Patterson Elissa H, Waite Linda J, McClintock Martha K
Departments of Psychiatry and Neurology, Institute for Healthcare Policy and Innovation University of Michigan, 9D 9808 University Hospital, University of Michigan Medical School, 1500 E. Medical Center Dr., SPC 5118, Ann Arbor, MI, 48104, USA.
Department of Sociology, University of Chicago, Chicago, IL, USA.
Arch Sex Behav. 2025 May 19. doi: 10.1007/s10508-025-03149-8.
Sexual motivation includes proceptivity (mental or physical pursuit of sexual gratification) and receptivity (openness to having sex initiated by someone else). The roles of these two components are not well understood in older adults past reproductive age. We quantify these components and their associations with sexual activity along with differences in sex, age, partner status, health, reproductive steroids and other demographic variables collected during home interviews for the National Social Life, Health, and Aging Project's nationally representative sample of 3005, 57-85 years old community-dwelling U.S. residents. The majority of older adults had sex and age had only a modest association with their sexual motivation. Proceptive and receptive sexual motivation were independent of each other and each was associated with higher odds of having sex more frequently. Relative to women, men reported higher levels of sexual proceptivity, controlling for demographic and biological variables such as medications, diseases, education, partner status, reproductive steroid levels, and age. Women reported higher sexual receptivity than did men. Although men had higher free salivary testosterone levels, it was associated with higher proceptivity and receptivity within both men and women. DHEA and estradiol were also associated with variations in sexual motivation. Nonetheless, sex differences in each component of sexual motivation remained after controlling for reproductive steroid levels along with demographics and partner status. Having a positive emotional relationship was associated with higher proceptive sexual motivation in women but not in men.
性动机包括性主动（对性满足的心理或身体追求）和性接受（对他人发起性行为持开放态度）。在已过生育年龄的老年人中，这两个组成部分的作用尚未得到充分理解。我们对这些组成部分及其与性活动的关联进行了量化，并研究了性别、年龄、伴侣状况、健康状况、生殖类固醇以及在为“全国社会生活、健康和老龄化项目”进行的家庭访谈中收集的其他人口统计学变量之间的差异，该项目对3005名年龄在57至85岁的美国社区居住居民进行了全国代表性抽样。大多数老年人有性行为，年龄与他们的性动机只有适度关联。性主动和性接受动机相互独立，且各自都与更频繁发生性行为的较高几率相关。在控制了人口统计学和生物学变量（如药物、疾病、教育程度、伴侣状况、生殖类固醇水平和年龄）后，男性报告的性主动水平高于女性。女性报告的性接受程度高于男性。尽管男性唾液中游离睾酮水平较高，但它与男性和女性的性主动及性接受程度都较高相关。脱氢表雄酮和雌二醇也与性动机的变化有关。然而，在控制了生殖类固醇水平以及人口统计学和伴侣状况后，性动机各组成部分的性别差异仍然存在。拥有积极的情感关系与女性较高的性主动动机相关，但与男性无关。
