Frankowski Ann Christine, Clark Leanne J
Sex Res Social Policy. 2009 Dec 1;6(4):25-37. doi: 10.1525/srsp.2009.6.4.25.
The assisted living industry provides residential, medical, nutritional, functional, and social services for approximately 1 million older adults in the United States. Despite their holistic approach to person-centered care and their emphasis on a consumer-empowered, social environment, assisted living providers pay scant attention to clients' sexual needs. In this article, the authors discuss the realities of sex and intimacy in assisted living from the perspectives of residents, families, managers, and staff, exploring the discourse of sexuality, the impact of institutional structure and the role of oversight on sexual attitudes and behaviors, and the relationship of assisted living industry values to residents' sexual expression. Also presented are practical recommendations and policy implications for addressing the sexual and intimacy needs of current and future cohorts of assisted living residents. Data for this article were drawn from 3 National Institute on Aging-funded ethnographic studies conducted in 13 assisted living settings over 9 years.
辅助生活行业为美国约100万老年人提供住宿、医疗、营养、功能和社会服务。尽管他们采用以人为本的整体护理方法，并强调以消费者为导向的社会环境，但辅助生活服务提供商很少关注客户的性需求。在本文中，作者从居民、家庭、管理人员和工作人员的角度讨论了辅助生活中性与亲密关系的现实情况，探讨了性取向的话题、机构结构的影响以及监督对性态度和行为的作用，以及辅助生活行业价值观与居民性表达的关系。文章还提出了满足当前和未来辅助生活居民性与亲密需求的实用建议和政策含义。本文的数据来自美国国立衰老研究所资助的3项民族志研究，这些研究在9年时间里对13个辅助生活机构进行了调查。
