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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.
- 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.
- 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.
- 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.
- What sexual well-being really means for older adults: A systematic review of the literaturePublication . von Humboldt, Sofia; Ribeiro-Gonçalves, José Alberto; Low, Gail; Leal, I.Sexual well-being (SWB) is a significant and understudied element of older adults’ health and well-being, and quality of life. The goal of this systematic review is to identify the researched topics in this field and assess the quality of the research while minimizing bias through a peer-to-peer review process. We searched several databases, including the Cochrane Database, PsyRedalyc, PubMed, Scielo, Scopus and Google Scholar, resulting in 181,278 references. Ultimately, 62 studies met the inclusion criteria and were included in this review. These studies involved over 46,500 individuals with ages ranging from 55 to 99, from twenty-one different countries. Our study identified a variety of variables under the concept umbrella of SWB, including sexual satisfaction, sexual health, sexual interest, sexual experiences and behaviors, sexual intimacy, expressions of love and attitudes toward sexuality in different countries. The studies reveal diverse perspectives on the determinants, expressions, and challenges associated with SWB in old age. Common themes such as the importance of sexual satisfaction, intimate relationships, and the rejection of a universal decline in sexual interest, challenge ageist stereotypes. The emergent concepts, including the linking of physical to emotional health, the impact of technology, the inclusion of LGBTQIA+, older couples and people now in their 80s and 90s underscore the multifaceted nature of SWB in later life. As societies continue to age, embracing a more inclusive and nuanced approach to research and interventions will be pivotal in enhancing the overall well-being for older individuals.
- Mitigating social isolation following the covid-19 pandemic: Remedy messages shared by older peoplePublication . Low, Gail; von Humboldt, Sofia; Gutman, Gloria M; Gao, Zhiwei; Allana, Hunaina; Naz, Anila; Wilson, Donna; Vastani, MuneerahAt the beginning of July 2022, when public health restrictions were lifted, we deployed a country-wide e-survey about how older people were managing now after COVID-19 pandemic-related anxiety. Our responder sample was stratified by age, sex, and education to approximate the Canadian population. E-survey responders were asked to share open-text messages about what contemporaries could do to live less socially isolated lives at this tenuous turning point following the pandemic as the COVID-19 virus still lingered. Contracting COVID-19 enhanced older Canadians’ risk for being hospitalized and/or mortality risk. Messages were shared by 1189 of our 1327 e-survey responders. Content analysis revealed the following four calls to action: (1) cultivating community; (2) making room for what is good; (3) not letting your guard down; and (4) voicing out challenges. Responders with no chronic illnesses were more likely to endorse making room for what is good. Those with no diploma, degree, or certificate least frequently instructed others to not let their guard down. While COVID-19 is no longer a major public health risk, a worrisome proportion of older people across the globe are still living socially isolated. We encourage health and social care practitioners and older people to share messages identified in this study with more isolated persons.
- Is age an issue? Psychosocial differences in perceived older workers’ work (un)adaptability, effectiveness, and workplace age discriminationPublication . von Humboldt, Sofia; Miguel, Isabel; Valentim, Joaquim P.; Costa, Andrea; Low, Gail; Leal, I.The aging population in the developed world has implied increasing age diversity in the workforce of organizations. Consequently, mutual perceptions about one’s coworkers and age discrimination are becoming increasingly important. This study aims to explore how perceptions about older workers’ work (un)adaptability, work effectiveness, and workplace age discrimination vary according to participants’ psychosocial factors, such as age group, gender, education level, and work sector. This study included a sample of 453 workers in Portugal, diverse in terms of age, gender, education level, and work sector. Four different instruments were used: (a) a sociodemographic questionnaire; (b) an older workers’ Work Adaptability scale; (c) an older workers’ Work Effectiveness Scale and; (d) the Workplace Age Discrimination Scale (WADS). Results: Middle-aged and older participants perceive older workers as more adaptable than younger participants. The oldest group of participants perceives older workers to be more workeffective and experience the highest levels of age discrimination in the workplace, when compared to the other age groups. Also, participants with lower levels of education tend to perceive higher levels of workplace age discrimination, when compared to participants with high school and higher education. Conclusions: Generational perceptions in the workplace are perceived by workers differently, hence organizations should implement age management strategies to address age discrimination, particularly due to the increasing proportion of older workers.
- Perspectives on perceived workplace age discrimination and engagement: The moderating role of emotion regulationPublication . Miguel, Isabel; von Humboldt, Sofia; Silva, Sara; Tavares, Patrícia; Low, Gail; Leal, Isabel Maria Pereira; Valentim, Joaquim P.Engaging workers with their work is fundamental for employee wellbeing and performance. Perceived age discrimination in the workplace is a factor that may influence workers’ engagement. The present study aimed to analyze the moderating role of emotion regulation in the relationship between perceived age discrimination and work engagement. Survey data were collected from a sample of 453 Portuguese workers of various age groups, between 18 and 65 years-old. Four instruments were used in this study: (a) a sociodemographic questionnaire; (b) the Workplace Age Discrimination Scale (WADS); (c) the Emotion Regulation Scale and (d) the reduced version of the Utrecht Work Engagement Scale (UWES-9). Results show that perceived workplace age discrimination negatively impacts work engagement. Further, results suggest that emotional regulation exacerbates the negative relationship between perceived age discrimination and work engagement. The progressively aging workforce is creating challenging issues to organizations, from a human resource management perspective. Age management strategies to address perceived age discrimination and work engagement are needed