背景:鉴于前所未有的人口老龄化和对老年人整体福祉的日益关注,调查老年人性生活的决定因素变得至关重要,因为它提供了促进健康老龄化和整体生活质量的见解。
目的:通过应用老年人性行为的生物心理社会模型,我们的目的是确定生物医学和社会心理因素在预测有伴侣的老年人(≥55岁)性健康方面的作用.
方法:总共111名参与者(平均值[SD],63.2[5.96])完成了一份评估生物心理社会维度的自我报告问卷。进行了双变量相关分析和分层多元回归,以调查与性生活质量相关的因素。将健康相关因素输入第一回归模型。第二个模型包括与关系维度有关的因素。在第三个回归模型中引入了性信念。
结果:自评健康状况,心理困扰,主观认知能力下降,性信仰,关系的持续时间,关系满意度,和性健康状况进行了评估。
结果:分层回归的结果表明,关系的持续时间[t(104)=-3.07,P<0.01],关系满意度[t(104)=8.49,P<.001],与年龄相关的性信念[t(104)=-2.75,P<.01]是伴侣老年人性幸福感的重要预测因子[F(6,104)=22.77,P<.001,R2=.57],控制健康相关因素后。这些发现表明,关系因素和性信念在预测老年人的性幸福感方面发挥着重要作用。超越与健康相关的维度。
结论:旨在促进老年人性健康的干预方法可能会受益于将与年龄相关的性观念揭开神秘面纱的运动,通过使衰老发生的变化正常化,并培养老年人对性表达的积极态度;特别是对于长期关系中的老年人,关系满意度也必须被视为重要的干预目标。
■需要使用纵向设计进行进一步调查,以检查这些因素与老年性生活之间的因果关系。
结论:这项研究的结果强调了关系维度和年龄相关的性信念对伴侣老年人的性福的作用。
BACKGROUND: Given the unprecedented aging of the population and the increased focus on overall well-being in older age, investigating the determining factors of sexual well-being in older adults becomes essential as it offers insights into promoting healthy aging and overall quality of life.
OBJECTIVE: By applying the biopsychosocial model of sexuality in older age, we aimed to identify the role of biomedical and psychosocial factors in predicting sexual well-being in partnered older adults (≥55 years old).
METHODS: A total of 111 participants (mean [SD], 63.2 [5.96]) completed a self-report questionnaire assessing biopsychosocial dimensions. Bivariate correlational analyses and hierarchical multiple regression were conducted to investigate factors associated with sexual well-being. Health-related factors were entered into the first regression model. The second model included factors pertaining to relationship dimensions. Sexual beliefs were introduced in the third regression model.
RESULTS: Self-rated health, psychological distress, subjective cognitive decline, sexual beliefs, duration of the relationship, relationship satisfaction, and sexual well-being were assessed.
RESULTS: Findings from the hierarchical regression revealed that duration of relationship [t(104) = -3.07, P < .01], relationship satisfaction [t(104) = 8.49, P < .001], and age-related sexual beliefs [t(104) = -2.75, P < .01] were significant predictors of sexual well-being of partnered older adults [F(6, 104) = 22.77, P < .001, R2 = .57], after controlling for health-related factors. These findings suggest that relationship factors and sexual beliefs play a significant role in predicting sexual well-being of older adults, above and beyond health-related dimensions.
CONCLUSIONS: Interventional approaches aimed at promoting sexual well-being in older age might benefit from incorporating exercises that demystify age-related sexual beliefs, by normalizing changes that occur with aging and fostering positive attitudes toward sexual expression in older age; particularly for older adults in long-term relationships, relationship satisfaction must also be considered as an important intervention target.
UNASSIGNED: Further investigation using longitudinal designs is required to examine the causal links between these factors and sexual well-being in older age.
CONCLUSIONS: Findings from this study underscore the role of relationship dimensions and age-related sexual beliefs for the sexual well-being of partnered older adults.