Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
J Sex Med. 2018 May;15(5):750-756. doi: 10.1016/j.jsxm.2018.03.010.
Surveys have indicated an increase of sexual activity in aging men; recently, however, a decrease of sexual activity has been reported in young men.
To assess (i) sexual activity and desire and their determinants across the age range in a population-based male sample and (ii) their changes over 11 years.
A representative survey of men (N = 1,095) 18 to 93 years old from 2016 was compared with a survey from 2005 (N = 1,106 men) with the same age range. Samples were drawn from the German population at random using standardized sampling procedures. Questions were filled out by participants in the presence of a trained interviewer. Sexual activity was compared using logistic regression with the factors survey (2005 vs 2016), living with a partner (yes vs no), and age. Frequency of sexual desire was compared using analysis of covariance with the factors survey (2005 vs 2016), living with a partner (yes vs no), and the covariate age.
Sexual activity was assessed as having been intimate with someone in the past year; frequency of sexual desire was evaluated within the past 4 weeks.
The great majority of men cohabiting with a partner in 2016 was sexually active and indicated sexual desire until 70 years of age; half did so at an older age. Across the age range, men living without a partner reported considerably less sexual activity and desire. Compared with 2005, fewer men reported living with a partner. The overall proportion of men reporting sexual activity deceased from 81% to 73% in 2016 and absent sexual desire increased from 8% to 13%.
The findings highlight the relevance of living with a partner for sexual activity and desire. We advocate using a measure of sexual activity that encompasses many variants of intimate behavior.
Large and methodologically comparable population-based samples were compared. However, interpretations are limited by the absence of longitudinal data. We did not assess the effect of having a partner living elsewhere.
Sexual activity and desire decreased, especially in the young and middle-age groups. The decrease of men living with a partner contributed to this decreased sexual activity and desire. There was a generation effect, with younger and middle-age men living without a partner becoming less sexually active and experiencing less desire compared with the previous survey. The findings unveil changes in sexual activity and desire in a short time span. Beutel ME, Burghardt J, Tibubos AN, et al. Declining Sexual Activity and Desire in Men-Findings From Representative German Surveys, 2005 and 2016. J Sex Med 2018;15:750-756.
调查显示，老年男性的性行为活跃度有所增加；然而，最近有报道称，年轻男性的性行为活跃度有所下降。
评估（i）在一个基于人群的男性样本中，不同年龄段的性行为和欲望及其决定因素；（ii）他们在 11 年内的变化。
比较了 2016 年（N=1095 名）和 2005 年（N=1106 名）年龄在 18 至 93 岁之间的男性代表性调查结果，两个调查的年龄范围相同。使用标准化抽样程序从德国人群中随机抽取样本。参与者在经过培训的访谈者在场的情况下填写问卷。使用逻辑回归比较性行为，自变量为调查（2005 年与 2016 年）、与伴侣同居（是与否）和年龄。使用协方差分析比较性欲频率，自变量为调查（2005 年与 2016 年）、与伴侣同居（是与否）和协变量年龄。
性行为的评估标准为过去一年与某人发生过亲密行为；性欲的频率是在过去 4 周内评估的。
与伴侣同居对性行为和欲望具有重要意义。我们提倡使用一种包含多种亲密行为的性行为测量方法。
比较了大型且方法上可比的基于人群的样本。然而，由于缺乏纵向数据，解释受到限制。我们没有评估伴侣居住在其他地方的影响。
研究结果强调了与伴侣同居对性行为和欲望的重要性。我们提倡使用一种包含多种亲密行为的性行为测量方法。
比较了大型且方法上可比的基于人群的样本。然而，由于缺乏纵向数据，解释受到限制。我们没有评估伴侣居住在其他地方的影响。
性行为和欲望下降，尤其是在年轻和中年群体中。与伴侣同居的男性减少导致了这种性行为和欲望的下降。存在代际效应，与之前的调查相比，年轻和中年的单身男性性行为活跃度降低，欲望减少。研究结果揭示了短时间内性行为和欲望的变化。
