scholarly journals Sex Difference in Self-Reported Sexual Functioning Among Frail Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 313-313
Author(s):  
Brianne Olivieri-Mui ◽  
Sandra Shi ◽  
Ellen McCarthy ◽  
Dae Kim
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Sex Differences ◽  
Sexual Function ◽  
Older Adult ◽  
Sexual Functioning ◽  
Social Life ◽  
Well Being ◽  
Adult Males ◽  
Males And Females

Abstract Frailty may differentially impact how older adult males and females perceive sexual functioning, an important part of well-being. We assessed the level of frailty (robust, pre-frail, frail) for anyone with data on 11 sexual functioning questions asked in wave 2 of the National Social Life, Health, and Aging Project, 2010-2011 (n=2060). Questions covered five domains: overall sexual function (OSF), sexual function anxiety (SFA), changes in sexual function (CSF), erectile/vaginal dysfunction (EVD), and masturbation. Logistic regression identified sex differences in frailty and reporting worse sexual functioning. Linear regression predicted the number of domains reported as worse. Among males (n=1057), pre-frailty meant higher odds of reporting SFA (OR 1.8 95%CI 1.2-6.6), CSF (OR 1.7 95%CI 1.1-2.7), and EVD (OR 1.5 95%CI 1.0-2.2). Among females (n=1003), there was no difference in reporting by frailty. Females were more likely to report worse OSF (Robust: OR 7.4, 95%CI 4.8-11.4; Pre-frail: OR 6.2, 95%CI 3.9-9.9; Frail: OR 3.4 95%CI 1.7-6.6), but less likely to report SFA (Robust OR .3, 95%CI .2-.5; Pre-frail OR .2, 95%CI .1-.3; Frail OR .2 95%CI .1-.3). Pre-frail and frail females reported fewer domains as worse (Pre-frail coefficient -0.21 SE 0.09, Frail -0.43 SE 0.14). As frailty worsened, males reported more domains as worse (Pre-frail 0.24 SE 0.07, Frail 0.29 SE 0.08). Self-reported sexual functioning differs by sex at all levels of frailty, and reporting by males, but not females, changes with frailty. Providers should be aware that sexual functioning is of importance to both sexes despite varying degrees of frailty.

Frailty and Differences in Self-Reported Sexual Functioning Among Older Females and Males in National Social life, Health and Aging Project

2021 ◽  
pp. 089826432110537
Author(s):  
Brianne Olivieri-Mui ◽  
Sandra M. Shi ◽  
Ellen P. McCarthy ◽  
Dae Hyun Kim
Keyword(s):  
Logistic Regression ◽  
Erectile Dysfunction ◽  
Sexual Function ◽  
Sexual Functioning ◽  
Social Life ◽  
Frailty Status ◽  
Clinical Indicator

Objective To understand the association of frailty with females’ and males’ self-reported sexual functioning. Methods Logistic regression on 5 domains of sexual function by frailty status (robust, pre-frail, frail) were analyzed from 2058 respondents to National Social Life, Health, and Aging Project (2010–2011). Results Females had similar frailty profiles to males, but more often reported low overall sexual functioning (12.9% v. 4.0%). Compared to robust, pre-frail and frail males had higher odds of sexual function-related: anxiety (pre-frail OR 1.91 95% CI [1.33, 2.74]; frail OR 2.13 95% CI [1.03, 4.41]), negative changes (pre-frail: OR 1.40, 95% CI [1.00, 1.96]; frail: OR 2.42, 95% CI [1.51, 3.89]), and erectile dysfunction (pre-frail: OR 1.81, 95% CI [1.23,2.68]; frail: 2.00, 95% CI [1.00,4.02]); frail females had 1.69 times higher odds (95% CI [1.16,2.48]) of negative changes. Discussion Frailty may be a clinical indicator of sexual functioning decline for males more than females.

Talk or Walk? Gait Speed over Self-Report in Association with Cognitive Speed in Healthy Older Adults

GeroPsych ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 41-52
Author(s):  
Matthew C. Costello ◽  
Shane J. Sizemore ◽  
Kimberly E. O’Brien ◽  
Lydia K. Manning
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Gait Speed ◽  
Well Being ◽  
Self Report ◽  
Subjective Report ◽  
Healthy Older Adults ◽  
Relative Value ◽  
Cognitive Speed ◽  
Age Range

Abstract. This study explores the relative value of both subjectively reported cognitive speed and gait speed in association with objectively derived cognitive speed. It also explores how these factors are affected by psychological and physical well-being. A group of 90 cognitively healthy older adults ( M = 73.38, SD = 8.06 years, range = 60–89 years) were tested in a three-task cognitive battery to determine objective cognitive speed as well as measures of gait speed, well-being, and subjective cognitive speed. Analyses indicated that gait speed was associated with objective cognitive speed to a greater degree than was subjective report, the latter being more closely related to well-being than to objective cognitive speed. These results were largely invariant across the 30-year age range of our older adult sample.

scholarly journals Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

2021 ◽  
pp. 089826432199332
Author(s):  
Wanda Rietkerk ◽  
Jannet de Jonge-de Haan ◽  
Joris P. J. Slaets ◽  
Sytse U. Zuidema ◽  
Debby L. Gerritsen
Keyword(s):  
Older Adults ◽  
Behavior Change ◽  
Older Adult ◽  
Goal Setting ◽  
Geriatric Assessment ◽  
Well Being ◽  
Community Dwelling ◽  
Implementation Processes ◽  
Adult Involvement ◽  
Community Dwelling Older Adults

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

scholarly journals Sex Differences in the Association between Atrial Fibrillation and 90-Day Adverse Outcomes among Older Adults with Heart Failure: A Retrospective Cohort Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2237
Author(s):  
Youn-Jung Son ◽  
Da-Young Kim ◽  
Mi Hwa Won
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Older Adults ◽  
Sex Differences ◽  
Older Adult ◽  
Hospital Readmission ◽  
Older Patients ◽  
Adverse Outcomes ◽  
Prognostic Impact ◽  
Male And Female

Sex differences in the prognostic impact of coexisting atrial fibrillation (AF) in older patients with heart failure (HF) have not been well-studied. This study, therefore, compared sex differences in the association between AF and its 90-day adverse outcomes (hospital readmissions and emergency room (ER) visits) among older adults with HF. Of the 250 older adult patients, the prevalence rates of coexisting AF between male and female HF patients were 46.0% and 31.0%, respectively. In both male and female older patients, patients with AF have a significantly higher readmission rate (male 46.0%, and female 34.3%) than those without AF (male 6.8%, and female 12.8%). However, there are no significant differences in the association between AF and ER visits in both male and female older HF patients. The multivariate logistic analysis showed that coexisting AF significantly increased the risk of 90-day hospital readmission in both male and female older patients. In addition, older age in males and longer periods of time after an HF diagnosis in females were associated with an increased risk of hospital readmission. Consequently, prospective cohort studies are needed to identify the impact of coexisting AF on short- and long-term outcomes in older adult HF patients by sex.

Child Development, the Human Group, and Survival

2004 ◽  
Author(s):  
David A. Hamburg ◽  
Beatrix A. Hamburg
Keyword(s):  
Social Life ◽  
Nonhuman Primates ◽  
Human Adaptation ◽  
Old World Monkeys ◽  
Adult Males ◽  
Rapid Progress ◽  
Same Sex ◽  
Natural Habitats ◽  
Continuous Contact ◽  
Males And Females

In the past several decades, the study of the behavior of nonhuman primates—monkeys and apes—has made rapid progress. We can learn from the dimly perceived past when our ancestors confronted the problems of survival without the sophisticated technological aids so inextricably linked to human adaptation in recent times. Our past is inaccessible to direct study. But by careful observation of our closest living relatives, monkeys and apes, we can begin to understand the nonhuman primate heritage from which our ancient ancestors took a long route over millions of years toward humanity. Nonhuman primates live in groups that are held together by strong and enduring bonds between individuals. These bonds may be reflected in a variety of ways: relationships between adult males and females, between adults of the same sex, between juveniles, and between adult males or females and their young. Altogether, in their natural habitats they have a rich social life. Compared with most other mammals, primates have fewer young at a time. Rather than litters, all Old World monkeys and apes have only one offspring at a time, and they give each one a great deal of attention. The young have longer periods of immaturity than other mammals, including prolonged nutritional dependence on the mother. A corollary of the prolonged physical immaturity and nutritional dependence of the primate infant is a longer and more intense mother- infant relationship and a longer period of tutelage and learning the customs and survival skills of the group. In all higher primates except humans, infants cling reflexively to their mothers from birth, and mother-infant contact is maintained virtually all of the time until the much older infant develops the ability to keep up with the mother on its own. Nursing occurs in many short bouts around the clock; in early infancy, it is initiated and terminated by the infant, an easy process, because the infant is always clinging to the mother’s body, anyway. This combination of clinging, carrying, continuous contact, and frequent nursing is characteristic of all higher nonhuman primates.

An investigation of perceived family phubbing expectancy violations and well-being among U.S. older adults

2019 ◽  
Vol 8 (2) ◽  
pp. 247-267 ◽  
Author(s):  
Travis Kadylak
Keyword(s):  
Older Adults ◽  
Mobile Phone ◽  
Older Adult ◽  
Interpersonal Relationships ◽  
Well Being ◽  
Future Research ◽  
Expectancy Violations ◽  
Face To Face ◽  
Internet Users ◽  
Checking Behavior

Phubbing refers to the nonverbal behavior of glancing at, or using, one’s mobile phone during a face-to-face (FtF) interaction, whereby the mobile-phone-checking behavior is perceived to breach expectations of attention or etiquette. In general, phubbing can negatively affect interpersonal relationships and well-being. When younger family members’ phubbing behavior is perceived by older adult relatives as a violation of their conversational expectations, these older adults may feel ignored and disrespected. This study may be the first to investigate the associations between intergenerational family phubbing expectancy violations and indicators of well-being among older adults. Survey data were derived from a sample of U.S. Internet users aged 65 or above ( n = 679). The results suggested that both perceived frequency of family phubbing and family phubbing expectancy violations were inversely associated with mattering and indicators of well-being. Study limitations and potential directions for future research are discussed.

scholarly journals Creating an Age-Friendly Public Health System

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anne De Biasi ◽  
Megan Wolfe ◽  
Jane Carmody ◽  
Terry Fulmer ◽  
John Auerbach
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health System ◽  
Older Adult ◽  
Public Health System ◽  
Adult Population ◽  
Public Health Practice ◽  
State Level ◽  
Well Being ◽  
Health Departments

Abstract Background and Objectives The public health system in America—at all levels—has relatively few specialized initiatives that prioritize the health and well-being of older adults. And when public health does address the needs of older adults, it is often as an afterthought. In consultation with leaders in public health, health care, and aging, an innovative Framework for an Age-Friendly Public Health System (Framework) was developed outlining roles that public health could fulfill, in collaboration with aging services, to address the challenges and opportunities of an aging society. Research Design and Methods With leadership from Trust for America’s Health and The John A. Hartford Foundation, the Florida Departments of Health and Elder Affairs are piloting the implementation of this Framework within Florida’s county health departments and at the state level. The county health departments are expanding data collection efforts to identify older adult needs, creating new alliances with aging sector partners, coordinating with other agencies and community organizations to implement evidence-based programs and policies that address priority needs, and aligning efforts with the age-friendly communities and age-friendly health systems movements. Results, and Discussion and Implications The county health departments in Florida participating in the pilot are leveraging the Framework to expand public health practice, programs, and policies that address health services and health behaviors, social, and economic factors and environmental conditions that allow older adults to age in place and live healthier and more productive lives. The model being piloted in Florida can be tailored to meet the unique needs of each community and their older adult population.

The psychosocial sources of sexual interest in older couples

2018 ◽  
Vol 35 (4) ◽  
pp. 615-631 ◽  
Author(s):  
James Iveniuk ◽  
Linda J. Waite
Keyword(s):  
Older Adults ◽  
Marital Quality ◽  
Social Life ◽  
Sexual Interest ◽  
Well Being ◽  
Sex Characteristics ◽  
Large Network ◽  
Older Couples ◽  
Using Data ◽  
The Impact

Sexual activity with one’s partner is an important component of well-being and is linked to physical, emotional, and cognitive health. However, it is unclear why some older adults are more interested in sex and some less so. Their own characteristics, those of their partner, and characteristics of the relationship may all be important. We define sexual interest as consisting both of the motivation to seek sex with a partner and willingness to have sex when asked. We measure this construct using data from both members of 953 couples in the National Social Life, Health, and Aging Project. We focus in this article on the impact of psychological and social factors on older adults’ interest in sex, as well as the impact of their partners’ characteristics on their own interest in sex. We find that individuals with high perceived positive marital quality, a more positive and open personality, a large network of family, and better physical health showed greater interest in sex. Characteristics of their partner generally had little association with sexual interest.

Social Influence in Promoting Change Among Older Adults: Group-Mediated Cognitive Behavioral Interventions

2016 ◽  
Vol 5 (1) ◽  
pp. 39-49 ◽  
Author(s):  
L.R. Brawley ◽  
P.K. Flora ◽  
S.R. Locke ◽  
M.S.H. Gierc
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Influence ◽  
Older Adult ◽  
Behavioral Interventions ◽  
Physical Activity Intervention ◽  
Well Being ◽  
Specific Model ◽  
Cognitive Behavioral ◽  
Basic Model

In this paper, we argue that the social influence of the group is a supportive medium for older adult thriving. To promote the physical well-being aspect of thriving, we discuss groups as one means of offering social support. We present a specific model of physical activity intervention (i.e., group-mediated cognitive behavioral intervention) that uses deliberately-formed interactive groups to help motivate older adults to engage in and sustain physical activity. Our article includes four sections that concern the GMCB intervention model. The first serves as background as to why groups can be powerful behavior change agents and describes the basic model of group motivated intervention. The second section provides a generic description of the intervention structure and how the GMCB intervention is conducted. The third section presents a meta-analytic summary of results of older adult GMCB physical activity interventions across three levels of outcomes: adherence to physical activity, functional and physiological, and social cognitive. The fourth section concludes with commentary about the translational perspective for the GMCB in the future.

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