Sexual Behaviors of Middle-age and Older People in Southern Taiwan

台灣南部中老年人性行為

10.29478/TJP.200912.0007

趙建剛(Jian-Kang Chao)；林燕卿(Yen-Chin Lin)；馬瀰嘉(Mi-Chia Ma)；郝立智(Lyh-Jyh Hao)；奚明德(Ming-Der Shi)

性行為 ； 中老年人 ； 性滿意度 ； 性需求 ； sexual behavior ； older adults ； sexual satisfaction ； sexual desire

台灣精神醫學

23卷4期（2009 / 12 / 01）

307 - 319

英文

目的：本研究之目的為探討45歲以上中老年人的人口學變項與性行為模式及探討老人性行為模式的影響因素。方法：本研究共收集醫院志工、台南縣市社區民眾、非精神科門診病人、護理之家及榮民之家住民，45歲以上有效之個案283名，在告知被施測者作答方式及問卷內容後，分別施測基本問卷及性行為模式問卷。結果：很明顯的在過去一年中，除自慰外(20.1%)，大部份受試者還存有廣義的性經驗，如觸摸／牽手(42.8%)、接吻(38.2%)、擁抱(42.8%)、相互撫摸(41.7%)及性交(40.3%)。男與女的受試者最常的性問題為，性欲減低。本研究也清楚的顯示，年齡、伴侶、教育程度及健康狀態等，皆可影響性行為。這些項目也與性滿意度及性需求相關。如在羅輯回歸分析下，則顯示性生活滿意度與有無伴侶、飲酒及性需求相關。結論：老年人的性生活應該從較廣義的角度去看，而不是狹義地集中於器官的性接觸，因為很多時候親密接觸、牽手、擁抱或愛撫等已經可以為年老的伴侶帶來性滿足。

Objective: This study was to investigate the relationship of demographic variables to the sexual behavior, sexual desire and sexual satisfaction of the elderly population in Southern Taiwan. Methods: A total of 283 individuals over the age of 45 years was recruited from communities in Southern Taiwan. Participants were asked to complete a questionnaire form. Results: In the past year, except for masturbation (20.1%), the percentage of people participating in general sexual behavior at least once per month was found to be nearly 40% for most elderly adults, including touching/hand holding (42.8%), embracing (42.8%), kissing (38.2%), mutual stroking (41.7%) and sexual intercourse (40.3%). The most common sexually related problem was found to have a hypoactive sexual desire in both male and female participants. This study clearly showed that age, partner, education level and health status influences sexual behavior, these items also have relevance to sexual satisfaction and sexual desire. If sexual satisfaction was rated using a binary outcome and then analyzed using multiple logistic regression analyses forward model selection the factors influencing sexual satisfaction were found to be partner, alcohol and sexual desire. Conclusion: The sexual life of the elderly should be observed from a broad point of view, rather than just focusing on sexual intercourse, because simple hand holding, intimate closeness, hugs, or mutual stroking can also give elderly partners sexual satisfaction.

1. Lee HH,Chu YH,Ruan FF,Tzeng DS,Lung FW(2007).Confirmatory factor analysis of the sexual desire inventory in patient with schizophrenia.Taiwanese Journal of Psychiatry,21,176-184.
   連結：
2. Addis IB,ven Den Eeden SK,Wassel-Fyr CL(2006).Sexual activity and function in middle-aged and older women.Obstet Gynecol,107,755-764.
3. Araujo AB,Mohr BA,McKinlay JB(2004).Changes in sexual function in middle-aged and older men: longitudinal data from the Massachusetts Male Aging Study.J Am Geriatr Soc,64,991-997.
4. Barber HRK(1996).Sexuality and the art of arousal in the geriatric woman.Clin Obstet Gynecol,39,970-973.
5. Bortz WM,Wallace DH(1999).Physical fitness, aging, and sexuality.West J Med,170,167-169.
6. Bretschneider JG,McCoy NL(1988).Sexual interest and behavior in healthy 80 to 102 year olds.Arch Sex Behav,17,109-129.
7. Chen KC,Yeh TL,Lee IH.Age, gender, depression, and sexual dysfunction in Taiwan.J Sex Med.
8. Das A,Parish WL,Laumann EO(2009).Masturbation in urban China.Arch Sex Behav,38,108-120.
9. DeLamater JD,Sill M(2005).Sexual desire in later life.J Sex Res,42,138-149.
10. Report on the Old Status Survey of R.O.C.
11. Diokno AC,Brown MB,Herzog AR(1990).Sexual function in the elderly.Arch Intem Med,150,197-200.
12. Ginsberg TB,Pomerantz SC,Veronika KF(2005).Sexuality in older adults: behaviors and preferences.Age aging,34,475-480.
13. Hudson WW(1998).Handbook of Sexuality-related Measures: Index of Sexual Satisfaction.California, USA:
14. Ingram-Fogel C(1990).Sexual Health Promotion.Philadelphia, Pennsylvania:Saunders.
15. Kellett JM,Szuchman LT (eds),Muscarella F (eds)(2000).Psychological Perspectives on Human Sexuality.New York:John Wiley & Sons.
16. Kessel B(2001).Sexuality in the older person.Age Aging,30,121-124.
17. Kinsey A (eds),Pomeroy W (eds),Martin G.,Martin C (eds)(1948).Sexual Behavior in the Human Male.Philadelphia, pennsyvania:WB Saunders.
18. Lindau ST,Schumm LP,Laumann WO,Levinson W,O''Muircheartaigh CA,Waite LJ(2007).A study of sexuality and health among older adults in the United States.N Engl J Med,357,762-774.
19. MaCartney J, JR,Izeman H,Rogers D,Cohen N(1987).Sexuality and the institutionalized elderly.J Am Geriatr Soc,35,331-333.
20. Maslow, AH(1955).Motivation and personality.Psychoanalytic Quarterly,24,447-448.
21. Masters W,Johnson V(1970).Human Sexual Response.Boston, MA:Little Brown & CoInc.
22. Maurice W(1999).Sexual Medicine in Primary Care.New York:Mosby.
23. Meston, C. M.(1997).Aging and sexuality.West J Med,167,285-290.
24. Nicolosi A,Laumann EO,Glasser DB(2004).Sexual behavior and sexual dysfunctions after age 40: the Global Study of Sexual Attitudes and Behaviors.Urology,64,991-997.
25. Schiavi RC(1990).Sexuality and aging in men.Annu Rev Sex Res,1,227-249.
26. Spector IP,Carey MP,Steinberg L(1996).The Sexual Desire Inventory: development, factor structure, and evidence of reliability.J Sex Marital Ther,22,175-190.
27. Taylor JF,Rosen RC,Leiblum SR(1994).Self-report assessment of female sexual function: psychometric evaluation of the Brief Index of Sexual Functioning for women.Arch Sex Behav,23,627-643.
28. Wang SN,Lin YC(2004).The correlation of the attitudes towards masturbation and the sexual satisfaction in female college students in the South Taiwan.2nd Asian Congress of Sexuality Education in Taiwan.
29. Yao G,Chung CW,Yu CF,Wang JD(2002).Development and Verification of Reliability and Validity of the WHOQOL-BREF Taiwan Version.J Formos Med Assoc,101,342-351.

1. 鄭丞傑、劉杏元(2013)。從手淫到自慰：手與生殖器的交合。臺灣性學學刊，19(1)，53-66。