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Sexuality: Measures of Partnerships, Practices, Attitudes, and Problems in the National Social Life, Health, and Aging Study
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Objectives The National Social Life, Health, and Aging Project (NSHAP) was designed to examine the relationship between sexual behavior, sexual problems, and health among older women and men. We describe measures of sexual partnerships, sexual practices, sexual problems, attitudes toward sex, and nonsexual intimacy in the first wave of NSHAP. Methods We compare measures of sexuality for those 57-85 years old, by age, separately for men and women. We construct scales of sexual mores, sexual interest, and relationship satisfaction and discuss properties of each scale. Results Sexuality among older adults tends to vary with age and gender. At all ages in this study, men are more likely than women to have a partner, more likely to be sexually active with that partner, and tend to have more positive and permissive attitudes toward sex. The proportions in a sexual partnership, behavior, problems, and attitudes all differ substantially by age. And these age patterns often differ for men and women. Discussion Data obtained in the NSHAP can be used to construct key measures of sexuality among older adults; to examine sexuality itself; and to explore the link between sexuality, health, well-being, and other dimensions of the lives of older adults.
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“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 Waite, Laumann, Das, & Schumm, 2009
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“Lindau et al. (2007) reported results from NSHAP, based on face-to-face interviews with a national probability sample of 3005 adults aged 57 85.”
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Waite, L., & Das, A. (2010) · Demography · doi:10.1353/dem.2010.0009 · Cited by 113
“2009); detailed measures of sexual motivations, behaviors, and problems in late life (Waite et al. 2009); quality-of-life and other self-assessments (Shiovitz-Ezra et al.”
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Balancing access to health data and privacy: a review of the issues and approaches for the future.
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BackgroundThe role of sexual mindfulness in sexual wellbeing, Relational wellbeing, and self-esteem
Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2019.1572680 · Cited by 143
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BackgroundWang, V., Depp, C. A., Ceglowski, J., Thompson, W. K., Rock, D., & Jeste, D. V. (2014) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2014.03.006 · Cited by 98
Saunamäki, N., & Engström, M. (2014) · Journal of Clinical Nursing · doi:10.1111/jocn.12155 · Cited by 86
“According to one study, 74% of men and 48% of women in the age range 75–85 years reported that sexuality was an important part of their life (Waite et al. 2009).”
Hinchliff, S., Tetley, J., Lee, D. M., & Nazroo, J. (2018) · Journal of Sex Research · doi:10.1080/00224499.2016.1269308 · Cited by 83
“Behaviors that older adults consider as sexual activity are often broader than those of younger people (Bouman, 2013; Hinchliff & Gott, 2004a; Waite et al., 2009), encompassing physical intimacy more than traditional modes of sexual activity like penetrative sexual intercourse.”
BackgroundCougars on the prowl? New perceptions of older women's sexuality
Montemurro, B., & Siefken, J. M. (2013) · Journal of Aging Studies · doi:10.1016/j.jaging.2013.11.004 · Cited by 91
“The social and physical realities of aging affect women in different ways, depending on factors like generation, relationship status, sexual orientation, cultural norms, health, or partners' health (Waite, 2010; Waite et al., 2009).”
InfluentialExamining aging sexual stigma attitudes among adults by gender, age, and generational status
Syme, M. L., & Cohn, T. J. (2015) · Aging & Mental Health · doi:10.1080/13607863.2015.1012044 · Cited by 80
“, more likely to report sex outside marriage is always wrong) (Waite et al., 2009).”
InfluentialBach, L. E., Mortimer, J. A., VandeWeerd, C. L., & Corvin, J. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12308 · Cited by 89
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“The sexual script tends to adapt and expand across mid- and later life, including several intimate and sexual behaviors beyond intercourse (Fisher et al., 2010; Gillespie, 2017; Waite et al., 2009), contrasted to the intercourse model of the dys/function narrative.”
BackgroundSexuality, aging, and dementia
Benbow, S., & Beeston, D. (2012) · International Psychogeriatrics · doi:10.1017/s1041610212000257 · Cited by 74
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“2 These include the National Social Life, Health, and Aging Project at the University of Chicago (Laumann, Das, & Waite, 2008 ; Lindau et al, 2007 ; Waite, Laumann, Das, & Schumm, 2009 ) and the National Survey of Sexual Health and Behaviour (Herbenick et al, 2010 ; Schick et al, 2010 ).”
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Jackson, S., Wardle, J., Steptoe, A., & Fisher, A. (2016) · Cancer · doi:10.1002/cncr.30263 · Cited by 61
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“NSHAP is designed to collect extensive information on the social, romantic and sexual lives of older respondents, as well as a broad array of assessments of health.”
Self-citationKołodziejczak, K., Rosada, A., Drewelies, J., Düzel, S., Eibich, P., Tegeler, C., Wagner, G. G., Beier, K. M., Ram, N., Demuth, I., et al. (2019) · Psychology and Aging · doi:10.1037/pag0000347 · Cited by 78
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The Graying of “Sexual Health”: A Critical Research Agenda
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Galinsky, A. M., McClintock, M., & Waite, L. (2014) · The journals of gerontology. Series B, Psychological sciences and social sciences · doi:10.1093/geronb/gbu072 · Cited by 48
“The high levels of lack of interest in sex reported in Wave 1 (nearly 30% of men and almost half of all women; Waite et al., 2009) are perhaps not surprising given than about two fifths of both men and women report that their partners are not doing enough of the nonsexual things that make later sexual interactions ple…”
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Štulhofer, A., Jurin, T., Graham, C. A., Janssen, E., & Træen, B. (2019) · European Journal of Ageing · doi:10.1007/s10433-019-00509-x · Cited by 64
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Herrezuelo, I. P., Aibar‐Almazán, A., Martínez‐Amat, A., Fábrega‐Cuadros, R., Díaz-Mohedo, E., Wangensteen, R., & Hita‐Contreras, F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17197235 · Cited by 51
“Even higher percentages declare that satisfactory sexual relations are essential to the maintenance of a relationship [16].”
BackgroundSexual Problems Among Older Women by Age and Race
Hughes, A. K., Rostant, O. S., & Pelon, S. (2015) · Journal of Women s Health · doi:10.1089/jwh.2014.5010 · Cited by 46
“found relative similarity in prevalence of sexual dysfunction across age groups of women aged 57–85 years.(14) In a large, population-based study of U.”
BackgroundJozkowski, K. (2013) · International Journal of Sexual Health · doi:10.1080/19317611.2013.799626 · Cited by 39
Graf, A. S., & Johnson, V. (2020) · The Journal of Sex Research · doi:10.1080/00224499.2020.1765953 · Cited by 42
“and “In the past year, have you engaged in sexual activity with a partner of the same sex?” Inquiring about sexual activity in the past year is consistent with the conceptualization of sexual activity in the National Social Life, Health, and Aging Project (Waite et al., 2009).”
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Hoyt, E., Roberto, K. A., & Savla, J. (2019) · Aging & Mental Health · doi:10.1080/13607863.2020.1758909 · Cited by 37
Sexual Touching and Difficulties with Sexual Arousal and Orgasm Among U.S. Older Adults
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“Current research suggests that men face fewer barriers to arousal than compared to women, and may find memories and visual stimuli more than adequately arousing (Carpenter, Janssen, Graham, Vorst, & Wicherts, 2008; Janssen et al., 2002; Laan et al., 1994; Laumann, Gagnon, Michael, & Michaels, 1994; Rupp & Wallen, 2008…”
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Digital Dating: Online Profile Content of Older and Younger Adults
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Fischer, N., Træen, B., & Hald, G. M. (2018) · Sexual & Relationship Therapy · doi:10.1080/14681994.2018.1468560 · Cited by 34
The initiation and progression of late-life romantic relationships
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“Email: smalta@swin.edu.au quantitative and has largely centred on medical issues, such as decline in sexual activity over time (for example Lindau et al., 2007), although there have been some recent exceptions (see for instance Malta, 2008; Waite et al., 2009).”
BackgroundSexuality and Cognitive Status: A U.S. Nationally Representative Study of Home‐Dwelling Older Adults
Lindau, S., Dale, W., Feldmeth, G., Gavrilova, N., Langa, K., Makelarski, J. A., & Wroblewski, K. (2018) · Journal of The American Geriatrics Society · doi:10.1111/jgs.15511 · Cited by 33
Correlates and Predictors of Sexual Satisfaction for Older Adults in Same-Sex Relationships
Fleishman, J., Crane, B., & Koch, P. B. (2019) · Journal of Homosexuality · doi:10.1080/00918369.2019.1618647 · Cited by 44
Stress, Social Support, and Sexual Adjustment in Married Female Patients with Breast Cancer in Korea
Kim, J., & Jang, M. (2019) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_31_19 · Cited by 31
“The exclusion criterion on the diagnosis period and age of active treatment was based on the fact that adults are generally sexually active through 74 years old([32]) and 67.”
MethodOlder widows' perspectives on sexuality: A life course perspective.
Kasif, T., & Band-Winterstein, T. (2017) · Journal of Aging Studies · doi:10.1016/j.jaging.2017.01.002 · Cited by 31
“In the context of sexuality, widowhood amongolderwomen becomes themain reason for decreasing - and even completely ceasing - to engage in sexual activity (Hartmann, Phillipsohn, Heiser, & Ruffer-Hesse, 2004; Lindau et al., 2007; Waite et al., 2009; Walsh & Berman, 2004).”
BackgroundWitt, L. J., Wroblewski, K., Pinto, J. M., Wang, E., McClintock, M. K., Dale, W., White, S. R., Press, V. G., & Huisingh-Scheetz, M. J. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.814606 · Cited by 30
Cross-sectional study on the impact of age, menopause and quality of life on female sexual function
García, J. C., Márquez-Maraver, F., & Rodríguez, M. R. (2021) · Journal of Obstetrics and Gynaecology Research · doi:10.1080/01443615.2021.1945017 · Cited by 30
“In fact, the rate of sexual activity in older adults is comparable to that of the young adults previously identified in general population studies (Lindau et al. 2007, Huang et al. 2009; Waite et al. 2009).”
ResultPhysicians' response to sexual dysfunction presented by a younger vs. An older adult
Gewirtz‐Meydan, A., & Ayalon, L. (2016) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4638 · Cited by 53
Brown, M., & Grossman, B. (2014) · Journal of gerontological social work · doi:10.1080/01634372.2013.865695 · Cited by 29
“Respondents are able to acknowledge any history of same-sex sexual behavior over the course of their life (Waite et al., 2009), rather than limiting them to identifying only current, cohabitating same-sex relationships.”
BackgroundResultAre older adults satisfied with their sexuality? Outcomes from a cross-cultural study
von Humboldt, S., Low, G., & Leal, I. (2020) · Educational Gerontology · doi:10.1080/03601277.2020.1744805 · Cited by 28
“Sexual activities in old age include a variety of behaviors, such as oral, anal, and vaginal sex, masturbation, and foreplay (e.g., kissing, caressing) as the most often reported activities in older samples (Schick et al., 2010; Waite et al., 2009).”
BackgroundHeywood, W., Lyons, A., Fileborn, B., Hinchliff, S., Minichiello, V., Malta, S., Barrett, C., & Dow, B. (2017) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2017.1366959 · Cited by 30
Morton, L. (2017) · Primary Care · doi:10.1016/j.pop.2017.04.004 · Cited by 27
Sexual Health Among Lesbian, Gay, Bisexual, and Heterosexual Older Adults: An Exploratory Analysis
Brennan-Ing, M., Kaufman, J., Larson, B., Gamarel, K., Seidel, L., & Karpiak, S. (2020) · Clinical Gerontologist · doi:10.1080/07317115.2020.1846103 · Cited by 26
“Details on recruitment and data collection procedures have been reported elsewhere (Lindau et al., 2007; Waite et al., 2009).”
MethodAttitudes toward online sexual activities
Byers, E. S., & Shaughnessy, K. (2014) · Cyberpsychology Journal of Psychosocial Research on Cyberspace · doi:10.5817/cp2014-1-10 · Cited by 27
Meaning of Sexual Performance Among Men With and Without Erectile Dysfunction
Thompson, E., & Barnes, K. (2013) · Psychology of Men & Masculinity · doi:10.1037/a0029104 · Cited by 25
Sexual dysfunction and mental health in patients with multiple sclerosis and epilepsy
Petersen, M., Kristensen, E., Giraldi, L., & Giraldi, A. G. E. (2020) · BMC Neurology · doi:10.1186/s12883-020-1625-7 · Cited by 26
Improvement of Older Women's Sexuality Through Emancipatory Education
Baldissera, V., Bueno, S. M., & Hoga, L. (2012) · Health Care for Women International · doi:10.1080/07399332.2012.684986 · Cited by 24
Relationship between Solitary Masturbation and Sexual Satisfaction: A Systematic Review
Cervilla, Ó., Álvarez-Muelas, A., & Sierra, J. C. (2024) · Healthcare · doi:10.3390/healthcare12020235 · Cited by 30
Herbenick, D., Fu, T., Owens, C., Bartelt, E., Dodge, B., Reece, M., & Fortenberry, J. (2019) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2018.1494648 · Cited by 22
Kim, J. H., Tam, W., & Muennig, P. A. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-017-0968-7 · Cited by 40
Masturbation in middle and late adulthood: its relationship to orgasm
Sierra, J. C., Santamaría, J., Cervilla, Ó., & Álvarez-Muelas, A. (2022) · International journal of impotence research · doi:10.1038/s41443-021-00520-w · Cited by 20
“The masturbation frequency results agreed with those reported in different research works, which confirm that men practice masturbation more frequently than women, even at older ages [6, 7, 9, 10, 35, 36].”
ResultThe Sexuality and Sexual Health of LGBT Elders
Hillman, J. L. (2017) · Annual Review of Gerontology and Geriatrics · doi:10.1891/0198-8794.37.13 · Cited by 20
“Unfortunately, most of the current large-scale, national surveys of sexual activity (e.g., the NSHAP; Waite et al., 2009) fail to gather information about anal sex.”
BackgroundInfluentialMiddle-aged female sexual dysfunction and multimorbidity: a population-based study
Valadares, A., Lui-Filho, J., Costa-Paiva, L., & Pinto-Neto, A. (2016) · Menopause · doi:10.1097/gme.0000000000000533 · Cited by 20
Taylor, T., Weedon, J., Golub, E. T., Karpiak, S. E., Gandhi, M., Cohen, M. H., Levine, A. M., MINKOFF, H. L., Adedimeji, A., Goparaju, L., et al. (2014) · AIDS and Behavior · doi:10.1007/s10461-014-0901-1 · Cited by 18
The psychosocial sources of sexual interest in older couples
Iveniuk, J., & Waite, L. J. (2018) · Journal of Social and Personal Relationships · doi:10.1177/0265407517754148 · Cited by 28
Self-citationLee, D., Nazroo, J., & Pendleton, N. (2015) · International journal of impotence research · doi:10.1038/ijir.2015.4 · Cited by 19
Marital Quality and Older Men's and Women's Comfort Discussing Sexual Issues With a Doctor
Adams, S. A. (2013) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2012.691951 · Cited by 20
“Indeed, marriage provides most older adults with a stable social and emotional context for sexual relations (Waite, Laumann, Das, & Schumm, 2009 ).”
BackgroundPromoting a discussion on later life sexuality: Lessons from sexologist physicians
Gewirtz-Meydan, A., Levkovich, I., Mock, M., Gur, U., & Ayalon, L. (2019) · Sexual & Relationship Therapy · doi:10.1080/14681994.2018.1437258 · Cited by 17
Sanctified Sexual Relationships in Marriage: Reflections from Religious Wives and Husbands
Leavitt, C. E., Allsop, D. B., Clarke, R. W., Marks, L. D., & Dollahite, D. C. (2021) · Review of Religious Research · doi:10.1007/s13644-020-00440-z · Cited by 15
Das, A., & Sawin, N. (2016) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0815-2 · Cited by 15
“Data on sexual problems were collected in NSHAP through dichotomous response items,eachaskingtheparticipantabout thepresenceofa sexual problem for‘‘several months or more’’over the preceding 12 months (Laumann, Das, & Waite, 2008; Waite et al., 2009).”
MethodSelf-citationSexual Activity and Satisfaction in Older Adult Dyads: The Role of Perceptions of Aging
Skoblow, H., Drewelies, J., & Proulx, C. M. (2022) · The Gerontologist · doi:10.1093/geront/gnac099 · Cited by 16
“Most adults over the age of 50 who are in a committed relationship are sexually active, and many remain sexually active into their oldest years (DeLamater, 2012; Kolodziejczak et al., 2019; Waite et al., 2009).”
BackgroundSchwartz, P., Diefendorf, S., & McGlynn-Wright, A. (2013) · American Psychological Association eBooks · doi:10.1037/14193-017 · Cited by 23
Using online methods to interview older adults about their romantic and sexual relationships
Malta, S. (2012) · Palgrave Macmillan UK eBooks · doi:10.1057/9781137271372_9 · Cited by 15
Perspectives from Highly Religious Families on Boundaries and Rules About Sex
Allsop, D., Leavitt, C. E., Clarke, R. W., Driggs, S. M., Gurr, J. B., Marks, L., & Dollahite, D. (2021) · Journal of religion and health · doi:10.1007/s10943-020-01171-9 · Cited by 14
Fischer, N., Štulhofer, A., Hald, G. M., Carvalheira, A. A., & Træen, B. (2020) · The Journal of Sex Research · doi:10.1080/00224499.2020.1809615 · Cited by 14
“Loss of sexual desire appear to be especially prevalent among older women (Lindau & Gavrilova, 2010; Waite et al., 2009).”
BackgroundSexual Well-Being in Older Women: The Relevance of Sexual Excitation and Sexual Inhibition
Bell, S., & Reissing, E. D. (2016) · The Journal of Sex Research · doi:10.1080/00224499.2016.1250147 · Cited by 14
Finkel, D., Franz, C., Horwitz, B. N., Christensen, K., Gatz, M., Johnson, W., Kaprio, J., Korhonen, T., Niederheiser, J., Petersen, I., et al. (2015) · Behavior Genetics · doi:10.1007/s10519-015-9758-y · Cited by 14
“50—women are less likely to remarry after divorce or bereavement (Waite et al. 2009); thus marital status during”
Manning, W. D. (2015) · Journal of Economic and Social Measurement · doi:10.3233/jem-150419 · Cited by 14
“Research relying on the National Social Life, Health and Aging Project (NSHAP) have provided opportunities to assess relationships among older Americans with about 14% of single older Americans are in a dating relationship [15] and older Americans remaining sexual active [102].”
Rokach, A., & Patel, K. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819174-3.00012-7
Swann, S. A., Kaida, A., Nicholson, V., Brophy, J. C., Campbell, A. R., Carter, A., Elwood, C. N., Gebremedhen, T., Gormley, R., King, E. M., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046558 · Cited by 16
Odlum, M. L., Davis, N., Owens, O. L., Preston, M. A., Brewer, R., & Black, D. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020962 · Cited by 11
“MethODs Participants The second wave of the NSHAP survey, a national sample of US adults ages 57–85, was used in our analysis, was conducted from 2010 to 2011.(12) The survey focused on exploring interpersonal connections and overall health outcomes as they relate to: culture, gender and socioeconomic status; health b…”
MethodThe benefits (and costs) of sexual responsiveness in romantic relationships.
Muise, A., Kovacevic, K., Shoikhedbrod, A., & Uppot, A. (2023) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2023.101644 · Cited by 12
Miller, L. R. (2020) · Sexualities · doi:10.1177/1363460720922754 · Cited by 16
“Quantitative researchers also document age-related patterns in sexual attitudes and behaviors (Das et al., 2012; Waite et al., 2009).”
BackgroundKołodziejczak, K., Drewelies, J., Pauly, T., Ram, N., Hoppmann, C. A., & Gerstorf, D. (2022) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbac037 · Cited by 15
Metadata
- Authors
- Waite, L. J., Laumann, E. O., Das, A., & Schumm, L. P.
- Affiliations
- University of Chicago (US)
- Venue
- The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-06-04
- Volume
- 64B
- Issue
- Supplement 1
- Pages
- i56-i66
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC2763521
- OpenAlex
- W2159010740
- Cited by
- 278
- References
- 0
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 13 · 2023: 24 · 2022: 13 · 2021: 30 · 2020: 20 · 2019: 14 · 2018: 14 · 2017: 20 · 2016: 13 · 2015: 19 · 2014: 26 · 2013: 19 · 2012: 16
- FWCI
- 6.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journals of Gerontology Series B (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute on Aging (P30AG012857, R01AG033903, R37AG030481, R01AG021487)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
- Keywords
- sexuality, older adults, sexual partnerships, sexual practices, sexual dysfunction, sexual attitudes, sexual mores, sexual interest, relationship satisfaction, gender differences, age differences, scale development
- MeSH terms
- Aged, Aged, 80 and over, Aging, Attitude, Cross-Sectional Studies, Data Interpretation, Statistical, Female, Health Status, Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Sexual Behavior, Sexual Dysfunction, Physiological, Sexual Partners, Social Behavior, Social Change, Social Values, United States
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