Sexual activity and aging

Journal of the American Medical Directors Association

Volumn 14, Issue 8, 2013, Pages 565-572

  Lochlainn, Mary Ni ^a   Kenny, Rose Anne ^b,c,d  

^a TRINITY COLLEGE DUBLIN   (Ireland)

^b Chemistry Extension Building   (Ireland)

^c TRINITY COLLEGE DUBLIN   (Ireland)

^d ST JAMES S HOSPITAL   (Ireland)

Author keywords

Elderly; Erectile dysfunction; Sexual activity; Sexual problems; Sexuality

Indexed keywords

ADOLESCENCE; ADULTHOOD; AGING; ANORGASMIA; ANXIETY DISORDER; ARTHRITIS; ATTITUDE; AWARENESS; CEREBROVASCULAR ACCIDENT; DEMENTIA; DEPRESSION; DIABETES MELLITUS; DYSPAREUNIA; EDUCATIONAL STATUS; EPILEPSY; ERECTILE DYSFUNCTION; FEMALE SEXUAL DYSFUNCTION; GENERAL PRACTITIONER; HEALTH CARE PERSONNEL; HUMAN; HYPERTENSION; HYPERTHYROIDISM; HYSTERECTOMY; INCIDENCE; IRRITABILITY; KIDNEY DISEASE; LIBIDO; LIBIDO DISORDER; LIFE; LOWER URINARY TRACT SYMPTOM; LUNG DISEASE; MARRIAGE; MASTURBATION; MOOD; MULTIPLE SCLEROSIS; NURSING HOME; OBESITY; OBSESSIVE COMPULSIVE DISORDER; OVARY CANCER; PAIN; PARKINSON DISEASE; PATIENT EDUCATION; PERCEPTION; PERIPHERAL VASCULAR DISEASE; POSTMENOPAUSE; PREVALENCE; QUALITY OF LIFE; REVIEW; RISK FACTOR; SELF CONCEPT; SEX DIFFERENCE; SEXUAL ABUSE; SEXUAL BEHAVIOR; SEXUAL FUNCTION; SEXUAL INTERCOURSE; SEXUALITY; SOCIAL CLASS; STRESS; VAGINAL LUBRICATION; WEAKNESS; WELLBEING;

EID: 84881246383     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2013.01.022     Document Type: Review

References (118)

1. World Health Organization. Active ageing: A policy framework 2002. Available at: Accessed July 20,2010. http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf.
2. Wise J. Number of "oldest old" has doubled in the past 25 years. BMJ 2010, 340:c3057.
3. Lindau S.T., Laumann E.O., Levinson W., Waite L.J. Synthesis of scientific disciplines in pursuit of health: The Interactive Biopsychosocial Model. Perspect Biol Med 2003, 46:S74-S86.
4. Ginsberg T.B., Pomerantz S.C., Kramer-Feeley V. Sexuality in older adults: Behaviours and preferences. Age Ageing 2005, 34:475-480.
5. Campbell J.M. Sexuality in older women. Gerontology and Geriatrics Education 1995, 16:71-81.
6. Matthias R.E., Lubben J.E., Atchison K.A., Schweitzer S.O. Sexual activity and satisfaction among very old adults: Results from a community-dwelling Medicare population survey. Gerontologist 1997, 37:6-14.
7. Trudel G., Turgeon L., Piche L. Marital and sexual aspects of old age. Sexual and Relationship Therapy 2010, 15:381-406.
8. Smith L.J., Mulhall J.P., Deveci S., et al. Sex after seventy: A pilot study of sexual function in older persons. JSex Med 2007, 4:1247-1253.
9. Kingsberg S.A. The psychological impact of aging on sexuality and relationships. JWomens Health Gend Based Med 2000, 9:S33-S38.
10. Bandeau D. Illness, disability and sex in aging. Sexuality and Disability 1995, 13:219-237.
11. Baldwin D.S. Depression and sexual dysfunction. Br Med Bull 2001, 57:81-99.
12. Hartmann U., Philippsohn S., Heiser K., Ruffer-Hesse C. Low sexual desire in midlife and older women: Personality factors, psychosocial development, present sexuality. Menopause 2004, 11:726-740.
13. Kandeel F.R., Koussa V.K., Swerdloff R.S. Male sexual function and its disorders: Physiology, pathophysiology, clinical investigation, and treatment. Endocr Rev 2001, 22:342-388.
14. Tiefer L., Schuetz-Mueller D. Psychological issues in diagnosis and treatment of erectile disorders. Urol Clin North Am 1995, 22:767-773.
15. Gott C.M. Sexual activity and risk-taking in later life. Health Soc Care Community 2001, 9:72-78.
16. Nicolosi A., Laumann E.O., Glasser D.B., et al. Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology 2004, 64:991-997.
17. Lindau S.T., Schumm L.P., Laumann E.O., et al. Astudy of sexuality and health among older adults in the United States. NEngl J Med 2007, 357:762-774.
18. Choi K.B., Jang S.H., Lee M.Y., Kim K.H. Sexual life and self-esteem in married elderly. Arch Gerontol Geriatr 2011, 53:e17-e20.
19. Corona G., Lee D.M., Forti G., et al. Age-related changes in general and sexual health in middle-aged and older men: Results from the European Male Ageing Study (EMAS). JSex Med 2010, 7:1362-1380.
20. Schick V., Herbenick D., Reece M., et al. Sexual behaviors, condom use, and sexual health of Americans over 50: Implications for sexual health promotion for older adults. JSex Med 2010, 7:315-329.
21. Laumann E.O., Glasser D.B., Neves R.C., Moreira E.D. Apopulation-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 2009, 21:171-178.
22. Chew K.K., Bremner A., Stuckey B., et al. Sex life after 65: How does erectile dysfunction affect ageing and elderly men?. Aging Male 2009, 12:41-46.
23. DeLamater J., Hyde J.S., Fong M.C. Sexual satisfaction in the seventh decade of life. JSex Marital Ther 2008, 34:439-454.
24. Valadares A.L., Pinto-Neto A.M., Osis M.J., et al. Prevalence of sexual dysfunction and its associated factors in women aged 40-65 years with 11 years or more of formal education: A population-based household survey. Clinics (Sao Paulo) 2008, 63:775-782.
25. Beutel M.E., Stobel-Richter Y., Brahler E. Sexual desire and sexual activity of men and women across their lifespans: Results from a representative German community survey. BJU Int 2008, 101:76-82.
26. DeLamater J., Moorman S.M. Sexual behavior in later life. JAging Health 2007, 19:921-945.
27. Lindau S.T., Leitsch S.A., Lundberg K.L., Jerome J. Older women's attitudes, behavior, and communication about sex and HIV: A community-based study. JWomens Health (Larchmt) 2006, 15:747-753.
28. Addis I.B., Van Den Eeden S.K., Wassel-Fyr C.L., et al. Sexual activity and function in middle-aged and older women. Obstet Gynecol 2006, 107:755-764.
29. Holden C.A., McLachlan R.I., Pitts M., et al. Men in Australia Telephone Survey (MATeS): A national survey of the reproductive health and concerns of middle-aged and older Australian men. Lancet 2005, 366:218-224.
30. Rosen R., Altwein J., Boyle P., et al. Lower urinary tract symptoms and male sexual dysfunction: The multinational survey of the aging male (MSAM-7). Eur Urol 2003, 44:637-649.
31. Beutel M.E., Schumacher J., Weidner W., Brahler E. Sexual activity, sexual and partnership satisfaction in ageing men-Results from a German representative community study. Andrologia 2002, 34:22-28.
32. Shiely F, Kelleher C. Older people in Ireland: A profile of health status, lifestyle and socio-economic factors from SLAN 2004. Available at: Accessed December 4,2012. http://www.ncaop.ie/publications/research/reports/82_SLAN.pdf.
33. Blanker M.H., Bosch J.L., Groeneveld F.P., et al. Erectile and ejaculatory dysfunction in a community-based sample of men 50 to 78 years old: Prevalence, concern, and relation to sexual activity. Urology 2001, 57:763-768.
34. Braun M., Wassmer G., Klotz T., et al. Epidemiology of erectile dysfunction: Results of the 'Cologne Male Survey'. Int J Impot Res 2000, 12:305-311.
35. Brim O.G., Ryff C.D., Kessler R.C. The MIDUS National Survey: An overview. How Healthy Are We? A National Study of Well-Being at Midlife 2004, University of Chicago Press, Chicago, IL.
36. Helgason A.R., Adolfsson J., Dickman P., et al. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: A population-based study. Age Ageing 1996, 25:285-291.
37. Bretschneider J.G., McCoy N.L. Sexual interest and behavior in healthy 80- to 102-year-olds. Arch Sex Behav 1988, 17:109-129.
38. George L.K., Weiler S.J. Sexuality in middle and late life. The effects of age, cohort, and gender. Arch Gen Psychiatry 1981, 38:919-923.
39. Meston C.M., Trapnell P.D., Gorzalka B.B. Ethnic and gender differences in sexuality: Variations in sexual behavior between Asian and non-Asian university students. Arch Sex Behav 1996, 25:33-72.
40. Government of Ireland. Central Statistics Office. Census 2006 Principal Demographic Results. 2006. Available at: Accessed February 11,2012. http://www.cso.ie/en/media/csoie/census/documents/Amended%2520Final%2520Principal%2520Demographic%2520Results%25202006.pdf.
41. Cahill S, South K, Spade J. Outing age: Public policy issues affecting gay,lesbian, bisexual, and transgender elders. Available at: Accessed January 16, 2013. http://www.thetaskforce.org/downloads/reports/reports/OutingAge.pdf.
42. Hughes A.K., Harold R.D., Boyer J.M. Awareness of LGBT aging issues among aging services network providers. JGerontol Soc Work 2011, 54:659-677.
43. Knochel K.A., Croghan C.F., Moone R.P., Quam J.K. Training, geography, and provision of aging services to lesbian, gay, bisexual, and transgender older adults. JGerontol Soc Work 2012, 55(5):426-443.
44. United Nations Economic and Social Affairs. World economic and social survey2007: Development in an ageing world factsheet. 2007. Available at: Accessed December 4, 2012. http://www.un.org/esa/policy/wess/wess2007files/pressreleases/wess07factsheet_en.pdf.
45. Amin S.H., Kuhle C.L., Fitzpatrick L.A. Comprehensive evaluation of the older woman. Mayo Clin Proc 2003, 78:1157-1185.
46. Nappi R.E. New attitudes to sexuality in the menopause: Clinical evaluation and diagnosis. Climacteric 2007, 10:105-108.
47. Howard J.R., O'Neill S., Travers C. Factors affecting sexuality in older Australian women: Sexual interest, sexual arousal, relationships and sexual distress in older Australian women. Climacteric 2006, 9:355-367.
48. Barry P. Coronary artery disease in older women. Geriatrics 1993, 48:4-8.
49. Laumann E.O., Paik A., Rosen R.C. Sexual dysfunction in the United States: Prevalence and predictors. JAMA 1999, 281:537-544.
50. Speroff L., Fritz M.A. Clinical Gynecologic Endocrinology and Infertility 2005, Lippincott Williams & Wilkins, Philadelphia, PA.
51. Postmenopausal hormone replacement therapy for the primary prevention of chronic condition. Recommendations and rationale. Am Fam Physician 2003, 67:358-364. US Preventive Services Task Force.
52. Walsh K.E., Berman J.R. Sexual dysfunction in the older woman: An overview of the current understanding and management. Drugs Aging 2004, 21:655-675.
53. Basson R., Leiblum S., Brotto L., et al. Revised definitions of women's sexual dysfunction. JSex Med 2004, 1:40-48.
54. Salonia A., Zanni G., Nappi R.E., et al. Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: Results of a cross-sectional study. Eur Urol 2004, 45:642-648. discussion 648.
55. Davis S.R., Moreau M., Kroll R., et al. Testosterone for low libido in postmenopausal women not taking estrogen. NEngl J Med 2008, 359:2005-2017.
56. Kingsberg S. Testosterone treatment for hypoactive sexual desire disorder in postmenopausal women. JSex Med 2007, 4:227-234.
57. Baumeister R.F., Catanese K.R., Vohs K.D. Is there a gender difference in strength of sex drive? Theoretical views, conceptual distinctions, and a review of relevant evidence. Pers Soc Psychol Rev 2001, 5:242-273.
58. Lindau S.T., Gavrilova N. Sex, health, and years of sexually active life gained due to good health: Evidence from two US population based cross sectional surveys of ageing. BMJ 2010, 340:c810.
59. Seftel A.D. Erectile dysfunction in the elderly: Epidemiology, etiology and approaches to treatment. JUrol 2003, 169:1999-2007.
60. Mulligan T., Retchin S.M., Chinchilli V.M., Bettinger C.B. The role of aging and chronic disease in sexual dysfunction. JAm Geriatr Soc 1988, 36:520-524.
61. Wierman M.E. Advances in the diagnosis and management of impotence. Dis Mon 1999, 45:1-20.
62. Impotence. NIH Consensus Development Panel on Impotence. JAMA 1993, 270:83-90. NIH Consensus Conference.
63. Billups K.L. Erectile dysfunction as a marker for vascular disease. Curr Urol Rep 2005, 6:439-444.
64. Selvin E., Burnett A.L., Platz E.A. Prevalence and risk factors for erectile dysfunction in the US. Am J Med 2007, 120:151-157.
65. Quek K.F., Sallam A.A., Ng C.H., Chua C.B. Prevalence of sexual problems and its association with social, psychological and physical factors among men in a Malaysian population: A cross-sectional study. JSex Med 2008, 5:70-76.
66. de Boer B.J., Bots M.L., Nijeholt A.A., et al. The prevalence of bother, acceptance, and need for help in men with erectile dysfunction. JSex Med 2005, 2:445-450.
67. Bacon C.G., Mittleman M.A., Kawachi I., et al. Sexual function in men older than 50 years of age: Results from the health professionals follow-up study. Ann Intern Med 2003, 139:161-168.
68. Ayta I.A., McKinlay J.B., Krane R.J. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int 1999, 84:50-56.
69. Shabsigh R., Kaufman J., Magee M., et al. Lack of awareness of erectile dysfunction in many men with risk factors for erectile dysfunction. BMC Urol 2010, 10:18.
70. Montague D.K., Jarow J.P., Broderick G.A., et al. Chapter 1: The management of erectile dysfunction: An AUA update. JUrol 2005, 174:230-239.
71. Montorsi F., Adaikan G., Becher E., et al. Summary of the recommendations on sexual dysfunctions in men. JSex Med 2010, 7:3572-3588.
72. Traish A.M., Goldstein I., Kim N.N. Testosterone and erectile function: From basic research to a new clinical paradigm for managing men with androgen insufficiency and erectile dysfunction. Eur Urol 2007, 52:54-70.
73. Wylie K., Kenney G. Sexual dysfunction and the ageing male. Maturitas 2010, 65:23-27.
74. Travison T.G., Morley J.E., Araujo A.B., et al. The relationship between libido and testosterone levels in aging men. JClin Endocrinol Metab 2006, 91:2509-2513.
75. O'Connell M.D., Tajar A., Roberts S.A., Wu F.C. Do androgens play any role in the physical frailty of ageing men?. Int J Androl 2011, 34:195-211.
76. Meston C.M. Aging and sexuality. West J Med 1997, 167:285-290.
77. Roughan P.A., Kaiser F.E., Morley J.E. Sexuality and the older woman. Clin Geriatr Med 1993, 9:87-106.
78. Sarkadi A., Rosenqvist U. Contradictions in the medical encounter: Female sexual dysfunction in primary care contacts. Fam Pract 2001, 18:161-166.
79. Benet A.E., Melman A. The epidemiology of erectile dysfunction. Urol Clin North Am 1995, 22:699-709.
80. Feldman H.A., Goldstein I., Hatzichristou D.G., et al. Impotence and its medical and psychosocial correlates: Results of the Massachusetts Male Aging Study. JUrol 1994, 151:54-61.
81. Wagner G., Mulhall J. Pathophysiology and diagnosis of male erectile dysfunction. BJU Int 2001, 88:3-10.
82. Della Chiesa A., Pfiffner D., Meier B., Hess O.M. Sexual activity in hypertensive men. JHum Hypertens 2003, 17:515-521.
83. Han T.S., Tajar A., O'Neill T.W., et al. Impaired quality of life and sexual function in overweight and obese men: The European Male Ageing Study. Eur JEndocrinol 2011, 164:1003-1011.
84. Baldwin K., Ginsberg P., Harkaway R.C. Under-reporting of erectile dysfunction among men with unrelated urologic conditions. Int J Impot Res 2003, 15:87-89.
85. Addis I.B., Ireland C.C., Vittinghoff E., et al. Sexual activity and function in postmenopausal women with heart disease. Obstet Gynecol 2005, 106:121-127.
86. Justo D., Arbel Y., Mulat B., et al. Sexual activity and erectile dysfunction in elderly men with angiographically documented coronary artery disease. Int JImpot Res 2010, 22:40-44.
87. Bedell S.E., Duperval M., Goldberg R. Cardiologists' discussions about sexuality with patients with chronic coronary artery disease. Am Heart J 2002, 144:239-242.
88. Helgason A.R., Fredrikson M., Adolfsson J., Steineck G. Decreased sexual capacity after external radiation therapy for prostate cancer impairs quality of life. Int J Radiat Oncol Biol Phys 1995, 32:33-39.
89. Finkle A.L., Prian D.V. Sexual potency in elderly men before and after prostatectomy. JAMA 1966, 196:139-143.
90. Lindau S.T., Surawska H., Paice J., Baron S.R. Communication about sexuality and intimacy in couples affected by lung cancer and their clinical-care providers. Psychooncology 2011, 20:179-185.
91. Stead M.L., Brown J.M., Fallowfield L., Selby P. Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer 2003, 88:666-671.
92. Clayton A.H. Recognition and assessment of sexual dysfunction associated with depression. JClin Psychiatry 2001, 62:5-9.
93. Gregorian R.S., Golden K.A., Bahce A., et al. Antidepressant-induced sexual dysfunction. Ann Pharmacother 2002, 36:1577-1589.
94. Johnson B.K. Acorrelational framework for understanding sexuality in women age 50 and older. Health Care Women Int 1998, 19:553-564.
95. Lightner D.J. Female sexual dysfunction. Mayo Clin Proc 2002, 77:698-702.
96. Gott M., Hinchliff S., Galena E. General practitioner attitudes to discussingsexual health issues with older people. Soc Sci Med 2004, 58:2093-2103.
97. Bouman W.P., Arcelus J. Are psychiatrists guilty of "ageism" when it comes to taking a sexual history?. Int J Geriatr Psychiatry 2001, 16:27-31.
98. Waterman E. Reactions of college students to the sexuality of older people. JStudent Res 2012, 2:46-50.
99. Allen R.S., Petro K.N., Phillips L.L. Factors influencing young adults' attitudes and knowledge of late-life sexuality among older women. Aging Ment Health 2009, 13:238-245.
100. Sexed up seniors do it more than you think. Updated August 22, 2007.Available at: Accessed July 17,2010. http://www.msnbc.msn.com/id/20395061.
101. Bord S. Grandma's still got it: Sex persists into the 80s. ABC News 2007. Available at: Accessed July 17,2010. http://abcnews.go.com/Health/ActiveAging/story%3fid%3d3511604%26page%3d1.
102. Sex life linked to elderly health. 2010. Available at: Accessed December 18,2010. http://www.nhs.uk/news/2010/03March/Pages/sexual-health-general-health-elderly.aspx.
103. When Health Care Isn't Caring: Lambda Legal's Survey on Discrimination Against LGBT People and People Living with HIV 2010, Lambda Legal, Lambda Legal, New York.
104. Waite L.J., Laumann E.O., Das A., Schumm L.P. Sexuality: Measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. JGerontol B Psychol Sci Soc Sci 2009, 64:i56-i66.
105. Spector I.P., Fremeth S.M. Sexual behaviors and attitudes of geriatric residents in long-term care facilities. JSex Marital Ther 1996, 22:235-246.
106. Parke F. Sexuality in later life. Nurs Times 1991, 87:40-42.
107. Rheaume C., Mitty E. Sexuality and intimacy in older adults. Geriatr Nurs 2008, 29:342-349.
108. Roach S.M. Sexual behaviour of nursing home residents: Staff perceptions and responses. JAdv Nurs 2004, 48:371-379.
109. Lyder C.H. The role of the nurse practitioner in promoting sexuality in the institutionalized elderly. JAm Acad Nurse Pract 1994, 6:61-63.
110. Hajjar R.R., Kamel H.K. Sexuality in the nursing home, part 1: Attitudes and barriers to sexual expression. JAm Med Dir Assoc 2003, 4:152-156.
111. Barrett J. Personal services or dangerous liaisons: Should we help patients hire prostitutes?. BMJ 2004, 329:1.
112. Neville S., Henrickson M. 'Lavender retirement': A questionnaire survey of lesbian, gay and bisexual people's accommodation plans for old age. Int J Nurs Pract 2010, 16:586-594.
113. Smith L.A., McCaslin R., Chang J., et al. Assessing the needs of older gay, lesbian, bisexual, and transgender people: A service-learning and agency partnership approach. JGerontol Soc Work 2010, 53:387-401.
114. Kamel H.K., Hajjar R.R. Sexuality in the nursing home, part 2: Managing abnormal behavior-Legal and ethical issues. JAm Med Dir Assoc 2003, 4:203-206.
115. Stubbs B. Displays of inappropriate sexual behaviour by patients with progressive cognitive impairment: The forgotten form of challenging behaviour?. JPsychiatr Ment Health Nurs 2011, 18:602-607.
116. Black B., Muralee S., Tampi R.R. Inappropriate sexual behaviors in dementia. JGeriatr Psychiatry Neurol 2005, 18:155-162.
117. Bardell A., Lau T., Fedoroff J.P. Inappropriate sexual behavior in a geriatric population. Int Psychogeriatr 2011, 23:1182-1188.
118. Tucker I. Management of inappropriate sexual behaviors in dementia: A literature review. Int Psychogeriatr 2010, 22:683-692.