The DOI matches its Crossref record; 39 of the 40 references it cites were found in a registry or an index.
A Study of Sexuality and Health among Older Adults in the United States
Open accessAbstract
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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In the citing paper
“In the past few years, however, a number of well-publicized studies have investigated the sexual activity of those as old as 94.”
From Medicalization and the Refashioning of Age-Related Limits on Sexuality (2012) · cites this paper as Lindau et al., 2007
Experimental — accuracy not yet measuredIn the citing paper
“Thus, interpretation of the results of this study is dif fi cult, because diabetes a risk factor for sexual dysfunction.”
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 [31]
In the citing paper
“The only study by Lindau et al 31 presenting a relatively higher prevalence of arousal dif fi culties (ie, lubrication) of 41.9% was conducted in patients with diagnosed and undiagnosed diabetes.”
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 [31]
In the citing paper
“Nevertheless, in Australia, 19 Sweden, 17 the United States, 16,22,31 and Canada 32 the prevalence of orgasmic dysfunction seems to be approximately 16% to 25%”
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 [31]
In the citing paper
“Orgasmic dysfunction also was higher for older women in the Iranian and U.S. samples.”
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 [31]
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Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,842
Statistical Methods for Rates and Proportions
Fleiss, J. L., Levin, B., & Paik, M. C. (2003) · Wiley Series in Probability and Statistics · doi:10.1002/0471445428 · Cited by 18,646
Harrison's Principles of Internal Medicine.
(1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-108-3-499_2 · Cited by 12,528
Hapeman, D. E., & Agresti, A. (1991) · Technometrics · doi:10.1080/00401706.1991.10484817 · Cited by 9,407
Sexual Dysfunction in the United States: Prevalence and Predictors
Laumann, E. O., Paik, A., & Rosen, R. C. (1999) · JAMA · doi:10.1001/jama.281.6.537 · Cited by 5,119
Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study
Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. (1994) · Journal of Urology · doi:10.1016/s0022-5347(17)34871-1 · Cited by 5,074
The social organization of sexuality: sexual practices in the United States
(1995) · Choice Reviews Online · doi:10.5860/choice.32-4802a · Cited by 2,889
Organic Causes of Erectile Dysfunction in Men Under 40
Ludwig, W. W., & Phillips, M. (2013) · Urologia Internationalis · doi:10.1159/000354931 · Cited by 2,178
Deaths: preliminary data for 2003.
Hoyert, D. L., Kung, H.-C., & Smith, B. L. (2005) · PubMed · Cited by 1,649
Laumann, E. O., Nicolosi, A., Glasser, D. B., Paik, A., Gingell, C., Moreira, E., Wang, T., & for the GSSAB Investigators' Group (2005) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901250 · Cited by 1,415
Self-citationPrinciples of Geriatric Medicine and Gerontology.
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-9-817_6 · Cited by 1,056
Suárez, E. L., Pérez, C. M., Nogueras, G. M., & Moreno-Gorrín, C. (2016) · CRC Press eBooks · doi:10.1201/b19547-8 · Cited by 1,049
On the Variances of Asymptotically Normal Estimators from Complex Surveys
Binder, D. A. (1983) · International Statistical Review / Revue Internationale de Statistique · doi:10.2307/1402588 · Cited by 982
Summary of the Recommendations on Sexual Dysfunctions in Men
Montorsi, F., Adaikan, G. P., Becher, E. F., Giuliano, F., Khoury, S., Lue, T. F., Sharlip, I. D., Althof, S. E., Andersson, K., Brock, G. B., et al. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02062.x · Cited by 937
Bacon, C. G., Mittleman, M. A., Kawachi, I., Giovannucci, E., Glasser, D. B., & Rimm, E. B. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-3-200308050-00005 · Cited by 832
Prevalence and Risk Factors for Erectile Dysfunction in the US
Selvin, E., Burnett, A. L. “., & Platz, E. A. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2006.06.010 · Cited by 795
Laumann, E. O., Paik, A., Glasser, D. B., Kang, J.-H., Wang, T., Levinson, B., Moreira, E. D., Nicolosi, A., & Gingell, C. (2006) · Archives of Sexual Behavior · doi:10.1007/s10508-005-9005-3 · Cited by 626
Nicolosi, A., Laumann, E. O., Glasser, D. B., Moreira, E. D., Paik, A., & Gingell, C. (2004) · Urology · doi:10.1016/j.urology.2004.06.055 · Cited by 591
Self-citationAraujo, A. B., Durante, R., Feldman, H. A., Goldstein, I., & McKinlay, J. B. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199807000-00011 · Cited by 576
Cohabitation, marriage, divorce, and remarriage in the United States
Bramlett, M. D., & Mosher, W. D. (2002) · PsycEXTRA Dataset · doi:10.1037/e372462004-001 · Cited by 570
Hobbs, F. B., & Damon, B. L. (1996) · PsycEXTRA Dataset · doi:10.1037/e401512005-001 · Cited by 541
Measuring sexual behaviour: methodological challenges in survey research
Fenton, K. A. (2001) · Sexually Transmitted Infections · doi:10.1136/sti.77.2.84 · Cited by 531
General practitioner attitudes to discussing sexual health issues with older people
Gott, M., Hinchliff, S., & Galena, E. (2003) · Social Science & Medicine · doi:10.1016/j.socscimed.2003.08.025 · Cited by 397
Summary of the Recommendations on Sexual Dysfunctions in Men
Lue, T. F., Giuliano, F., Montorsi, F., Rosen, R. C., Andersson, K., Althof, S. E., Christ, G. J., Hatzichristou, D. G., Hirsch, M., Kimoto, Y., et al. (2004) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2004.10104.x · Cited by 370
Sexual Activity and Function in Middle-Aged and Older Women
Addis, I. B., Eeden, S. K. V. D., Wassel-Fyr, C. L., Vittinghoff, E., Brown, J. S., & Thom, D. H. (2006) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000202398.27428.e2 · Cited by 317
Principles and practice of sex therapy
Leiblum, S. R. (2007) · DigitalGeorgetown (Georgetown University Library) · Cited by 305
Deaths: preliminary data for 2000.
Miniño, A., Heron, M. P., & Smith, B. L. (2001) · PubMed · Cited by 278
Summary of the Recommendations on Sexual Dysfunctions in Women
Basson, R. J., Althof, S., Davis, S. R., Fugl-Meyer, K., Goldstein, I., Leiblum, S. R., Meston, C. M., Rosen, R. C., & Wagner, G. (2004) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2004.10105.x · Cited by 255
The impact of hormones on menopausal sexuality: a literature review
Bachmann, G. A., & Leiblum, S. R. (2004) · Menopause The Journal of The North American Menopause Society · doi:10.1097/01.gme.0000075502.60230.28 · Cited by 253
de Araújo, A. B., Mohr, B. A., & McKinlay, J. B. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.0002-8614.2004.52413.x · Cited by 230
Nicolosi, A., Moreira, E. D., Villa, M., & Glasser, D. B. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2003.12.008 · Cited by 192
Sexual dysfunction in the elderly: age or disease?
Camacho, M. E., & Ortiz, C. A. R. (2005) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901429 · Cited by 178
Synthesis of Scientific Disciplines in Pursuit of Health: The Interactive Biopsychosocial Model
Lindau, S. T., Laumann, E. O., Levinson, W. S., & Waite, L. J. (2003) · Perspectives in biology and medicine · doi:10.1353/pbm.2003.0055 · Cited by 168
Epidemiology of Erectile Dysfunction: the Role of Medical Comorbidities and Lifestyle Factors
Rosen, R. C., Wing, R. R., Schneider, S., & Gendrano, N. (2005) · Urologic Clinics of North America · doi:10.1016/j.ucl.2005.08.004 · Cited by 124
Sexual Healthcare Needs of Women Aged 65 and Older
Nusbaum, M. R. H., Singh, A. R., & Pyles, A. A. (2003) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52020.x · Cited by 116
Older Women's Attitudes, Behavior, and Communication about Sex and HIV: A Community-Based Study
Lindau, S. T., Leitsch, S. A., Lundberg, K. L., & Jerome, J. S. (2006) · Journal of Women s Health · doi:10.1089/jwh.2006.15.747 · Cited by 100
Finger, W. W., Lund, M., & Slagle, M. A. (1997) · PubMed · Cited by 58
Mercer, C. H. (2005) · Sexually Transmitted Infections · doi:10.1136/sti.2005.015149 · Cited by 56
Seeking Medical Help for Sexual Concerns: Frequency, Barriers, and Missed Opportunities
Gamble, G., & Pathman, D. E. (2002) · Cited by 22
Flagged first, then by citations
1 of the 40 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Finger WW, 1997, J Fam Pract, 44, 33
- Nusbaum MRH, 2002, J Fam Pract, 51, 706
Cited by
Sorted by citations
Sexual Problems and Distress in United States Women: Prevalence and Correlates
Shifren, J. L., Monz, B. U., Russo, P. A., Segreti, A., & Johannes, C. B. (2008) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181898cdb · Cited by 1,394
Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation
Hatzimouratidis, K., Amar, E., Eardley, I., Giuliano, F., Hatzichristou, D., Montorsi, F., Vardi, Y., & Wespes, E. (2010) · European Urology · doi:10.1016/j.eururo.2010.02.020 · Cited by 1,223
Nout, R. A., Smit, V. T. H. B. M., Putter, H., Jürgenliemk-Schulz, I., Jobsen, J., Lutgens, L. C. H. W., van der Steen-Banasik, E., Mens, J. M., Slot, A., Kroese, M. C. S., et al. (2010) · The Lancet · doi:10.1016/s0140-6736(09)62163-2 · Cited by 1,149
(2008) · JAMA · doi:10.1001/jama.2008.892 · Cited by 995
“The NSHAP study protocol is a nationally representative probability sample of community-dwelling persons aged 57 through 84 years (at the time of screening in 2004) from households across the United States, as previously described.(16) Blacks, Hispanics, men, and individuals aged 75 through 84 years at the time of scr…”
BackgroundMethodSelf-citationWhite, M. C., Holman, D. M., Boehm, J. E., Peipins, L. A., Grossman, M., & Jane Henley, S. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2013.10.029 · Cited by 762
Metadata
- 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
- Publisher
- Massachusetts Medical Society
- Published
- 2007-08-23
- Volume
- 357
- Issue
- 8
- Pages
- 762-774
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC2426743
- 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
- bronze
- doi.org
- 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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