Fileborn Bianca, Lyons Anthony, Heywood Wendy, Hinchliff Sharron, Malta Sue, Dow Briony, Brown Graham, Barrett Catherine, Minichiello Victor
Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
School of Social Sciences, Faculty of Arts and Social Sciences, University of New South Wales, Sydney, New South Wales, Australia.
Australas J Ageing. 2017 Dec;36(4):E50-E56. doi: 10.1111/ajag.12450. Epub 2017 Jun 22.
Healthcare providers (HCPs) can play an important role in supporting the sexual health of older adults; however, we know little about the experiences of older people in talking to HCPs about sex. This article examines older adults' experiences and perceptions of talking to HCPs about sex.
Semi-structured interviews were conducted with 30 men and 23 women aged 60 and older recruited from a national, online survey of older Australians. Data were analysed using a thematic approach.
Most participants did not discuss sex with their HCP, and their HCP did not raise it. For those who did discuss sex with a HCP, negative and stigmatising responses were common. Positive responses could facilitate access to sexual health care.
Older people benefit when HCPs are proactive and ask about sexual health. Education in how to talk about sex with older people would also be beneficial for HCPs.
医疗服务提供者（HCPs）在支持老年人的性健康方面可以发挥重要作用；然而，我们对老年人与医疗服务提供者谈论性话题的经历知之甚少。本文探讨了老年人与医疗服务提供者谈论性话题的经历和看法。
对从一项针对澳大利亚老年人的全国性在线调查中招募的30名60岁及以上男性和23名60岁及以上女性进行了半结构化访谈。采用主题分析法对数据进行分析。
大多数参与者没有与他们的医疗服务提供者讨论性话题，他们的医疗服务提供者也没有主动提及。对于那些确实与医疗服务提供者讨论性话题的人来说，负面和带有污名化的回应很常见。积极的回应可以促进获得性健康护理。
当医疗服务提供者积极主动询问性健康问题时，老年人会从中受益。关于如何与老年人谈论性话题的教育对医疗服务提供者也有益处。
