Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors
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Objectives To assess the importance of sex and the prevalence of sexual dysfunction among middle-aged and older adults throughout the world. Increasing life expectancy has been accompanied by improvements in the health of the middle-aged and elderly, but little is known about how this has affected their sexual experience.Methods Data were collected in 29 countries from 27,500 men and women aged 40 to 80 years using a standardized questionnaire (self-completed or by interview). Sexual dysfunction was defined as frequent and persistent problems. They included early ejaculation and erectile difficulties in men, lubrication difficulties and pain during intercourse in women, and a lack of sexual interest, an inability to achieve orgasm, and a feeling of unpleasurable sex in both.Results More than 80% of the men and 65% of the women had had sexual intercourse during the past year. Of these subjects, the most common dysfunctions were early ejaculation (14%) and erectile difficulties (10%) among the men and a lack of sexual interest (21%), inability to reach orgasm (16%), and lubrication difficulties (16%) among the women. Overall, 28% of the men and 39% of the women said that they were affected by at least one sexual dysfunction.Conclusions The results of our study indicate that sexual desire and activity are widespread among middle-aged and elderly men and women worldwide and persist into old age. The prevalence of sexual dysfunctions was quite high and tended to increase with age, especially in men. Although major between-country differences were noted, this global study revealed some clear and consistent patterns.
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According to the Global Study of Sexual Attitudes and Behaviors, women's lack of interest in sex varied from 17% in Northern Europe to 34% in Southeast Asia.
“According to the Global Study of Sexual Attitudes and Behaviors 20 based on a sample of 27,500, approximately half of whom were women 40 to 80 years old, women ' s lack of interest in sex varied from 17% in Northern Europe to 34% in Southeast Asia.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
The Global Study of Sexual Attitudes and Behavior reported the prevalence of lubrication problems ranged from 12% in Southern Europe and the Middle East to 28% in East and Southeast Asia.
“The Global Study of Sexual Attitudes and Behavior 20 reported the prevalence of lubrication problems ranged from 12% in Southern Europe and the Middle East to 28% in East and Southeast Asia.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
In Nicolosi et al's second study, regional prevalence rates were similar for all regions and ranged from 8% to 15% except for Southeast Asia, where the prevalence rate was almost double to 22%.
“The regional prevalence rates were similar for all regions and ranged from 8% to 15% except for Southeast Asia, where the prevalence rate was almost double to 22%.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
In a second study from Nicolosi et al, rates were low before 60 years of age, 15.2% for the seventh decade of life, and 22% for older than 70 years.
“Rates were strati fi ed for age for all the countries and were low before 60 years of age, 15.2% for the seventh decade of life, and 22% for older than 70 years.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
The Global Study of Sexual Attitudes and Behavior reported pain during sexual intercourse to range from 5% in Northern Europe to 22% in Southeast Asia.
“The Global Study of Sexual Attitudes and Behavior 20 reported pain during sexual intercourse to range from 5% in Northern Europe to 22% in Southeast Asia.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
The prevalence of inability to have orgasm in the Global Study of Sexual Attitudes and Behavior ranged from 10% in Northern Europe to 34% in Southeast Asia.
“The prevalence of inability to have orgasm in the Global Study of Sexual Attitudes and Behavior 20 ranged from 10% in Northern Europe to 34% in Southeast Asia.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [20]
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- Authors
- Nicolosi, A., Laumann, E. O., Glasser, D. B., Moreira, E. D., Paik, A., & Gingell, C.
- Affiliations
- Institute of Biomedical Technologies (IT)
- University of Chicago (US)
- Pfizer (United States) (US)
- Fundação Oswaldo Cruz (BR)
- University of Iowa (US)
- Southmead Hospital (GB)
- Corresponding author
- Nicolosi, Alfredo
- Venue
- Urology
- Publisher
- Elsevier BV
- Published
- 2004-11
- Volume
- 64
- Issue
- 5
- Pages
- 991-997
- ISSN
- 0090-4295 (ISSN-L)
- OpenAlex
- W2142229996
- Cited by
- 591
- References
- 31
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 12 · 2023: 27 · 2022: 24 · 2021: 21 · 2020: 83 · 2019: 35 · 2018: 21 · 2017: 30 · 2016: 34 · 2015: 19 · 2014: 33 · 2013: 24 · 2012: 32
- FWCI
- 14.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Urology (publishedVersion)
- PubMed (publishedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Arca - Repositório Institucional da Fiocruz (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- sexual dysfunction, sexual behavior, middle-aged adults, older adults, erectile dysfunction, premature ejaculation, female sexual dysfunction, dyspareunia, vaginal lubrication, lack of sexual desire, orgasm, prevalence, cross-national comparison, aging
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Attitude, Demography, Female, Humans, Erectile Dysfunction, Interviews as Topic, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Sexual Behavior, Sex Factors, Telephone, Prevalence, Sexual Dysfunctions, Psychological
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