una síntesis integral de las variables que intervienen en la sexualidad de los AM, que a su vez permitirá comprenderlas y canalizarlas por su impacto directo en el proceso de envejecimiento. Finalmente, facilitará la construcción teórica de la temática que guíen la estructuración de políticas públicas socio sanitarias al momento de desarrollar intervenciones exitosas de salud.

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Late‐Life Sexuality

Levy,

Sukmaningrum

2023

The Blackwell Encyclopedia of Sociology

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The failure of scientists to define what they mean by “sexuality,” “sexual behavior,” or “late life” when designing studies or publishing their results complicates attempts to compare research findings within older age groups and across societies and sociocultural environments. Still, research across the globe confirms that sex and sexuality are a normal and valued part of human existence at any age and that many older persons remain sexually active throughout life. Nonetheless, sexual expression and sex in late adulthood too often are challenged by the lack of a sexual partner, age‐related physical decline, insufficient privacy, concerns about sexually transmitted diseases, and stereotypic age norms that characterize late‐life sex as humorous and untoward. Medical and technological innovations since the 1990s, including sexual enhancement drugs, Internet dating sites, phone apps to locate partners, and medical treatment that reduces risk of HIV transmission, have helped to partly mitigate such hindrances.

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Barriers to older adults seeking sexual health advice and treatment: A scoping review

Cited by 62 publications

References 43 publications

Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

Factores psicosexuales y habilidades sociosexuales en los adultos mayores: una revisión sistemática de la literatura.

Late‐Life Sexuality

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