Interest in Sex and Conversations About Sexual Health with Health Care Providers Among Older US Adults
Interest in Sex and Conversations About Sexual Health with Health Care Providers Among Older US Adults
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DOI：
10.1080/07317115.2021.1882637
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发表时间：
2021-02-20
影响因子：
2.8
通讯作者：
Solway, Erica
中科院分区：
文献类型：
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作者：
Agochukwu-Mmonu, Nnenaya;Malani, Preeti N.;Solway, Erica
性健康是老年人整体健康和福祉的重要组成部分。尽管如此，人们对性对生活质量的重要性知之甚少，作为老年人浪漫关系的一部分，以及医疗保健提供者和老年人之间关于性健康的互动的潜在驱动因素。在这项研究中，使用全国代表性的人口，我们描述的看法和经验，在老年adults.Methods：一个全国代表性的，横截面样本的社区居住的65-80岁的美国成年人进行了调查，他们的性健康和互动与他们的卫生保健提供者关于性health.Results：调查完成率为75%（N = 1,002）。总体而言，50.9%的男性和30.8%的女性报告性活跃。总体而言，17.3%的65-80岁成年人报告说，在过去两年中，他们的医疗保健提供者谈到了性健康，其中60.5%的患者主动进行了对话。多变量Logistic回归表明，性活动（是/否），性的兴趣，性生活的满意度是主要的驱动程序的患者和医护人员之间的性健康conversations.Conclusions：许多65-80岁的成年人感兴趣，并从事性活动。虽然大多数老年人表示愿意与他们的医疗保健提供者讨论他们的性健康，但很少有人这样做，大多数对话都是由患者发起的。Iterest在性和性生活的满意度可能是干预的目标，并提供了一个segue为供应商，因为他们开始的谈话，从事与老年人对他们的性health.Clinical影响：供应商可能会与老年人有关性健康的谈话，并可能需要性健康培训，有有效的讨论;年龄也不是慢性疾病应排除这一重要的谈话。临床老年学家可能有助于这种培训，并鼓励患者在医疗预约期间提出性健康问题。
Objectives: Sexual health is an important component of overall health and well-being for older adults. Despite this, little is known about the importance of sex to quality of life, as part of romantic relationships for older adults, and potential drivers of interactions between healthcare providers and older adults about sexual health. In this study using a nationally representative population, we describe perceptions and experiences of sex among older adults.Methods: A nationally representative, cross-sectional sample of community-dwelling U.S. adults aged 65-80 was surveyed about their sexual health and interaction with their health care providers about sexual health.Results: The survey completion rate was 75% (N = 1,002). Overall, 50.9% of men and 30.8% of women reported being sexually active. In all, 17.3% of adults aged 65-80 reported speaking to their health care provider about sexual health in the past two years and of those, 60.5% of patients initiated the conversation. Multivariable logistic regression demonstrated that sexual activity (yes/no), interest in sex, and satisfaction with sex life are major drivers of sexual health conversations between patients and healthcare providers.Conclusions: Many adults aged 65-80 are interested in and engage in sexual activity. While the majority of older adults reported a willingness to discuss their sexual health with their health care providers, few had done so, and most conversations were initiated by patients. Iterest in sex and satisfaction with sex life may be targets for intervention and offer a segue for providers as they begin the conversation to engage with older adults about their sexual health.Clinical Implications: Providers may have conversations with older adults about sexual health and may need sexual health training to have effective discussions; age nor chronic conditions should preclude this essential conversation. Clinical gerontologists may be helpful in this training and in encouraging patients to bring up sexual health concerns during their medical appointments.