Institute of Gerontology, Universiti Putra Malaysia, Serdang, Malaysia.
Arch Gerontol Geriatr. 2014 Jan-Feb;58(1):51-5. doi: 10.1016/j.archger.2013.08.003. Epub 2013 Aug 23.
Sexuality as an important part of life has not been well studied in Malaysia, particularly among older adults. The main aim of this study was to investigate the racial and socioeconomic differences in sexual activity among older married Malaysians. Data for this study consisting of 1036 older married adults aged 60 years and older were obtained from the nationwide community-based cross-sectional survey entitled "Determinants of Wellness among Older Malaysian: A Health Promotion Perspective", conducted in 2010. Data were analyzed using SPSS version 21 for Windows. The results showed that 57.3% (95% CI: 54.3-60.3) of the respondents (61.6% of men and 50.6% of women) had engaged in sexual intercourse during the last 12 months. The adjusted multivariate logistic regression analysis revealed that ethnicity and educational attainment were independently and significantly associated with sexual activity, after controlling for the possible confounding effects of chronic medical conditions and demographic characteristics. The findings from this study do support the notion that sexuality is a lifelong need and cultural teachings and formal education may have important role in maintaining the quality of sexuality in later life.
性行为是生活中的一个重要组成部分，但在马来西亚，特别是在老年人中，这方面的研究还不够充分。本研究的主要目的是调查马来西亚老年已婚人群中种族和社会经济差异与性行为之间的关系。本研究的数据来自于 2010 年进行的一项全国性基于社区的横断面调查，题为“马来西亚老年人健康的决定因素：健康促进视角”，共纳入了 1036 名 60 岁及以上的已婚老年人。使用 SPSS 版本 21 for Windows 对数据进行分析。结果显示，在过去 12 个月中，有 57.3%（95%置信区间：54.3-60.3）的受访者（男性占 61.6%，女性占 50.6%）有过性行为。在控制了慢性疾病和人口统计学特征的可能混杂影响后，多变量调整逻辑回归分析显示，种族和教育程度与性行为独立且显著相关。本研究的结果确实支持了性行为是一种终身需求的观点，并且文化教育和正规教育可能在维持晚年性生活质量方面发挥着重要作用。
