Breaking Myths About the Sexual Rights of OlderAdults: A Narrative Literature Review
Breaking Myths About the Sexual Rights of Older Adults: A Narrative Literature Review
DOI:
https://doi.org/10.30854/anf.1261Keywords:
Older adults, Sexuality, Social Representation, Sexual and Reproductive Right, Health Policy , (obtained from the DeSC/MeSH Thesaurus)Abstract
Objective: Analyze literature on the promotion and guarantee of sexual rights for older adults from a gender-based, intercultural, and intersectional approach. Methodology: An exploratory integrative review was conducted in five stages: 1) Problem identification guided by the SPIDER question framework; 2) Bibliographic search according to the PRISMA flowchart; 3) Evaluation of the quality of the studies using SANRA; 4) Analysis using Atlas.ti software; and 5) Presentation of the results. Results: Three categories emerged 47 papers: 1) Structural and health system elements focus on service access, medical training, and health policies on sexuality in old age; 2) social and cultural elements related to norms, taboos, and stigmatization; and 3) individual elements centered on personal factors such as beliefs, experiences, and physical and mental health status. Conclusions: To address sexuality in older adults, it is important to eliminate aging prejudices and stigmas. The guarantee of sexual rights at this stage of life demands inclusive health systems with policies on education, prevention, and diversity. The implementation of a gender, intercultural, and intersectional approach is important to promoting dignified and healthy development.
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References
Aboderin, I. (2014). Sexual and Reproductive Health and Rights of Older Men and Women: Addressing a Policy Blind Spot. Global Public Health, 22(44), 185-190. https://doi.org/10.1016/S0968-8080(14)44814-6
Baethge, C., Goldbeck-Wood, S., & Mertens, S. (2019). SANRA—A Scale for the Quality Assessment of Narrative Review Articles. Research Integrity Peer Rev, 4(5), 1-7.
https://doi.org/10.1186/s41073-019-0064-8
Benítez, J., Camero, J., Cuello, J., & Curbelo, J. (2023). Caracterización de la vida sexual de adultos mayores de un área de salud. Medisur, 21(1), 50-61. https://medisur.sld.cu/index.php/medisur/article/view/5524/3962
Boyacıoğlu, N., Oflaz, F., Karaahmet, A., Hodaeı, B., Afşin, Y., & Taşabat, S. (2023). Sexuality, Quality of Life and Psychological Well-Being in Older Adults: A Correlational Study. European Journal of Obstetrics &
Gynecology and Reproductive Biology X, 17, 1-6. https://doi.org/10.1016/j.eurox.2023.100177
Brennan-Ing, M., Seidel, L., Ansell, P., Raik, B., Greenberg, D., Nicastri, C., Breznay, J., Karpiak, S., & Adelman, R. (2018). Addressing Sexual Health in Geriatrics Education. Gerontology and Geriatrics Education, 39(2), 249-263. https://doi.org/10.1080/02701960.2017.1340885
Buczak-Stec, E., König, H., & Hajek, A. (2021). Sexual Satisfaction of Middle-Aged and Older Adults: Longitudinal Findings from a Nationally Representative Sample. Age and Ageing, 50(2), 559-564. https://doi.org/10.1093/ageing/afaa161
Centro Latinoamericano y Caribeño de Demografía (CELADE). (2024). Estadísticas e Indicadores: Demográficos y sociales. https://statistics.cepal.org/portal/cepalstat/dashboard.html?theme=1&lang=es
Chung, H., Kim, G., Shin, M., & Park, K. (2020). Physical Intimacy Is an Important Part of Sexual Activities: Korean Older Adults Study. Sexual Medicine, 8(4), 643-649. https://doi.org/10.1016/j.esxm.2020.06.011
Cismaru, A., Hahaut, B., Adam, S., Nobels, A., Beaulieu, M., Vandeviver, C., & Pieters, G. (2022). Sexual Activity and Physical Tenderness in Older Adults: Prevalence and Associated Characteristics from a Belgian Study. Journal of Sexual Medicine, 19(4), 569-580. https://doi.org/10.1016/j.jsxm.2022.01.516
Crema, I., & Tilio, R. (2021). Gênero e sexualidade nas relações íntimas: Significados e experiências de idosas. Psicologia: Teoria e Prática, 23(2), 1-22. https://doi.org/10.5935/1980-6906/ePTPSP12948
Crockett, C., & Cooper, B. (2016). Gender Norms as Health Harms: Reclaiming a Life Course Perspective on Sexual and Reproductive Health and Rights. Reproductive Health Matters, 24(48), 6-13. https://doi.org/10.1016/j.rhm.2016.11.003
Dalmer, N., & Marshall, B. (2023). The Role of Information in Later-Life Sexuality: An Invitation for Further Exploration. The Gerontologist, 63(2), 210-217. https://doi.org/10.1093/geront/gnac059
Departamento Administrativo Nacional de Estadística (DANE). (2022). Personas mayores en Colombia: Nota estadística, octubre 2022. https://www.dane.gov.co/files/investigaciones/notas-estadisticas/oct-2022-nota-estadisticapersonas-mayores-en-colombia.pdf
Emerson, A., Valleroy, E., Knittel, A., & Ramaswamy, M. (2023). Sex and Aging: Perspectives of Older Adult Women with Experience of Incarceration. Journal of Women & Aging, 35(5), 487-503. https://doi.org/10.1080/08952841.2023.2180246
Ezhova, I., Savidge, L., Bonnett, C., Cassidy, J., Okwuokei, A., & Dickinson, T. (2020). Barriers to Older Adults Seeking Sexual Health Advice and Treatment: A Scoping Review. International Journal of Nursing Studies, 107, 1-44. https://doi.org/10.1016/j.ijnurstu.2020.103566
Fileborn, B., Lyons, A., Hinchliff, S., Brown, G., Heywood, W., Dow, B., & Melbourne, S. (2017). Improving the Sexual Lives of Older Australians: Perspectives from a Qualitative Study. Australas Journal Ageing, 36(4), 36-42. https://doi.org/10.1111/ajag.12405
Flesia, L., Monaro, M., Jannini, E., Limoncin, E. (2023). "I'm Too Old for That": The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot
Study. Healthcare, 11(4), 1-7. https://doi.org/10.3390/healthcare11040459
Fredriksen-Goldsen, K. (2023). Blueprint for Future Research Advancing the Study of Sexuality, Gender, and Equity in Later Life: Lessons Learned from Aging With Pride, The National Health, Aging, and Sexuality/Gender Study (NHAS). The Gerontologist, 63(2), 373-381. https://doi.org/10.1093/geront/gnac146
Fredriksen-Goldsen, K., Jen, S., Emlet, C., Kim, H., & Jung, H. (2023). Key Determinants of Physical and Psychological Health-Related Quality of Life Over Time Among Midlife and Older LGBTQ and Sexual and
Gender-Diverse Caregivers. The Gerontologist, 63(4), 751-761. https://doi.org/10.1093/geront/gnac100
Gewirtz-Meydan, A., Levkovich, I., Mock, M., Gur, U., Karkabi, K., & Ayalon, L. (2020). Sex for Seniors: How Physicians Discuss Older Adult's Sexuality. Israel Journal of Health Policy Research, 9(1), 1-9. https://doi.org/10.1186/s13584-020-00366-5
Guadarrama, R., Ortiz, M., Moreno, Y., & González, A. (2010). Características de la actividad sexual de los adultos mayores y su relación con su calidad de vida. Revista de Especialidades Médico-Quirúrgicas, 15(2), 72-79. https://www.redalyc.org/articulo.oa?id=47313840005
Henning-Smith, C., Gonzales, G., & Shippee, T. (2015). Differences by Sexual Orientation in Expectations About Future Long-Term Care Needs Among Adults 40 To 65 Years Old. American Journal of Public Health, 105(11), 2359-2365. https://doi.org/10.2105/AJPH.2015.302781
Horne, M., Youell, J., Brown, L., Brown-Wilson, C., Dickinson, T., & Simpson, P. (2022). Feasibility and Acceptability of an Education and Training E-Resource to Support the Sexuality, Intimacy and Relationship Needs of Older Care Home Residents: A Mixed Methods Study. Age and Ageing,
51(10), 1-8. https://doi.org/10.1093/ageing/afac221
Hughes, A., Rostant, O., & Pelon, S. (2015). Sexual Problems Among Older Women by Age and Race. Journal of Women's Health, 24(8), 663-669. https://doi.org/10.1089/jwh.2014.5010
Jung, H., Kim, H., & Fredriksen-Goldsen, K. (2023). Identifying Latent Patterns and Predictors of Health Behaviors and Healthcare Barriers Among LGBT Older Adults. Prevention Science, 24(6), 1115-1127. https://doi.org/10.1007/s11121-023-01526-5
Khan, J., Greaves, E., Tanton, C., Kuper, H., Shakespeare, T., Kpokiri, E., Wang, Y., Ong, J., Day, S., Pan, S. W., Tang, W., Wang, B., Peng, X., Liang, B., Zou, H., Tucker, J., & Wu, D. (2023). Sexual Behaviours and Sexual Health Among Middle-Aged and Older Adults in Britain. Sexually Transmitted Infections, 99(3), 173-179. https://doi.org/10.1136/sextrans-2022-055420
Kittle, K., Boerner, K., Kim, K., & Fredriksen-Goldsen, K. (2023). The Role of Contextual Factors in the Health Care Utilization of Aging LGBT adults. The Gerontologist, 63(4), 741-750. https://doi.org/10.1093/geront/gnac137
Kolodziejczak, K., Rosada, A., Drewelies, J., Düzel, S., Eibich, P., Tegeler, C., Wagner, G., Beier, K., Ram, N., Demuth, I., Steinhagen-Thiessen, E., & Gerstorf, D. (2019). Sexual Activity, Sexual Thoughts, and Intimacy Among Older Adults: Links with Physical Health and Psychosocial Resources for Successful Aging. Psychology and Aging, 34(3), 389-404. https://doi.org/10.1037/pag0000347
Laganá, L., Balian, O., Nakhla, M., Zizumbo, J., & Greenberg, S. (2021). A Preliminary Model of Health Regarding Sexual and Ethnic Minority Older Adults. Culture, Health, and Sexuality, 23(3), 333-348. https://doi.org/10.1080/13691058.2019.1710566
Lee, J., Kim, H., & Fredriksen-Goldsen, K. (2019). The Role of Immigration in the Health of Lesbian, Gay, Bisexual, and Transgender Older Adults in the United States. International Journal of Aging and Human Development, 89(1), 3-21. https://doi.org/10.1177/0091415019842844
Lee, D., Nazroo, J., O'Connor, D., Blake, M., & Pendleton, N. (2016). Sexual Health and Well-Being Among Older Men and Women in England: Findings from the English Longitudinal Study of Ageing. Archives of Sexual Behavior, 45(1), 133-144. https://doi.org/10.1007/s10508-014-0395-9
Li, T., Luo, Y., Meng, Y., Yue, J., Nie, M., Fan, L., & Tong, C. (2022). Sexual Activity and Related Factors of Older Women in Hunan, China: A Cross-Sectional Study. The Journal of Sexual Medicine, 19(2), 302-310.
https://doi.org/10.1016/j.esxm.2021.10.007
Lyons, A., Alba, B., Waling, A., Minichiello, V., Hughes, M., Barrett, C., & Rasmussen, M. (2021). Comfort Among Older Lesbian and Gay People in Disclosing Their Sexual Orientation to Health and Aged Care
Services. Journal of Applied Gerontology, 40(2), 132-141. https://doi.org/10.1177/0733464820925330
Macleod, A., Busija, L., & McCabe, M. (2020). Mapping the Perceived Sexuality of Heterosexual Men and Women in Mid- and Later Life: A Mixed-Methods Study. Sexual Medicine, 8(1), 84-99. https://doi.org/10.1016/j.esxm.2019.10.001
Manterola, C., Rivadeneira, J., Delgado, H., Sotelo, C., & Otzen, T. (2023). ¿Cuántos tipos de revisiones de la literatura existen? Enumeración, descripción y clasificación. Revisión cualitativa. International Journal of Morphology, 17(4), 1240-1253. https://doi.org/10.4067/S0717-95022023000401240
McAuliffe, L., Fetherstonhaugh, D., & Bauer, M. (2020). Sexuality and Sexual Health: Policy in Australian Residential Aged Care. Australasian Journal on Ageing, 39(S1), 59-64. https://doi.org/10.1111/ajag.12602
McKay, T., Akré, E., Henne, J., Kari, N., Conway, A., & Gothelf, I. (2022). LGBTQ+ Affirming Care May Increase Awareness and Understanding of Undetectable = Untransmittable Among Midlife and Older Gay and Bisexual Men in the US South. International Journal of Environmental Research and Public Health, 19(17), 1-16. https://doi.org/10.3390/ijerph191710534
Medina, I., Medina, J., Torres, R., Sosa, R., Chale, G., & Chaparro, L. (2021). Actitudes hacia la vejez y actitudes hacia la sexualidad del adulto mayor en estudiantes y profesionales de enfermería. Gerokomos, 32(1), 17-21. https://dx.doi.org/10.4321/s1134-928x2021000100005
Ministerio de Salud y Protección Social. (2016). Encuesta SABE Colombia: Situación de Salud, Bienestar y Envejecimiento en Colombia. https://www.minsalud.gov.co/sites/rid/lists/bibliotecaDigital/RIDE/VS/ED/GCFI/Resumenejecutivo-
encuesta-SABE.pdf
Moghasemi, S., Ozgoli, G., Simbar, M., & Nasiri, M. (2018). Middle-aged Iranian Women's Accounts of Their Sexual Health Care Practices: A Conventional Content Analysis. International Perspectives on Sexual and Reproductive Health, 44(3), 91-99. https://doi.org/10.1363/44e6718.
Nazroo, J. (2017). Class and Health Inequality in Later Life: Patterns, Mechanisms and Implications for Policy. International Journal of Environment Research in Public Health, 14(12), 1-19. https://doi.org/10.3390/ijerph14121533
Organization of American States (OAS). (2015). Inter-American Convention on Protecting the Human Rights of Older Persons. https://www.oas.org/en/sla/dil/inter_american_treaties_A70_human_rights_older_persons.asp
Portellos, A., Lynch, C., & Joosten, A. (2023). Sexuality and Ageing: A Mixed Methods Explorative Study of Older Adults’ Experiences, Attitudes, and Support Needs. British Journal of Occupational Therapy, 86(7), 515-526. https://doi.org/10.1177/03080226231164277
Ports, K., Barnack-Tavlaris, J., Syme, M., Perera, R., & Lafata, J. (2014). Sexual Health Discussions with Older Adult Patients During Periodic Health Exams. Journal of Sexual Medicine, 11(4), 901-908. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657130/
Programa de Atención Médica Integral (PAMI). (2023). Guía de Educación Sexual Integral para personas mayores. https://www.algec.org/wp-content/uploads/2023/12/GUIA-ESI-para-PM.pdf
Roney, L., & Kazer, M. (2015). Geriatric Sexual Experiences: The Seniors Tell All. Applied Nursing Research, 28(3), 254-256. https://www.sciencedirect.com/science/article/abs/pii/S0897189715000907?via%3Dihub
Rowntree, M., & Zufferey, C. (2015). Need or Right: Sexual Expression and Intimacy in Aged Care. Journal of Aging Studies, 35, 20-25. https://www.sciencedirect.com/science/article/abs/pii/S0890406515000791?via%3Dihub
Ruiz, F., Cifuentes, Á., Devía, C., Alfonso, M., Alegría, A., & Vera, C. (2023). Percepciones y experiencias de adultos mayores sobre sexualidad y servicios de salud sexual en Colombia. Revista UIS Salud, 55(1), 1-10. https://revistas. uis.edu.co/index.php/revistasaluduis/article/view/12737
Rutagumirwa, S., & Bailey, A. (2018). “The Heart Desires but the Body Refuses”: Sexual Scripts, Older Men’s Perceptions of Sexuality, and Implications for Their Mental and Sexual Health. Sex Roles, 78(9-10), 653-668. https://doi.org/10.1007/s11199-017-0822-3
Schaller, S., Traeen, B., Lundin, Kvalem, I. (2020). Barriers and Facilitating Factors in Help-Seeking: A Qualitative Study on How Older Adults Experience Talking About Sexual Issues with Healthcare Personnel. International Journal of Sexual Health, 32(2), 65-80. https://www.tandfonline.com/doi/full/10.1080/19317611.2020.1745348
Smith, L., Yang, L., Veronese, N., Soysal, P., Stubbs, B., & Jackson, S. (2019). Sexual Activity is Associated with Greater Enjoyment of Life in Older Adults. Sexual Medicine, 7(1), 11-18. https://doi.org/10.1016/j.esxm.2018.11.001
Stowell, M., Hall, A., Warwick, S., Richmond, C., Eastaugh, C., Hanratty, B., McDermott, J., Craig, D., Spiers, G. (2023). Promoting Sexual Health in Older Adults: Findings from Two Rapid Reviews. Maturitas, 177, 1-9.
https://doi:10.1016/j.maturitas.2023.107795
Souza, C., Gomes, V., Silva, R., Santos, E., Alves, J., Santos, N., et al. (2019). Aging, Sexuality and Nursing Care: The Elderly Woman’s Look. Revista Brasileira de Enfermagem, 72(2), 71-78. https://doi.org/10.1590/0034-7167-2018-0015
Stentagg, M., Skär, L., Berglund, J., & Lindberg, T. (2021). Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adults ≥60 Years of Age. Sexual Medicine, 9(2), 1-8. https://doi.org/10.1016/j.esxm.2020.100316
Suen, Y. (2022). Ageing Non-Heterosexual Migrants: Towards Global Sexual Citizenship. Journal of Aging Studies, 60, 1-10. https://doi.org/10.1016/j.jaging.2021.100980
Syme, M., & Cohn, T. (2021). Aging Sexual Stereotypes and Sexual Expression in Mid- and Later Life: Examining the Stereotype Matching Effect. Aging and Mental Health, 25(8), 1507-1514. https://doi.org/10.1080/13607863.2020.1758909
Thames, A., Hammond, A., Nunez, R., Mahmood, Z., Jones, F., Carter, S., Bilder, R. M., Fisher, S., Bivens-Davis, T., & Jones, L. (2018). Sexual Health Behavior and Mental Health Among Older African American Women: The Sistahs,Sexuality, and Mental Health Well-Being Project. Journal of Womens Health (Larchmt), 27(9), 1177-1185. https://doi.org/10.1089/jwh.2017.6784
Towler, L., Graham, C., Bishop, F., & Hinchliff, S. (2021). Older Adults’ Embodied Experiences of Aging and their Perceptions of Societal Stigmas Toward Sexuality in Later Life. Social Science & Medicine, 287, 1-13. https://www.sciencedirect.com/science/article/abs/pii/S0277953621006870
United Nations. (1995). Beijing Declaration and Platform for Action. https://www.un.org/womenwatch/daw/beijing/pdf/Beijing%20full%20report%20E.pdf
United Nations. (2022). World Population Prospects 2022: Summary of Results. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/wpp2022_summary_of_results.pdf
United Nations Population Fund (UNFPA). (2013). Human Rights Principles. https://www.unfpa.org/sites/default/files/resource-pdf/Human%20Rights%20English%20Web.pdf
United Nations, Department of Economic and Social Affairs, Population Division (UN DESA). (2024). World Population Prospects 2024: Summary of results. https://population.un.org/wpp/
Villar, F., Serrat, R., Celdrán, M., Fabà, J., Martínez, T., & Twisk, J. (2020). ‘I Do It My Way’: Long-Term Care Staff ’s Perceptions of Residents’ Sexual Needs and Suggestions for Improvement in their Management. European Journal of Ageing, 17(2), 197-205. https://doi.org/10.1007/s10433-019-00529-2
von Humboldt, S., Carneiro, F., & Leal, I. (2021). Older Lesbian, Gay, and Bisexual Adults: What Predicts Adjustment to Aging? Sexuality Research and Social Policy, 18(4), 1042-1048. https://link.springer.com/article/10.1007/s13178-020-00514-5
Wang, V., Depp, C., Ceglowski, J., Thompson, W., Rock, D., Jeste, D. (2015). Sexual Health and Function in Later Life: A Population-Based Study of 606 Older Adults with a Partner. American Journal of Geriatric Psychiatry, 23(3), 227-233. https://doi.org/10.1016/j.jagp.2014.03.006
Weßel, M., & Schweda, M. (2023). Recognizing the Diverse Faces of Later Life: Old Age as a Category of Intersectional Analysis in Medical Ethics. Journal of Medicine and Philosophy, 48(1), 21-32. https://doi.org/10.1093/jmp/jhac038
Whittemore, R., & Knafl, K. (2005). The Integrative Review: Updated Methodology. Journal of Advanced Nursing, 52(5), 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
World Health Organization (WHO). (2006). Defining Sexual Health: Report of a Technical Consultation on Sexual Health, 28–31 January 2002, Geneva. https://www3.paho.org/hq/dmdocuments/2009/defining_sexual_health.pdf
World Medical Association. (2024). Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Participants. https://www.wma.net/policies-post/wma-declaration-of-helsinki/
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