Perceived Sexual Health Needs of Older Women: A Systematic Review

Farzaneh Saadatmand, Marjan Beigi, Zahra Heidari, Mitra Savabi Esfahani

Abstract


Background: Maintaining and promoting sexual health in older women requires paying attention to and meeting their sexual health‑related needs. This study aimed to determine older women’s perceived sexual health needs through a systematic review.

Materials and Methods: In this systematic review, studies conducted from the beginning of 2000 to August 28, 2022, were searched in Databases, Scopus, Web of Science, SID, Pub Med, and Google Scholar as a research engine. To access all English articles, keywords such as sexual health, sexual performance, sexual intercourse, sexual, need, demand, and women and their possible combinations were used using “AND” and “OR” operators. This research was implemented based on the criteria of the PRISMA checklist. The articles were evaluated using the STROBE and COREQ checklists. The thematic synthesis method was used to synthesize the data.

Results: The sexual health needs of older women were categorized into four groups: restoration of violated sexual rights, elimination of age discrimination (ageism), promotion of sexual health literacy, and providing sexual health services.

Conclusions: The sexual needs of older women have been neglected due to prevailing social structures of many countries, stigma, gender discrimination, and lack of sexual health literacy. In addition to the need for social and emotional support to adapt to the conditions of old age, these women need to achieve sexual rights, improve sexual health literacy, and receive health services.



Keywords


Needs, older people, sexual health, women

Full Text:

PDF

References


Van Gaans D, Dent E. Issues of accessibility to health services by older Australians: A review. Public Health Rev 2018; 39:20.

Novak M. Issues in aging: Routledge; 201. 4th ed. New York: First Published; 2018. p. 123.

Livi Bacci, Massimo. A Concise History of World Population. United Kingdom: Wiley; 2017. p. 99.

Rees M, Lambrinoudaki I, Bitzer J, Mahmood T. Joint opinion paper “Ageing and sexual health’’by the European board&college of obstetrics and gynaecology and the European menopause and andropause society. Eur J Obstet Gynecol Reprod Biol 2018;220:132 4.

Lee, K. World Health Organization, in: J. Sperling (Ed.), Handbook on Governance and Security. Edward Elgar Publishing; 2014: 504-17.

Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton NJ. Sexual health and well being among older men and women in England: Findings from the English Longitudinal Study of Ageing. Arch Sex Behav 2016;45:133 44.

Rashidi BH, Kiyani K, Haghollahi F, Sighaldeh SS. Sexual health definition from the perspective of Iranian experts and description its components. Tehran Univ Med J 2015;73:210 20.

Masters W, Johnson V. Human sexual inadequacy. Boston (Little, Brown & Company) 1970. p. 12.

Mohammadi E, Shahshahani MA, Noroozi M, Beigi M. The effect of guided imagery and music on the level of sexual satisfaction of women of reproductive age: A parallel cluster randomized trial. J Midwifery Reprod Health 2024;12:4114 23.

Moghasemi S, Ozgoli G, Ahmadi F, Simbar M. Sexual experience of Iranian women in their middle life: A qualitative approach. Int J Community Based Nurs Midwifery 2018;6:47 55.

Lonza A, Štulhofer A, Graham CJ. Emotional intimacy and distress about sexual difficulties in artnered older European men and women: A network analysis. J Sex Marital Ther 2020;46:474 90.

Uzdavines A, Helmer DA, Spelman JF, Mattocks KM, Johnson AM, Chardos JF, et al. Sexual health assessment is vital to whole health models of care. MIRx Med 2022;3:e36266.

Spence SH. Psychosexual dysfunction in the elderly. Behav Change 1992;9:55 64.

Roudsari RL, Javadnoori M, Hasanpour M, Hazavehei SMM. Socio cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med 2013;11:101 10.

Bostani KhZ, Ghanbari Kh. Perception and experience of married women of reproductive age about the importance of sexual health education: A content analysis study. Gynecol Infertil 2015;18:7 17.

Lurie E, Nathwani M, Slater M, Pascoal E, Chadwick S, Cmorejova J, et al. Aging and sexual health: A cross sectional survey of patients in a Canadian urban academic family health team. Can J Aging 2020;39:365 72.

Samadi F, Dalir MJSPR. The role of psychological and social health on sexual health of elderly women. So Psychol Res 2021;10:21 42.

STROBE. Strengthening the Reporting of Observational Studies in Epidemiology. 2023. Available from: https://www. strobe statement.org/checklists/.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32 item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349 57.

Higgins J. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0. 1. The Cochrane Collaboration; 2008.

Gott CM. Sexual activity and risk-taking in later life. Health and social care in the community. Health Soc Care Community 2001;9:72 8.

Gott M, Hinchliff S. Barriers to seeking treatment for sexual problems in primary care: A qualitative study with older people. Family Pract 2003;20:690 5.

Relhan V, Bansal A, Hegde P, Sahoo B. Sexually transmitted infections in the elderly: A 6 year retrospective study in a tertiary care hospital in New Delhi. Indian J Sex Transm Dis AIDS 2021;42:144 9.

Nyanzi S. Ambivalence surrounding elderly widows’ sexuality in urban Uganda. Ageing Int 2011;36:378 400.

Ravanipour M, Gharibi T, Gharibi T. Elderly women’s views about sexual desire during old age: A qualitative study. Sex Disabil 2013;31:179 88.

Menard AD, Kleinplatz PJ, Rosen L, Lawless S, Paradis N, Campbell M, et al. Individual and relational contributors to optimal sexual experiences in older men and women. Sex Relation Ther 2015;30:78 93.

Fileborn B, Thorpe R, Hawkes G, Minichiello V, Pitts M, Dune T. Sex, desire and pleasure: Considering the experiences of older Australian women. Sex Relation Ther 2015;30:117 30.

Palacios D, Martínez RM, Pérez H M, Huertas E, Carrasco P. Expressing sexuality in nursing homes. The experience of older women: A qualitative study. Geriatr Nurs 2016;37:470 7.

Fileborn B, Lyons A, Hinchliff S, Brown G, Heywood W, Dow B, et al. Improving the sexual lives of older Australians: Perspectives from a qualitative study. Aust J Ageing 2017;36:E36 42.

Kasif T, Band Winterstein T. Older widows’ perspectives on sexuality: A life course perspective. J Aging Stud 2017;41:1 9.

Ghazanfarpour M, Khadivzadeh T, Roudsari RL. Sexual disharmony in menopausal women and their husband: A qualitative study of reasons, strategies, and ramifications. J Menopausal Med 2018;24:41 9.

Traeen B, Štulhofer A, Jurin T, Hald GM. Seventy five years old and still going strong: Stability and change in sexual interest and sexual enjoyment in elderly men and women across Europe. Int J Sex Health 2018;30:323 36.

Smith L, Yang L, Veronese N, Soysal P, Stubbs B, Jackson SE. Sexual activity is associated with greater enjoyment of life in older adults. Sex Med 2019;7:11 8.

Erens B, Mitchell KR, Gibson L, Datta J, Lewis R, Field N, et al. Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study. PLoS One 2019;14:e0213835.

Mernone L, Fiacco S, Ehlert U. Psychobiological factors of sexual functioning in aging women–findings from the women 40+ healthy aging study. Front psychol 2019;10:546.

Stahl K, Gale J, Lewis DC, Kleiber D. Pathways to pleasure: Older adult women’s reflections on being sexual beings. J Women Aging 2019;31:30 48.

Hashemiparast M, Naderi B. Exploring the elderly considerations in expressing sexual desires: A qualitative study. J Jiroft Univ Med Sci 2021;8:622 633. (in Persian)

Gore Gorszewska G. “What do you mean by sex?” A qualitative analysis of traditional versus evolved meanings of sexual activity among older women and men. J Sex Res 2021;58:1035 49.

von Humboldt S, Ribeiro Gonçalves JA, Costa A, Low G, Benko E, Leal I. Sexual well being in older adults: A qualitative study with older adults from Portugal and Slovenia. Sex Res Soc Policy 2022. doi: 10.1007/s13178 022 00709 8.

Luz A, Machado A, Felipe GF, Teixeira EM, da Silva MJ, Marques, MB. Sexual behavior in the elderly watched family health strategy. Rev Pesqui Cuid Fundam Online 2015;7:2229 40.

Hinchliff S, Gott M. Challenging social myths and stereotypes of women and aging: Heterosexual women talk about sex. J Women Aging 2008;20:65 81.

Hinchliff S, Gott M, Ingleton C. Sex, menopause and social context: A qualitative study with heterosexual women. J Health Psychol 2010;15:724 33.

Gott M, Hinchliff S. How important is sex in later life? The views of older people. Soc Sci Med 2003;56:1617 28.

Miotto GE, Iser DA, Iser BPM, Ribeiro BT, Castilhos FB. Epidemiological overview of AIDS in elderly people in the state of Santa Catarina from 2008 to 2018. Brazilian Journal of Sexually Transmitted Diseases. 2021;33.

Gharibi T, Gharibi T, Ravanipour M. Facilitators and barriers affecting sexual desire in elderly Iranian women: A qualitative study. Sex Relation Ther 2019;34:228 41.

Jobson GJ. Changing masculinities: Land use, family communication and prospects for working with older men towards gender equality in a livelihoods intervention. Cult Health Sex 2010;12:233 46.

Hendrickx L, Gijs L, Enzlin P. Age-related prevalence rates of sexual difficulties, sexual dysfunctions, and sexual distress in heterosexual women: Results from an online survey in flanders. J Sex Med 2015;12:424 35.

Schaller S, Traeen B, Lundin Kvalem I, Hinchliff S. Linking the past and the present: Constructing meaning from childhood emotional and sexual experiences towards present sexual well being in older adults. Sex Relation Ther 2020;35:382 99.

Træen B, Carvalheira AA, Hald GM, Lange T. Attitudes towards sexuality in older men and women across Europe: Similarities, differences, and associations with their sex lives. Sexuality & CuIture. 2019;23:1-25.

Quilliam S. Come As You Are: The Surprising New Science That Will Transform Your Sex Life. British Medical Journal Publishing Group; 2016. p. 978 87.

Zangeneh S, Savabi Esfahani M, Taleghani F, Sharbafchi MR, Salehi M. Effectiveness of online sexual education based on the extended PLISSIT model on sexual function and sexual satisfaction in women undergoing breast cancer treatment. J Educ Health Promot 2023;12:311.

McCarthy B, Farr E. Couple sexuality after 60. J Fam Psychother 2013;24:38 47.

Brotto L, Atallah S, Johnson C, Rosenbaum T, Abdo C, Byers ES, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2016;13:538 71.

Granville L, Pregler JS. Women’s sexual health and aging. J Am Geriatr Soc 2018;66:595 601.

Lyons A, Heywood W, Fileborn B, Minichiello V, Barrett C, Brown G, et al. Sexually active older Australian’s knowledge of sexually transmitted infections and safer sexual practices. Aust N Z J Public Health 2017;41:259 61.

Fahami F, Savabi M, Mohamadirizi S. Relationship of sexual dysfunction and its associated factors in women with genital and breast cancers. Iran J Nurs Midwifery Res 2015;20:516 20.

Nateri NS, Beigi M, Kazemi A, Shirinkam F. Women coping strategies towards menopause and its relationship with sexual dysfunction. Iran J Nurs Midwifery Res 2017;22:343 7.


Refbacks

  • There are currently no refbacks.