Sexual Behavior of Older Women

Patel, Divya; Gillespie, Brenda W.; Foxman, Betsy

doi:10.1097/00007435-200303000-00008

Cited by 55 publications

(16 citation statements)

References 20 publications

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“…24,27 Sociodemographic characteristics included: age, race/ethnicity, insurance, and relationship status. 21,26 Respondents who were married or cohabiting at the time of the survey or who reported having a “romantic, intimate, or sexual partner” were referred to as having a “spousal or other intimate relationship.” HTN severity was assessed using guidelines from the Joint National Committee (JNC) 7. 19,35 We assessed smoking status, and self-reported diabetes, heart disease, and cerebrovascular disease.…”

Section: Methodsmentioning

confidence: 99%

“…3,23–29 Prior studies demonstrate that loss of sexual activity and function among older adults is associated with the absence of an intimate partner, poor physical health, and disease affecting vascular integrity. 21,22,24,27,30,31 In the case of hypertension (HTN), a disease affecting over two-thirds of the older adult population, both the disease and the treatment may impact sexual function. 32 Having a clearer understanding of the association of HTN and specific antihypertensive medication classes with sexual health among older adults may help in tailoring approaches for individual patients.…”

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confidence: 99%

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Sexual activity and function among middle-aged and older men and women with hypertension

Spatz¹,

Canavan²,

Desai³

et al. 2013

Journal of Hypertension

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Sexual activity and function among middle-aged and older men and women with hypertension

Spatz¹,

Canavan²,

Desai³

et al. 2013

Journal of Hypertension

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“…Despite clear implications for well-being research, prior investigations of sexual activity levels and mental health, however, have mainly examined associations in the context of sexual dysfunctions (Laumann, Glasser, Neves, & Moreira, 2009; Laumann et al, 2005; Marsiglio & Donnelly, 1991; Nicolosi et al, 2005; Shifren et al, 2008), in the chronically ill (Marsiglio & Donnelly, 1991; Pangman & Seguire, 2000), younger people (Eisenberg, Shindel, Smith, Breyer, & Lipshultz, 2010; Rasberry & Goodson, 2009), in substance abusing populations (Nettleman, Ingersoll, & Ceperich, 2006), and in older adults (DeLamater & Moorman, 2007; Lindau & Gavrilova, 2010; Lindau et al, 2007; Matthias, Lubben, Atchison, & Schweitzer, 1997; Nicolosi et al, 2006; Palacios-Cena et al, 2012; Patel, Gillespie, & Foxman, 2003; Schick et al, 2010; Wong, Leung, & Woo, 2009). …”

Section: Introductionmentioning

confidence: 99%

Sociodemographic Correlates of Sexlessness Among American Adults and Associations with Self-Reported Happiness Levels: Evidence from the U.S. General Social Survey

2017

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Although sexual activity is commonly believed to be a key component of emotional well-being, little is known about the factors associated with the absence of sexual activity or its associations with self-reported happiness. Using the U.S. General Social Survey–National Death Index 2008 dataset, a series of nationally representative surveys (1988–2002), this study analyzed the sociodemographic and life style factors associated with past-year sexlessness and self-reported happiness among American adults (n = 17,744). After adjustment for marital status, there were no significant time trends evident in the proportion of American adults reporting past-year sexlessness. Among participants (age =18–89 years), 15.2% of males and 26.7% of females reported past-year sexlessness while 8.7% of males and 17.5% of females reported no sex for 5 years or more. For both genders, past-years exlessness was most strongly associated with older age and being currently non-married in the multivariable models. Among males, the multivariable analysis also showed that sexlessness was associated with providing less than 20% of the house-hold income (OR 2.27). In female participants, sexlessness was associated with very low income, poor health, lower financial satisfaction, absence of children, and having conservative sexual attitudes (OR 1.46–3.60). For both genders, Black race was associated with a much lower likelihood of sexlessness among currently non-married adults. The purported detrimental impact of sexlessness on self-reported happiness levels was not evident in this large, nationally representative study after adjusting for sociodemographic factors. Sexless Americans reported very similar happiness levels as their sexually active counterparts.

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“…Some studies 11;15–17 have found that treatment with various classes of antihypertensive medications may be associated with increased prevalence of FSD. In addition, few studies have investigated sexual activity or function in middle-aged or older women who are likely postmenopausal 18 , or in subgroups of women with hypertension, such as women with chronic kidney disease 19 .…”

Section: Introductionmentioning

confidence: 99%

Blood Pressure, Sexual Activity, and Dysfunction in Women with Hypertension: Baseline Findings From the Systolic Blood Pressure Intervention Trial (SPRINT)

Foy

Newman

Berlowitz

et al. 2016

The Journal of Sexual Medicine

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Introduction Sexual function, an important component of quality of life, is gaining increased research and clinical attention in older women with hypertension. Aims To assess the association between systolic blood pressure (SBP) and other variables, and sexual activity and sexual dysfunction in hypertensive women. Methods Baseline analysis of 635 women participants of a larger randomized clinical trial of 9361 men and women. Main Outcome Measures Self-reported sexual activity (yes/no), and sexual function using the Female Sexual Function Inventory (FSFI). Results 452 participants (71.2%) reported having no sexual activity during the previous 4 weeks. The mean (SD) FSFI score for sexually active participants was 25.3 (6.0), and 52.6% of the sample reported a FSFI score ≤26.55 designating sexual dysfunction. In logistic regression models, SBP was not significantly associated with sexual activity (AOR = 1.002; p >0.05). Older age (AOR=0.95, p <0.05), and lower education (AOR for 0.05). Higher depressive symptoms from the Patient Health Questionnaire-9 (PHQ-9) was associated with higher odds of sexual dysfunction (AOR = 1.24, p<0.05), as was increased number of physical comorbidities (AOR = 1.25, p <0.05). Diuretic use was associated with lower odds of being sexually active in CKD participants (AOR = 0.33, p<0.05). Conclusions Younger age, higher education, living with others, and higher weekly alcohol consumption were significantly associated with higher odds of being sexually active in a sample of middle-aged and older women with hypertension. Increased depressive symptoms and increased physical comorbidities were significantly associated with increased odds of sexual dysfunction. SBP was not significantly associated with sexual activity or sexual dysfunction. Trial Registration: ClinicalTrials.gov Identifier: NCT01206062

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Sexual Behavior of Older Women

Abstract: Women in older age groups vary greatly in terms of sexual practices and health behaviors.

Cited by 55 publications

References 20 publications

Sexual activity and function among middle-aged and older men and women with hypertension

Sexual activity and function among middle-aged and older men and women with hypertension

Sociodemographic Correlates of Sexlessness Among American Adults and Associations with Self-Reported Happiness Levels: Evidence from the U.S. General Social Survey

Blood Pressure, Sexual Activity, and Dysfunction in Women with Hypertension: Baseline Findings From the Systolic Blood Pressure Intervention Trial (SPRINT)

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