Cogen R, Steinman W
Division of Geriatrics, Albert Einstein Medical Center, Philadelpha, PA 19141.
J Fam Pract. 1990 Aug;31(2):162-6.
Normal aging plus certain prevalent diseases are believed to render many elderly men impotent. Recent studies have suggested that educated middle-class and upper-class elderly men continue sexual activity, despite erectile dysfunction, by employing alternative practices such as mutual masturbation and oral sex. Few elderly men of lower socioeconomic background have been included in these studies, however. Using physician-administered interviews, 87 men attending an urban Veterans Administration geriatric clinic were studied to determine (1) the prevalence of erectile dysfunction, and (2) the sexual practices and attitudes of this group. Of the 87 men, 28% reported complete loss of erectile function, while 31% had frequent difficulties achieving vaginal intromission. Unlike economically advantaged groups, only 29% used mutual masturbation and 16% used oral sex. Attitudes toward these practices were negative. With one exception, men unable to perform coitus ceased all heterosexual activities.
正常衰老加上某些常见疾病被认为会导致许多老年男性阳痿。最近的研究表明，受过教育的中上层阶级老年男性尽管存在勃起功能障碍，但通过采用相互手淫和口交等替代方式仍能继续进行性活动。然而，这些研究很少纳入社会经济背景较低的老年男性。通过医生进行的访谈，对87名前往城市退伍军人管理局老年诊所就诊的男性进行了研究，以确定：（1）勃起功能障碍的患病率；（2）该群体的性行为和态度。在这87名男性中，28%报告完全丧失勃起功能，而31%在插入阴道时经常遇到困难。与经济条件优越的群体不同，只有29%的人采用相互手淫，16%的人采用口交。对这些行为的态度是负面的。除了一个例外，无法进行性交的男性停止了所有异性性行为。
