Older adulthood is defined as adulthood from the age of 50 and over.
This entry will cover the recent scientific research conducted on sexual behavior in older adulthood, from the age of 50 onwards. It will cover the topics of sexual health concerns among the elderly along with the disregard of these by medical professionals, the ethics of sexual activity in long-term care facilities, the controversial issue of cognitive impairment and consent, and the invisible group of LGB older adults.
Sexual Behavior in Older Adults
The majority of older adults continue engaging in sexual behavior until they are physically or psychologically incapable (Lindau & Gavrilova, 2010). Through improvements in health care, the elderly are now capable of living longer sexual lives than in previous generations (Bancroft, 2007; Waite, Laumann, Das, & Schumm, 2009). Despite the prevalent stereotype that sexual desire diminishes with age, sexual fulfillment is found to...
- American Bar Association and American Psychological Association. (2008). Assessment of older adults with diminished capacity: A handbook for psychologists. Washington, DC: Author.Google Scholar
- Bauer, M., Fetherstonhaugh, D., Tarzia, L., Nay, R., Wellman, D., & Beattie, E. (2012). ‘I always look under the bed for a man.’ Needs and barriers to the expression of sexuality in residential aged care: the views of residents with and without dementia. Psychology and Sexuality, 4, 296–309. https://doi.org/10.1080/19419899.2012.713869CrossRefGoogle Scholar
- deVries, B. (2006). Home at the end of the rainbow. Generations, 29, 64–69.Google Scholar
- Fredriksen-Goldsen, K. I., Hoy-Ellis, C. P., Goldsen, J., Emlet, C. A., & Hooyman, N. R. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services. Journal of Gerontological Social Work, 57, 80–107. https://doi.org/10.1080/01634372.2014.890690CrossRefPubMedPubMedCentralGoogle Scholar
- Fredriksen-Goldsen, K. I., Kim, H., Barkan, S., Muraco, A., & Hoy-Ellis, C. P. (2013). Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study. American Journal of Public Health, 103, 1802–1809. https://doi.org/10.2105/AJPH.2012.301110CrossRefPubMedPubMedCentralGoogle Scholar
- Grant, J. M. (2010). Outing age: Public policy issues affecting lesbian, gay, bisexual and transgender elders. Retrieved from http://www.thetaskforce.org/download/reports/reports/outingage_final.pdf
- Hillman, J. (2011). Sexuality and aging: Clinical perspectives. New York: Springer.Google Scholar
- Kuhn, D. (2002). Intimacy, sexuality, and residents with dementia. Alzheimer’s Care Quarterly, 3, 165–176.Google Scholar
- Lindau, S. T., Dale, W., Feldmeth, G., Gavrilova, N., Langa, K. M., Makelarski, J. A., et al. (2018). Sexuality and cognitive status: A US nationally representative study of home-dwelling older adults. Journal of the American Geriatrics Society, 66, 1902–1910. https://doi.org/10.1111/jgs.15511CrossRefPubMedGoogle Scholar
- Loeb, D. F., Lee, R. S., Binswanger, I. A., Ellison, M. C., & Aagaard, E. M. (2011). Patient, resident physician, and visit factors associated with documentation of sexual history in the outpatient setting. Journal of General Internal Medicine, 26, 887–893. https://doi.org/10.1007/s11606-011-1711-zCrossRefPubMedPubMedCentralGoogle Scholar
- Plummer, K. (1995). Telling sexual stories: Power intimacy and social worlds. London: Routledge.Google Scholar
- Schick, V., Herbenick, D., Reece, M., Sanders, S. A., Dodge, B., Middlestadt, S. E., et al. (2010). Sexual behaviors, condom use, and sexual health of Americans over 50: Implications for sexual health promotion for older adults. The Journal of Sexual Medicine, 7, 315–329. https://doi.org/10.1111/j.1743-6109.2010.02013.xCrossRefPubMedGoogle Scholar
- Smith, L. A., McCaslin, R., Chang, J., Martinez, P., & McGrew, P. (2010). Assessing the needs of older gay, lesbian, bisexual, and transgender people: A service-learning and agency partnership approach. Journal of Gerontological Social Work, 53, 387–401. https://doi.org/10.1080/01634372.2010.486433CrossRefPubMedGoogle Scholar
- Syme, M. (2014). The evolving concept of older adult sexual behavior and its benefits. Journal of the American Society on Aging, 38, 35–42.Google Scholar
- Thys, K., Mahieu, L., Cavolo, A., Hensen, C., Dierckx de Casterlé, B., & Gastmans, C. (2019). Nurses’ experiences and reactions towards intimacy and sexuality expressions by nursing home residents: A qualitative study. Journal of Clinical Nursing, 28, 836–849. https://doi.org/10.1111/jocn.14680CrossRefPubMedGoogle Scholar
- Vandrevala, T., Chrysanthaki, T., & Ogundipe, E. (2017). “Behind closed doors with open minds?”: A qualitative study exploring nursing home staff’s narratives towards their roles and duties within the context of sexuality in dementia. International Journal of Nursing Studies, 74, 112–119. https://doi.org/10.1016/j.ijnurstu.2017.06.006CrossRefPubMedGoogle Scholar
- Waite, L. J., Laumann, E. O., Das, A., & Schumm, L. P. (2009). Sexuality: Measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. Journals of Gerontology: Social Sciences, 64B(S1), i56–i66. https://doi.org/10.1093/geronb/gbp038CrossRefGoogle Scholar