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Addressing Sexuality With Older People in Primary Care and Hospitals: A Systematic Review of Professional Perceptions
Ana Carolina Frias1,2,3, Anabela Mota-Pinto4,5,6, Cristina C Vieira7,8
1Polytechnic University of Coimbra, Coimbra Education School, Coimbra, Portugal.
Abstract:
Sexuality in older age remains a taboo subject. Little is known about the perceptions and experiences of healthcare professionals when addressing this topic with older adults. This systematic review, registered in PROSPERO, aims to understand the perceptions, practices, and recommendations of healthcare professionals in primary and hospital care regarding the approach to sexuality and sexual health in older people. The 17 selected studies, conducted in six countries, show that physicians and nurses rarely discuss sexuality with their older patients, often assuming that they are not interested in the topic, but also due to a lack of time and willingness to address it. The studies recommend both initial and continuing education on sexuality and aging, as well as the development of protocols for assessing the sexual health of older people in healthcare settings. The absence of studies from Portugal and the passive role of professionals in promoting the sexual health of older people further reinforce the need for research in this area.
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