Sexual well-being in old age: A cross-cultural mixed-methods study and an intervention with community-dwelling older adults

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What distresses sexual well-being among older adults in different cultures? A qualitative study with Slovenian and Portuguese older adults

Publication . von Humboldt, Sofia; Rolo, J.; Ribeiro-Gonçalves, José Alberto; Benko, Ester; Low, Gail; Leal, Isabel

Objective 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.

2022Journal article

Open access

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 Pereira

Objective 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.

2020Journal article

Restricted access

Smart technology and the meaning in life of older adults during the Covid-19 public health emergency period: a cross-cultural qualitative study

Publication . von Humboldt, Sofia; Mendoza-Ruvalcaba, Neyda Ma.; Arias Merino, Elva Dolores; Costa, Andrea; Cabras, Emilia; Low, Gail; Leal, Isabel

The exponential increase of the older segment of the population is coinciding with the growing challenges of a digital society in different socio-cultural contexts. This exploratory study aims to analyze older adult perspectives of how smart technology influenced their meaning in life during the Covid-19 Public Health Emergency period, using qualitative research at a cross-national level. Three hundred and fifty-one community-dwelling older participants aged 65-87 years were included in the study. Participants were Italian, Mexican, Portuguese and Spanish. All the narratives went through a process of content analysis. Findings of content analysis produced six themes: Meaningful relations, rewarding activities, spirituality, health and safety-related support, self-growth, and physical activity. Smart technology was important in promoting significant relations for Mexican older adults (71.3%), rewarding activities for Portuguese older adults (57.1%), spirituality for Spanish older participants (71.6%), and physical activity for Italian older adults (29.5%). This study indicated that smart technology during the Health Emergency period was important for the meaning in life of older populations, mostly by facilitating meaningful relations, rewarding activities and spirituality. Future interventions with older adults during pandemic periods should consider the diversity of themes associated with increasing older adult well-being, from a cross-cultural perspective.

2020Journal article

Open access

Health service accessibility, mental health, and changes in behavior during the COVID-19 pandemic: A qualitative study of older adults

Publication . von Humboldt, Sofia; Low, Gail; Leal, I.

The COVID-19 pandemic has affected the access of older adults to health services. The two objectives of this study are understanding the influence of the COVID-19 pandemic on older adults’ access to health services and exploring how health service accessibility during the pandemic influenced older adults’ mental health and self-reported changes in behavior. This study included 346 older adults. Content analysis produced five themes: (1) decreased physical accessibility to health care providers (78%); (2) increased use of online health services and other virtual health care (69%); (3) growth in the online prescription of medication (67%); (4) difficulty obtaining information and accessing non-communicable disease and mental health indicators (65%); and (5) postponement of medical specialist consultations (51%). Regarding mental health, three themes emerged: (1) increased symptoms of anxiety, distress, and depression (89%); (2) the experience of traumatic situations (61%); and (3) the augmented use of alcohol or drugs (56%). Finally, the following changes in behavior were indicated: (1) frustrated behavior (92%); (2) emotional explosions (79%); and (3) changes in sleeping and eating behaviors (43%). Access to health services may have influenced the mental health and behavior of older adults, hence interventions in a pandemic must address their interactions with health services, their needs, and their well-being.

2022Journal article

Open access