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The Gerontologist 1997 37(1):6-14; doi:10.1093/geront/37.1.6
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© 1997 The Gerontological Society of America

Sexual Activity and Satisfaction Among Very Old Adults: Results From a Community-Dwelling Medicare Population Survey1

Ruth E. Matthias, PhD2, James E. Lubben, DSW, MPH3, Kathryn A. Atchison, DDS, MPH4 and Stuart O. Schweitzer, PhD4

3 University of California Los Angeles School of Dentistry
4 University of California, Los Angeles, School of Public Health


   Abstract

This article explores the relationship between sociopsychological factors, sexual activity, and sexual satisfaction in a sample of 1,216 elderly people (mean age = 77.3). Almost 30% hadparticipated in sexual activity in the past month and 67% were satisfied with current level of sexual activity. Men are more likely to be sexually active, but less apt than women to be satisfied with their level of sexual activity. Regarding predictors of sexual activity, for men the strongest predictors were being younger and having more education. For women, the strongest predictor by far was being married. For both men and women the strongest predictors for satisfaction were being sexually active and having positive mental health scores.In summary, the main variables predicting sexual activity were being married, having more education, being younger, being male, and having good social networks. The main predictors for satisfaction with sexual activity were, in addition to being sexually active, being female,having good mental health, and better functional status.

Keywords: Elderly, Sexual behavior, Survey research

Received November 15, 1994; Accepted December 13, 1995


1 A paper presenting this research was delivered on November 2,1994 at the American Public Health Association Annual Meeting, Washington, DC.This study was part of a larger project funded by the Office of Research and Demonstrations, U.S. Health Care Financing Administration (HCFA), #95-C-99165/9-01. The total (direct and indirect) costs of the six-year project,which ended April 30, 1994, were $1,932,000. Total reimbursements forMedicare-waivered services were $404,300. HCFA funded 100% of the total costs. Interpretations of the data are the authors' own and do not necessarily represent the official opinion of the Health Care Financing Authority.The authors wish to acknowledge the assistance of Todd Franke, PhD, Fred De Jong, PhD, S. Allison Mayer-Oakes, MD, and Claudia DerMartirosian,MA.

2 University of California, Los Angeles, School of Public Policy and Social Research. Address correspondence to Ruth E. Matthias, PhD, UCLA School of Public Policy and Social Research, 3250 Public Policy Building, Box 951656, Los Angeles, CA 90095.


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