Sexual Functioning in Older Adults
Sexual Functioning in Older Adults
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DOI：
10.1007/s11920-009-0002-4
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发表时间：
2009-02-01
影响因子：
6.7
通讯作者：
Karraker, Amelia
中科院分区：
文献类型：
--
作者：
DeLamater, John;Karraker, Amelia
这篇文章回顾了最近关于老年人性功能的医学和社会科学文献。我们提供了一个宽泛的性功能定义，其中包括一系列单独和伴侣形式的性表达。我们确定了性功能的四个决定因素：生物、心理、社会环境(包括文化)，以及这些因素之间的相互作用。最近关于衰老和身体健康影响的文献表明，性活动的频率有所下降。人们对荷尔蒙在男性和女性性功能中的作用仍感兴趣。最近的研究强调了社会背景的作用，特别是性伴侣的存在以及与该性伴侣的关系在性活动中的作用。我们讨论了生命过程中的事件、性别、种族和民族对性功能的影响。还审查了全球性态度和行为研究、男性对性健康的态度调查以及国家社会生活、健康和老龄化项目的相关结果。
This article reviews recent medical and social science literature on sexual functioning in older adults. We provide a broad definition of sexual functioning that includes a range of solo and partnered forms of sexual expression. We identify four determinants of sexual functioning: biologic, psychological, social context (including culture), and interactions of these with each other. Recent literature on the impact of aging and physical health documents some decline in frequency of sexual activity. Interest continues in the role of hormones in male and female sexual functioning. Recent research highlights the role of the social context, especially the presence of a sexual partner and the relationship with that partner, in sexual activity. We discuss variations in sexual functioning by life course events, gender, and race and ethnicity. Relevant results from the Global Study of Sexual Attitudes and Behaviors; Male Attitudes Regarding Sexual Health Survey; and the National Social Life, Health and Aging Project are also reviewed.