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Successful aging, change in sexual interest and sexual satisfaction in couples from four European Countries

Abstract

Although the importance of sexuality and physical intimacy for well-being of older adults has been recognized, the role of sexuality in successful aging (SA) has been largely neglected. Building on our previous work, here we further validated a three-dimensional model of SA and examined its associations with sexual satisfaction and change in sexual interest among older heterosexual couples (aged 60–75 years). Participants were recruited in a probability-based survey, which was carried out in 2016–2017 in four European countries. Using structural equation modeling of the Actor–Partner Interdependence, we observed significant relationships between SA and sexual satisfaction for both male and female partners across countries. Among women, their retrospectively assessed change in sexual interest over the past 10 years was consistently associated with sexual satisfaction. Partner effects were gender-specific: male partners’ SA was significantly related to their female partners’ change in sexual interest, which in turn was linked to male partners’ sexual satisfaction. The findings point to substantial ties between successful aging and sexuality in older European couples. Taking into account the prevalent stereotypes about old age and sexuality, this study’s findings can assist professionals working with aging couples.

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References

  1. Arbuckle JL (2013) IBM AMOS 22 user’s guide. Amos Development Corporation, Mount Pleasant, SC

  2. Barrett C, Hinchliff S (2017) Addressing the sexual rights of older people. Routledge, London

  3. Byrne BM, Shavelson RJ, Muthén B (1989) Testing for the equivalence of factor covariance and mean structures: the issue of partial measurement invariance. Psychol Bull 105:456–466

  4. Cacioppo JT, Cacioppo S, Cole SW, Capitanio JP, Goossens L, Boomsma DI (2015) Loneliness across phylogeny and a call for comparative studies and animal models. Perspect Psychol Sci 10:202–212. https://doi.org/10.1177/1745691614564876

  5. Carver LF, Buchanan D (2016) Successful aging: considering non-biomedical constructs. Clin Interv Aging 11:1623–1630. https://doi.org/10.2147/CIA.S117202

  6. Cheung GW, Rensvold RB (2002) Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equ Model A Multidiscip J 9:233–255. https://doi.org/10.1207/S15328007SEM0902_5

  7. Crawford M, Popp D (2003) Sexual double standards: a review and methodological critique of two decades of research. J Sex Res 40:13–26. https://doi.org/10.1080/00224490309552163

  8. DeLamater J (2012) Sexual expression in later life: a review and synthesis. J Sex Res 49:125–141. https://doi.org/10.1080/00224499.2011.603168

  9. Dewitte M, Mayer A (2018) Exploring the link between daily relationship quality, sexual desire, and sexual activity in couples. Arch Sex Behav. https://doi.org/10.1007/s10508-018-1175-x

  10. Diener E, Emmons RA, Larsen RJ, Griffin S (1985) The satisfaction with life scale. J Pers Assess 49:71–75. https://doi.org/10.1207/s15327752jpa4901_13

  11. Fileborn B, Thorpe R, Hawkes G, Minichiello V, Pitts M, Dune T (2015) Sex, desire and pleasure: considering the experiences of older Australian women. Sex Relatsh Ther 30:117–130. https://doi.org/10.1080/14681994.2014.936722

  12. Flynn T-J, Gow AJ (2015) Examining associations between sexual behaviours and quality of life in older adults. Age Ageing 44:823–828. https://doi.org/10.1093/ageing/afv083

  13. Foley S (2015) Older adults and sexual health: a review of current literature. Curr Sex Health Reports 7:70–79. https://doi.org/10.1007/s11930-015-0046-x

  14. Fredriksen-Goldsen KI, Kim H-J, Shiu C, Goldsen J, Emlet CA (2015) Successful aging among LGBT older adults: physical and mental health-related quality of life by age group. Gerontologist 55:154–168. https://doi.org/10.1093/geront/gnu081

  15. Graham JW (2012) Missing data: analysis and design. Springer, New York

  16. Graham CA, Mercer CH, Tanton C, Jones KG, Johnson AM, Wellings K, Mitchell KR (2017) What factors are associated with reporting lacking interest in sex and how do these vary by gender? Findings from the Third British National Survey of Sexual Attitudes and Lifestyles. BMJ Open 7:e016942. https://doi.org/10.1136/bmjopen-2017-016942

  17. Grant DM, Beck JG, Davila J (2007) Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety? Behav Res Ther 45:2247–2255. https://doi.org/10.1016/j.brat.2007.02.008

  18. Heiman JR, Long JS, Smith SN, Fisher WA, Sand MS, Rosen RC (2011) Sexual satisfaction and relationship happiness in midlife and older couples in five countries. Arch Sex Behav 40:741–753. https://doi.org/10.1007/s10508-010-9703-3

  19. Hinchliff S, Gott M (2004) Intimacy, commitment, and adaptation: sexual relationships within long-term marriages. J Soc Pers Relatsh 21:595–609. https://doi.org/10.1177/0265407504045889

  20. Hinchliff S, Tetley J, Lee D, Nazroo J (2018) Older adults’ experiences of sexual difficulties: qualitative findings from the English Longitudinal Study on Ageing (ELSA). J Sex Res 55:152–163. https://doi.org/10.1080/00224499.2016.1269308

  21. Jowett A, Peel E, Shaw RL (2012) Sex and diabetes: a thematic analysis of gay and bisexual men’s accounts. J Health Psychol 17:409–418. https://doi.org/10.1177/1359105311412838

  22. Kenny DA, Kashy DA, Cook WL (2006) Dyadic data analysis. Guilford Press, New York

  23. Kleinstäuber M (2017) Factors associated with sexual health and well being in older adulthood. Curr Opin Psychiatry 30:358–368. https://doi.org/10.1097/YCO.0000000000000354

  24. Knight BG, Laidlaw K (2009) Translational theory: a wisdom-based model for psychological intervention to enhance well-being in later life. In: Bengston VL, Gans D, Putney NM, Silverstein M (eds) Handbook of theories of aging, 2nd edn. Springer, New York, pp 693–705

  25. Laumann EO, Paik A, Glasser DB, Kang J-H, Wang T, Levinson B, Moreira ED, Nicolosi A, Gingell C (2006) A cross-national study of subjective sexual well-being among older women and men: findings from the global study of sexual attitudes and behaviors. Arch Sex Behav 35:145–161. https://doi.org/10.1007/s10508-005-9005-3

  26. Laumann EO, Das A, Waite LJ (2008) Sexual dysfunction among older adults: prevalence and risk factors from a nationally representative U.S. probability sample of men and women 57–85 years of age. J Sex Med 5:2300–2311. https://doi.org/10.1111/j.1743-6109.2008.00974.x

  27. Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton N (2016a) Sexual health and well-being among older men and women in England: findings from the English Longitudinal Study of Ageing. Arch Sex Behav 45:133–144. https://doi.org/10.1007/s10508-014-0465-1

  28. Lee DM, Vanhoutte B, Nazroo J, Pendleton N (2016b) Sexual health and positive subjective well-being in partnered older men and women. J Gerontol Ser B Psychol Sci Soc Sci 71:698–710. https://doi.org/10.1093/geronb/gbw018

  29. Lindau ST, Gavrilova N (2010) 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 340:c810. https://doi.org/10.1136/BMJ.C810

  30. Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ (2007) A study of sexuality and health among older adults in the United States. N Engl J Med 357:762–774. https://doi.org/10.1056/NEJMoa067423

  31. Marshall BL (2010) Science, medicine and virility surveillance: ‘sexy seniors’ in the pharmaceutical imagination. Sociol Health Illn 32:211–224. https://doi.org/10.1111/j.1467-9566.2009.01211.x

  32. Martin P, Kelly N, Kahana B, Kahana E, Willcox BJ, Willcox DC, Poon LW (2015) Defining successful aging: a tangible or elusive concept? Gerontologist 55:14–25. https://doi.org/10.1093/geront/gnu044

  33. Martinson M, Berridge C (2015) Successful aging and its discontents: a systematic review of the social gerontology literature. Gerontologist 55:58–69. https://doi.org/10.1093/geront/gnu037

  34. Mitchell KR, Mercer CH, Ploubidis GB, Jones KG, Datta J, Field N, Copas AJ, Tanton C, Erens B, Sonnenberg P, Clifton S, Macdowall W, Phelps A, Johnson AM, Wellings K (2013) Sexual function in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet (London, England) 382:1817–1829. https://doi.org/10.1016/S0140-6736(13)62366-1

  35. Muise A, Giang E, Impett EA (2014) Post sex affectionate exchanges promote sexual and relationship satisfaction. Arch Sex Behav 43:1391–1402. https://doi.org/10.1007/s10508-014-0305-3

  36. Muise A, Maxwell JA, Impett EA (2018) What theories and methods from relationship research can contribute to sex research. J Sex Res 55:540–562. https://doi.org/10.1080/00224499.2017.1421608

  37. Orr J, Layte R, O’Leary N (2017) Sexual activity and relationship quality in middle and older age: findings from the Irish Longitudinal Study on Ageing (TILDA). J Gerontol Ser B. https://doi.org/10.1093/geronb/gbx038

  38. Pruchno R, Carr D (2017) Successful aging 2.0: resilience and beyond. J Gerontol Ser B 72:201–203. https://doi.org/10.1093/geronb/gbw214

  39. Rowe J, Kahn R (1997) Successful aging. Gerontologist 37:433–440

  40. Shrout PE, Bolger N (2002) Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods 7:422–445. https://doi.org/10.1037//1082-989X.7.4.422

  41. Søgaard HJ, Bech P (2009) Psychometric analysis of Common Mental Disorders-Screening Questionnaire (CMD-SQ) in long-term sickness absence. Scand J Public Health 37:855–863. https://doi.org/10.1177/1403494809344653

  42. Stowe JD, Cooney TM (2015) Examining Rowe and Kahn’s concept of successful aging: importance of taking a life course perspective. Gerontologist 55:43–50. https://doi.org/10.1093/geront/gnu055

  43. Thompson WK, Charo L, Vahia IV, Depp C, Allison M, Jeste DV (2011) Association between higher levels of sexual function, activity, and satisfaction and self-rated successful aging in older postmenopausal women. J Am Geriatr Soc 59:1503–1508. https://doi.org/10.1111/j.1532-5415.2011.03495.x

  44. Træen B, Hovland A (1998) Games people play: sex, alcohol and condom use among urban Norwegians. Contemp Drug Probl 25:3–48. https://doi.org/10.1177/009145099802500101

  45. Træen B, Carvalheira A, Kvalem IL, Štulhofer A, Janssen E, Graham CA, Hald GM, Enzlin P (2017a) Sexuality in older adults (65 +)—an overview of the recent literature, part 2: body image and sexual satisfaction. Int J Sex Health 29:11–21. https://doi.org/10.1080/19317611.2016.1227012

  46. Træen B, Hald GM, Graham CA, Enzlin P, Janssen E, Kvalem IL, Carvalheira A, Štulhofer A (2017b) Sexuality in older adults (65 +)—an overview of the literature, part 1: sexual function and its difficulties. Int J Sex Health 29:1–10. https://doi.org/10.1080/19317611.2016.1224286

  47. Træen B, Štulhofer A, Janssen E, Carvalheira A, Hald GM, Lange T, Graham C (2018) Sexual activity and sexual satisfaction among older adults in four European countries. Arch Sex Behav. https://doi.org/10.1007/s10508-018-1256-x

  48. van de Schoot R, Lugtig P, Hox J (2012) A checklist for testing measurement invariance. Eur J Dev Psychol 9:486–492. https://doi.org/10.1080/17405629.2012.686740

  49. Van Wagenen A, Driskell J, Bradford J (2013) "I’m still raring to go": successful aging among lesbian, gay, bisexual, and transgender older adults. J Aging Stud 27:1–14. https://doi.org/10.1016/j.jaging.2012.09.001

  50. Waite LJ, Iveniuk J, Laumann EO, McClintock MK (2015) Sexuality in older couples: individual and dyadic characteristics. Arch Sex Behav. https://doi.org/10.1007/s10508-015-0651-9

  51. Woloski-Wruble AC, Oliel Y, Leefsma M, Hochner-Celnikier D (2010) Sexual activities, sexual and life satisfaction, and successful aging in women. J Sex Med 7:2401–2410. https://doi.org/10.1111/j.1743-6109.2010.01747.x

  52. World Economic Forum (2017) The global gender gap report 2017 insight report. http://www3.weforum.org/docs/WEF_GGGR_2017.pdf. Accessed 8 Nov 2017

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Acknowledgements

The Research Council of Norway fully funded the study (Grant 250637 awarded to the last author).

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Correspondence to Aleksandar Štulhofer.

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The authors declare that there is no conflict of interest regarding the publication of this paper.

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Responsible editor: Susanne Iwarsson.

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Štulhofer, A., Hinchliff, S., Jurin, T. et al. Successful aging, change in sexual interest and sexual satisfaction in couples from four European Countries. Eur J Ageing 16, 155–165 (2019). https://doi.org/10.1007/s10433-018-0492-1

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Keywords

  • Successful aging
  • Sexual satisfaction
  • Sexual interest
  • Older couples