title: Prevalence of sexual problems and related help-seeking behaviors among mature adults in Brazil: data from the global study of sexual attitudes and behaviors.
abstract: OBJECTIVE
  Relatively little is known about the usual frequency of sexual activity and how older individuals cope with sexual problems. The objective was to study sexual activity, prevalence of sexual problems and related help-seeking behaviors among middle-aged and older men and women in Brazil.
  
  
  METHODS
  Population survey, by Fundação Oswaldo Cruz.
  
  
  METHODS
  Interviews were held with 1,199 Brazilians aged 40-80 years (471 men and 728 women). The standardized questionnaire investigated demographics, general health, sexual behavior, attitudes and beliefs.
  
  
  RESULTS
  Overall, 92.6% of men and 58.3% of women had had sexual intercourse during the preceding year. More than half of the men and women had done so more than once a week. Early ejaculation (30.3%) was the commonest male sexual problem, followed by inability to reach orgasm (14.0%), erectile difficulties (13.1%) and lack of sexual interest (11.2%). For women, the commonest sexual problems were lubrication difficulties (23.4%) and lack of sexual interest (22.7%). Depression was a significant correlate of sexual problems, for men and women. More women than men had sought help for sexual problem(s) from a healthcare professional.
  
  
  CONCLUSIONS
  The findings highlight the importance of encouraging greater use of available healthcare services, including consultation with a medical doctor regarding sexual health. This should not only enable men and women to maintain satisfactory sexual function well into their later years, but may also result in overall improvement in the quality of healthcare.
authors.affiliation: Centro de Pesquisa Gonçalo Moniz, Fundação Oswaldo Cruz, Bahia, Brazil. edson@cpqgm.fiocruz.br
authors.forename: Edson Duarte
authors.initials: ED
authors.lastname: Moreira Junior
authors.forename: Dale
authors.initials: D
authors.lastname: Glasser
authors.forename: Djanilson Barbosa dos
authors.initials: DB
authors.lastname: Santos
authors.forename: Clive
authors.initials: C
authors.lastname: Gingell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*