Abstract
The aim of this study was to: identify the sexual knowledge, sexual attitude, and life satisfaction in Korean older adults; and explore significant factors among demographic characteristics, sexual activity, sexual knowledge, and sexual attitude, that influence life satisfaction among Korean older adults. Participants were recruited in community centers and public parks (N = 571). Data were collected on sexual knowledge, sexual attitudes, and life satisfaction using three valid and reliable instruments. Data were analyzed using t test, ANOVA, Pearson’s correlation, and hierarchical multiple regression. Educational level, gender, and living arrangement significantly affected sexual knowledge and attitudes (p < .001) among older adults. There was a positive relationship between sexual knowledge and attitudes (r = .490, p < .001), life satisfaction and sexual knowledge (r = .144, p = .001), and life satisfaction and sexual attitudes (r = .121, p = .004). Age (β = .16, t = 3.45, p < .01), gender (β = .52, t = 2.07, p < .05), presence of spouse (β = −.12, t = −2.42, p < .05), and sexual knowledge (β = .10, t = 2.17, p < .05) were factors with a significant influence on life satisfaction for older adults. When designing and implementing sexual counseling and education programs for older adults, individual background, sexual knowledge, and sexual attitudes must be assessed and considered. Also, those without spouses who live alone may need more attention because they tend to have low knowledge levels and negative attitudes toward sexual activity.
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References
Cho, S.B.: The aged health and welfare policy in aging society. Manag. Econ. Res. 27, 139–160 (2004)
Lee, Y.G., Sung, K.W.: A study on sex education program development for senior citizen: focusing on changes in seniors’ sex sense. Korean Public Manag. Rev. 19(1), 89–110 (2005)
National Health Insurance: Over 65 year of elderly people who have sexual disease increase 12.7 % annually. National Health Insurance. http://www.nhic.or.kr/portal/site/main/menuitem.31f14893bf4f6c38b31148b4062310a0/ (2010). Accessed 23 July 2011
Gott, M., Hinchliff, S.: How important is sex in later life? The views of older people. Soc. Sci. Med. 56(8), 1617–1628 (2003). doi:10.1016/S0277-9536(02)00180-6
Penhollow, T.M., Young, M., Denny, G.: Predictors of quality of life, sexual intercourse, and sexual satisfaction among active older adults. Am. J. Health Educ. 40(1), 14–22 (2009). doi:10.1080/19325037.2009.10599074
National Health Insurance: To be more safe and healthy ‘sex of older adults’. National Health Insurance. http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=263580&page=1 (2012). Accessed 9 Jan 2012
Kang, G.H., Park, B.J.: The case study for the attitude on sexuality and sexual activity of Korean elderly. J. Welf. Aged 7, 127–151 (2003)
Song, N.W.: A study on the sex and quality of life of the elderly. Korea Journal of 21 Century. Social Welfare 3, 179–206 (2006)
Park, T.R.: Research of sexual attitude on elderly people. Soc. Welf. Dev. Res. 12, 235–249 (2006)
Rim, C.S., Park, M.Y.: A study on old people’s sexual desire coping behaviors and their life satisfaction. J. Welf. Aged 52, 131–154 (2011)
Delamater, J.D., Sill, M.: Sexual desire in later life. J. Sex. Res. 42(2), 138–149 (2005)
Bauer, M., Mcauliffe, L., Nay, R., Chenco, C.: Sexuality in older adults: effect of an education intervention on attitudes and beliefs of residential aged care staff. Educ. Gerontol. 39(2), 82–91 (2013). doi:10.1080/03601277.2012.682953
Kim, G.Y., Song, H.Y., Park, S.M.: A study of knowledge, attitudes, and importance of sexuality in the aged. J. Korean Woman Health Nurs. 11(4), 324–332 (2005)
Nicolosi, A., Buvat, J., Glasser, D., Hartmann, U., Laumann, E.O., Gingell, C., et al.: Sexual behavior, sexual dysfunctions and related help seeking patterns in middle-aged and elderly Europeans: the global study of sexual attitudes and behaviors. World J. Urol. 24(4), 423–428 (2006). doi:10.1007/s00345-006-0088-9
Papaharitou, S., Nakopoulou, E., Kirana, P., Giaglis, G., Moraitou, M., Hatzichristou, D.: Factors associated with sexuality in late like: an exploratory study in a group of Greek married older adults. Arch. Gerontol. Geriatr. 46(2), 191–201 (2008)
Rheaume, C., Mitty, E.: Sexuality and intimacy in older adults. Geriatr. Nurs. 29(5), 342–349 (2008). doi:10.1016/j.gerinurse.2008.08.004
Wang, T.F., Lu, C.H., Chen, I.J., Yu, S.: Sexual knowledge, attitudes and activity of older people in Taipei. Taiwan. J. Clin. Nurs. 17(4), 443–450 (2008). doi:10.1111/j.1365-2702.2007.02003.x
Han, H.J., Kim, N.C., Chi, S.A.: Knowledge, attitudes, and educational needs for sexuality of the elderly. J. Korean Acad. Adult Nurs. 15, 45–55 (2003)
Kim, J.H., Lee, C.E.: A study on sexuality of the married Korean elderly. J. Korea Gerontol. Soc. 20(3), 185–195 (2000)
No, J.H., Lim, E.J.: Sexual knowledge and sexual attitude of community dwelling rural elders. J. Korean Gerontol. Geriatr. 13(2), 109–111 (2011)
Kim, C.M., Lee, H.J.: Sexual perception, sexual life, and sexual satisfaction among elderly in one area. J. Korean Acad. Community Health Nurs. 21(3), 282–292 (2010)
Walker, B.L., Ephross, P.H.: Knowledge and attitudes toward sexuality of a group of elderly. J. Gerontol. Soc. Work 31, 85–107 (1999). doi:10.1300/J083v31n01_06
Kim, Y.J.: Perception of elderly sexuality and the sexual life of those who have spouses. J. Korean Home Manag. Assoc. 21(5), 133–143 (2003)
Lee, C.S., Lee, Y.O.: A study of casual relationship about depression and sex cognition for the aged. J. Publ. Welf. Adm. 19(2), 27–48 (2009)
Ra, D.S., Kim, Y.D.: The impact of the elderly’s sexual life and sexual attitude on their life satisfaction. J. Welf. Aged 52, 185–204 (2011)
Kim, D.S., Hong, G.S.: A study on knowledge of, attitudes to sex and educational needs related to sexuality for elderly men and women in community. J. Korean Gerontol. Nurs. 16(3), 255–265 (2014)
Jeong, M.S., Na, I.S.: A study on the program development to educate the sexuality counselors for the aged. J. Korea Fam. Soc. Work 13, 189–210 (2004)
Wiley, D., Bortz, W.: Sexuality and aging: usual and successful. J. Gerontol. 51A, 142–146 (1996)
Park, M.H., Park, M.: Effects of sex education on elder’s knowledge and attitude regarding sexuality. J. Korean Gerontol. Nurs. 12(1), 62–71 (2010)
Park, M.Y., Kong, M.H.: Development of experience-oriented sex education program for elderly. J. Women’s Stud. 22, 139–164 (2012)
White, C.B.: A scale for the assessment of attitudes and knowledge regarding sexuality in the aged. Arch. Sex. Behav. 11(6), 491–502 (1982). doi:10.1007/BF01542474
Quinn-Krach, P., Van Hoozer, H.: Sexuality of the aged and the attitudes and knowledge of nursing students. J. Nurs. Educ. 27(8), 359–363 (1988)
Kim, N.C.: Nurses attitudes and knowledge about sexuality of the aged. J. Korean Gerontol. Nurs. 2, 195–203 (2000)
Diener, E., Emmons, R.A., Larsen, R.J., Griffin, S.: The satisfaction with life scale. J. Pers. Assess. 49(1), 71–75 (1985). doi:10.1207/s15327752jpa4901_13
Jo, M.H., Cha, K.H.: National comparison to life satisfaction. Jipmoondang, Seoul (1998)
Erdfelder, E., Faul, F., Buchner, A.: G-POWER: a general power analysis program. Behav. Res. Methods, Instrum. Comput. 28(1), 1–11 (1996)
Han, Y.H.: Sexuality and life satisfaction for the elderly Koreans. Korean J. Res. Gerontol. 15, 133–146 (2006)
Keith, T.Z.: Multiple regression and beyond. Allyn and Bacon, Boston (2006)
World Health Organization: International classification of functioning, disability and health (ICF). World Health Organization, Geneva (2001)
Centers for Disease Control and Prevention: Centers for disease control and prevention: behavioral risk factor surveillance system survey questionnaire. US Department of Health and Human Services, Atlanta (2014)
Adams, M.S., Oye, J., Parker, T.S.: Sexuality of older adults and the internet: from sex education to cybersex. Sex. Relatsh. Ther. 18(3), 405–415 (2003). doi:10.1080/1468199031000153991
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This study was funded by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Mest) (2011-0009799).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Park, H., Kang, S.J. & Park, S. Sexual Knowledge, Sexual Attitude, and Life Satisfaction Among Korean Older Adults: Implications for Educational Programs. Sex Disabil 34, 455–468 (2016). https://doi.org/10.1007/s11195-016-9453-9
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DOI: https://doi.org/10.1007/s11195-016-9453-9