Macleod Ashley, Busija Lucy, McCabe Marita
Swinburne University of Technology, Hawthorn, Victoria, Australia.
Monash University, Melbourne, Victoria, Australia.
Sex Med. 2020 Mar;8(1):84-99. doi: 10.1016/j.esxm.2019.10.001. Epub 2019 Nov 6.
There is currently limited research that examines the meaning of sexuality at midlife and later life.
This study investigates how heterosexual men and women in mid- and later life perceive their sexuality and the factors that influence it.
Group concept mapping was used to produce a conceptual map of the experience of sexuality for heterosexual adults ages 45 years and above. Group concept mapping data were collected using 6 open-ended survey questions that asked about sexuality, intimacy, and desire. Thematic analysis was used to examine how participants perceived their sexuality to have changed as they aged. Thematic analysis data were collected using a single open-ended survey question.
Statements generated from 6 of the open-ended survey questions were rated by participants using a 5-point Likert scale for how important participants felt that each statement was to themselves personally. Participants responses to the seventh open-ended survey question were examined using thematic analysis to understand whether participants felt that their sexual experiences had changed over time and, if so, how they had changed.
Eight themes were identified across the different phases of group concept mapping. These were, in order of importance, partner compatibility, intimacy and pleasure, determinants of sexual desire, sexual expression, determinants of sexual expression, barriers to intimacy, sexual urges, and barriers to sexual expression. Seven areas of change were identified in terms of perceived changes to sexuality with age. These included changes to perspective, relationship dynamics, environment, behavior, body/function, sexual interest/desire, and sexual enjoyment.
The results highlight the prioritization of interrelationship dynamics in mid- and later life sexuality over sexual functioning and sexual urges. These findings may facilitate the development of new perspectives on how sexuality is experienced in the later years and provide new avenues for intervention in situations where sexual problems arise. Macleod A, Busija L, McCabe M. Mapping the Perceived Sexuality of Heterosexual Men and Women in Mid- and Later Life: A Mixed-Methods Study. Sex Med 2019; 8:84-99.
目前，针对中年及老年阶段性行为意义的研究有限。
本研究调查中年及老年异性恋男性和女性如何看待自己的性行为以及影响性行为的因素。
采用小组概念绘图法，为45岁及以上的异性恋成年人绘制性行为体验的概念图。通过6个开放式调查问题收集小组概念绘图数据，这些问题涉及性行为、亲密关系和欲望。采用主题分析法，研究参与者如何看待自己随着年龄增长性行为发生的变化。通过一个开放式调查问题收集主题分析数据。
参与者使用5点李克特量表，对6个开放式调查问题生成的陈述进行评分，以表明他们认为每个陈述对自己个人的重要程度。使用主题分析法，研究参与者对第七个开放式调查问题的回答，以了解他们是否觉得自己的性经历随时间发生了变化，如果是，变化情况如何。
在小组概念绘图的不同阶段共确定了8个主题。按重要性排序依次为：伴侣兼容性、亲密感与愉悦感、性欲的决定因素、性表达、性表达的决定因素、亲密关系的障碍、性冲动以及性表达的障碍。在对随年龄增长性行为变化的认知方面，确定了7个变化领域。这些领域包括观念变化、关系动态变化、环境变化、行为变化、身体/功能变化、性兴趣/欲望变化以及性愉悦感变化。
研究结果突出了中年及老年性行为中人际关系动态相较于性功能和性冲动的优先地位。这些发现可能有助于形成关于晚年性行为体验的新观点，并为出现性问题的情况提供新的干预途径。麦克劳德A、布西贾L、麦凯布M。描绘中年及老年异性恋男性和女性的性认知：一项混合方法研究。《性医学》2019年；8：84 - 99。
