Encyclopedia of Sexuality and Gender

Living Edition
| Editors: Amy D. Lykins

Older Adulthood

  • Idalia V. Maciel
  • Michael D. BarnettEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-59531-3_33-1

Synonyms

Definition

Older adulthood is defined as adulthood from the age of 50 and over.

Introduction

This entry will cover the recent scientific research conducted on sexual behavior in older adulthood, from the age of 50 onwards. It will cover the topics of sexual health concerns among the elderly along with the disregard of these by medical professionals, the ethics of sexual activity in long-term care facilities, the controversial issue of cognitive impairment and consent, and the invisible group of LGB older adults.

Sexual Behavior in Older Adults

The majority of older adults continue engaging in sexual behavior until they are physically or psychologically incapable (Lindau & Gavrilova, 2010). Through improvements in health care, the elderly are now capable of living longer sexual lives than in previous generations (Bancroft, 2007; Waite, Laumann, Das, & Schumm, 2009). Despite the prevalent stereotype that sexual desire diminishes with age, sexual fulfillment is found to...

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References

  1. Allen, R. S., Petro, K. N., & Phillips, L. L. (2009). Factors influencing young adults’ attitudes and knowledge of late-life sexuality among older women. Aging and Mental Health, 13, 238–245.  https://doi.org/10.1080/13607860802342243CrossRefPubMedGoogle Scholar
  2. American Bar Association and American Psychological Association. (2008). Assessment of older adults with diminished capacity: A handbook for psychologists. Washington, DC: Author.Google Scholar
  3. Bancroft, J. H. (2007). Sex and aging. The New England Journal of Medicine, 357, 820–822.  https://doi.org/10.1056/NEJMe078137CrossRefPubMedGoogle Scholar
  4. Bauer, M., Fetherstonhaugh, D., Tarzia, L., Nay, R., Wellman, D., & Beattie, E. (2012). ‘I always look under the bed for a man.’ Needs and barriers to the expression of sexuality in residential aged care: the views of residents with and without dementia. Psychology and Sexuality, 4, 296–309.  https://doi.org/10.1080/19419899.2012.713869CrossRefGoogle Scholar
  5. Bauer, M., McAuliffe, L., & Nay, R. (2007). Sexuality, health care and the older person: An overview of the literature. International Journal of Older People Nursing, 2, 63–68.  https://doi.org/10.1111/j.1748-3743.2007.00051.xCrossRefPubMedGoogle Scholar
  6. Bell, S., Reissing, E. D., Henry, L. A., & VanZuylen, H. (2017). Sexual activity after 60: A systematic review of associated factors. Sexual Medicine Reviews, 5, 52–80.  https://doi.org/10.1016/j.sxmr.2016.03.001CrossRefGoogle Scholar
  7. Cook, C., Schouten, V., Henrickson, M., & McDonald, S. (2017). Ethics, intimacy and sexuality in aged care. Journal of Advanced Nursing, 73, 3017–3027.  https://doi.org/10.1111/jan.13361CrossRefPubMedGoogle Scholar
  8. DeLamater, J. (2012). Sexual expression in later life: A review and synthesis. The Journal of Sex Research, 49, 125–141.  https://doi.org/10.1080/00224499.2011.603168CrossRefPubMedGoogle Scholar
  9. deVries, B. (2006). Home at the end of the rainbow. Generations, 29, 64–69.Google Scholar
  10. Di Napoli, E. A., Breland, G. L., & Allen, R. S. (2013). Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes. Journal of Aging and Health, 25, 1087–1105.  https://doi.org/10.1177/0898264313494802CrossRefPubMedGoogle Scholar
  11. Doll, G. M. (2013). Sexuality in nursing homes: Practice and policy. Journal of Gerontological Nursing, 39, 30–37.  https://doi.org/10.3928/00989134-20130418-01CrossRefPubMedGoogle Scholar
  12. Elias, J., & Ryan, A. (2011). A review and commentary on the factors that influence expressions of sexuality by older people in care homes. Journal of Clinical Nursing, 20, 1668–1676.  https://doi.org/10.1111/j.1365-2702.2010.06409CrossRefPubMedGoogle Scholar
  13. Farrell, J., & Belza, B. (2012). Are older patients comfortable discussing sexual health with nurses? Nursing Research, 61, 51–57.  https://doi.org/10.1097/NNR.0b013e31823a8600CrossRefPubMedGoogle Scholar
  14. Fisher, L. L. (2010). Sex, romance and relationships: AARP survey of midlife and older adults. Washington, DC: AARP.  https://doi.org/10.26419/res.00063.001CrossRefGoogle Scholar
  15. Frankowski, A. C., & Clark, L. J. (2009). Sexuality and intimacy in assisted living: Residents’ perspectives and experiences. Sexuality Research and Social Policy, 6, 25–37.  https://doi.org/10.1525/srsp.2009.6.4.25CrossRefPubMedGoogle Scholar
  16. Fredriksen-Goldsen, K. I., Hoy-Ellis, C. P., Goldsen, J., Emlet, C. A., & Hooyman, N. R. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services. Journal of Gerontological Social Work, 57, 80–107.  https://doi.org/10.1080/01634372.2014.890690CrossRefPubMedPubMedCentralGoogle Scholar
  17. Fredriksen-Goldsen, K. I., Kim, H., Barkan, S., Muraco, A., & Hoy-Ellis, C. P. (2013). Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study. American Journal of Public Health, 103, 1802–1809.  https://doi.org/10.2105/AJPH.2012.301110CrossRefPubMedPubMedCentralGoogle Scholar
  18. Gott, M. (2005). Are older people at risk of sexually transmitted infections? A new look at the evidence. Reviews in Clinical Gerontology, 14, 5–13.  https://doi.org/10.1093/ageing/afj050CrossRefGoogle Scholar
  19. Gott, M. (2006). Sexual health and the new ageing. Age and Ageing, 35, 106–107.  https://doi.org/10.1093/ageing/afj050CrossRefPubMedGoogle Scholar
  20. Gott, M., Hinchliff, S., & Galena, E. (2004). General practitioner attitudes to discussing sexual health issues with older people. Social Science & Medicine, 58, 2093–2103.  https://doi.org/10.1016/j.socscimed.2003.08.025CrossRefGoogle Scholar
  21. Grant, J. M. (2010). Outing age: Public policy issues affecting lesbian, gay, bisexual and transgender elders. Retrieved from http://www.thetaskforce.org/download/reports/reports/outingage_final.pdf
  22. Hash, K. (2006). Caregiving and post-caregiving experiences of midlife and older gay men and lesbians. Journal of Gerontological Social Work, 47, 121–138.  https://doi.org/10.1300/J083v47n03_08CrossRefPubMedGoogle Scholar
  23. Hillman, J. (2011). Sexuality and aging: Clinical perspectives. New York: Springer.Google Scholar
  24. Hillman, J. (2017). Sexual consent capacity: Ethical issues and challenges in long-term care. Clinical Gerontologist, 40, 43–50.  https://doi.org/10.1080/07317115.2016.1185488CrossRefPubMedGoogle Scholar
  25. Kalra, G., Subramanyam, A., & Pinto, C. (2011). Sexuality: Desire, activity and intimacy in the elderly. Indian Journal of Psychiatry, 53, 300–306.  https://doi.org/10.4103/0019-5545.91902CrossRefPubMedPubMedCentralGoogle Scholar
  26. Kuhn, D. (2002). Intimacy, sexuality, and residents with dementia. Alzheimer’s Care Quarterly, 3, 165–176.Google Scholar
  27. Lindau, S. T., Dale, W., Feldmeth, G., Gavrilova, N., Langa, K. M., Makelarski, J. A., et al. (2018). Sexuality and cognitive status: A US nationally representative study of home-dwelling older adults. Journal of the American Geriatrics Society, 66, 1902–1910.  https://doi.org/10.1111/jgs.15511CrossRefPubMedGoogle Scholar
  28. Lindau, S. T., & Gavrilova, N. (2010). Sex, health, and years of sexually active life gained due to good health: Evidence from two US population based cross sectional surveys of ageing. British Medical Journal, 340, 1–11.  https://doi.org/10.1136/bmj.c810CrossRefGoogle Scholar
  29. Lindau, S. T., Leitsch, S. A., Lundberg, K. L., & Jerome, J. (2006). Older women’s attitudes, behavior, and communication about sex and HIV: A community-based study. Journal of Women’s Health, 15, 747–753.  https://doi.org/10.1089/jwh.2006.15.747CrossRefPubMedGoogle Scholar
  30. Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C. A., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. New England Journal of Medicine, 357, 762–774.  https://doi.org/10.1056/NEJMoa067423CrossRefPubMedGoogle Scholar
  31. Loeb, D. F., Lee, R. S., Binswanger, I. A., Ellison, M. C., & Aagaard, E. M. (2011). Patient, resident physician, and visit factors associated with documentation of sexual history in the outpatient setting. Journal of General Internal Medicine, 26, 887–893.  https://doi.org/10.1007/s11606-011-1711-zCrossRefPubMedPubMedCentralGoogle Scholar
  32. Lyden, M. (2007). Assessment of sexual consent capacity. Sexuality and Disability, 25, 3–20.  https://doi.org/10.1007/s11195-006-9028-2CrossRefGoogle Scholar
  33. Mahieu, L., & Gastmans, C. (2012). Sexuality in institutionalized elderly persons: A systematic review of argument-based ethics literature. International Psychogeriatrics, 24, 346–357.  https://doi.org/10.1017/S1041610211001542CrossRefPubMedGoogle Scholar
  34. Mahieu, L., Van Elssen, K., & Gastmans, C. (2011). Nurses’ perceptions of sexuality in institutionalized elderly: A literature review. International Journal of Nursing Studies, 48, 1140–1154.  https://doi.org/10.1016/j.ijnurstu.2011.05.013CrossRefPubMedGoogle Scholar
  35. Minichiello, V., Rahman, S., Hawkes, G., & Pitts, M. (2012). STI epidemiology in the global older population: Emerging challenges. Perspectives in Public Health, 132, 178–181.  https://doi.org/10.1177/1757913912445688CrossRefPubMedGoogle Scholar
  36. Montemurro, B., & Gillen, M. M. (2013). Wrinkles and sagging flesh: Exploring transformations in women’s sexual body image. Journal of Women & Aging, 25, 3–23.  https://doi.org/10.1080/08952841.2012.720179CrossRefGoogle Scholar
  37. Neville, S., Adams, J., Bellamy, G., Boyd, M., & George, N. (2015). Perceptions towards lesbian, gay and bisexual people in residential care facilities: A qualitative study. International Journal of Older People Nursing, 10, 73–81.  https://doi.org/10.1111/opn.12058CrossRefPubMedGoogle Scholar
  38. Orel, N. A. (2014). Investigating the needs and concerns of lesbian, gay, bisexual, and transgender older adults: The use of qualitative and quantitative methodology. Journal of Homosexuality, 61, 53–78.  https://doi.org/10.1080/00918369.2013.835236CrossRefPubMedPubMedCentralGoogle Scholar
  39. Parker, S. (2007). What barriers to sexual expression are experienced by older people in 24-hour care facilities? Reviews in Clinical Gerontology, 16, 275–279.  https://doi.org/10.1017/S0959259807002274CrossRefGoogle Scholar
  40. Plummer, K. (1995). Telling sexual stories: Power intimacy and social worlds. London: Routledge.Google Scholar
  41. Ports, K. A., Barnack-Tavlaris, J. L., Syme, M. L., Perera, R. A., & Lafata, J. E. (2014). Sexual health discussions with older adult patients during periodic health exams. The Journal of Sexual Medicine, 11, 901–908.  https://doi.org/10.1111/jsm.12448CrossRefPubMedPubMedCentralGoogle Scholar
  42. Price, B. (2009). Exploring attitudes towards older people’s sexuality. Nursing Older People, 21, 32–39.  https://doi.org/10.7748/nop2009.07.21.6.32.c7140CrossRefPubMedGoogle Scholar
  43. Sandberg, L. (2013). Just feeling a naked body close to you: Men, sexuality and intimacy in later life. Sexualities, 16, 261–282.  https://doi.org/10.1177/1363460713481726CrossRefGoogle Scholar
  44. Schick, V., Herbenick, D., Reece, M., Sanders, S. A., Dodge, B., Middlestadt, S. E., et al. (2010). Sexual behaviors, condom use, and sexual health of Americans over 50: Implications for sexual health promotion for older adults. The Journal of Sexual Medicine, 7, 315–329.  https://doi.org/10.1111/j.1743-6109.2010.02013.xCrossRefPubMedGoogle Scholar
  45. Simpson, P., Horne, M., Browne, J., Brown Wilson, C., Dickinson, T., & Torkington, K. (2017). Old(er) care home residents and sexual/intimate citizenship. Ageing & Society, 37, 243–265.  https://doi.org/10.1017/S0144686X15001105CrossRefGoogle Scholar
  46. Sinković, M., & Towler, L. (2019). Sexual aging: A systematic review of qualitative research on the sexuality and sexual health of older adults. Qualitative Health Research, 29, 1239–1254.  https://doi.org/10.1177/1049732318819834CrossRefPubMedGoogle Scholar
  47. Smith, L. A., McCaslin, R., Chang, J., Martinez, P., & McGrew, P. (2010). Assessing the needs of older gay, lesbian, bisexual, and transgender people: A service-learning and agency partnership approach. Journal of Gerontological Social Work, 53, 387–401.  https://doi.org/10.1080/01634372.2010.486433CrossRefPubMedGoogle Scholar
  48. Syme, M. (2014). The evolving concept of older adult sexual behavior and its benefits. Journal of the American Society on Aging, 38, 35–42.Google Scholar
  49. Syme, M. L., Lichtenberg, P., & Moye, J. (2016). Recommendations for sexual expression management in long-term care: A qualitative needs assessment. Journal of Advanced Nursing, 72, 2457–2467.  https://doi.org/10.1111/jan.13005CrossRefPubMedPubMedCentralGoogle Scholar
  50. Taylor, A., & Gosney, M. A. (2011). Sexuality in older age: Essential considerations for healthcare professionals. Age and Ageing, 40, 538–543.  https://doi.org/10.1093/ageing/afr049CrossRefPubMedGoogle Scholar
  51. Thys, K., Mahieu, L., Cavolo, A., Hensen, C., Dierckx de Casterlé, B., & Gastmans, C. (2019). Nurses’ experiences and reactions towards intimacy and sexuality expressions by nursing home residents: A qualitative study. Journal of Clinical Nursing, 28, 836–849.  https://doi.org/10.1111/jocn.14680CrossRefPubMedGoogle Scholar
  52. Vandrevala, T., Chrysanthaki, T., & Ogundipe, E. (2017). “Behind closed doors with open minds?”: A qualitative study exploring nursing home staff’s narratives towards their roles and duties within the context of sexuality in dementia. International Journal of Nursing Studies, 74, 112–119.  https://doi.org/10.1016/j.ijnurstu.2017.06.006CrossRefPubMedGoogle Scholar
  53. Villar, F., Celdran, M., Faba, J., & Serrat, R. (2014). Barriers to sexual expression in residential aged care facilities (RACFs): Comparison of staff and residents’ views. Journal of Advanced Nursing, 70, 2518–2527.  https://doi.org/10.1111/jan.12398CrossRefPubMedGoogle Scholar
  54. Waite, L., & Das, A. (2010). Families, social life, and well-being at older ages. Demography, 47(S1), S87–S109.  https://doi.org/10.1353/dem.2010.0009CrossRefPubMedPubMedCentralGoogle Scholar
  55. Waite, L. J., Laumann, E. O., Das, A., & Schumm, L. P. (2009). Sexuality: Measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. Journals of Gerontology: Social Sciences, 64B(S1), i56–i66.  https://doi.org/10.1093/geronb/gbp038CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.School of Behavioral and Brain SciencesThe University of Texas at DallasRichardsonUSA
  2. 2.Department of Psychology and CounselingThe University of Texas at TylerTylerUSA