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Declines in Sexual Activity and Function Predict Incident Health Problems in Older Adults: Prospective Findings from the English Longitudinal Study of Ageing.


ABSTRACT: The objective of this study was to investigate cross-sectional and longitudinal associations between declines in sexual activity and function and health outcomes in a large population-based sample of older adults. Data were from 2577 men and 3195 women aged???50 years participating in the English Longitudinal Study of Ageing. Past-year changes in sexual desire, frequency of sexual activity, and ability to have an erection (men)/become sexually aroused (women) were assessed at baseline by self-completion questionnaire. Health outcomes (self-rated health, limiting long-standing illness, doctor-diagnosed diseases of the vascular system, and cancer) were self-reported at baseline (2012/2013) and 4-year follow-up (2016/2017). Data were analyzed using logistic regression, adjusted for sociodemographics, health behaviors, and depressive symptoms. Prospectively, men who reported a decline in sexual desire had higher odds of incident limiting long-standing illness (OR?1.41, 95% CI 1.04-1.91) and incident cancer (OR?1.63, 95% CI 1.06-2.50) than those who maintained their sexual desire. Men who reported a decline in the frequency of sexual activities had higher odds of deterioration in self-rated health (OR?1.47, 95% CI 1.04-2.08) and incident limiting long-standing illness (OR?1.69, 95% CI 1.20-2.37). In women, a decline in frequency of sexual activities was associated with deterioration of self-rated health (OR?1.64, 95% CI 1.07-2.51). Erectile dysfunction was longitudinally associated with poorer health outcomes including incident cancer (OR?1.73, 95% CI 1.11-2.70), coronary heart disease (OR?2.29, 95% CI 1.29-4.07), and fair/poor self-rated health (OR?1.66, 95% CI 1.19-2.32). Practitioners should be mindful that a decline in sexual activity, desire, or function in older age may be an important indicator of future adverse health outcomes.

SUBMITTER: Jackson SE 

PROVIDER: S-EPMC7058559 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Declines in Sexual Activity and Function Predict Incident Health Problems in Older Adults: Prospective Findings from the English Longitudinal Study of Ageing.

Jackson Sarah E SE   Yang Lin L   Koyanagi Ai A   Stubbs Brendon B   Veronese Nicola N   Smith Lee L  

Archives of sexual behavior 20190820 3


The objective of this study was to investigate cross-sectional and longitudinal associations between declines in sexual activity and function and health outcomes in a large population-based sample of older adults. Data were from 2577 men and 3195 women aged ≥ 50 years participating in the English Longitudinal Study of Ageing. Past-year changes in sexual desire, frequency of sexual activity, and ability to have an erection (men)/become sexually aroused (women) were assessed at baseline by self-co  ...[more]

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