Browsing by Author "Hald, Gert Martin"
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- Attitudes Towards Sexuality in Older Men and Women Across Europe: Similarities, Differences, and Associations with Their Sex LivesPublication . Træen, Bente; Carvalheira, Ana Alexandra; Hald, Gert Martin; Lange, Theis; Kvalem, Ingela LundinThe aim of the study was to explore attitudes towards sexuality and sexual behaviour in older adults in Norway, Denmark, Belgium, and Portugal. A cross-sectional survey with representative samples of the population aged 60–75 years recruited through phone registers in Norway (676 men and 594 women), Denmark (530 men and 515 women), Belgium (318 men and 672 women), and Portugal (236 men and 273 women) was conducted. The data collection was carried out using an anonymous postal questionnaire. Four dimensions of attitudes towards sexuality were identified: ‘sex for love’, ‘sexual pressure in society’, ‘sex for well-being’, and ‘sexual changes and ageing’. Discriminant analyses identified three discriminant attitude functions: sex for well-being, sexual changes due to ageing, and sex for love. Portuguese men had positive attitudes towards sex as good for well-being in older adults but believed ageing was an obstacle to being sexual at this stage of life. Portuguese women believed sex was good for well-being and did not consider ageing an obstacle to sexual enjoyment. Norwegian men and Danish women believed changes in sexuality due to ageing were no obstacle to being sexual but did not believe that sex was good for well-being. The attitudes of Belgian and Danish men were largely inclined in the direction that sex is not particularly important for elderly people and that changes in sexuality occur due to the ageing process. Men and women were committed to the attitude of sex for love, although this was observed most in Belgian participants and least in Danish men. Positive attitudes towards sex for wellbeing and towards ageing and sexual changes correlated with less change in sexual interest and sexual enjoyment, and with increased frequency of intercourse and masturbation. To tailor successful sexual health interventions, attitudes of sexuality in older people should be addressed.
- Seeking help for sexual difficulties: findings from a study with older adults in four European countriesPublication . Hinchliff, Sharron; Carvalheira, Ana; Stulhofer, Aleksandar; Janssen, Erick; Hald, Gert Martin; Træen, BenteSexual well-being is an important part of life for many people aged 60 and older. However, older adults often face barriers to seeking and receiving help for sexual difficulties. This study used data from a probability survey (n = 3820) on sexuality and ageing to examine help-seeking in 60–75-year-olds in Norway, Denmark, Belgium, and Portugal. More men (12.2%) than women (6.8%) had sought professional help for a sexual difficulty in the past 5 years. The main reason for help-seeking was that sex was important to the participant and/or their relationship. The main source of professional help was the primary care physician. Of those who had sought professional help, 48% were satisfied or very satisfied with the help received, 31.6% were neither satisfied nor dissatisfied, and 20.4% were dissatisfied or very dissatisfied. Others had sought help from informal sources, particularly partners, friends, or websites. The main reasons for not seeking professional help included not being distressed by the symptoms, and thinking that the difficulty would clear up on its own. Multivariable regression analysis revealed that significant correlates of seeking professional help for women and men were level of distress about the sexual difficulty. With regard to women, those who were married, and/or from Portugal were more likely to have sought help. And regarding men, those who attended religious services were more likely to have sought professional help. These results have important implications for healthcare and can be used to inform the development and delivery of services for older adults who experience sexual difficulties.
- Sexual activity and sexual satisfaction among older adults in four european countriesPublication . Træen, Bente; Štulhofer, Aleksandar; Janssen, Erick; Carvalheira, Ana Alexandra; Hald, Gert Martin; Lange, Theis; Graham, Cynthia A.The aim of this article was to describe partnered and non-partnered sexual activity and sexual satisfaction in older men and women from Norway, Denmark, Belgium, and Portugal, and to explore sociodemographic correlates of sexual activity and satisfaction. Data were collected in 2016 using postal, anonymous questionnaires in probability samples of the population aged 60-75 years recruited by phone registers in Norway (676 men, 594 women), Denmark (530 men, 515 women), Belgium (318 men, 672 women), and Portugal (236 men, 273 women). In men, the percentage of sexually active participants in the past year ranged from 83% in Portugal to 91% in Norway. In women, the percentage of sexually active participants during the last year ranged from 61% in Belgium to 78% in Denmark. Regarding frequency of sexual intercourse activity during the past month, men in Norway, Denmark, and Belgium (23-24%) most often reported 2-3 times per month, whereas most men in Portugal (29%) reported 1-3 times per week. Masturbation was most commonly reported among Norwegian men (65%) and women (40%), and least commonly in Portugal. Concerning sexual satisfaction, across all countries, 40-60% of participants reported that they were sexually satisfied. Portuguese men and Danish women reported being most sexually satisfied. Having a partner was the most important positive predictor of sexual activity and sexual satisfaction in all subgroups except Portuguese men. In conclusion, partnered sexual activity was more frequent in the south of Europe, and solitary sexual activity more frequent in Northern Europe.
- Sexuality in older adults (65+) — An overview of the literature, part 1: Sexual function and its difficultiesPublication . Traeen, Bente; Hald, Gert Martin; Graham, Cynthia A.; Enzlin, Paul; Janssen, Erick; Kvalem, Ingela Lundin; Carvalheira, Ana Alexandra; Stulhofer, AleksandarAim: The aim of the current paper was to provide an overview of literature on sexual function and sexual difficulties in older adults. Method: We conducted a narrative review of papers published in English between January 2005 and July 2015 based on an extensive search in PsycINFO. Results: The review showed that while common biological changes may adversely affect sexual function in old age, sexual experience seems to also be affected by psychological and interpersonal factors. Conclusions: Greater life expectancy and better medical care will result in older individuals with chronic diseases living longer. The need for help to cope with changes in sexual health is likely to increase in older adults, as sexuality may be negatively affected through several pathways.
- The role of body image in sexual satisfaction among partnered older adults: a population-based study in four European countriesPublication . Kvalem, Ingela Lundin; Graham, Cynthia; Hald, Gert Martin; Carvalheira, Ana; Janssen, Erick; Stulhofer, AleksandarBody image issues can affect all domains of sexual functioning. The aim of this study was to examine how, in a sociocultural context where physical and sexual attractiveness is equated with young and slim body ideals, appearance dissatisfaction and importance are related to sexual satisfaction in older adults in four European countries. A cross-sectional survey with probability samples of the population aged 60–75 years was used. Only respondents with a partner were included in this paper, and the countries included Norway (n = 957), Denmark (n = 846), Belgium (n = 612), and Portugal (n = 367). Sexual satisfaction, appearance dissatisfaction, and importance were assessed, and frequency of intercourse/kissing and cuddling, relationship satisfaction, age, and body mass index were all used as control variables. Belgian men scored significantly lower on sexual satisfaction, while there was no difference in sexual satisfaction in women. Appearance dissatisfaction was lower in Scandinavian women and men, and in Belgian men, and appearance salience was lower in Norwegian men and women, and in Portuguese women. Linear regression analysis revealed that, adjusting for confounders, appearance dissatisfaction was significantly related to sexual satisfaction in Scandinavian women and men, as well as in Belgian men. Compared to research on younger adults, appearance evaluation appeared to play an equally important role in sexual satisfaction in older adults in our study. The variation in appearance dissatisfaction in older adults across European countries is a novel finding that needs to be examined further.