Cited by 2,211Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyMarriage and Sexual Relationships

A Study of sexuality and health among older adults in the United States

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Lindau, Stacy Tessler, Schumm, L. Philip, Laumann, Edward O., Levinson, Wendy, O'Muircheartaigh, Colm A., Waite, Linda J.·2007·New England Journal of Medicine

Abstract

BACKGROUND: Despite the aging of the population, little is known about the sexual behaviors and sexual function of older people. METHODS: We report the prevalence of sexual activity, behaviors, and problems in a national probability sample of 3005 U.S. adults (1550 women and 1455 men) 57 to 85 years of age, and we describe the association of these variables with age and health status. RESULTS: The unweighted survey response rate for this probability sample was 74.8%, and the weighted response rate was 75.5%. The prevalence of sexual activity declined with age (73% among respondents who were 57 to 64 years of age, 53% among respondents who were 65 to 74 years of age, and 26% among respondents who were 75 to 85 years of age); women were significantly less likely than men at all ages to report sexual activity. Among respondents who were sexually active, about half of both men and women reported at least one bothersome sexual problem. The most prevalent sexual problems among women were low desire (43%), difficulty with vaginal lubrication (39%), and inability to climax (34%). Among men, the most prevalent sexual problems were erectile difficulties (37%). Fourteen percent of all men reported using medication or supplements to improve sexual function. Men and women who rated their health as being poor were less likely to be sexually active and, among respondents who were sexually active, were more likely to report sexual problems. A total of 38% of men and 22% of women reported having discussed sex with a physician since the age of 50 years. CONCLUSIONS: Many older adults are sexually active. Women are less likely than men to have a spousal or other intimate relationship and to be sexually active. Sexual problems are frequent among older adults, but these problems are infrequently discussed with physicians.

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Research works printed but not linked: 3

  1. Laumann EO, Paik A, Rosen RC. Sex ual dysfunction in the United States: prev 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. alence and predictors. JAMA 1999;281: 53744. [Erratum, JAMA 1999;281:1174.]
  2. Araujo AB, Durante R, Feldman HA, Goldstein I, McKinlay JB. The relation ship between depressive symptoms and male erectile dysfunction: crosssectional results from the Massachusetts Male Ag ing Study. Psychosom Med 1998;60:45865.
  3. Lindau ST, Leitsch SA, Lundberg KL, Jerome J. Older women's attitudes, behav ior, and communication about sex and HIV: a communitybased study. J Womens Health (Larchmt) 2006;15:74753.

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Authors
Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O'Muircheartaigh, C. A., & Waite, L. J.
Affiliations
  • University of Chicago (US)
  • University of Toronto (CA)
Venue
New England Journal of Medicine
Published
2007-08-23
Volume
357
Issue
8
Pages
762-774
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2107749577
Cited by
2,211
References
40
Citations by year
2026: 59 · 2025: 74 · 2024: 70 · 2023: 92 · 2022: 100 · 2021: 109 · 2020: 196 · 2019: 121 · 2018: 118 · 2017: 127 · 2016: 158 · 2015: 151 · 2014: 147 · 2013: 139 · 2012: 108
FWCI
66.75
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Pfizer
  • Johns Hopkins University
  • National Institutes of Health
  • Johns Hopkins Bloomberg School of Public Health
  • Nutrition Obesity Research Center, University of North Carolina
  • National Institute on Aging (AG021487, R01AG021487)
  • Office of Behavioral and Social Sciences Research (AG021487, 5R01AG021487)
  • Office of AIDS Research
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
Keywords
sexuality in old age, sexual activity, sexual dysfunction, sexual desire, erectile dysfunction, vaginal lubrication, health status, age differences, gender differences, sexual health
MeSH terms
Aged, Aged, 80 and over, Aging, Coitus, Female, Health Status, Humans, Male, Middle Aged, Sexual Behavior, Sexual Dysfunction, Physiological, United States, Logistic Models, Sexuality

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