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Are There Gender Differences in Successful Sexual Aging? An Exploration Using Three Statistical Approaches.

Aleksandar Štulhofer1, Azra Tafro2, Yuko Higashi3

  • 1Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia.

International Journal of Sexual Health : Official Journal of the World Association for Sexual Health
|May 28, 2026
PubMed
Summary
This summary is machine-generated.

This study explored gender differences in successful sexual aging (SSA) among older adults, finding overall similarities but also specific differences in women's experiences. The findings support using the Successful Sexual Aging Scale for gender comparisons.

Keywords:
Genderolder partnered adultssuccessful sexual agingsuccessful sexual aging scale

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Area of Science:

  • Gerontology
  • Sexology
  • Sociology

Background:

  • The Successful Sexual Aging Model (SSAM) provides a framework for understanding positive sexual aging.
  • Human sexuality is influenced by gendered developmental, epidemiological, and sexological factors.
  • Understanding gender differences in successful sexual aging (SSA) is crucial for the SSAM's conceptualization of micro, meso, and macro influences.

Purpose of the Study:

  • To investigate gender differences in successful sexual aging (SSA) among partnered older adults.
  • To assess the validity of the Successful Sexual Aging Scale (SSAS) for gender comparisons.
  • To explore gender-specific factors influencing SSA within a cross-cultural context.

Main Methods:

  • Latent construct measurement invariance testing, latent profile analysis, and network analysis were employed.
  • Data were collected from 773 older women and 1054 older men across Croatia, Germany, Portugal, and Japan.
  • The 9-item Successful Sexual Aging Scale (SSAS) was used to measure SSA.

Main Results:

  • Overall similarities in the latent structure, profile patterns, and network topology of SSA were observed between genders.
  • Fine-grained analysis revealed gender-specific differences, including lower latent means for women on two SSA facets.
  • Distinct latent profile configurations and gender-specific network connectivity in SSA were identified.

Conclusions:

  • The Successful Sexual Aging Scale (SSAS) is a reliable measure for direct gender comparisons in SSA.
  • Further research is needed to explore factors like relationship quality, education, and sexual ageism in observed gender differences.
  • Dyadic studies can offer deeper insights into subtle gender-specific variations in successful sexual aging.