Elderly Sexual Activity And Health Health And Social Care Essay

Elderly rouseual Activity And Health Health And favorable C ar EssayAs Lindau et al. (2003) point out, intimateity involves the forming of a confederation and pertains to the behaviors, attitudes, dish out and exertion of energiseu all in ally mobile singulars. Sexual exercise has been associated with come upness (Addis, Van Den Eeden and Wassel-Fyr, 2006 Laumann, Nicolosi and Glasser, 2005), and ailment and disorder might signifi cigarettetly deflower informal sanitaryness (Schover, 2000). Elderly plurality atomic number 18 recipients of a roomy array of devices and medications which aim at treating problems of a versed nature. While the invite for services and medication pertaining to cozy health is increasing, nevertheless(prenominal) not some(prenominal) is known about the informal behavior of adults over 65 historic period of age.In the real countries, the chronological age of 65 old age aged(prenominal) is largely accepted as a cut-off point for cl assification of a soulfulness as angiotensin converting enzymetime(a)er or senior(a). While common translations of the trine age such as this are indeed practically utilized, thither exists no general consensus as to the point in time when mavin actually fashions old. Usually, the time in flavor when one becomes eligible for a pension is adopted as indicative of old age. The unify Nations do not use a standardized criterion, but nevertheless agrees to 60+ years as referring to the elderly (WHO, 2010).A definition of ripening is provided by Gorman (2000) ageing is a highly predetermined biological process which eludes gracious control. At the aforementioned(prenominal) time, ageing is defined in a constructivist valet beings, where diametrical societies assign different meanings to old age. Chronological age is seen as nearly burning(prenominal) in developed countries. The age between 60 and 65 is taken to signify the onset of old age. By contrast, in galore(postno minal) developing countries, age by years bears little relationship to the definition of old age. In such countries, the meaning of old age whitethorn depend instead on the roles that are been assigned to ripened community, or level off on the loss of previously-held roles, which whitethorn come as a result of natural physiological decline. In sum, musical composition the developed world defines old age in a manner highly chronological, the selfsame(prenominal) is often not true for developing countries, where people start to be perceived as elderly when their progressive role involvement is no monthlong possible (Gorman, 2000).According to a definition by the introduction Health Organization (2001), sex is a natural set out of human development through every phase of life and includes forcible, psychological, and social components (p. 13). some other definition of intimateity provided by Rheaume and Mitty (2008) states that cozyity is a core property of life that inc orporates notions, beliefs, facts, fantasies, rituals, attitudes, value, and rights with regard to gender identity and role, versed acts and orientation, and aspects of pleasure, fellowship, and reproduction and involves biological, psychological, social, economic, religious, religious and cultural components (p. 342).Health is defined as a state of thoroughgoing(a) physical, mental and social well-being and not merely the absence of disease or infirmity (WHO, 2001, p. 8). In turn, sexual health implies a positive degree approach to human sexuality and is therefore an essential component of generative health. It includes the integration of somatic, emotional, intellectual, and social aspects of an individual in ways which positively enrich and enhance personality, communication, love and human relationships (p. 13). Sexual health, not unlike physical health, is viewed as a state of well-being where there is an expectation of delightful experiences without the intrusion of neg ative feelings such as shame, fear, pressure or violence. In keeping with this definition, Calamidas (1997) suggests that home or assisted-living nurses can play a essential role in the quality of elderly peoples life through destiny them attain and preserve a positive outlook toward the expression of their individual sexuality.Historically, a large proportion of instantlys elderly people grew up and lived during a time when social norms were both conservative and gender-biased. Broadly speaking, sexual sexual congress was considered as a pleasurable experience primarily for the men while women were thereby expected to sexually satisfy their husbands and to make babies (Hajjar and Kamel, 2003). People that today are over 70 years old whitethorn confine actually missed the sexual revolution of the 1960s in the setting and social conditions under which it took place, since they were already married and engrossed in their fetch and family life. This affaireing analysis by Hajjar and Kamel (2003) proceeds to argue that the challenges to intimacy and sexuality faced by that age group may be partially cod to the adoption of a rather conservative set of values and beliefs about sexuality, a limited availability and access to acquaintance on sexuality, and a lack of feeling comfortable with their sexuality.Rheaume and Mitty (2008) suggest that nowadays the traditional stereotypes regarding ageing, intimacy and sexuality are being reexamined that is, the point of view is promoted that a desire for intimacy and for sexual contact does not have to forgo at any point during the lifetime. Knowledge on the sexual activity of the elderly people however is far from complete, especially within a cross-cultural context as well as with reference to educational and financial status. In this light, the generalizability of research findings in this area is rather hindered. Oftentimes, this nitty-gritty that health professionals may be left somewhat in the black-market c oncerning the wants and inescapably of ripened adults as to their sexuality (Rheaume and Mitty, 2008, p. 342).sexual urge of the ElderlyThe matter friendly carriage, Health and Aging Project (NSHAP) has taken up the task of gathering data on the sexual activity, behaviors and problems of elderly people (Lindau et al., 2007). The findings of the number area American sample of NSHAP show that while sexual activity flows to strike with age, most elder adults continue to enjoy intimate marital or other relationships, as well as consider their sexuality an important aspect of life. The majority of individuals aged 57 to 85 years old, and slightly one in three of individuals aged between 75 85 years old were active sexually. Even in their 80s or 90s, the elderly may practice sex and/or masturbation (Lindau et al., 2007).There is test to suggest that some men and women retain their sexual desire and fusion during the whole of their life (Addis et al., 2006 AARP, 1999 Nicolosi , Laumann and Glasser, 2004 Bacon et al., 2003). Some of these studies however have relied on relatively small sample sizes, and have utilized non-random sampling methods. Taking into devotion the above criticisms, Lindau et al.s (2007) get hold of examined the occurrence of sexual activity in sexually active participants and did not find significantly decrease with old age. At the same time, the levels of describe sexual activity in respondents between 60 and 74 years old were comparable to the levels inform by adults from 18 to 59 years old, in a wide US accompany (Laumann et al., 1994).Adults aged 65 years and over can retain an active and satisfying sexual life throughout their years (WHO, 2002). Frequent sexual activity is commonly reported after middle age (Janus and Janus, 2003). In the survey of the American Association of Retired Persons (AARP, 1999) including 1384 elderly individuals, although sexual activity was reported as being pleasurable, no overarching agreemen t was reached as to the enormousness of sex toward maintaining a good relationship. The research by AARP (1999) also found that old adults who have partners angle to feel that a fulfilling sexual relationship is important, as opposed to old adults with no partners. Men older than 75 were much(prenominal) likely to have a spouse or partner and appeared to discernment more favorable attitudes or more interest towards sex than did women of the same age. Men, whether they had a partner or not, reported a higher oftenness of thoughts, feelings and fantasies related to to sex than generally did women.Steinke et al.s (2008) research with muscular elderly people reported that the lesser health restrictions of the elderly helped them to retain their sexual activity throughout the course of their lives. Women in their third age usually test a larger diminution of sexual activity with time than do same-aged men (Lindau et al., 2007). According to the results of a multinational survey of persons 40 to 80 years of age (Laumann, Paik and Glasser, 2006), women tend to think of sex as a less important facet of life than do men, and they also tend to report more absence of pleasure from it.The determination of the dynamics that are involved in sexual felicity are of particular importance here (Carpenter, Nathanson and Kim, 2009). Henderson-King and Veroff (1994) and Sprecher (2002) have found that sexual cheer enhances the individuals well-being, while it promotes the constancy of a marriage and of other personal relationships. A better knowledge of the factors that promote and lessen sexual satisfaction may help in the development of better-suited clinical and policy interventions against sexual problems (Bancroft, 2002). As populations age, a telephone understanding of sexual activity in elderly people is adequate more and more relevant people now enjoy longer and healthier lives, attitudes toward sexuality are being transformed and the importance of a fulfill ing sexual life toward the attainment of personal happiness is being accepted (Seidman, 1991 Calasanti Slevin, 2001).Quality of lifeA number of authors have suggested that doctors and policy-makers are become more and more aware of the importance of human sexuality for health and for good quality of life across the life span (Lindau et al., 2007 Satcher, 2001 WHO, 2002). In his description of the cross-cultural look at of the World Health Organization, Quality of Life/Older Adults (including such topics as autonomy, activity, functionality, intimacy, relationships, socialization, death, and dying, Robinson (2007) states that sexuality, health status and personal relationships were all significantly related to quality of life. Many studies have found that sexual activity bears a significant relationship to longevity and positive health outcomes (Palmore, 1982 Davey Smith, Frankel and Yarnell, 1997 Onder et al., 2003).Sexual problemsSince the beginning of the 21st century new and considerable concern has been paid to the sexuality of the elderly as a result of the initiation of drugs that treat upright disfunction. Male erectile dysfunction, if treated effectively, can elongate the active sex life of the elderly of both genders throughout life (Lindau, 2010). As Cambois, Robine and Hayward (2001) point out, in many countries sexual problems comprise a major issue for elderly people in the United States, nigh one in two 57 to 85 year olds who are sexually active report that they have at least one sexual predicament, and one in three mention at least two such afflictions. Accordingly, the majority of the elderly people in Lindau et al.s (2007) study did report pestering problems of a sexual nature, and approximately one in four sexually active elderly participants of both genders refrained from sexual carnal knowledge as a result of a sexual problem subject to therapeutic intervention.During the transition to old age, changes in physiology can impair th e sexual responsiveness of elderly women and men, while they may affect, either negatively or positively, their sexual function (Bachmann and Leiblum, 2004 Rosen et al., 2005). Different aspects of sexuality had been found to have a negative correlation with poor health and age (Laumann et al., 2005 Schover, 2000 Laumann, Paik and Rosen, 1999 Camacho and Reyes-Ortiz, 2005). Isselbacher et al. (1994) and Rosen et al. (2005) state that problems of a sexual nature may act as precursors or as epiphenomena to significant infections or diseases such as diabetes or cancer. Sexual problems that go unnoticed and/or untreated may lead to or coexist with depression and social withdrawal (Nicolosi et al., 2004 Morley and Tariq, 2003, Araujo et al., 1998). Medication prescribed to the elderly may have an adverse effect on sexual life ( fingerbreadth, Lund and Slagle, 1997) even medication which treats sexual problems may have adverse health effectuate (Lindau et al., 2006 Gott, Hinchliff and G alena, 2004).Steinke et al. (2008) also found that elderly participants who were not active sexually showed a worsening of sexual self-concept, self-efficacy, and satisfaction. In Konstam, Moser and De Jongs (2005) research, a heightened self-efficacy was demonstrated to improve on both sexual function and emotional functioning, not excluding depression.Health and sexualityLindau et al.s (2007) study found sexual activity to be positively related to the physical health of the elderly, particularly in elderly men. In general, healthy individuals of all ages were more likely to engage in marital or other intimate relationships and to be more sexually active. Furthermore, physical health was found to be related to different facets of sexual function, as well as sexual problems, regardless of age similar findings have been reported by other researchers (Laumann et al., 1999 Bacon et al., 2003). It is advisable then that, when specific conditions apply, elderly people who have health pro blems or who are to receive discussion which may influence their sexual functioning may need to be evaluated ground on their health status instead of their age (Laumann et al., 2005).In a representative national analysis, Lindau (2010) assessed the relationship between sexuality, as measured per sexual activity and quality of sex life, and global self-reported physical health in mature and elderly adults. Lindau (2010) found that especially for older women, self-rated health was almost related to having a partner. Overall, participants who were of very good or excellent physical health were about 1.7 times more likely to show an interest in sex than did participants of less than good health.As Lindau (2010) puts it, when compared to women, men tend to spend significantly more of their life being sexually active but, at the same time, miss out on significantly more years of sexual activity as a consequence of less than good health. This strong relationship between mens health and expected term of a sexually active life may be partially attributable to chronic diseases but also to treatment received for erectile dysfunction (Westlake et al., 1999 Solomon, Man and Jackson, 2003 Burke et al., 2007).The United Nations (2007) have proposed that in the developed and developing nations, a projection of peoples sexual activity as they become older can be useful in predicting health needs and resources, sexual function-related services, the recovery from sexual dysfunction due to illness, as well as the treatment for commonly occurring health conditions in the third age. At the same time, the wish to prolong the duration of their sexual life can modify older peoples important health behaviors mature adults may for pillow slip quit smoking or take their medication more mischievously if they expect that their action will promote a lengthy and fulfilling sexual life (United Nations, 2007).Addis IB, Van Den Eeden SK, Wassel-Fyr CL, et al. Sexual activity and function in middle-aged and older women. Obstet Gynecol 2006107755-64.American Association of Retired Persons. Modern maturity. Sexuality study. upper-case letter DC AARP 1999.Araujo AB, Durante R, Feldman HA, Goldstein I, McKinlay JB. The relationship between depressive symptoms and male erectile dysfunction cross- sectional results from the mum Male Aging Study. Psychosom Med 199860458-65.Araujo AB, Mohr BA, McKinlay JB. Changes in sexual function in middle-aged and older men longitudinal data from the Massachusetts Male Aging Study. J Am Geriatr Soc 2004521502-9.Bachmann GA, Leiblum SR. The jounce of hormones on menopausal sexuality a literature review. Menopause 2004 11120-30.Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glassser DB, Rimm EB. Sexual function in men older than 50 years of age results from the Health Professionals Follow-up Study. Ann Intern Med 2003139161-8.Bancroft, J. (2002). The medicalization of female sexual dysfunction The need for caution. arch(a)ives of S exual Behavior, 31, 451-455.Burke JP, Jacobson DJ, McGree ME, Nehra A, Roberts RO, Girman CJ, et al. Diabetes and sexual dysfunction results from the Olmsted County study of urinary symptoms and health status among men. J Urol 20071771438-42.Calamidas EG. Promoting health sexuality among older adults educational challenges for health professionals. J Sex Educ Ther 19972245-9.Calasanti, T. M., Slevin, K. F. (2001). Gender, social inequalities, and aging. walnut tree Creek, CA Altamira Press.Camacho ME, Reyes-Ortiz CA. Sexual dysfunction in the elderly age or disease? Int J Impot reticuloendothelial system 200517Suppl 1S52-S56.Cambois E, Robine JM, Hayward MD. Social inequalities in disability-free life expectancy in the French male population, 1980-1991. Demography 200138513-24.Davey Smith G, Frankel S, Yarnell J. Sex and death are they related? Findings from the Caerphilly Cohort Study. BMJ 19973151641-4.Finger WW, Lund M, Slagle MA. Medications that may contribute to sexual disord ers a guide to assessment and treatment in family practice. J Fam Pract 1997 4433-43.Gorman M. Development and the rights of older people. In Randel J, et al., eds. The ageing and development report poverty, independence and the worlds older people. London, Earthscan Publications Ltd.,19993-21.Gott M, Hinchliff S, Galena E. General practitioner attitudes to discussing sexual health issues with older people. Soc Sci Med 2004582093-103.Hajjar RR, Kamel HK. Sexuality in the nursing home, part 1 attitudes and barriers to sexual expression. J Am Med Dir Assoc 20034152-6.Henderson-King, D. H., Veroff, J. (1994). Sexual satisfaction and marital well-being in the first years of marriage. Journal of Social and Personal Relationships, 11, 509-534.Isselbacher KJ, Martin JB, Braunwald E, Fauci AS, Wilson JD, Kasper DL, eds. Harrisons principles of internal medicine. 13th ed. smart York McGraw-Hill, 1994262.Janus SC, Janus CL. The Janus report on sexual behavior. 1993. Cited in M. Wallace. Sex uality and aging in longterm care. Ann Long-Term Care 20031153-9.Konstam V, Moser D, De Jong M. Depression and anxiety in heart hardship. J Card cave in 200511455-63.Laumann EO, Gagnon JH, Michael RT, Michaels S. The social organization of sexuality sexual practices in the United States. Chicago University of Chicago Press, 199488.Laumann EO, Nicolosi A, Glasser DB, et al. Sexual problems among women and men aged 40-80 y prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 20051739-57.Laumann EO, Paik A, Glasser DB, et al. A cross-national study of subjective sexual well-being among older women and men findings from the Global Study of Sexual Attitudes and Behaviors. Arch Sex Behav 200635145-61.Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States prevalence and predictors. JAMA 1999281 537-44.Carpenter LM, Nathanson -CA, Kim YJ. bodily Women, Emotional Men Gender and Sexual Satisfaction in Midlife. Arch Sex Behav (2009) 3887-107.Lindau, S.T. (2010). Sex, health, and years of sexually active life gained due to good health evidence from two US population-based cross sectional surveys of ageing. BMJ, 340, 810Lindau ST, Laumann EO, Levinson W, Waite LJ. Synthesis of scientific disciplines in pursuit of health the Interactive Biopsychosocial Model. Perspect Biol Med 200346Suppl 3S74-S86.Lindau ST, Leitsch SA, Lundberg KL, Jerome J. Older womens attitudes, behavior, and communication about sex and HIV a community-based study. J Womens Health (Larchmt) 200615747-53.Lindau ST, Schumm L, Laumann E, Levinson W, OMuircheartaigh C, Waite L. A study of sexuality and health among older adults in the United States. N Engl J Med 2007357762-74.Morley JE, Tariq SH. Sexual dysfunction in older persons. In Hazzard WR, Blass JP, Halter JB, Ouslander JG, Tinetti ME, eds. Principles of geriatric medicine and gerontology. fifth ed. New York McGraw- Hill, 20031311-23.Nicolosi A, Laumann EO, Glasser DB, et al. Sexual behavior and sexual dysfunctions after age 40 the Global Study of Sexual Attitudes and Behaviors. Urology 200464991-7.Nicolosi A, Moreira ED Jr, Villa M, Glasser DB. A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men. J Affect Disord 200482235-43.Onder G, Penninx B, Guralnik JM, Jones H, Fried LP, Pahor M, et al. Sexual satisfaction and risk of disability in older women. J Clin Psychiatry 2003641177-82.Palmore EB. Predictors of the longevity difference a 25-year follow-up. Gerontologist 198222513-8.Rheaume, C., and Mitty, E. (2008). Sexuality and intimacy in older adults. Geriatric Nursing, 29, 342-349.Robinson JG, Mohlzan AE. Sexuality and quality of life. J Gerontol Nurs 20073319-27.Rosen RC, Wing R, Schneider S, Gendrano N. Epidemiology of erectile dysfunction the role of medical comorbidities and lifestyle factors. Urol Clin normality Am 200532403-17.Satcher D. The surgeon generals call to action to promote s exual health and responsible sexual behaviour. US Department of Health and gracious Services, 2001.Schover LR. Sexual problems in chronic illness. In Leiblum SR, Rosen RC, eds. Principles and practice of sex therapy. New York Guilford, 2000398-422.Seidman, S. (1991). Romantic longings Love in America, 1830-1980. New York Routledge.Solomon H, Man JW, Jackson G. cavernous dysfunction and the cardiovascular patient endothelial dysfunction is the common denominator. sum total 200389251-3.Sprecher, S. (2002). Sexual satisfaction in premarital relationships Associations with satisfaction, love, commitment, and stability. Journal of Sex Research, 39, 190-197.Steinke, E.E., Wright, D.W., Chung, M.L., and Moser, D.K. (2008). Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders. Heart Lung, 37, 323-333.United Nations. World population ageing 2007. UN, 2007.Westlake C, Dracup K, Walden JA, Fonarow G. Sexuality of patients with advanced heart failure and their spouses or partners. J Heart Lung transplantation 1999181133-8.World Health Organization (2001). Definitions and indicators in family planning, maternal kidskin health and reproductive health used in the WHO regional authorisation for Europe. Reproductive, Maternal and Child Health European Regional Office. Revised display 1999 January 2001. Accessed on 25 April 2010 at http//www.euro.who.int/document/e68459.pdfWorld Health Organization. be sexual health report of a technical consultation on sexual health, 28-31 January 2002. Geneva, 2002. www.who.int/reproductivehealth/topics/gender_rights/defining_sexual_health/en/index.html.World Health Organization (2010). Definition of an older or elderly person proposed working definition of an older person in Africa for the MDS Project. Accessed on 25 April 2010 athttp//www.who.int/healthinfo/survey/ageingdefnolder/en/index.html.