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 prevalence
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 prevalence
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DOI：
10.1111/j.1743-6109.2008.00974.x
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发表时间：
2008-10-01
影响因子：
3.5
通讯作者：
Waite, Linda J.
中科院分区：
文献类型：
--
作者：
Laumann, Edward O.;Das, Aniruddha;Waite, Linda J.
导论.尽管对老龄人口性问题的临床干预需求日益增加，但有关这一主题的流行病学数据却很少。研究不同社会人口学群体性问题的患病率，以及这些问题在多个生活领域中的危险因素。对2005-2006年国家社会生活、健康和老龄化项目（NISHAP）数据的统计分析，该项目是一个具有全国代表性的美国概率样本，在访谈时有1,550名女性和1,455名男性，年龄在57-85岁之间。在过去的12个月内经历性功能障碍的可能性。老年人的性问题并不是衰老的必然结果，而是对生活中多个领域的压力源的反应。这种影响可能部分是性别差异造成的，老年妇女的性健康对她们的身体健康比男子更敏感。生活压力与性问题之间的联系机制可能是心理健康状况不佳和关系不满意。NSHAP的结果表明，心理健康状况不佳对女性性问题报告的影响是一致的，而与男性问题的关联则不太一致。研究结果指出，治疗老年人性问题的医生不仅要考虑他们的身体健康，还要考虑他们的心理健康和对亲密关系的满意度。
Introduction. Despite increasing demand for clinical interventions into sexual problems in an aging Population, epidemiological data on the subject are scarce.Aims. To examine the prevalence of sexual problems across different sociodemographic groups, and risk factors for these problems in Multiple domains of life.Methods. Statistical analysis of data from the 2005-2006 National Social Life, Health, and Aging Project (NISHAP), a nationally representative U.S. probability sample of 1,550 women and 1,455 men aged 57-85 at the time of interview.Main Outcome Measures. Likelihood of experiencing sexual dysfunction in the preceding 12 months.Results. Sexual problems among the elderly are not an inevitable consequence of aging, but instead are responses to the presence of stressors in multiple life domains. This impact may partly be gender differentiated, with older Women's sexual health more sensitive to their physical health than is true for men. The mechanism linking life stress with sexual problems is likely to be poor mental health and relationship dissatisfaction. The NSHAP results demonstrate the consistent impact of poor mental health on women's reports of sexual problems and the less consistent association with men's problems.Conclusions. The results point to a need for physicians who are treating older adults experiencing sexual problems to take into account not simply their physical health, but also their psychosocial health and satisfaction with their intimate relationship.