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Original Articles

Is Sex Good for Your Brain? A National Longitudinal Study on Sexuality and Cognitive Function among Older Adults in the United States

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References

  • Allen, M. S. (2018). Sexual activity and cognitive decline in older adults. Archives of Sexual Behavior, 47(6), 1711–1719. https://doi.org/10.1007/s10508-018-1193-8
  • Alzheimer’s Association. (2021). 2021 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, 17(3), 327–406. https://doi.org/10.1002/alz.12328
  • Basson, R. (2000). The female sexual response: A different model. Journal of Sex and Marital Therapy, 26(1), 51–65. https://doi.org/10.1080/009262300278641
  • Blum, K., Chen, A. L. C., Giordano, J., Borsten, J., Chen, T. J. H., Hauser, M., Simpatico, T., Femino, J., Braverman, E. R., & Barh, D. (2012). The addictive brain: All roads lead to dopamine. Journal of Psychoactive Drugs, 44(2), 134–143. https://doi.org/10.1080/02791072.2012.685407
  • Buczak-Stec, E., König, -H.-H., & Hajek, A. (2021). Sexual satisfaction of middle-aged and older adults: Longitudinal findings from a nationally representative sample. Age and Ageing, 50(2), 559–564. https://doi.org/10.1093/ageing/afaa161
  • Butt, D. S. (1990). The sexual response as exercise. Sports Medicine, 9(6), 330–343. https://doi.org/10.2165/00007256-199009060-00002
  • Chowdhury, R., Guitart-Masip, M., Bunzeck, N., Dolan, R. J., & Düzel, E. (2012). Dopamine modulates episodic memory persistence in old age. Journal of Neuroscience, 32(41), 14193–14204. https://doi.org/10.1523/JNEUROSCI.1278-12.2012
  • Dannefer, D. (2003). Cumulative advantage/disadvantage and the life course: Cross-fertilizing age and social science theory. The Journals of Gerontology, Series B, 58(6), S327–S337. https://doi.org/10.1093/geronb/58.6.S327
  • Davies, H. D., Newkirk, L. A., Pitts, C. B., Coughlin, C. A., Sridhar, S. B., Zeiss, L. M., & Zeiss, A. M. (2010). The impact of dementia and mild memory impairment (MMI) on intimacy and sexuality in spousal relationships. International Psychogeriatrics, 22(4), 618–628. https://doi.org/10.1017/S1041610210000177
  • DeLamater, J., & Moorman, S. M. (2007). Sexual behavior in later life. Journal of Aging and Health, 19(6), 921–945. https://doi.org/10.1177/0898264307308342
  • Drummond, J. D., Brotman, S., Silverman, M., Sussman, T., Orzeck, P., Barylak, L., & Wallach, I. (2013). The impact of caregiving: Older women’s experiences of sexuality and intimacy. Affilia, 28(4), 415–428. https://doi.org/10.1177/0886109913504154
  • Ein-Dor, T., & Hirschberger, G. (2012). Sexual healing: Daily diary evidence that sex relieves stress for men and women in satisfying relationships. Journal of Social and Personal Relationships, 29(1), 126–139. https://doi.org/10.1177/0265407511431185
  • Elder, G. H., Jr. (1998). The life course as developmental theory. Child Development, 69(1), 1–12. https://doi.org/10.2307/1132065
  • Elder, G. H., Jr, & O’Rand, A. M. (1995). Adult lives in a changing society. In K. S. Cook, G. A. Fine, & J. S. House (Eds.), Sociological perspectives on social psychology (pp. 452–475). Allyn and Bacon.
  • Eloniemi-Sulkava, U., Notkola, I.-L., Hamalainen, K., Rahkonen, T., Viramo, P., Hentinen, J., Kivela, S.-L., & Sulkava, R. (2002). Spouse caregivers’ perceptions of influence of dementia on marriage. International Psychogeriatrics, 14(1), 47–58. https://doi.org/10.1017/s104161020200827x
  • Erol, R., Brooker, D., & Peel, E. (2015). Women and dementia: A global research review. Alzheimer’s Disease International. https://www.alzint.org/u/Women-and-Dementia.pdf
  • Finkel, S. E. (2004). Cross-lagged. In M. S. Lewis-Beck, A. Bryman, & T. F. Liao (Eds.), The SAGE encyclopedia of social science research methods (pp. 229–230). SAGE Publications, Inc.
  • Forbes, M. K., Eaton, N. R., & Krueger, R. F. (2017). Sexual quality of life and aging: A prospective study of a nationally representative sample. The Journal of Sex Research, 54(2), 137–148. https://doi.org/10.1080/00224499.2016.1233315
  • Hartmans, C., Comijs, H., & Jonker, C. (2014). Cognitive functioning and its influence on sexual behavior in normal aging and dementia. International Journal of Geriatric Psychiatry, 29(5), 441–446. https://doi.org/10.1002/gps.4025
  • Heckman, J. J. (1979). Sample selection bias as a specification error. Econometrica, 47(1), 153–161. https://doi.org/10.2307/1912352
  • Hillman, J. (2017). Sexual consent capacity: Ethical issues and challenges in long-term care. Clinical Gerontologist, 40(1), 43–50. https://doi.org/10.1080/07317115.2016.1185488
  • Hyde, Z., Flicker, L., Hankey, G. J., Almeida, O. P., McCaul, K. A., Chubb, P., & Yeap, B. B. (2010). Prevalence of sexual activity and associated factors in men aged 75 to 95 years. Annals of Internal Medicine, 153(11), 693–702. https://doi.org/10.7326/0003-4819-153-11-201012070-00002
  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37. https://doi.org/10.2307/2955359
  • Karraker, A., DeLamater, J., & Schwartz, C. R. (2011). Sexual frequency decline from midlife to later life. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B(4), 502–512. https://doi.org/10.1093/geronb/gbr058
  • Kirk-Sanchez, N. J., & McGough, E. L. (2014). Physical exercise and cognitive performance in the elderly: Current perspectives. Clinical Interventions in Aging, 9(2014), 51–62. https://doi.org/10.2147/CIA.S39506
  • Kotwal, A. A., Schumm, L. P., Kern, D. W., McClintock, M. K., Waite, L. J., Shega, J. W., Huisingh-Scheetz, M. J., & Dale, W. (2015). Evaluation of a brief survey instrument for assessing subtle differences in cognitive function among older adults. Alzheimer Disease and Associated Disorders, 29(4), 317–324. https://doi.org/10.1097/WAD.0000000000000068
  • Krüger, T., Exton, M. S., Pawlak, C., von Zur Mühlen, A., Hartmann, U., & Schedlowski, M. (1998). Neuroendocrine and cardiovascular response to sexual arousal and orgasm in men. Psychoneuroendocrinology, 23(4), 401–411. https://doi.org/10.1016/S0306-4530(98)00007-9
  • Laumann, E. O., Gagnon, J. H., Michael, R. T., & Michaels, S. (2000). The social organization of sexuality: Sexual practices in the United States. University of Chicago Press.
  • Laumann, E. O., Paik, A., Glasser, D. B., Kang, J. H., Wang, T., Levinson, B., Moreira, E. D., Nicolosi, A., & Gingell, C. (2006). A cross-national study of subjective sexual well-being among older women and men: Findings from the Global Study of Sexual Attitudes and Behaviors. Archives of Sexual Behavior, 35(2), 143–159. https://doi.org/10.1007/s10508-005-9005-3
  • Lawrance, K. A., & Byers, E. S. (1992). Development of the interpersonal exchange model of sexual satisfaction in long term relationships. Canadian Journal of Human Sexuality, 1(3), 123–128.
  • Lee, D. M., Vanhoutte, B., Nazroo, J., & Pendleton, N. (2016). Sexual health and positive subjective well-being in partnered older men and women. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71(4), 698–710. https://doi.org/10.1093/geronb/gbw018
  • Lindau, S. T., Dale, W., Feldmeth, G., Gavrilova, N., Langa, K. M., Makelarski, J. A., & Wroblewski, K. (2018). Sexuality and cognitive status: A U.S. nationally representative study of home-dwelling older adults. Journal of the American Geriatrics Society, 66(10), 1902–1910. https://doi.org/10.1111/jgs.15511
  • Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C. A., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. New England Journal of Medicine, 357(8), 762–774. https://doi.org/10.1056/NEJMoa067423
  • Liu, H., Waite, L. J., Shen, S., & Wang, D. H. (2016). Is sex good for your health? A national study on partnered sexuality and cardiovascular risk among older men and women. Journal of Health and Social Behavior, 57(3), 276–296. https://doi.org/10.1177/0022146516661597
  • Lodge, A. C., & Umberson, D. (2012). All shook up: Sexuality of mid- to later life married couples. Journal of Marriage and Family, 74(3), 428–443. https://doi.org/10.1111/j.1741-3737.2012.00969.x
  • Matthews, C. E., Chen, K. Y., Freedson, P. S., Buchowski, M. S., Beech, B. M., Pate, R. R., & Troiano, R. P. (2008). Amount of time spent in sedentary behaviors in the United States, 2003–2004. American Journal of Epidemiology, 167(7), 875–881. https://doi.org/10.1093/aje/kwm390
  • McFarland, M. J., Uecker, J. E., & Regnerus, M. D. (2011). The role of religion in shaping sexual frequency and satisfaction: Evidence from married and unmarried older adults. The Journal of Sex Research, 48(2–3), 297–308. https://doi.org/10.1080/00224491003739993
  • Melis, M. R., & Argiolas, A. (1995). Dopamine and sexual behavior. Neuroscience & Biobehavioral Reviews, 19(1), 19–38. https://doi.org/10.1016/0149-7634(94)00020-2
  • Min, S. H., Topaz, M., Lee, C., & Schnall, R. (2023). Understanding changes in mental health symptoms from young-old to old-old adults by sex using multiple-group latent transition analysis. GeroScience, 1–11. https://doi.org/10.1007/s11357-023-00729-1
  • Mirescu, C., & Gould, E. (2006). Stress and adult neurogenesis. Hippocampus, 16(3), 233–238. https://doi.org/10.1002/hipo.20155
  • Moen, P. (2001). The gendered life course. In L. K. George & R. H. Binstock (Eds.), Handbook of aging and the social sciences (pp. 179–196). Academic Press.
  • Neugarten, B. L. (1974). Age groups in American society and the rise of the young-old. The Annals of the American Academy of Political and Social Science, 415(1), 187–198. https://doi.org/10.1177/000271627441500114
  • Nogueira, M. M. L., Neto, J. P. S., Sousa, M. F. B., Santos, R. L., Lacerda, I. B., Baptista, M. A. T., & Dourado, M. C. N. (2017). Perception of change in sexual activity in Alzheimer’s disease: Views of people with dementia and their spouse-caregivers. International Psychogeriatrics, 29(2), 185–193. https://doi.org/10.1017/S1041610216001642
  • O’Muircheartaigh, C., English, N., Pedlow, S., & Kwok, P. K. (2014). Sample design, sample augmentation, and estimation for Wave 2 of the NSHAP. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(Suppl. 2), S15–S26. https://doi.org/10.1093/geronb/gbu053
  • O’Muircheartaigh, C., English, N., Pedlow, S., & Schumm, L. P. (2021). Sample design and estimation in the national social life, health, and aging project: Round 3 (2015–2016). The Journals of Gerontology: Series B, 76(Suppl 3), S207–S214. https://doi.org/10.1093/geronb/gbab182
  • Pöysti, M. M., Laakkonen, M. L., Strandberg, T., Savikko, N., Tilvis, R. S., Eloniemi-Sulkava, U., & Pitkälä, K. H. (2012). Gender differences in dementia spousal caregiving. International Journal of Alzheimer’s Disease, 2012, 1–5. https://doi.org/10.1155/2012/162960
  • Prince, M., Albanese, E., Guerchet, M., & Prina, M. (2014). World Alzheimer report 2014. Dementia and risk reduction: An analysis of protective and modifiable risk factors. Alzheimer’s Disease International. https://www.alzint.org/u/WorldAlzheimerReport2014.pdf
  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
  • Rajan, K. B., Weuve, J., Barnes, L. L., McAninch, E. A., Wilson, R. S., & Evans, D. A. (2021). Population estimate of people with clinical Alzheimer’s disease and mild cognitive impairment in the United States (2020–2060). Alzheimer’s & Dementia, 17(12), 1966–1975. https://doi.org/10.1002/alz.12362
  • Sallis, J. F. (2000). Age-related decline in physical activity: A synthesis of human and animal studies. Medicine and Science in Sports and Exercise, 32(9), 1598–1600. https://doi.org/10.1097/00005768-200009000-00012
  • Sandberg, L. J. (2020). Too late for love? Sexuality and intimacy in heterosexual couples living with an Alzheimer’s disease diagnosis. Sexual and Relationship Therapy, 38(1), 118–139. https://doi.org/10.1080/14681994.2020.1750587
  • Shega, J. W., Sunkara, P. D., Kotwal, A., Kern, D. W., Henning, S. L., McClintock, M. K., Schumm, L. P., Waite, L. J., & Dale, W. (2014). Measuring cognition: The Chicago cognitive function measure in the National Social Life, Health and Aging Project, Wave 2. Journals of Gerontology, Series B, 69(8), S166–S176. https://doi.org/10.1093/geronb/gbu106
  • Siegel, J. K., Kung, S. Y., Wroblewski, K. E., Kern, D. W., McClintock, M. K., & Pinto, J. M. (2021). Olfaction is associated with sexual motivation and satisfaction in older men and women. The Journal of Sexual Medicine, 18(2), 295–302. https://doi.org/10.1016/j.jsxm.2020.12.002
  • Smith, A. G., Bardach, S. H., Barber, J. M., Williams, A., Rhodus, E. K., Parsons, K. K., & Jicha, G. A. (2021). Associations of future cognitive decline with sexual satisfaction among married older adults. Clinical Gerontologist, 44(3), 345–353. https://doi.org/10.1080/07317115.2021.1887420
  • Smith, L., Grabovac, I., Yang, L., Lopez-Sanchez, G. F., Firth, J., Pizzol, D., McDermott, D., Veronese, N., & Jackson, S. E. (2020). Sexual activity and cognitive decline in older age: A prospective cohort study. Aging Clinical and Experimental Research, 32(1), 85–91. https://doi.org/10.1007/s40520-019-01334-z
  • StataCorp. (2017). Stata statistical software: Release 15.
  • Træen, B., Štulhofer, A., Janssen, E., Carvalheira, A. A., Hald, G. M., Lange, T., & Graham, C. (2019). Sexual activity and sexual satisfaction among older adults in four European countries. Archives of Sexual Behavior, 48(3), 815–829. https://doi.org/10.1007/s10508-018-1256-x
  • Waite, L. J. (2017). National social life, health, and aging project (NSHAP): Round 3 and COVID-19 study. ICPSR36873-v1. Inter-university Consortium for Political and Social Research. [ distributor]. https://doi.org/10.3886/ICPSR36873.v7
  • Waite, L. J., Cagney, K., Cornwell, B., Dale, W., Huang, E., Laumann, E. O., McClintock, M., O’Muircheartaigh, C. A., & Schumm, L. P. (2014). National social life, health, and aging project (NSHAP): Round 2 and partner data collection. ICPSR34921-v1. Inter-university Consortium for Political and Social Research. [ distributor]. https://doi.org/10.3886/ICPSR34921.v4
  • Waite, L. J., Iveniuk, J., & Kotwal, A. (2022). Take two to tango: Cognitive impairment and sexual activity in older individuals and dyads. The Journals of Gerontology: Series B, 77(5), 992–1003. https://doi.org/10.1093/geronb/gbab158
  • Waite, L. J., Laumann, E. O., Das, A., & Schumm, L. P. (2009). Sexuality: Measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 64(1), i56–i66. https://doi.org/10.1093/geronb/gbp038
  • Wright, H., & Jenks, R. A. (2016). Sex on the brain! Associations between sexual activity and cognitive function in older age. Age and Ageing, 45(2), 313–317. https://doi.org/10.1093/ageing/afv197
  • Wright, H., Jenks, R. A., & Demeyere, N. (2019). Frequent sexual activity predicts specific cognitive abilities in older adults. The Journals of Gerontology: Series B, 74(1), 47–51. https://doi.org/10.1093/geronb/gbx065
  • Xiong, C., Biscardi, M., Astell, A., Nalder, E., Cameron, J. I., Mihailidis, A., & Colantonio, A. (2020). Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review. PloS One, 15(4), e0231848. https://doi.org/10.1371/journal.pone.0231848
  • Zhang, Y., & Liu, H. (2020). A national longitudinal study of partnered sex, relationship quality, and mental health among older adults. The Journals of Gerontology: Series B, 75(8), 1172–1782. https://doi.org/10.1093/geronb/gbz074
  • Zheng, H. (2021). A new look at cohort trend and underlying mechanisms in cognitive functioning. The Journals of Gerontology: Series B, 76(8), 1652–1663. https://doi.org/10.1093/geronb/gbaa107

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