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性别与衰老:有监禁经历的老年女性的观点。

Sex and aging: Perspectives of older adult women with experience of incarceration.

机构信息

School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, Missouri, USA.

School of Biological and Chemical Sciences, University of Missouri-Kansas City, Kansas City, Missouri, USA.

出版信息

J Women Aging. 2023 Sep-Oct;35(5):487-503. doi: 10.1080/08952841.2023.2180246. Epub 2023 Feb 25.

Abstract

To explore perspectives on sexuality, sexual health, and sexual health care of older adult women with a history of criminal legal system involvement, we conducted phone interviews with women aged 50 years or older who were living in the community but had a history of jail and/or prison incarceration. Interview questions and initial analysis were guided by the sexual health framework for public health and Mitchell's sexual wellness model. Data analysis followed a framework method. Nine women, aged 53-66, participated in phone interviews between December 2020 and December 2021. Slightly over half the participants were Black; none were Hispanic. Most were single. We formulated a sex-in-aging (SAGE) framework comprising three categories and two overarching themes. Women with a history of criminal-legal system involvement have heterogeneous views on sex and sexual health and describe a range of desire and sexual activity as they age, including shifting ideas about what they expect from partners, how they keep themselves safe in sexual and intimate relationships, and how life circumstances that are often associated with criminal legal system involvement (substance use, trauma) impact their interest in sex as they age. The SAGE framework integrates these categories and themes and offers a starting point for further research and intervention development.

摘要

为了探讨有犯罪法律系统涉入史的老年女性的性观念、性健康和性保健观点,我们对居住在社区但有入狱和/或监禁史的 50 岁及以上女性进行了电话访谈。访谈问题和初步分析以公共卫生性健康框架和 Mitchell 的性健康模型为指导。数据分析遵循框架方法。9 名年龄在 53-66 岁的女性在 2020 年 12 月至 2021 年 12 月期间参加了电话访谈。略超过一半的参与者是黑人;没有西班牙裔。大多数是单身。我们制定了一个性老龄化(SAGE)框架,包括三个类别和两个总体主题。有犯罪法律系统涉入史的女性对性和性健康有不同的看法,并描述了随着年龄的增长,她们的欲望和性活动的范围,包括对伴侣的期望、如何在性和亲密关系中保护自己的安全以及与犯罪法律系统涉入相关的生活环境(药物使用、创伤)如何影响她们随着年龄的增长对性的兴趣。SAGE 框架整合了这些类别和主题,为进一步的研究和干预措施的发展提供了一个起点。

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