Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan.
Aging Male. 2010 Jun;13(2):148-53. doi: 10.3109/13685531003657792.
Sexual activity in older people has become a topic of growing interest. The aim of this study is to investigate the effect of physical health and socioeconomic factors on the sexual activity of middle-aged and elderly Taiwanese men. From August 2007 to April 2008, 744 men older than 40 years were enrolled from a free health screening in Kaohsiung, Taiwan. All participants received detailed physical examination and answered questionnaires that collected demographic and lifestyle information, and medical history as well as answered items from the International Prostate Symptoms Score and five-item version of the International Index of Erectile Function (IIEF-5). Overall, 100 (13.4%) participants reported to be sexually inactive in previous 6 months. Older age, lower education levels, loss of a partner, erectile dysfunction, and increased number of comorbidities were found to be independent predictors for sexual inactivity. In conclusion, most middle-aged and elderly Taiwanese men remain sexually active. In addition to erectile dysfunction and loss of a partner, lower education levels and increased number of comorbidities were found to be predictors for sexual inactivity. Further research would need to elucidate whether improvement of those factors could help to preserve sexual activity.
老年人的性行为已成为日益关注的话题。本研究旨在探讨身体健康和社会经济因素对中年和老年台湾男性性行为的影响。 2007 年 8 月至 2008 年 4 月，从台湾高雄的一次免费健康筛查中招募了 744 名 40 岁以上的男性。所有参与者均接受了详细的体格检查，并回答了问卷，以收集人口统计学和生活方式信息以及病史，以及回答了国际前列腺症状评分和国际勃起功能指数的五项版本（IIEF-5）的项目。总体而言，有 100 名（13.4％）参与者报告在过去 6 个月中没有性行为。研究发现，年龄较大，教育程度较低，失去伴侣，勃起功能障碍以及合并症的数量增加是导致性行为不活跃的独立预测因素。 总之，大多数中年和老年台湾男性仍然保持性行为活跃。除了勃起功能障碍和失去伴侣外，教育程度较低和合并症数量增加也是性行为不活跃的预测因素。需要进一步研究以阐明是否可以改善这些因素来维持性行为。
