题名

中老年人性需求及其相關因素之初探

并列篇名

Preliminary Exploration of Sexual Needs and Its Related Factors among the Elderly

作者

胡瑛麒(Ying-Chi Hu);朱婉茹(Wan-Ru Chu);何清治(Chin-Chih Ho)

关键词

中老年人 ; 性需求 ; 性問題 ; 樂齡中心 ; Elderly ; Sexual needs ; Sexual problem ; Senior citizens learning centers

期刊名称

醫學與健康期刊

卷期/出版年月

11卷2期(2022 / 07 / 01)

页次

47 - 63

内容语文

繁體中文

中文摘要

目的:老年人因環境、生理、心理因素的影響,在性需求、性問題上有所改變而被忽略。盡管臺灣在2018年已是高齡社會,卻很少對中老年人從事性需求與性問題的研究。本研究目的乃探討中老年人性需求及其相關因素。方法:本研究採橫斷面調查,以台灣中部地區樂齡中心、55歲以上中老年人為受試對象。問卷包括基本資料、性需求及老年人憂鬱量表(Depression Scale, GDS)。發放450份問卷,有效回收392份(87.11%)。採SPSS 22.0進行統計分析。結果:以女性佔61.5%最多。50.5%沒有性需求,且年齡愈大、性需求愈低,女性性需求低於男性。有性需求的中老年人,最想要用的身體接觸為性交佔42.5%,其中有78.2%得到滿足。沒有想要找伴侶或沒有得到滿足者的憂鬱狀況顯著較高。照護人員不會關心有關性需求方面的事佔87.2%。中老年人的年齡、性別、婚姻狀況、有固定伴侶及自覺健康狀況對性需求有顯著預測力。結論:本研究近五成沒有性需求,年齡愈大、性需求愈低,乃因缺乏伴侶及沒性趣。照護人員應正向來看待中老年人的性需求及性問題,將有助於提高其自信及追求性愉悅。

英文摘要

Objectives. Due to environmental, physiological, and psychological factors, research on the sexual needs and sexual problems among the elderly has been largely neglected. Although Taiwan transformed into a significantly aged society in 2018, little research has been carried out in this important area. The purpose of this study is to rectify this gap in the knowledge through exploring sexual needs and related factors among the elderly. Methods. This study adopted a cross-sectional design and selected subjects in central Taiwan who were over 55 years of age. The questionnaire included basic data, sexual needs, and a Depression Scale (GDS). 450 questionnaires were distributed and 392 (87.11%) were effectively collected. All data analyses were conducted using SPSS version 22.0. Results. The majority of respondents were female 61.5%. 50.5% reported no sexual needs. This is likely because the older you get, the lower your sexual needs become. Female sexual needs are also generally reported as lower than male's. 42.5% of middle-aged and elderly people who had sexual needs preferred sexual intercourse as the means to satify those needs. Among them, 78.2% reported satisfaction. Those who do not want to have partner or are not sexual satisfied reported higher levels of depression than those who want to have partner or obtain sexual satisfaction. 87.2% of caregivers do not care about the sexual needs of their middle-aged and elderly charges. Age, gender, marital status, partner, and perceived health status were all significant predicators of sexual needs among the elderly. Conclusion. Nearly 50% of respondents in this study reported no sexual needs. The older the age, the lower the level of sexual desire. The main reasons result from lack of companionship and lack of sexual interest. It is recommended that family members should positively face the sexual needs and sexual problems of the elderly in order to improve their self-confidence in the pursuit of sexual pleasure.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 吳海雅, AHN,梅錦榮, KW(2018)。香港婦女性功能障礙的調查研究。台灣性學學刊,24,27-49。
    連結:
  2. 陳翠芳, TF,張珏, C(2018)。長照機構照顧服務員對老人性的認知量表之發展。中華心理衛生學刊,31,315-348。
    連結:
  3. Adana, F,Arslantaş, H,Abacıgil, F(2015).Knowledge and attitudes of a group of university students toward sexuality in aged people.Jurnal Medical Brașovean,1,38-40.
  4. Agunbiadea, OM,Ayotundeb, T(2012).Ageing, sexuality and enhancement among Yoruba people in south western Nigeria.Culture, Health & Sexuality,14,705-717.
  5. Ålgars, M,Santtila, P,Jern, P,Johansson, A,Westerlund, M,Sandnabba, NK(2011).Sexual body image and its correlates: A population-based study of Finnish women and men.International Journal of Sexual Health,23,26-34.
  6. Chao, JK,Lin, YC,Ma, MC(2011).Relationship Among Sexual Desire, Sexual Satisfaction, and Quality of Life in Middle-Aged and Older Adults.Journal of Sex & Marital Therapy,37,386-403.
  7. Emerenziani, GP,Izzo, G,Vaccaro, MG,Quattrone, A,Lenzi, A,Aversa, A(2019).Gender difference and correlation between sexuality, thyroid hormones, cognitive, and physical functions in elderly fit.Journal of Endocrinological Investigation,42,699-707.
  8. Erens, B,Mitchell, KR,Gibson, L(2019).Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study.PLOS One,14,e0213835.
  9. Graf, AS,Patrick, JH(2014).The influene of sexual attitudes on mid- to late-life sexual well-being: Age, not gender, as a salient factor.International Journal aging and human development,79,55-79.
  10. Helmes, E,Chapman, J(2012).Education about sexuality in the elderly by healthcare professionals: a survey from the Southern Hemisphere.Sex Education,12,95-107.
  11. Jackson, SE,Firth, J,Veronese, N(2019).Decline in sexuality and wellbeing in older adults: A population-based study.Journal of Affective Disorders,245,912-917.
  12. Krejcie, RV,Morgan, DW(1970).Determining Sample Size for Research Activities.Educational and Psychological Measurement,30,607-610.
  13. Lee, DM,Nazroo, J,O’Connor, DB,Blake, M,Pendleton, N(2016).Sexual Health and Well-being among Older Men and Women in England: Findings from the English Longitudinal Study of Ageing.Archives of Sexual Behavior,45,133-144.
  14. Lee, JS,Yoo, EK(2016).Education Needs of Nurses Regarding Sexuality of the Elderly and the Influencing Factors.International Journal of Bio-Science and Bio-Technology,8,163-170.
  15. Lindau, ST,Schumm, LP,Laumann, EO,Levinson, W,O’Muircheartaigh, CA,Waite, LJ(2007).A Study of Sexuality and Health among Older Adults in the United States.The New England Journal of Medicine,357,762-774.
  16. Merghati-Khoei, E,Pirak, A,Yazdkhasti, M,Rezasoltani, P(2016).Sexuality and elderly with chronic diseases: A review of the existing literature.Journal of Research in Medical Sciences,21,127.
  17. Minhat, HS,Mat Din, H,Vasudevan, R,Raja Adnan, RNE,Ibrahim, R(2019).Impact of gender on sexual problems and perceptions among urban Malay elderly in Malaysia.Archives of Gerontology and Geriatrics,81,240-244.
  18. Müller, B,Nienaber, CA,Reis, O,Kropp, P,Meyer, W(2014).Sexuality and affection among elderly German men and women in long-term relationships: results of a prospective population-based study.PLoS ONE,9,e111404.
  19. Papaharitou, S,Nakopoulou, E,Kirana, P,Giaglis, G,Moraitou, M,Hatzichristou, D(2007).Factors associated with sexuality in later life: An exploratory study in a group of Greek married older adults.Archives of Gerontology and Geriatrics
  20. Ravanipour, M,Gharibi, T,Gharibi, T(2013).Elderly Women’s Views about Sexual Desire during Old Age: A Qualitative Study.Sexuality and Disability,31,179-188.
  21. Roney, L,Kazer, MW(2015).Geriatric sexual experiences: The seniors tell all.Applied Nursing Research,28,254-256.
  22. Rowntree, MR(2014).Making Sexuality Visible in Australian Social Work Education.Social Work Education,33,353-364.
  23. Sheikh, JI,Yesavage, JA(1986).Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version.Clinical Gerontologist: The Journal of Aging and Mental Health,5,165-173.
  24. Silva, FG,Pelzer, MT,Neutzling, BRS(2019).Attitudes of Elderly Women Regarding the Expression of Their Sexuality.Aquichan,19,e1934.
  25. Silva, O,Nayane, D,Marinelli, NP(2015).Perception of Elderly about Their Sexuality.Journal of Nursing,9,7811-7818.
  26. Smith, L,Grabovac, I,Veronese, N(2019).Sleep Quality, Duration, and Associated Sexual Function at Older Age: Findings from the English Longitudinal Study of Ageing.The Journal of Sexual Medicine,16,427-433.
  27. Syme, ML,Cohn, TJ(2016).Examining aging sexual stigma attitudes among adults by gender, age, and generational status.Aging Ment Health,20,36-45.
  28. Umidi, S,Pini, M,Ferretti, M,Vergani, C,Annoni, G(2007).Affectivity and sexuality in the elderly: often neglected aspects.Archive of Gerontology and Geriatrice,44,413-417.
  29. Yan, E,Wu, AMS,Ho, P,Pearson, V(2011).Older Chinese men and women’s experiences and understanding of sexuality.Culture, Health & Sexuality,13,983-999.
  30. 丁秀蓉, HJ(2010)。樹德科技大學人類性學研究所=Graduate School of Human Sexuality, Shu-Te University。
  31. 朱啟瑋, CW,吳至行, CH,蔡文輝, WH(2010)。老化與性生活。台灣老年醫學暨老年學雜誌,5,94-104。
  32. 何華欽, HC(2015)。由貧窮至生活品質的衡量:主客觀的建構方法。社區發展季刊,151,106-115。
  33. 余婉蘭:【房中術】道教看性與養生春天初夏做愛好時節。香港01線報。2017。Yu WL: Sex manual: Sex and health care from views of Taoism during spring and early summer. Hong Kong 01 Report 2017. [In Chinese: English abstract]
  34. 吳若女, RN(2016)。中年後,還要不要努力愛愛?。康健雜誌,217
  35. 林蕙瑛, WI(2015).牽伴不牽絆:幸福一生的30個關鍵策略.新北市=New Taipei City:金塊文化=Nuggets Culture Co., Ltd.
  36. 韋霞, X,楊翔, X(2017)。老年人性需求的相關因素分析。職業衛生與病傷,2,104-105。
  37. 張思嘉, SC,李雅雯, YW(2001)。擇偶歷程與婚前關係的形成與發展。中華心理衛生學刊,4,1-29。
  38. 黃慧珊, HS(2014)。國立雲林科技大學企業管理研究所=Graduate School of Business Management, National Yunlin University of Science and Technology。
  39. 蔡秀環, HH,陳國彥, KY(2018)。再婚老人性生活之議題探討。樹德人文社會電子學報,13,54-67。
  40. 鄭金源, CY(2018)。樹德科技大學人類性學研究所=Graduate School of Human Sexuality, Shu-Te University。