title: Cross-sectional survey of sexual dysfunction and quality of life among older people in Indonesia.
abstract: BACKGROUND
  The burden of sexual dysfunction among older people in many low- and middle-income countries is not well known. Understanding sexual dysfunction among older people and its impact on quality of life is essential in the design of appropriate health promotion programs.
  
  
  OBJECTIVE
  To assess levels of sexual function and their association with quality of life while controlling for different sociodemographic determinants and chronic diseases among men and women over 50 years of age in rural Indonesia.
  
  
  METHODS
  A cross-sectional study was conducted in the Purworejo District, Central Java, Indonesia in 2007. The study involved 14,958 men and women over 50 years old. The association between sexual dysfunction and quality of life after controlling for potential confounders (e.g., sociodemographic determinants and self-reported chronic diseases) was analyzed by multivariable logistic regression.
  
  
  METHODS
  Self-reported quality of life.
  
  
  RESULTS
  Older men more commonly reported sexual activity, and sexual problems were more common among older women. The majority of older men and women reported their quality of life as good. Lack of sexual activity, dissatisfaction in sexual life, and presence of sexual problems were associated with poor self-reported quality of life in older men after adjustment for age, marital status, education, and history of chronic diseases. A presence of sexual problems was the only factor associated with poor self-reported quality of life in women. Being in a marital relationship might buffer the effect of sexual problems on quality of life in men and women.
  
  
  CONCLUSIONS
  Sexual dysfunction is associated with poor quality of life among older people in a rural Javanese setting. Therefore, promotion of sexual health should be an integral part of physical and mental health campaigns in older populations.
authors.affiliation: Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden. ailiana.santosa@epiph.umu
authors.forename: Ailiana
authors.initials: A
authors.lastname: Santosa
authors.forename: Ann
authors.initials: A
authors.lastname: Ohman
authors.forename: Ulf
authors.initials: U
authors.lastname: Högberg
authors.forename: Hans
authors.initials: H
authors.lastname: Stenlund
authors.forename: Mohammad
authors.initials: M
authors.lastname: Hakimi
authors.forename: Nawi
authors.initials: N
authors.lastname: Ng
mesh_terms: D000367:Age Factors; D000368:Aged; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007214:Indonesia; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012424:Rural Population / Q000706:statistics & numerical data; D012737:Sex Factors; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology* / Q000523:psychology*; D012959:Socioeconomic Factors