What Happens in Their Bedrooms Stays in Their Bedrooms: Staff and Residents' Reactions Toward Male–Female Sexual Intercourse in Residential Aged Care Facilities

Abstract

This study aimed to investigate and compare the reactions of staff and residents of residential aged care facilities (RACFs) toward male–female sexual intercourse taking place in a private space within the facility. A total of 53 professionals and 47 residents from five RACFs located in Catalonia, Spain, were asked to reflect upon what they would think and do if they entered the bedroom of a resident and found him or her having sex with another resident of the opposite gender. The results suggest that male–female partnered sexual activity would generally be considered acceptable and would be respected, although some respondents called into question the appropriateness of such behavior and stated that they would react in a restrictive way. Overall, professionals appeared to be more accepting and permissive than were residents. Although our findings are broadly optimistic, they also suggest that male–female sexual intercourse may be considered an unwelcome sexual practice by some residents and professionals even if it occurs in a private space within the RACF. The fact that both staff and residents may also react in a negative way to the event could constitute a barrier to sexual expression among institutionalized older people.