Department of Health Science II, Universidad Rey Juan Carlos, Madrid, Spain.
J Sex Med. 2012 Jan;9(1):121-9. doi: 10.1111/j.1743-6109.2011.02511.x. Epub 2011 Oct 24.
The Spanish National Sexual Health Survey (SNSHS) is designed to examine sexual activity, sexual behaviors, and sexual health among the Spanish population.
To describe sexual activity and behaviors of Spaniards aged ≥ 65 years old focusing on gender differences.
A population-based descriptive study was conducted using individual data from the SNSHS. The number of subjects aged ≥ 65 years included was 1,939 (1,118 women, 821 men).
Sexual activity, frequency, sexual behaviors, sexual practices, and reasons for lack of sexual activity were assessed from questions included in the survey. Subjects who reported having any sexual practice including giving or receiving kissing and hugging, vaginal intercourse, oral sex, or masturbation, with at least one partner in the previous 12 months were considered as sexually active. We analyzed sociodemographic characteristics, self-rated physical and sexual health, comorbid conditions, and medications using multivariate logistic regression models.
Overall, 62.3% of men and 37.4% of elderly women were sexually active (P < 0.01). The prevalence of sexual inactivity significantly increased with age (P < 0.01, odds ratio [OR] 5.8, 95% confidence interval 3.8-9.05 men; 6.37, 3.9-10.4 women). Not having a partner was a predictor of sexual inactivity (OR 5.79, 3.98-8.42 men; OR 12.0, 8.4-17.2 women). Worse self-rated sexual health, suffering ≥ 2 comorbid conditions, and taking ≥ 2 medications were associated with higher probability of reporting no sexual activity in both men and women. The most common sexual practices were kissing, hugging, and vaginal intercourse. The most common reasons for sexual inactivity were: partner was physically ill (23%), lack of interest (21%), and the man was a widower (23%).
This study provided data on sexual activity in older Spanish adults and has identified potential factors that appear to influence sexuality in the elderly with some gender differences. Current results can have implications for healthcare providers for addressing these concerns in an effective manner.
西班牙国家性健康调查（SNSHS）旨在研究西班牙人口的性行为、性行为和性健康。
描述≥65 岁西班牙人的性行为和行为，重点关注性别差异。
使用 SNSHS 的个体数据进行基于人群的描述性研究。包括的≥65 岁受试者人数为 1939 人（1118 名女性，821 名男性）。
性活动、频率、性行为、性实践以及缺乏性活动的原因，从调查中包含的问题中进行评估。报告在过去 12 个月内与至少一个伴侣进行任何性实践（包括给予或接受亲吻和拥抱、阴道性交、口交或自慰）的受试者被认为是有性行为的。我们使用多变量逻辑回归模型分析了社会人口统计学特征、自我评估的身体和性健康、合并症和药物使用情况。
总体而言，62.3%的男性和 37.4%的老年女性有性行为（P <0.01）。性不活跃的患病率随着年龄的增长而显著增加（P <0.01，优势比[OR] 5.8，95%置信区间 3.8-9.05 男性；6.37，3.9-10.4 女性）。没有伴侣是性不活跃的预测因素（OR 5.79，3.98-8.42 男性；OR 12.0，8.4-17.2 女性）。自我评估的性健康状况较差、患有≥2 种合并症和服用≥2 种药物与男性和女性报告无性行为的可能性更高相关。最常见的性行为是亲吻、拥抱和阴道性交。性不活跃的最常见原因是：伴侣身体不适（23%）、缺乏兴趣（21%）和男性丧偶（23%）。
本研究提供了有关西班牙老年成年人性行为的数据，并确定了一些似乎会影响老年人性行为的潜在因素，其中存在一些性别差异。目前的结果可能对医疗保健提供者在有效解决这些问题方面具有重要意义。
