Synonyms
Definition
Older adulthood is defined as adulthood from the age of 50 and over.
Introduction
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...
References
Allen, R. S., Petro, K. N., & Phillips, L. L. (2009). Factors influencing young adults’ attitudes and knowledge of late-life sexuality among older women. Aging and Mental Health, 13, 238–245. https://doi.org/10.1080/13607860802342243
American Bar Association and American Psychological Association. (2008). Assessment of older adults with diminished capacity: A handbook for psychologists. Washington, DC: Author.
Bancroft, J. H. (2007). Sex and aging. The New England Journal of Medicine, 357, 820–822. https://doi.org/10.1056/NEJMe078137
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/10.1080/19419899.2012.713869
Bauer, M., McAuliffe, L., & Nay, R. (2007). Sexuality, health care and the older person: An overview of the literature. International Journal of Older People Nursing, 2, 63–68. https://doi.org/10.1111/j.1748-3743.2007.00051.x
Bell, S., Reissing, E. D., Henry, L. A., & VanZuylen, H. (2017). Sexual activity after 60: A systematic review of associated factors. Sexual Medicine Reviews, 5, 52–80. https://doi.org/10.1016/j.sxmr.2016.03.001
Cook, C., Schouten, V., Henrickson, M., & McDonald, S. (2017). Ethics, intimacy and sexuality in aged care. Journal of Advanced Nursing, 73, 3017–3027. https://doi.org/10.1111/jan.13361
DeLamater, J. (2012). Sexual expression in later life: A review and synthesis. The Journal of Sex Research, 49, 125–141. https://doi.org/10.1080/00224499.2011.603168
deVries, B. (2006). Home at the end of the rainbow. Generations, 29, 64–69.
Di Napoli, E. A., Breland, G. L., & Allen, R. S. (2013). Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes. Journal of Aging and Health, 25, 1087–1105. https://doi.org/10.1177/0898264313494802
Doll, G. M. (2013). Sexuality in nursing homes: Practice and policy. Journal of Gerontological Nursing, 39, 30–37. https://doi.org/10.3928/00989134-20130418-01
Elias, J., & Ryan, A. (2011). A review and commentary on the factors that influence expressions of sexuality by older people in care homes. Journal of Clinical Nursing, 20, 1668–1676. https://doi.org/10.1111/j.1365-2702.2010.06409
Farrell, J., & Belza, B. (2012). Are older patients comfortable discussing sexual health with nurses? Nursing Research, 61, 51–57. https://doi.org/10.1097/NNR.0b013e31823a8600
Fisher, L. L. (2010). Sex, romance and relationships: AARP survey of midlife and older adults. Washington, DC: AARP. https://doi.org/10.26419/res.00063.001
Frankowski, A. C., & Clark, L. J. (2009). Sexuality and intimacy in assisted living: Residents’ perspectives and experiences. Sexuality Research and Social Policy, 6, 25–37. https://doi.org/10.1525/srsp.2009.6.4.25
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/10.1080/01634372.2014.890690
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.2012.301110
Gott, M. (2005). Are older people at risk of sexually transmitted infections? A new look at the evidence. Reviews in Clinical Gerontology, 14, 5–13. https://doi.org/10.1093/ageing/afj050
Gott, M. (2006). Sexual health and the new ageing. Age and Ageing, 35, 106–107. https://doi.org/10.1093/ageing/afj050
Gott, M., Hinchliff, S., & Galena, E. (2004). General practitioner attitudes to discussing sexual health issues with older people. Social Science & Medicine, 58, 2093–2103. https://doi.org/10.1016/j.socscimed.2003.08.025
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
Hash, K. (2006). Caregiving and post-caregiving experiences of midlife and older gay men and lesbians. Journal of Gerontological Social Work, 47, 121–138. https://doi.org/10.1300/J083v47n03_08
Hillman, J. (2011). Sexuality and aging: Clinical perspectives. New York: Springer.
Hillman, J. (2017). Sexual consent capacity: Ethical issues and challenges in long-term care. Clinical Gerontologist, 40, 43–50. https://doi.org/10.1080/07317115.2016.1185488
Kalra, G., Subramanyam, A., & Pinto, C. (2011). Sexuality: Desire, activity and intimacy in the elderly. Indian Journal of Psychiatry, 53, 300–306. https://doi.org/10.4103/0019-5545.91902
Kuhn, D. (2002). Intimacy, sexuality, and residents with dementia. Alzheimer’s Care Quarterly, 3, 165–176.
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.15511
Lindau, S. T., & 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. British Medical Journal, 340, 1–11. https://doi.org/10.1136/bmj.c810
Lindau, S. T., Leitsch, S. A., Lundberg, K. L., & Jerome, J. (2006). Older women’s attitudes, behavior, and communication about sex and HIV: A community-based study. Journal of Women’s Health, 15, 747–753. https://doi.org/10.1089/jwh.2006.15.747
Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C. A., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. New England Journal of Medicine, 357, 762–774. https://doi.org/10.1056/NEJMoa067423
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-z
Lyden, M. (2007). Assessment of sexual consent capacity. Sexuality and Disability, 25, 3–20. https://doi.org/10.1007/s11195-006-9028-2
Mahieu, L., & Gastmans, C. (2012). Sexuality in institutionalized elderly persons: A systematic review of argument-based ethics literature. International Psychogeriatrics, 24, 346–357. https://doi.org/10.1017/S1041610211001542
Mahieu, L., Van Elssen, K., & Gastmans, C. (2011). Nurses’ perceptions of sexuality in institutionalized elderly: A literature review. International Journal of Nursing Studies, 48, 1140–1154. https://doi.org/10.1016/j.ijnurstu.2011.05.013
Minichiello, V., Rahman, S., Hawkes, G., & Pitts, M. (2012). STI epidemiology in the global older population: Emerging challenges. Perspectives in Public Health, 132, 178–181. https://doi.org/10.1177/1757913912445688
Montemurro, B., & Gillen, M. M. (2013). Wrinkles and sagging flesh: Exploring transformations in women’s sexual body image. Journal of Women & Aging, 25, 3–23. https://doi.org/10.1080/08952841.2012.720179
Neville, S., Adams, J., Bellamy, G., Boyd, M., & George, N. (2015). Perceptions towards lesbian, gay and bisexual people in residential care facilities: A qualitative study. International Journal of Older People Nursing, 10, 73–81. https://doi.org/10.1111/opn.12058
Orel, N. A. (2014). Investigating the needs and concerns of lesbian, gay, bisexual, and transgender older adults: The use of qualitative and quantitative methodology. Journal of Homosexuality, 61, 53–78. https://doi.org/10.1080/00918369.2013.835236
Parker, S. (2007). What barriers to sexual expression are experienced by older people in 24-hour care facilities? Reviews in Clinical Gerontology, 16, 275–279. https://doi.org/10.1017/S0959259807002274
Plummer, K. (1995). Telling sexual stories: Power intimacy and social worlds. London: Routledge.
Ports, K. A., Barnack-Tavlaris, J. L., Syme, M. L., Perera, R. A., & Lafata, J. E. (2014). Sexual health discussions with older adult patients during periodic health exams. The Journal of Sexual Medicine, 11, 901–908. https://doi.org/10.1111/jsm.12448
Price, B. (2009). Exploring attitudes towards older people’s sexuality. Nursing Older People, 21, 32–39. https://doi.org/10.7748/nop2009.07.21.6.32.c7140
Sandberg, L. (2013). Just feeling a naked body close to you: Men, sexuality and intimacy in later life. Sexualities, 16, 261–282. https://doi.org/10.1177/1363460713481726
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.x
Simpson, P., Horne, M., Browne, J., Brown Wilson, C., Dickinson, T., & Torkington, K. (2017). Old(er) care home residents and sexual/intimate citizenship. Ageing & Society, 37, 243–265. https://doi.org/10.1017/S0144686X15001105
Sinković, M., & Towler, L. (2019). Sexual aging: A systematic review of qualitative research on the sexuality and sexual health of older adults. Qualitative Health Research, 29, 1239–1254. https://doi.org/10.1177/1049732318819834
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/10.1080/01634372.2010.486433
Syme, M. (2014). The evolving concept of older adult sexual behavior and its benefits. Journal of the American Society on Aging, 38, 35–42.
Syme, M. L., Lichtenberg, P., & Moye, J. (2016). Recommendations for sexual expression management in long-term care: A qualitative needs assessment. Journal of Advanced Nursing, 72, 2457–2467. https://doi.org/10.1111/jan.13005
Taylor, A., & Gosney, M. A. (2011). Sexuality in older age: Essential considerations for healthcare professionals. Age and Ageing, 40, 538–543. https://doi.org/10.1093/ageing/afr049
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.14680
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.2017.06.006
Villar, F., Celdran, M., Faba, J., & Serrat, R. (2014). Barriers to sexual expression in residential aged care facilities (RACFs): Comparison of staff and residents’ views. Journal of Advanced Nursing, 70, 2518–2527. https://doi.org/10.1111/jan.12398
Waite, L., & Das, A. (2010). Families, social life, and well-being at older ages. Demography, 47(S1), S87–S109. https://doi.org/10.1353/dem.2010.0009
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/gbp038
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Maciel, I.V., Barnett, M.D. (2020). Older Adulthood. In: Lykins, A. (eds) Encyclopedia of Sexuality and Gender. Springer, Cham. https://doi.org/10.1007/978-3-319-59531-3_33-1
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DOI: https://doi.org/10.1007/978-3-319-59531-3_33-1
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