scholarly journals Self-Rated Health in Older Adults (60+) Who Are Sexually Active: Association With Pleasure

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 312-313
Author(s):  
Nicole Viviano
Keyword(s):  
Older Adults ◽  
Sexual Activity ◽  
The United States ◽  
Sexual Pleasure ◽  
Health Conditions ◽  
Sexual Life ◽  
Sexual Intimacy ◽  
Sexually Active ◽  
Sexual Interaction ◽  
Self Rated Health

Abstract Older adults who engage in sexual activity (SA) tend to have greater enjoyment in life compared to their less sexually active counterparts. Further, older adults tend to report more satisfying or pleasurable SA when less health conditions are reported. Although self-rated health (SRH) is often incorporated in studies concerning SA, it is not always included when examining sexual intimacy, pleasure, and pain/discomfort. It is important to understand how SRH is associated with both SA and sexual pleasure as it could indicate when providers need to initiate conversations with their patients regarding safe sex practices and/or diagnose related health conditions (i.e. erectile dysfunction, vaginal dryness, etc.). The current study examined the association between SRH and experiencing pleasurable sexual interactions in older adults (60+). The Midlife in the United States (MIDUS) Refresher dataset (2011-2014) was used for this secondary data analysis. The dependent variable is pleasure in sexual interaction; the independent variable is self-rated health. Covariates include marital status, race, sex, sexual intimacy and sexual pain/discomfort. An ordinal logistic regression shows that for every one-unit increase in SRH, there is 1.341 times odds of experiencing pleasure in sexual interactions in older adults 60+ after adjusting for covariates. Individuals who had higher SRH had increased odds of having pleasurable sexual encounters. It is already clear that older adults are engaging in sexual activity, despite stereotypical myths. Further understanding the relationships between factors of SA like pleasure, pain/discomfort, and intimacy and health factors might allow for the extension of a healthy sexual life.

Do neuroticism and conscientiousness interact with health conditions in predicting 4-year changes in self-rated health among Swedish older adults?

2021 ◽  
Vol 36 (6) ◽  
pp. 730-743
Author(s):  
Georg Henning ◽  
Anne Ingeborg Berg ◽  
Anja Cengia ◽  
Isabelle Hansson ◽  
Svenja M. Spuling ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Conditions ◽  
Self Rated Health

Do Neuroticism and Conscientiousness Interact with Health Conditions in Predicting 4-Year Changes in Self-Rated Health among Swedish Older Adults?

2021 ◽  
Author(s):  
Georg Henning ◽  
Anne Ingeborg Berg ◽  
Anja Cengia ◽  
Isabelle Hansson ◽  
Svenja Spuling ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Disease Burden ◽  
Functional Limitations ◽  
Later Life ◽  
Functional Health ◽  
Health Conditions ◽  
Health Indices ◽  
Self Rated Health ◽  
Health Aging

Health conditions such as higher disease burden, pain or lower functional health are associated with poorer self-rated health (SRH). Whether these associations are moderated by psychosocial factors such as personality traits has rarely been investigated so far. In the present pre-registered analyses, we used five annual waves of the Health, Aging and Retirement Transitions in Sweden (HEARTS) study (n = 5,823, M(age) = 63.09, SD = 2.01) to investigate effects of personality (neuroticism and conscientiousness) and physical health indices (disease burden, pain, functional limitations), as well as their interaction, on levels and change in SRH. Higher neuroticism and lower conscientiousness were related to lower levels of SRH. These associations remained significant when controlling for the health indices. However, personality was not significantly related to change in SRH after controlling for the health indices, and personality did not moderate the effect of health indices on levels and change in SRH. When taking change in health indices into account, we found that increases in pain and functional limitations were more strongly associated with declines in SRH for those with high neuroticism. Our findings suggest that higher neuroticism may impair the ability to cope with increasing pain and functional limitations in later life.

scholarly journals Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil

2009 ◽  
Vol 25 (5) ◽  
pp. 1113-1122 ◽  
Author(s):  
Denise Leite Maia Monteiro ◽  
Alexandre José Baptista Trajano ◽  
Kátia Silveira da Silva ◽  
Fábio Bastos Russomano
Keyword(s):  
Public Health ◽  
Health Services ◽  
Sexual Activity ◽  
Sexual Life ◽  
Incidence Density ◽  
First Year ◽  
Sexually Active ◽  
Public Health Services ◽  
Cervical Lesions ◽  
Intraepithelial Lesions

This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical lesions upon entry into the study or sexually active < 1 year. The data were collected from 403 adolescents' medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual initiation. In the first year of sexual activity, the incidence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepithelial lesions (HSIL) in 3% (12). Eight (67%) cases of HSIL occurred during the first year of sexual activity. The incidence of cytopathological findings at beginning of sexual life is high, suggesting the importance of including sexually-active adolescents in cervical cancer prevention programs.

scholarly journals Black–White Disparities in Social and Behavioral Determinants of Health Index and Their Associations with Self-rated Health and Functional Limitations in Older Adults

2020 ◽  
Author(s):  
Taeho Greg Rhee ◽  
Kathy Lee ◽  
Jean J Schensul
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Functional Limitations ◽  
Cumulative Risk ◽  
The United States ◽  
Determinants Of Health ◽  
Risk Scores ◽  
Behavioral Determinants ◽  
Black And White ◽  
Self Rated Health

Abstract Background To characterize cumulative risk scores of social and behavioral determinants of health (SDoH) and examine their association with self-rated general health and functional limitations between non-Hispanic black and white older adults in the United States. Method We used data from the 2013–2014 National Health and Nutrition Examination Survey (NHANES), with a nationally representative sample of black and white adults aged 65 or older (n = 954 unweighted). We quantified the cumulative risk scores of SDoH (eg, food insecurity, education and poverty), ranging from 0 (no risk at all) to 8 (highest risk), and used multivariable-adjusted logistic and Poisson regression analyses to assess the association of SDoH by racial group with self-rated health and functional limitations, adjusting for other covariates. Results Black older adults had a higher mean cumulative risk score than white counterparts (2.3 ± 2.1 vs 1.5 ± 1.0; p &lt; .001). Black older adults were more likely to report lower self-rated health than white older adults in each of SDoH domains (p &lt; .01 for each). In multivariable-adjusted analyses, black older adults were more likely to report lower self-rated health than white older adults (p &lt; .01 for all) regardless of SDoH risk factors. However, those with high SDoH risk factors (ie, ≥3 risk factors) were more likely to report functional limitations than those in the low-risk group (ie, &lt;3 risk factors) in both racial groups (p &lt; .01 for all). Conclusion SDoH-related black–white disparities remain persistent in older age. In particular, SDoH index scores for black and white older adults were differentially associated with functional limitations. Addressing SDoH should be an important consideration in reducing gaps in black–white disparities of functioning.

scholarly journals The Expression of Intimacy and Sexuality in Persons With Dementia

2020 ◽  
Vol 2 (3-4) ◽  
pp. 215-223
Author(s):  
Migita D’cruz ◽  
Chittaranjan Andrade ◽  
T. S. Sathyanarayana Rao
Keyword(s):  
Older Adults ◽  
Sexual Behaviors ◽  
Clinical Care ◽  
Reproductive Period ◽  
Sexual Life ◽  
Sexual Intimacy ◽  
Symptomatic Management ◽  
Diagnosis Of Dementia ◽  
Relative Neglect ◽  
Care Guidelines

Sexuality in dementia is infrequently addressed. Dementia is characterized by a progressive deterioration in all domains of functioning, including loss of sexual function. However, the diagnosis of dementia does not mean an immediate or complete cessation of sexuality in the person, or a loss of the ability to consent to sexual activity with a partner. A discussion of sexuality in dementia occurs infrequently in clinical care for several reasons. These include (a) a discomfort in discussing sexuality in older adults, (b) the fear of causing social or cultural offense, and (c) the assumption that the cessation of the reproductive period implies the end of sexual life in older adults. There is also a tendency to focus on the preservation of cognition and independence, with relative neglect of the need for physical and emotional intimacy or quality of life. Patients with dementia are more likely to be sexually active than not. The most common change is a lack or loss or sexual desire. Inappropriate sexual behaviors occur in a minority of patients (28%) and can be usually managed with behavioral measures, with the use of pharmacotherapy for symptomatic management in refractory cases. Other clinical and ethical concerns in dementia include the capacity to consent to sexual intimacy, the formation of new relationships, sexuality in long-term residential facilities, and vulnerability to sexual abuse. Dementia care guidelines recommend a low threshold of suspicion for abuse, with a focus on patient safety. These must, however, be counterweighed by respect for patient autonomy and wishes.

scholarly journals Cohort analysis of driving cessation and limitation among older adults

2021 ◽  
Author(s):  
Andrew Schouten ◽  
Martin Wachs ◽  
Evelyn A. Blumenberg ◽  
Hannah R. King
Keyword(s):  
Older Adults ◽  
Longitudinal Data ◽  
Generational Differences ◽  
Cohort Analysis ◽  
The United States ◽  
National Sample ◽  
Health Conditions ◽  
Driving Cessation ◽  
Cross Sectional ◽  
The University

AbstractAutomobiles are central to participation in economic, social, and cultural activities in the United States. The ability to drive as one ages is fundamental to the quality of life among older adults. Driving rates decline significantly with age. Researchers using cross-sectional data have studied the reasons former drivers have stopped driving, but few have followed individuals over time to examine changes in relationships among driving cessation, socio-demographics, and health conditions. We used longitudinal data from a national sample of 20,000 observations from the University of Michigan Health and Retirement Study (HRS) to examine relationships among demographic variables, health conditions, and driving reduction and driving cessation. Longitudinal data allow analysis of generational differences in behavior, a major advantage over cross-sectional data which only allow comparisons of different people at one point in time. We found, like many other studies, that personal decisions to limit and eventually stop driving vary with sex, age, and health conditions. In addition, unlike most previous studies, we also found that those relationships differ by birth cohort with younger cohorts less likely to stop and limit their driving than their older counterparts. The findings indicate an evolution in the association between driving cessation and its causes.

Social Determinants of Shingles Vaccination in the United States

2021 ◽  
Author(s):  
Eric M Vogelsang ◽  
Andrea N Polonijo
Keyword(s):  
United States ◽  
Older Adults ◽  
Health Behaviors ◽  
The United States ◽  
Vaccine Uptake ◽  
Behavioral Risk ◽  
Sociodemographic Characteristics ◽  
Lower Odds ◽  
Logistic Regression Models ◽  
Self Rated Health

Abstract Objective Only about one-third of older adults in the United States are vaccinated against shingles, contributing to approximately one million shingles cases annually. This study examines how sociodemographic characteristics, health behaviors, and self-rated health are associated with shingles vaccine uptake. Method Data come from the 2017 wave of the Behavioral Risk Factor Surveillance System survey, using a subset of older adults aged 60-plus (N=208,301). Logistic regression models test (1) for associations between individual-level sociodemographic characteristics and vaccine uptake and (2) whether health behaviors and self-rated health moderate these associations. Results Black and Hispanic older adults have almost 50% lower odds of shingles vaccination, compared to non-Hispanic Whites. Abstaining from alcohol, being employed, living with children, and having poor self-rated health are also associated with lower uptake. Unmarried (vs. married) individuals have lower odds of vaccination that are explained by broad differences in health behavior. Discussion Our study contributes to understanding how shingles vaccination coverage systematically differs among social groups. In doing so, it provides guidance for public health interventions to increase uptake. This line of research is increasingly salient in a world facing novel virus threats and anti-vaccine social movements.

scholarly journals PENGARUH AKTIFITAS FISIK DAN CEMAS TERHADAP AKTIVITAS SEKSUAL PADA IBU MENOPAUSE DI KECAMATAN MUARA DUA KOTA LHOKSEUMAWE

2021 ◽  
Vol 4 (1) ◽  
pp. 430-436
Author(s):  
Nurmila Nurmila ◽  
Jasmiati Jasmiati ◽  
Elizar Elizar
Keyword(s):  
Sexual Activity ◽  
Physical Activities ◽  
Sexual Life ◽  
Sexually Active ◽  
Observational Method ◽  
Chi Square ◽  
Cross Sectional ◽  
Psychological Change ◽  
Lack Of Information ◽  
Cross Sectional Design

The decline as the effect of menopause will cause the decline in various body system, including the decline in mothers’ sexuality. It can happen when there are physical change, psychological change, the lack of information and knowledge of the change in mothers, and people’s negative perception on sexuality in old age. The objective of the research was to analyze factors physical activit, and apprehensiveness, which influenced sexual activity of menopause mothers in Muara Dua Subdistrict, Lhokseumawe. The research used observational method with cross sectional design. The population was all menopause mothers who still had spouses and lived in Muara Dua Subdistrict, and 82 of them were used as the samples. The data were analyzed by using univatriate analysis, bivatriate analysis. The result of the research showed that of 82 respondents, 56.1% of them were not sexually active. The result of chi square statistic test showed that the variables of physical activities and apprehensiveness (p < 0.001). It is recommended that menopause mothers should keep the health and bodies fresh, decrease physical activities by cooperating with families, especially husbands and should be willing to tell about sexuality in the menopause period to decrease apprehensiveness. Mothers and their husbands should have good perception on sexual activity during menopause so that they can increase their sexual life during menopause.   Abstrak Kemunduran akibat masa menopause akan membawa dampak pada penurunan berbagai sistim tubuh termasuk penurunan seksualitas ibu. Penurunan seksualitas pada ibu menopause dapat terjadi karena adanya perubahan pada fisik. Jenis penelitian adalah observasional dengan pendekatan Cross-sectional. Penelitian ini bertujuan menganalisis hubungan aktivitas fisik dan cemas terhadap aktivitas seksual pada ibu menopause. Populasi pada penelitian ini adalah semua ibu menopause yang ada di kecamatan Muara Dua sebanyak 544 orang. Sampel dalam penelitian ini diambil berdasarkan rumus Lameshow dengan jumlah sampel 82 orang. Analisis data menggunakan analisis univariat, analisis bivariat dengan uji Chi-squre. Hasil penelitian dengan uji Chi-square menunjukkan hasil bahwa aktivitas fisik dan cemas sangat berpengaruh terhadap aktivitas seksual yaitu (p < 0,001). Disarankan kepada tenaga kesehatan terutama bidan dan perawat yang bertugas di Puskesmas terutama saat kegiatan di luar gedung agar dapat melakukan komunikasi, memberikan informasi dan edukasi terutama tentang aktivitas seksualitas masa menopause.

scholarly journals Dual sensory impairment among a cohort of older adults living in Ireland: A nested case-control study of the Irish Longitudinal Study on Ageing cohort

2018 ◽  
Vol 1 ◽  
pp. 27
Author(s):  
Eimear Cleary ◽  
Philip McCallion ◽  
Mary McCarron
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Intellectual Disability ◽  
Visual Impairment ◽  
Daily Living ◽  
Health Conditions ◽  
Sensory Impairment ◽  
Physical And Mental Health ◽  
Self Rated Health ◽  
Dual Sensory Impairment

Background: Little information is available on the implications of hearing loss, visual impairment and dual sensory impairment among older adults with an intellectual disability (ID) living in Ireland and this paper aims to address the health concerns associated with sensory impairment among this population.  Methods: A representative sample of 753 persons aged 40 years and older at all levels of ID and full range of residential circumstances from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) participants were matched with general older population TILDA participants on age, sex and geographic location within Ireland. Demographic data on samples included age, sex, visual impairment (yes/no), hearing impairment (yes/no) and dual sensory impairment (yes/no). For those with intellectual disability (ID) data was also gathered on level of intellectual disability, residence, needing assistance with activities of daily living (ADL) and instrumental activities of daily living, self-rated health, loneliness, doctor’s diagnosis of endocrine disease and of dementia and doctor’s report of two or more chronic health conditions. Bivariate analysis of associations between visual, hearing and dual sensory impairment with the measures of physical and mental health was completed and logistic regression analysis to generate adjusted odds ratios for associations between sensory impairment and physical and mental health conditions. Results: As compared to the matched general population participants, in participants with ID dual sensory impairment was more often associated with poor self-rated health, limitations with two or more ADLs, loneliness and multimorbidity. People with ID were 4.4 times more likely to be multimorbid if they were visually impaired compared with an odds ratio of 2.4 in TILDA participants. Conclusion: Previous studies found significant associations between hearing and visual impairment among older populations. Analysis here also suggests the burden of sensory impairment increases both with ID and then with level of ID

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