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Sexual function in the elderly.

A C Diokno1, M B Brown, A R Herzog

  • 1William Beaumont Hospital, Royal Oak, Mich.

Archives of Internal Medicine
|January 1, 1990
PubMed
Summary

Sexual activity in older adults is common, decreasing with age. Mobility issues impact sexual activity, while coffee intake may be linked to higher activity and potency in men.

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Area of Science:

  • Gerontology
  • Sociology of Aging
  • Public Health

Background:

  • Limited data exists on sexual behavior in community-dwelling elderly populations.
  • Aging research often overlooks sexual health as a component of overall well-being.
  • Understanding sexual activity correlates is crucial for comprehensive geriatric care.

Purpose of the Study:

  • To investigate the prevalence of sexual activity among older adults (60+).
  • To identify factors associated with sexual activity and impotence in this demographic.
  • To provide data for medical, epidemiological, and social aspects of aging research.

Main Methods:

  • Household survey in Washtenaw County, Michigan, identified participants aged 60+.
  • Clinic examinations collected data on sexual activity and health correlates.
  • Proportional estimates were projected to the broader surveyed population.

Main Results:

  • Sexually active proportions: 73.8% married men, 55.8% married women, 31.1% unmarried men, 5.3% unmarried women.
  • Sexual activity significantly declined with increasing age for both genders.
  • Erectile impotence estimated at 35.3% for married men.
  • Mobility problems linked to reduced sexual activity.
  • Impotence associated with heart attack history, incontinence, and sedative use.
  • Daily coffee consumption correlated with higher sexual activity in women and potency in men.

Conclusions:

  • Sexual activity remains prevalent in older adults, though it diminishes with age.
  • Physical health (mobility, cardiovascular) and certain lifestyle factors (coffee) influence sexual function in the elderly.
  • Further research into sexual health is vital for improving quality of life in aging populations.

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