Buczak-Stec Elżbieta W, König Hans-Helmut, Hajek André
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf; Hamburg Center for Health Economics, Hamburg, Germany.
Innov Aging. 2023 Jan 31;7(2):igad010. doi: 10.1093/geroni/igad010. eCollection 2023.
Sexual satisfaction is an important part of sexual health and overall well-being. A large number of older people continue to be sexually active, and many are satisfied with their sex life. However, little is known about whether sexual satisfaction differs according to sexual orientation. Therefore, the aim of the study was to investigate whether sexual satisfaction differs according to sexual orientation in later life.
The German Ageing Survey is a nationally representative study of the German population aged 40+. In the third wave (2008), data on both sexual orientation (heterosexual, homosexual, bisexual, other) and sexual satisfaction (1-very dissatisfied to 5-very satisfied) were collected. Multiple regression analyses with sampling weights were performed (stratified by age: 40-64; 65+).
We included 4,856 individuals in our analysis (mean age 57.6 ± 11.6; 40-85 years, 50.4% were women, 92.3% ( = 4,483) were heterosexual, and 7.7% ( = 373) were sexual minority adults). In sum, 55.9% of heterosexual individuals and 52.3% of sexual minority adults were satisfied or very satisfied with their sex life. Multiple regression analysis showed that sexual orientation was not significantly associated with sexual satisfaction among both middle-aged (β = 0.07; = .45) and older adults (β = 0.01; = .87). Higher sexual satisfaction was associated with lower loneliness scores, partnership satisfaction, importance of sexuality and intimacy, and better health status.
Our analysis showed that sexual orientation was not significantly associated with sexual satisfaction among both middle-aged and older adults. Lower loneliness, better health status, and partnership satisfaction significantly contributed to higher sexual satisfaction. Approximately 45% of older individuals (aged 65 years and older), regardless of their sexual orientation, were still satisfied with their sex life.
性满意度是性健康和整体幸福感的重要组成部分。大量老年人仍有性活动，且许多人对自己的性生活感到满意。然而，对于性满意度是否因性取向而异，人们知之甚少。因此，本研究的目的是调查晚年的性满意度是否因性取向而异。
德国老龄化调查是一项对40岁及以上德国人口具有全国代表性的研究。在第三轮调查（2008年）中，收集了关于性取向（异性恋、同性恋、双性恋、其他）和性满意度（1 - 非常不满意至5 - 非常满意）的数据。进行了带有抽样权重的多元回归分析（按年龄分层：40 - 64岁；65岁及以上）。
我们的分析纳入了4856名个体（平均年龄57.6 ± 11.6岁；40 - 85岁，50.4%为女性，92.3%（ = 4483）为异性恋，7.7%（ = 373）为性少数群体成年人）。总体而言，55.9%的异性恋个体和52.3%的性少数群体成年人对他们的性生活感到满意或非常满意。多元回归分析表明，在中年人群（β = 0.07； = 0.45）和老年人群中，性取向与性满意度均无显著关联（β = 0.01； = 0.87）。更高的性满意度与更低的孤独感得分、伴侣关系满意度、性与亲密关系的重要性以及更好的健康状况相关。
我们的分析表明，在中年人和老年人中，性取向与性满意度均无显著关联。更低的孤独感、更好的健康状况和伴侣关系满意度显著有助于提高性满意度。大约45%的老年人（65岁及以上），无论其性取向如何，仍对自己的性生活感到满意。
