Evaluation of the attitudes towards sexuality among the elderly in a rural community
Keywords:
attitude, sexuality, elderly, gender stereotype.Abstract
Introduction: Sexuality continues to be a taboo to society, especially in the older adult stage.
Objective: To evaluate the attitudes towards sexuality among the elderly in a rural community of Hidalgo State.
Material and Methods: Quantitative-descriptive and cross-sectional study. The sample consisted of 182 older adults from a rural community in Hidalgo State, to whom the Questionnaire on Attitudes Towards Sexuality in Old Age (CASV) and sociodemographic variables were applied.
Results: The sample had an age range between 60 and 96 years old. It was identified that 56.6 % of all older adults, present negative attitudes. The attitude towards sexuality turned out to have significant differences with respect to age (p< 0.05), marital status (p< 0.05), and social environment (p< 0.001). On the other hand, prejudices and myths towards sexuality had a high correlation with the attitude of older adults towards their sexuality. In addition, the older adults surveyed mention that the problems with sexuality depend on aging (57.7 %), diseases (62.6 %); and medical treatments in old age (53.3 %).
Conclusions: In general, older adults have a negative attitude towards sexuality, where the older they are the more negative attitude they have, as well as those who live alone, are widowed, or divorced. The myths and prejudices towards sexuality in the elderly play an important role in the attitude on this subject.Downloads
References
1. Glover HB. Sex in the Aging. Postgraduate Medicine [Internet]. 1975 [Citado 25/05/2021];57(6):165-9. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/00325481.1975.11714059
2. Varela Pinedo LF. Salud y calidad de vida en el adulto mayor. Rev Peru Med Exp Salud Publica [Internet]. 2016 [Citado 25/05/2021];33(2):199-201. Disponible en: http://www.scielo.org.pe/pdf/rins/v33n2/a01v33n2.pdf
3. Heidari S. Sexuality and older people: a neglected issue. Sexual Reproductive Health Matter [Internet]. 2016 [Citado 25/05/2021];24:1-5. Disponible en: https://www.tandfonline.com/doi/full/10.1016j.rhm.2016.11.011
4. Sicovic M, Towler L. Sexual Aging: A systematic Review of Qualitatuve Research on Sexuality and sexual Health of Older Adults. Qual Health Res [Internet]. 2019 [Citado 11/06/2021];29(9):1239-54. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30584788/
5. Heath H. Sexuality and sexual intimacy in later life. Evidence & Practice [Internet]. 2019 [Citado 25/05/2021];31(1):40-48. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31468922/
6. Lindau ST, Gavrilova N. Sex, health and years of sexually active life gained due to good health: evidence from two US population based cross sectional survey of ageing. BJM [Internet]. 2010 [Citado 25/05/2021];10(340):c810. Disponible en: https://www.bmj.com/content/340/bmj.c810
7. López Ramos H, Medina Rico M, Hernández P, Silva JM. Sexualidad en el adulto mayor, conductas y retos – revisión de la literatura. Rev Urol Colomb [Internet]. 2018 [Citado 25/05/2021];28:121–9. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7102809
8. Malta S, Wallach I. Sexuality and ageing in palliative care environmets? Braking the (triple) taboo. Autralian Journal on Ageing [Internet]. 2020 [Citado 02/06/2021];39(Suppl 1):71-73. Disponoble en: https://onlinelibrary.wiley.com/doi/full/10.1111/ajag.12744
9. Terrie B, Ginsberg D. Aging and sexuality. Med Clin N Am [Internet] 2006 [Citado 02/06/2021];90:1025-36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16962855/
10. Cedeño Suárez L, Atiñol Torres E, Suárez Ramos M, Leon Garbey JL, Cedeño Casamayor B. Sexualidad en gerontes de la Universidad del Adulto Mayor en el municipio de III Frente. Medisan [Internet]. 2014 [Citado 02/06/2021];18(1):100–5. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192014000100014
11. Ramesh A, Issac TG, Mukku SSR, Sivakumar PT. Companionship and Sexual Issues in the Aging Population. Indian J Psychol Med [internet]. 2021[Citado 02/10/2021];43(5 Suppl):S71-S77. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34732958/
12. Perdomo Victoria I, Oria Cruz NL, Segredo Pérez AM, Martín Linares X. Conducta sexual de los adultos mayores en el área de salud Tamarindo. Rev Cuba Med Gen Integr [Internet]. 2013 [Citado 02/06/2021];29(1):8–19. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252013000100003
13. Morton L. Sexuality in the Older Adult. Prim care Clin Office Pract [Internet]. 2017 [Citado 11/06/2021];44(3):429-38. Disponible en: http://dx.doi.org/10.1016/j.pop.2017.04.004
14. Hernández Zamora, Z. Algunos aspectos a considerar sobre la sexualidad del adulto mayor. El Ágora USB Revista de Ciencias humanas y sociales [Internet]. 2008 [Citado 11/06/2021]; 8(2), 241-47. Disponible en: https://doi.org/10.21500/16578031.1532
15. Horne M, Youell J, Brown JE, Simpson P, Dickinson T, Brown Wilson C. A scoping review of education and training resources supporting care home staff in facilitating residents' sexuality, intimacy and relational needs. Age Ageing [internet]. 2021 [Citado 02/10/2021];50(3):758-71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123381/
16. Sistema de información georeferenciada de Hidalgo. Tlaxcoapán microregión III sur occidente [Internet]. México: SIGEH; 2020 [Citado 02/10/2021]. Disponible en: http://sigeh.hidalgo.gob.mx/productos/infografias/74%20Tlaxcoapan.pdf
17. Melguizo Herrera E, Álvarez Romero Y, Cabarcas Mendoza MV, Calvo Rodríguez RS, Flórez Almanza J, Moadie Contreras OP, et al. Validez y confiabilidad del cuestionario de actitudes hacia la sexualidad en la vejez en adultos mayores en Cartagena, Colombia. Rev Colomb Psiquiatr [Internet]. 2015 [Citado 11/06/2021];44(2):87–92. Obtenido de: https://www.elsevier.es/es-revista-revista-colombiana-psiquiatria-379-articulo-validez-confiabilidad-del-cuestionario-actitudes-S003474501500030X
18. INFOPAL. Ley General de Salud [Internet]. México: Cámara de Diputados; 2018 [Citado 15/06/2021]. Disponible en: http://www.diputados.gob.mx/LeyesBiblio/pdf/142_240120.pdf
19. Asociación Médica Mundial. Declaración de Helsinski de la AMM – Principios éticos para las investigaciones médicas en seres humanos [Internet]. Francia: WMA; 2017 [Citado 11/06/2021]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
20. Mercer CH, Tanton C, Prah P, Erens B, Sonnenberg P, Clifton S, et al. Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet [Internet]. 2013 [Citado 11/06/2021];382(9907):1781-94. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24286784/
21. Griebling TL. Sexuality and aging: a focus on lesbian, gay, bisexual, and transgender (LGBT) needs in palliative and end of life care. Curr Opin Support Palliat Care [Internet]. 2016 [Citado 11/06/2021];10(1):95-101. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26780525/
22. Merghati Khoei E, Pirak A, Yazdkhasti M, Rezasoltani P. Sexuality and elderly with Chonic diseases: A review of existing literature. J Res Med Sci [Internet]. 2016 [Citado 15/06/2021]; 21:136. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348839/
23. Tze Fang W, Chwen Hwa L, Ju C, Shu Y. Sexual knowledge, attitudes, and activity of older people in Taipei, Taiwan. Journal Clinical Nursing [Internet]. 2008 [Citado 11/06/2021];17(4): 443-50. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2702.2007.02003.x
24. Cybulski M, Cybuski L, Krajewska Kulak E, Orzechowska M, Cwalina U, Jasinski M. Sexual Quality of life, Sexual knowledge, and acttitudes of older Adults on the Example of Inhabitants over 60s of Bialystok, Poland. Frontiers Psychology [Internet]. 2018 [Citado 11/06/2021];9:483-91. Disponible en: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00483/full
25. Hyde Z, Flicker L, Hankey GJ, Almeida OP, Mc Caul KA, Chubb SP, et al. Prevalence of sexual activity and associated factors in men aged 75 to 95 years: a cohort study. Ann Intern Med [Internet]. 2010 [Citado 11/06/2021];153(11):693-702. Disponible en: https://www.acpjournals.org/doi/full/10.7326/0003-4819-153-11-201012070-00002
26. Srinivasan S, Glover J, Tampi R, Tampi JD, Sewell D. Sexuality and the older adult. Current Psychiatry Reports [Internet]. 2019 [Citado 11/06/2021];21(10):97. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31522296/
27. Ricoy Cano AJ, Obrero Gaitán E, Caravaca Sánchez F, Fuente Robles YM. Factors Conditioning Sexual Behavior in Older Adults: A Systematic Review of Qualitative Studies. J Clin Med [internet]. 2020 [Citado 11/06/2021];9(6):1716. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356633/
28. Ramos Fajardo E. Mitos sobre la sexualidad de los adultos mayores un desafío para el cuidado de enfermería. Rev Edu Fisica [Internet]. 2017 [Citado 11/06/2021];9:35–42. Disponible en: http://revistas.ut.edu.co/index.php/edufisica/article/download/1188/952
29. Ramos Caballero EJ, Melguizo Herrera E. Factores asociados a actitudes sobre sexualidad en la vejez en Medellín, Colombia. Civilizar Ciencias Sociales y Humanas [internet]. 2017 [Citado 11/06/2021];17(33):267-76. Disponible en: http://www.scielo.org.co/pdf/ccso/v17n33/1657-8953-ccso-17-33-00267.pdf
30. Margaret M, Smith E, Vicki L. Knowledge and attitudes toward sexuality and sex education of a select group of older people. Gerontology Geriatrics Education [internet]. 2009 [Citado 11/06/2021];3(4):259-70. Disponible en: https://www.tandfonline.com/doi/abs/10.1300/J021v03n04_03
31. Olivera Carmenates C, Bujardón Mendoza A. Estrategia educativa para lograr una sexualidad saludable en el adulto mayor. Humanidades Médicas [internet]. 2010 [Citado 11/06/2021];10(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202010000200006
32. Bauer M, Mc Auliffe L, Nay R, Chenco C. Sexuality in older adults: effect of an education intervention on attitudes and beliefs of residencial aged care staff. Educ Gerontol [internet]. 2012 [Citado 11/06/2021];39: 82-91. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/03601277.2012.682953
33. Beerepoot S, Luesken SWM, Huisman M, Deeg DJH. Enjoyment of Sexuality and Longevity in Late Midlife and Older Adults: The Longitudinal Ageing Study Amsterdam. J Appl Gerontol [internet]. 2022 [Citado 11/06/2021];41(6):1615-24. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082964/
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