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- Sexual expression in old age: How older adults from different cultures express sexually?Publication . von Humboldt, Sofia; Gonçalves, José Alberto Ribeiro; Costa, Andrea; Low, Gail; Leal, Isabel PereiraObjective This study aims to analyze how older adults express themselves sexually. For this purpose, a qualitative research was carried out, which analyzes their perspectives at a cross-cultural level. Methods Four hundred ninety-five older participants, aged 65 to 98 years, were interviewed. Participants were of three different nationalities and lived in the community. All the interviews went through the process of verbatim transcription and subsequent content analysis. Results A content analysis produced nine themes: tenderness and care (k = .91, p < .01); altruism and gratitude (k = .81, p < .01); attractiveness (k = 94, p < .01); positive communication (k = .89, p < .01); sexual activity (k = .88, p < .01); good health and physical condition (k = .96, p < .01); supportive relationship (k = .84, p < .01); eroticism (k = .94, p < .01); and feeling active and alive (k = .92, p < .01). Conclusions This study stressed different ways on expressing sexuality in old age and underlined the importance of tenderness and care and eroticism for older adults who are sexually active.
- Bullying in old age: A qualitative study on older adults’ perceptions about being bulliedPublication . von Humboldt, Sofia; Gonçalves, José Alberto Ribeiro; Leal, Isabel Maria PereiraSignificant demographic changes and a growing aging population increasingly emphasize the importance of assessing phenomena of violence against older adults, who constitute a vulnerable population. Therefore, bullying in old age is a poorly studied phenomena, but of growing importance. This study aims to analyze the perspectives of bullying in old age, using qualitative research at a cross-national level. We interviewed 173 older participants aged 65–91 years. Participants were Portuguese and English and lived in the community. Participants were subjected to semi-structured interviews. All the interviews went through a process of content analysis. Sample recruitment occurred through initial telephone contact, followed by a request to participate. Outcomes of content analysis produced seven themes, all of them associated with bullying experiences such as compromised learning capacity, loss of sense of agency and decision-making, asexuality, less attractive appearance, less social skills, gender discrimination, and less financial resources. Portuguese older adults felt mostly bullied for their loss of sense of agency and decision-making, less attractive appearance, less social skills, and less financial resources, while English participants mostly felt bullied for their compromised learning capacity, gender discrimination, and asexuality. The themes identified as being the most prominent in bullying are valuable guidelines for social policies and interventions toward bullying among older adults. Considering the scarcity of studies on bullying in older adults, this study is relevant for understanding the experience of older adults in relation to being bullied and for implementing psychosocial intervention programs including bullying situations that affect community-dwelling older adults.
- Underneath the sheets: A cross-cultural cluster analysis of older adults’ patterns of aging and sexual well-being in Portugal and MexicoPublication . von Humboldt, Sofia; Mendoza Ruvalcaba, Neyda Ma; Low, Gail; Leal, I.This study aims to assess the patterns of life satisfaction with life (SwL), sexual satisfaction, and adjustment to aging (AtA), of older adults in Mexico and Portugal. A sample of 658 older adults, aged 65 years-old and older, from Mexico and Portugal were recruited for this cross-cultural study. The following measures were applied: (a) Adjustment to Aging Scale (ATAS); (b) Satisfaction with Life Scale (SwLS); (c) New Sexual Satisfaction Scale (NSSS); (d) Mini-Mental State Exam; and (e) Sociodemographic, health and lifestyle questionnaire. Clusters were identified and characterized by using K-means cluster analysis, encompassing SwL, AtA, and sexual satisfaction. Sexual well-being differences among clusters were analyzed with One-way ANOVAs. Findings indicated three clusters, which explained 76.4% (R-sq=0.764) of the total variance: Cluster #1: “Moderately adjusted older adults” (n=355, 53.9%), Cluster #2: “Moderately fulfilled older adults” (n=265, 40.3%), and Cluster 3: “Well adjusted and satisfied older adults” (n=38, 5.8%). Participants in Cluster #1 were mostly Mexican, with moderate levels of AtA and reduced sexual satisfaction and SwL. Conversely, Cluster #2 predominantly consisted of Portuguese participants with moderate sexual satisfaction and SwL, and lower levels of AtA. Participants from Cluster #3 were mostly Portuguese with high levels of AtA, sexual satisfaction, and SwL. This innovative study explored the intricate relationship between sexual well-being, the ability to adjust to aging, and overall SwL, in two different cultural contexts. Findings contributed to the understanding of the relationship between these three variables and for developing tailored future interventions and service planning with older adults in different cultures.
- How do older adults experience pet companionship? A qualitative study of the affective relationship with pets and its effect on the mental health of older adults during the Covid-19 pandemicPublication . von Humboldt, Sofia; Silva, Sara; Leal, Isabel Maria PereiraThis study aimed to explore the affective relationship of older adults with their pets during the COVID-19 pandemic; and to assess how this contributed to their mental health. This qualitative study included 351 participants aged 65–88 years from Portugal, the United Kingdom, and Spain. All interviews went through content analysis. Findings indicated five themes: (1) Enabling a meaningful affective relationship (86%); (2) Strengthening affective sharing with partner (68%); (3) Easing new affective relationships (61%); (4) Enhancing sensory stimuli and physical touch (55%); and; (5) Feeling physical pleasure (23%). Three main themes emerged from the content analysis regarding the second objective: (1) Fewer depressive and anxiety symptoms (73%); (2) Fewer feelings of loneliness (68%); and (3) Fewer mood swings (43%). The affective relationship between older adults and their pets was relevant during the COVID-19 pandemic since it solidified affective relationships with their partners and fostered the creation of new relationships. Additionally, it contributed to a deeper affective relationship with themselves, in terms of sensory stimuli, physical touch, and physical pleasure. Owning a pet improved mental health symptoms, namely those associated with depression, anxiety, and mood swings.
- How do older portuguese and mexican adults experience their sexual well-being? A cross-cultural qualitative studyPublication . von Humboldt, Sofia; Ruvalcaba, Neyda Ma Mendoza; Ribeiro-Gonçalves, José Alberto; Chávez-Rodríguez, Alejandro; Low, Gail; Leal, IsabelSexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual’s sexuality. SWB plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. In addition to the scarcity of in-depth qualitative studies in this area and studies with cross-cultural samples, no studies have compared perceptions of SWB among Portuguese and Mexican older adults. The aim of this study was to comparatively analyze perspectives on SWB among older adults residing in Portugal and Mexico. Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were asked about factors that significantly contribute to their SWB. Sociodemographic data were also gathered. Content analysis was used to identify key themes. Eight themes were identified across both studied samples: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions. Eroticism was most pertinent to Portuguese participants (31.4%). Health and self-care was most frequently reported by Mexican participants (26.5%). The findings of this study indicate that SWB is strongly influenced by sociocultural and psychosocial values. Cross-cultural comparisons between older Portuguese and Mexican people provide a broader understanding of SWB in older age and suggest a scenario for future culture-adapted interventions and comprehensive policies.
- What distresses sexual well-being among older adults in different cultures? A qualitative study with Slovenian and Portuguese older adultsPublication . von Humboldt, Sofia; Rolo, J.; Ribeiro-Gonçalves, José Alberto; Benko, Ester; Low, Gail; Leal, IsabelObjective To analyze the perspectives of sexual unwellness (SU) of Portuguese and Slovenian older adults was the objective of this study. A qualitative research was carried out, in which these perceptions were analyzed at a cultural level. Methods The sample of this study consisted of 136 older participants, between 65 and 96 years of age. Participants were of two different nationalities and lived in the community. Participants were interviewed, and all interviews were carried out through the process of literal transcription and subsequent content analysis. Results Eight key mutually exclusive themes emerged from the interviews: unavailability of partner; traditional values; body restrictions; low self-esteem and well-being; poor social support; dissatisfaction with physical appearance; pain during sex; and difficulties meeting new people. Unavailability of partner was the most important theme (17.9%) for the studied sample and specifically among Portuguese participants. Conversely, difficulties meeting new people were the least reported theme (6.8%) for the entire sample. For Slovenians traditional values were most relevant with respect to feeling sexually unwell. Conclusions Older adults from two different countries reported diverse sexual experiences. Eight mutual-exclusive themes were extensively illustrated. Policy Implications These findings are evidence for cultural-adapted interventions and policy making in the context of older adults’ sexual well-being, particularly in terms of its relation with aging well.
- A viuvez no envelhecimento : estudo exploratório com idososPublication . Costa, Andrea; von Humboldt, Sofia
- Sexual well-being in older adults: A qualitative study with older adults from Portugal and SloveniaPublication . von Humboldt, Sofia; Ribeiro-Gonçalves, José Alberto; Costa, Andrea; Low, Gail; Benko, Ester; Leal, I.Introduction Beyond living longer, it is increasingly important to live with more and better health during aging; sexual well-being was found to contribute to health and well-being in old age and is highly under-researched in the older population. This study aims to analyze sexual well-being in a cross-cultural way through older Portuguese and Slovenian older samples. Methods We interviewed 136 older participants with an average age of 71.6 years old. Participants were Portuguese and Slovenian and lived in the community. Participants were subjected to semi-structured interviews and these were subjected to a content analysis process. Results The content analysis indicated nine themes related to sexual well-being: self-reported good health; demonstrations of love; non-sexual joint activities; overall well-being and quality of life; partner support; positive self-image; being independent and active; sexual compatibility; and masturbation. Conclusions Portuguese older adults experience their sexual well-being associated mainly with self-reported good health and demonstrations of love, while Slovenians older adults associate their sexual well-being mainly with non-sexual joint activities and overall well-being and quality of life. Policy Implications The themes found in this study are fundamental evidence for cultural interventions and guidelines outlining in the context of sexual health in aging, mainly due to the scarcity of knowledge of sexual well-being among older adults.
- What really matters in old age? A study of older adults’ perspectives on challenging old age representationsPublication . von Humboldt, Sofia; Low, Gail; Leal, IsabelABSTRACT: first_pagesettingsOrder Article Reprints Open AccessArticle What Really Matters in Old Age? A Study of Older Adults’ Perspectives on Challenging Old Age Representations by Sofia von Humboldt 1,*ORCID,Gail Low 2ORCID andIsabel Leal 1ORCID 1 William James Center for Research, ISPA—Instituto Universitário, 1149-041 Lisbon, Portugal 2 Faculty of Nursing, International Health Research, MacEwan University, Edmonton, AB T5J 4S2, Canada * Author to whom correspondence should be addressed. Soc. Sci. 2024, 13(11), 565; https://doi.org/10.3390/socsci13110565 Submission received: 22 August 2024 / Revised: 7 October 2024 / Accepted: 18 October 2024 / Published: 23 October 2024 Downloadkeyboard_arrow_down Versions Notes Abstract Aim: Older age is not a homogenous or stereotypical experience. Age-stereotypical representations can often be disconnected from older people’s own experiences. Challenging the status quo is relevant for aging well. The aim of this study is to analyze older adults’ perspectives on stereotypical versus their own age representations. Method: This qualitative study included a sample of 433 older adults who were 65 to 74, 75 to 84, and 85+ years of age. Content analysis was carried out. Results: Findings from this study indicated that the great majority of the participants (88%) did not identify with stereotypical age representations. This was so among participants in the 65–74 age group in relation to Showing a sense of agency (81.1%); Feeling spiritual (73.4%); Having meaningful goals (72.2%); Holding a significant social network (70.9%); Staying tuned to the world (67.1%); and feeling physically attractive (59.8%). Participants who were 75–84 years of age clarified what physical health (81.0%) and surviving chronic illnesses (78.9%), autonomy (75.5%), being socially active (74.9%), and staying mentally active (70.1%) represent at that age. The +85 years age group drew attention to No pain or physical limitations (95.6%), Physical health (93.1%), Cognitive autonomy (87.1%), Staying tuned to society and the world (76.3%); and Mobility (72.2%). Conclusions: Participants’ favoring their own over stereotypical thinking about people their age represents inner resourcefulness and a penchant for aging well. Collaborative partnerships for sharing such wisdom around could enrich policy programs and interventions that favor inclusivity and fight ageism, fostering a more accurate perspective of what it means to be a certain ‘age’ versus simply being ‘old’.
- Factors associated with older people’s anxiety symptom positioning after COVID-19: Cross-sectional findings from a Canadian SamplePublication . Low, Gail; AliSher, Anila Naz; Morero, Juceli Andrade Paiva; Gao, Zhiwei; M Gutman, Gloria; Bacadini França, Alex; von Humboldt, SofiaThis study sheds light on the personal characteristics of older Canadians self-identifying as severely anxious and the coping strategies that they gravitated to mitigate their anxiety. Our studied sample consisted of 606 Canadians aged 60 and above who took part in an e-survey across all 10 of Canada’s provinces, launched in July 2022, when social distancing was lifted across the country. Participants completed a personal characteristics questionnaire, the Geriatric Anxiety Scale or GAS-10, and a checklist of everyday coping strategies for mitigating anxiety. A seemingly greater number of severely anxious Canadians were born female, self-identified as a cisgender woman, and were in their 60s and in poor to fair health. A univariate logistic regression analysis revealed that all such personal characteristics were associated with statistically significantly greater odds of experiencing severe anxiety. In our multivariate logistic regression analysis, no significant differences were observed between the sexes (AOR = 0.590, p = 0.404), and non-binary and cisgender men (AOR = 0.689, p = 0.441) and women (AOR = 0.657, p = 0.397). Nor were there statistically significant differences in the odds of experiencing severe anxiety for those living with versus without a life partner and chronic illnesses. Older Canadians experiencing severe anxiety were far more likely to normalize their fear and anxiety (AOR = 4.76, p < 0.001), challenge their worries (AOR = 5.21, p < 0.001), and to relax or meditate (AOR = 2.36, p = < 0.001). They were less inclined to decrease other sources of stress in their lives, to stay active, and to get enough sleep. We offer anticipatory guidance for mental health program planners and practitioners, and fruitful avenues of inquiry for researchers.
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