Increasing Risk Awareness and Facilitating Safe Sexual Activity Among Older Adults in Senior Housing

Gedin, Tonii C

doi:10.1080/07370016.2014.958390

Cited by 11 publications

(13 citation statements)

References 52 publications

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“…After a content analysis of the various educational interventions, it was ascertained that the majority (n= 17), used active teaching-learning methods and belonged to the integrative model (Adams et al, 1990;Baldissera et al, 2012;Ballester-Arnal et al, 2016;Bauer et al, 2013;DiGioia, 2011;Feuz et al, 2019;Hernández Carrasco et al, 2019;Klein et al, 2005;Lee et al, 2020;Martin et al, 2018;Mayers & McBride, 1998;Nicols et al, 2007;O'Neil & Carroll, 1988;Opazo Pérez, 2018;Pastor et al, 1992;Risman, 2011;Vitória, 2019). A slightly lower number (n= 8) was consistent with the preventive model (Cardoso Junior, 2012;Colarossi et al, 2014;Gedin & Resnick, 2014;Goldberger, 2018;Goldman & Carroll, 1990;Jones & Moyle, 2016;Livni, 1994;Rodríguez Maresma, 2009) while none had the features of the moral model (n= 0). The issue of equality between men and women was only addressed in three interventions (Ballester-Arnal et al, 2016;O'Neil & Carroll, 1988;Pastor et al, 1992).…”

Section: Results / Findingsmentioning

confidence: 85%

LGBTI Sexualities and intersectional research

Barros

Romero-López

Andújar

2021

RELA

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We examine testimonies pertaining to the integration of a gender perspective beyond the dichotomy man-woman into practices of affective-sexual adult learning and education (ALE). We are interested in inclusive practices able to expand voices from specific vulnerable groups against discriminations and multiple oppressions among the aged when belonging to LGBTI Communities. The narrative literature review method was chosen, and international scientific search engines and databases were consulted to find literature in Portuguese, Spanish and English. A total of 25 educational interventions were selected for analysis. To discuss the data, we resorted to Barragán Medero's (1996) theoretical models and postfeminist contributions. The results show a small number of internationally documented experiences on affective-sexual education with the elderly and adults, a prevalence of the integrative model, as well as a scant presence of the LGBTI community. We concluded that there was a need to continue with the implementation of inclusive and egalitarian affective-sexual adult experiences in ALE.

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Section: Results / Findingsmentioning

confidence: 85%

LGBTI Sexualities and intersectional research

Barros

Romero-López

Andújar

2021

RELA

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“…The rise in STIs among older adults might be attributed to multiple factors. For example, the increase in HIV cases has been suggested to be the result of longer survival due to treatment, inconsistent use of condoms, misperceived susceptibility to infection, and variable levels of sexual health knowledge [ 7 , 18 ]. Just as in other life stages, older adults may engage in high-risk sexual behaviours due to lack of knowledge or misconceptions on the risks involved.…”

Section: Introductionmentioning

confidence: 99%

“…Primary prevention measures focused on behaviour change communication—using tailored communications approaches to promote positive behaviours, ideally involving the target community in the development process [ 20 ]—are therefore key to reducing the spread of STIs. Increasing older adults’ knowledge of the risk of STIs, how to prevent them, and how to engage in healthy sexual behaviours through behaviour change interventions could reduce their odds of engaging in high-risk sexual behaviours relative to protective ones, thus subsequently reducing STI risk in older age [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Non-pharmacological interventions for the prevention of sexually transmitted infections (STIs) in older adults: A systematic review

Moreno-Agostino

et al. 2023

PLoS ONE

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Background STIs in older adults (adults aged 50 years and older) are on the rise due to variable levels of sex literacy and misperceived susceptibility to infections, among other factors. We systematically reviewed evidence on the effect of non-pharmacological interventions for the primary prevention of sexually transmitted infections (STIs) and high-risk sexual behaviour in older adults. Methods We searched EMBASE, MEDLINE, PSYCINFO, Global Health and the Cochrane Library from inception until March 9th, 2022. We included RCTs, cluster-randomised trials, quasi-RCTs, interrupted time series (ITS) and controlled and uncontrolled before-and-after studies of non-pharmacological primary prevention interventions (e.g. educational and behaviour change interventions) in older adults, reporting either qualitative or quantitative findings. At least two review authors independently assessed the eligibility of articles and extracted data on main characteristics, risk of bias and study findings. Narrative synthesis was performed. Results Ten studies (two RCTs, seven quasi-experiment studies and one qualitative study) were found to be eligible for this review. These interventions were mainly information, education and communication activities (IECs) aimed at fostering participants’ knowledge on STIs and safer sex, mostly focused on HIV. Most studies used self-reported outcomes measuring knowledge and behaviour change related to HIV, STIs and safer sex. Studies generally reported an increase in STI/HIV knowledge. However, risk of bias was high or critical across all studies. Conclusions Literature on non-pharmacological interventions for older adults is sparse, particularly outside the US and for STIs other than HIV. There is evidence that IECs may improve short-term knowledge about STIs however, it is not clear this translates into long-term improvement or behaviour change as all studies included in this review had follow-up times of 3 months or less. More robust and higher-quality studies are needed in order to confirm the effectiveness of non-pharmacological primary prevention interventions for reducing STIs in the older adult population.

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“…A lack of knowledge about STIs among older people may lead to existing misconceptions and inaccuracies [19][20][21][22][23]. Older adults have reported few opportunities to discuss their sexual health with their health care providers [24,25], which also limits their access to educational resources and interventions to reduce their STI risk [26].…”

Section: Introductionmentioning

confidence: 99%

Sexually Transmitted Infection Knowledge among Older Adults: Psychometrics and Test–Retest Reliability

Smith

Bergeron

Goltz

et al. 2020

IJERPH

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Sexually transmitted infections (STI) among older adults have dramatically increased in recent years, especially among those who are widowed and divorced. The purposes of this study were to: (1) identify STI-related knowledge among older adults; (2) report the psychometric properties of a tool commonly used to assess STI-related knowledge among younger populations using data from adults 65 years and older; and (3) determine test-retest reliability of the tool. Data were analyzed from 43 adults, aged 65–94 years, using the 27-item Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ). Participants completed identical instruments on two separate days with approximately two weeks between. After responses were coded for correctness, composite scores were created. Cronbach’s reliability coefficients were calculated to determine response consistency, and Pearson’s r coefficients were used to assess test–retest reliability. Of 27 possible correct answers, participants reported an average of 11.47 (±6.88) correct responses on Day 1 and 11.67 (±7.33) correct responses on Day 2. Cronbach’s alpha coefficients for the 27-item composite scale were high for both days (0.905 and 0.917, respectively), which indicates strong response consistency. Pearson’s r coefficients were high between responses for the 27-item composite scale on Days 1 and 2 (r = 0.882, P < 0.01), which indicates strong test–retest reliability. Pearson’s r coefficients were high between responses for all but three of the 27 items when assessed separately. Findings suggest the utility of the STD-KQ to assess STI knowledge among older adults. However, the consistently low knowledge scores highlight the need for educational interventions among this population.

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Increasing Risk Awareness and Facilitating Safe Sexual Activity Among Older Adults in Senior Housing

Cited by 11 publications

References 52 publications

LGBTI Sexualities and intersectional research

LGBTI Sexualities and intersectional research

Non-pharmacological interventions for the prevention of sexually transmitted infections (STIs) in older adults: A systematic review

Sexually Transmitted Infection Knowledge among Older Adults: Psychometrics and Test–Retest Reliability

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