Onder Graziano, Penninx Brenda W J H, Guralnik Jack M, Jones Heather, Fried Linda P, Pahor Marco, Williamson Jeff D
Sticht Center on Aging, Section on Gerontology and Geriatrics, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston-Salem, N.C., USA.
J Clin Psychiatry. 2003 Oct;64(10):1177-82. doi: 10.4088/jcp.v64n1006.
Most studies evaluating sexuality in older adults have focused on men, and relatively little research has evaluated the relationship between sexual satisfaction and health outcomes in older women. The aims of this study were to describe correlates of sexual satisfaction in community-dwelling older women with moderate to severe levels of disability and to examine the association of sexual satisfaction with progression of disability in this population.
A total of 980 moderately to severely disabled women aged 65 years or older who had participated in The Women's Health and Aging Study entered this study. Baseline evaluations took place from 1992 through 1995. Participants rated their satisfaction with their level of sexual activity on a 0-to-10 scale. Women scoring > or = 8 were considered sexually satisfied. The onset of new severe disability was determined by semiannual assessments, over 3 years, of disability in performing activities of daily living (ADLs) and walking across a room.
Of 203 (49.8%) women living with a spouse, 101 were satisfied with their level of sexual activity. In this group, older age, white race, and higher level of physical function were independent predictors of sexual satisfaction. In addition, among women living with a spouse, higher sexual satisfaction was associated with a significantly decreased risk for incident disability in performing ADLs (hazard ratio [HR] = 0.58, 95% confidence interval [CI] = 0.36 to 0.94) and walking across a small room (HR = 0.38, 95% CI = 0.18 to 0.79). Among women not living with a spouse, the response on the sexual satisfaction question showed different determinants and was not associated with disability risk.
Sexual satisfaction in community-dwelling, older, disabled women living with their spouse is associated with reduced risk for subsequent new severe disabilities.
大多数评估老年人性行为的研究都集中在男性身上，而评估老年女性性满意度与健康结果之间关系的研究相对较少。本研究的目的是描述中度至重度残疾的社区居住老年女性性满意度的相关因素，并探讨该人群中性满意度与残疾进展之间的关联。
共有980名65岁及以上中度至重度残疾的女性参与了女性健康与衰老研究，进入本研究。基线评估在1992年至1995年进行。参与者在0至10分的量表上对其性活动水平的满意度进行评分。得分≥8分的女性被认为性满意。通过对日常生活活动（ADL）和穿过房间行走能力的残疾情况进行为期3年的半年一次评估，确定新的严重残疾的发生情况。
在203名（49.8%）与配偶同住的女性中，101名对其性活动水平感到满意。在这组人群中，年龄较大、白人种族和较高的身体功能水平是性满意度的独立预测因素。此外，在与配偶同住的女性中，较高的性满意度与进行ADL时发生残疾的风险显著降低相关（风险比[HR]=0.58，95%置信区间[CI]=0.36至0.94）以及穿过一个小房间时发生残疾的风险显著降低相关（HR=0.38，95%CI=0.18至0.79）。在未与配偶同住的女性中，对性满意度问题的回答显示出不同的决定因素，且与残疾风险无关。
与配偶同住的社区居住、老年、残疾女性的性满意度与随后发生新的严重残疾的风险降低相关。
