title: Sexual healthcare needs of women aged 65 and older.
abstract: OBJECTIVE
  To compare prevalence and type of sexual concerns and interest in and experience with discussing these concerns with physicians for women younger than 65 and 65 and older.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Departments of Family Practice and Obstetrics and Gynecology at Madigan Army Medical Center, Tacoma, Washington.
  
  
  METHODS
  Of 1,480 women seeking routine gynecological care, 964 (65%) responded; 163 (17%) were aged 65 and older.
  
  
  METHODS
  Self-reported sexual concerns and interest in and experience with discussing these concerns with their physicians.
  
  
  RESULTS
  Older women had a similar number of sexual concerns as younger women and were more likely to be concerned about their partner's sexual difficulties. Older women were less likely to have ever had the topic of sexual health raised during healthcare visits. Even though these women were more likely to report youthful-appearing physicians as hindering the topic of sexual health, the majority indicated that they would have discussed their concerns had the physician raised the topic and were interested in a follow-up appointment to do so.
  
  
  CONCLUSIONS
  Although the types of sexual concerns vary in frequency, women aged 65 and older have a similar number of sexual concerns as younger women. Older women want physicians to inquire about their sexual health. This discussion should include inquiries about their partner's sexual functioning. To overcome age as a barrier to this discussion, younger physicians should be particularly attentive to initiating the topic of sexual health.
authors.affiliation: Departments ofFamily Medicine Biostatistics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA. mnusbaum@med.unc.edu
authors.forename: Margaret R H
authors.initials: MR
authors.lastname: Nusbaum
authors.forename: Amrit R
authors.initials: AR
authors.lastname: Singh
authors.forename: Amanda A
authors.initials: AA
authors.lastname: Pyles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006176:Gynecology; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D014861:Washington / Q000453:epidemiology