Predicting sexual decline and dissatisfaction among older adults: the role of partnered and individual physical and mental health factors.
OBJECTIVE
To target improvement in older adult sexuality by understanding how a myriad of partnered and individual physical and mental health factors, often associated with aging, affect sexual unwellness.


METHODS
Data from the Wisconsin Longitudinal Study were used to conduct a case-control study on the risk factors for sexual unwellness (i.e., lack of sexual satisfaction, inability to maintain the sexual relationship) in older adults aged 63-67.


RESULTS
Higher risk for lack of sexual satisfaction was associated with poor spousal health, a history of diabetes, and fatigue symptoms. In addition, being of male gender, being satisfied with marital support, and having better spousal health reduced the risk of being unsatisfied sexually. Also, higher risk for being unable to maintain the sexual relationship was independently associated with a higher education level, poorer self-rated health, better spousal health, a history of diabetes, prostate cancer, fatigue, sexual pain, and a history of depression.


CONCLUSIONS
Results show the impact of several physical and mental health risk factors on the development of sexual unwellness in older adults. A gendered pattern also emerged, suggesting that women tend to be less sexually satisfied, as compared to their male peers, who tend to report sexual unwellness that is associated with individual health.
SDSU/UCSD Cancer Center Comprehensive Partnership, San Diego, California 92120, USA. msyme@projects.sdsu.edu
Maggie L
ML
Syme
Elizabeth A
EA
Klonoff
Caroline A
CA
Macera
Stephanie K
SK
Brodine
D000368:Aged; D000375:Aging / Q000502:physiology* / Q000523:psychology; D016022:Case-Control Studies; D005260:Female; D005544:Forecasting; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health / Q000592:standards / Q000639:trends; D008875:Middle Aged; D010549:Personal Satisfaction; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology; D012944:Social Support; D018454:Spouses / Q000523:psychology; D014922:Wisconsin / Q000453:epidemiology