a The Division of Family Medicine, The Ruth & Bruce Rappaport Faculty of Medicine , Technion-Israel Institute of Technology , Haifa , Israel.
b The Louis and Gaby Weisfeld School of Social Work , Bar-Ilan University , Ramat Gan , Israel.
Eur J Gen Pract. 2019 Apr;25(2):85-90. doi: 10.1080/13814788.2019.1580263. Epub 2019 Mar 8.
Gender differences in relation to sexual functioning among older adults have received very little research attention, although the ageing process is likely to be characterized by difficulties in sexual functioning among both women and men.
The purpose of this qualitative research is to examine and understand the perceptions of family physicians, and the differences in their attitudes regarding male and female patients.
Qualitative interviews with family physicians were conducted between August 2017 and December 2017. Sixteen family physicians participated in the study, aged 36-64; most were born in Israel and half of them were women. Twelve physicians were Jewish, two were Christian and two were Muslim. Nine work in rural practices and seven work in urban practices. We used in-depth, semi-structured, face-to-face interviews. The interviews were recorded, transcribed and analysed by three researchers using content analysis.
The analysis of the interviews revealed two main themes: (1) Differences as perceived by family physicians: men are perceived as being interested in engaging in full sexual relations, including penetration, while among women, the main need is focused on the relationship and intimacy. (2) Gender differences regarding seeking a solution through the family physician. Family physicians reported that most of the patients who seek solutions regarding sexual dysfunction in old age are men with impotence problems. Family physicians perceived that women seek out solutions less frequently, some because they are afraid their relationship will suffer if they do not continue having sex with their partners.
Men and women were seen as having different motivations for engaging in sex and different needs from physicians.
老年人的性功能存在性别差异，但这方面的研究却很少，尽管随着年龄的增长，女性和男性的性功能都可能出现障碍。
本项定性研究旨在探讨和了解家庭医生对男性和女性患者的看法及其态度差异。
2017 年 8 月至 12 月期间对家庭医生进行了定性访谈。16 名家庭医生参与了这项研究，年龄在 36-64 岁之间；他们大多在以色列出生，其中一半是女性。12 名医生是犹太人，2 名是基督徒，2 名是穆斯林。9 人在农村行医，7 人在城市行医。我们采用深入、半结构化的面对面访谈。访谈由三名研究人员进行录音、转录和内容分析。
对访谈的分析揭示了两个主要主题：（1）家庭医生感知到的差异：男性被认为对进行完整的性关系（包括插入）感兴趣，而女性的主要需求则集中在关系和亲密感上。（2）家庭医生在寻求解决方案方面的性别差异。家庭医生报告说，大多数寻求老年性功能障碍解决方案的患者是患有勃起功能障碍的男性。家庭医生认为，女性寻求解决方案的频率较低，一些女性因为担心如果不继续与伴侣发生性行为，她们的关系会受到影响。
男性和女性被认为有不同的性行为动机和对医生的不同需求。
