Sexual Activity of Older Adults: A Systematic Review of the Literature

References

• Adams, C. G., & Turner, B. F. (1985). Reported change in sexuality from young adulthood to old age. The Journal of Sex Research, 21(2), 126–141. https://doi.org/10.1080/00224498509551254
   Web of Science ®Google Scholar
• Alencar, D. L. D., Marques, A., P, D., Leal, M. C. C., Vieira, J., D, C., & M. (2016). The exercise of sexuality among the elderly and associated factors. Revista Brasileira De Geriatria e Gerontologia, 19, 861–869. https://doi.org/10.1590/1809-98232016019.160028
   Google Scholar
• Alzona, A. M. L., Alumno, M. J. E., Ambrosio, D. M. R., Arceo, J. J. V., Ardales, M. D., Austria, K. J. H., Avancena, J. C. S., Azucenas, A. A., Balatibat, E. M., Balatazar, M. I. O., Bantug, R. F. B., Barbosa, R. C. A., Bautista, C. R., & Juangco, J. R. G. (2013). Sexual activity and QoL in the elderly: A cross-sectional study of the association of sexual activity with the quality of life and performance of activities of daily living in elderly persons in Barangay Ugong, Pasig City. UERM Health Sciences Journal, 2(1), 33.
   Google Scholar
• Beckman, N., Waern, M., Gustafson, D., & Skoog, I. (2008). Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: Cross sectional survey of four populations, 1971-2001. BMJ (Clinical Research ed.), 337(7662), a279–a279. https://doi.org/10.1136/bmj.a279
   PubMedGoogle Scholar
• Beckman, N., Waern, M., Östling, S., Sundh, V., & Skoog, I. (2013). Determinants of sexual activity in four birth cohorts of Swedish 70-year-olds Examined 1971-2001. The Journal of Sexual Medicine, 11(2), 401–410. https://doi.org/10.1111/jsm.12381
   PubMed Web of Science ®Google Scholar
• Beier, K. M., Kossow, S., Zhou, Y., Kroll, F., Neumann, B., Konrad, A., Mundt, I., Steinhagen-Thiessen, E., Demuth, I., Rosada, A., & Pauls, A. (2020). The gap between desires and reality in sexuality of males and females aged 60 and over: Results from the Berlin aging study II (BASE-II). Sexologies, 29(2), e52–e62. https://doi.org/10.1016/j.sexol.2019.08.005
   Web of Science ®Google Scholar
• Bell, S., Reissing, E. D., Henry, L. A., & VanZuylen, H. (2017). Sexual activity after 60: A systematic review of associated factors. Sexual Medicine Reviews, 5(1), 52–80. https://doi.org/10.1016/j.sxmr.2016.03.001
   Web of Science ®Google Scholar
• Bortz, W. M., 2nd, & Wallace, D. H. (1999). Physical fitness, aging, and sexuality. The Western Journal of Medicine, 170(3), 167–169.
   PubMedGoogle Scholar
• Bretschneider, J. G., & McCoy, N. L. (1988). Sexual interest and behavior in healthy 80- to 102-year-olds. Archives of Sexual Behavior, 17(2), 109–129. https://doi.org/10.1007/BF01542662
   PubMed Web of Science ®Google Scholar
• Cameron, J., & Santos-Iglesias, P. (2022). Is intercourse everything? Sexual activities that older adults consider as being sex. Canadian Sex Research Forum, Waterloo, Canada.
   Google Scholar
• Chen, H.-K., Tseng, C.-D., Wu, S.-C., Lee, T.-K., & Chen, T. H.-H. (2007). A prospective cohort study on the effect of sexual activity, libido and widowhood on mortality among the elderly people: 14-year follow-up of 2453 elderly Taiwanese. International Journal of Epidemiology, 36(5), 1136–1142. https://doi.org/10.1093/ije/dym109
   PubMed Web of Science ®Google Scholar
• Choi, K. B., Jang, S. H., Lee, M. Y., & Kim, K. H. (2011). Sexual life and sexual self-esteem in married elderly. Archives of Gerontology and Geriatrics, 53(1), e17–e20. https://doi.org/10.1016/j.archger.2010.08.011
   PubMed Web of Science ®Google Scholar
• Cismaru-Inescu, A., Hahaut, B., Adam, S., Nobels, A., Beaulieu, M., Vandeviver, C., Keygnaert, I., & Nisen, L. (2022). Sexual Activity and Physical Tenderness in Older Adults: Prevalence and Associated Characteristics From a Belgian Study. The Journal of Sexual Medicine, 19(4), 569–580. 10.1016/j.jsxm.2022.01.516 35236640
   PubMed Web of Science ®Google Scholar
• Das, A. (2017). Dyadic configurations of sexual problems among older U.S. adults: A national study. Journal of Sex & Marital Therapy, 43(5), 479–495. https://doi.org/10.1080/0092623X.2016.1208128
   PubMed Web of Science ®Google Scholar
• DeLamater, J. (2012). Sexual expression in later life: A review and synthesis. Journal of Sex Research, 49(2–3), 125–141. https://doi.org/10.1080/00224499.2011.603168
   PubMed Web of Science ®Google Scholar
• DeLamater, J., Hyde, J. S., & Fong, M. (2008). Sexual satisfaction in the seventh decade of life. Journal of Sex & Marital Therapy, 34(5), 439–454. https://doi.org/10.1080/00926230802156251
   PubMed Web of Science ®Google Scholar
• DeLamater, J., & Karraker, A. (2009).) Sexual functioning in older adults. Current Psychiatry Reports, 11(1), 6–11. https://doi.org/10.1007/s11920-009-0002-4
   PubMed Web of Science ®Google Scholar
• 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
   PubMed Web of Science ®Google Scholar
• Egbewale, B. E., & Adebimpe, W. O. (2020). Sexual behaviours among the elderly population in Osun State, Southwestern Nigeria. Elderly Health Journal, 6(1), 16-23. https://doi.org/10.18502/ehj.v6i1.3411
   Google Scholar
• Ekström, M., Johnson, M. J., Taylor, B., Luszcz, M., Wohland, P., Ferreira, D. H., & Currow, D. C. (2018). Breathlessness and sexual activity in older adults: the Australian longitudinal study of ageing. NPJ Primary Care Respiratory Medicine, 28(1), 20. https://doi.org/10.1038/s41533-018-0090-x
   PubMedGoogle Scholar
• Fischer, N., Štulhofer, A., Hald, G. M., Carvalheira, A., & Træen, B. (2021). Sexual satisfaction in older heterosexual couples from four European countries: Exploring the roles of actual and perceived discrepancy in sexual interest. Journal of Sex Research, 58(1), 64–73. https://doi.org/10.1080/00224499.2020.1809615
   PubMed Web of Science ®Google Scholar
• Fischer, N., Træen, B., & Hald, G. M. (2021). Predicting partnered sexual activity among older adults in four European countries: the role of attitudes, health, and relationship factors. Sexual and Relationship Therapy, 36(1), 3–21. https://doi.org/10.1080/14681994.2018.1468560
   Web of Science ®Google Scholar
• Fischer, N., Træen, B., Štulhofer, A., & Hald, G. M. (2020). Mechanisms underlying the association between perceived discrepancy in sexual interest and sexual satisfaction among partnered older adults in four European countries. European Journal of Ageing, 17(2), 151–162. https://doi.org/10.1007/s10433-019-00541-x
   PubMed Web of Science ®Google Scholar
• Flynn, T.-J., & Gow, A. J. (2015). Examining associations between sexual behaviours and quality of life in older adults. Age and Ageing, 44(5), 823–828. https://doi.org/10.1093/ageing/afv083
   PubMed Web of Science ®Google Scholar
• Freak-Poli, R., Kirkman, M., De Castro Lima, G., Direk, N., Franco, O. H., & Tiemeier, H. (2017). Sexual Activity and Physical Tenderness in Older Adults: Cross-Sectional Prevalence and Associated Characteristics. The Journal of Sexual Medicine, 14(7), 918–927. 10.1016/j.jsxm.2017.05.010 28673434
   PubMed Web of Science ®Google Scholar
• Freak‐Poli, R. (2020). It’s not age that prevents sexual activity later in life. Australasian Journal on Ageing, 39(S1), 22–29. https://doi.org/10.1111/ajag.12774
   PubMedGoogle Scholar
• Freeman, E., & Anglewicz, P. (2012).) HIV prevalence and sexual behaviour at older ages in rural Malawi. International Journal of STD & AIDS, 23(7), 490–496. https://doi.org/10.1258/ijsa.2011.011340
   PubMed Web of Science ®Google Scholar
• Gillespie, B. J. (2017). Correlates of sex frequency and sexual satisfaction among partnered older adults. Journal of Sex & Marital Therapy, 43(5), 403–423. https://doi.org/10.1080/0092623x.2016.1176608
   PubMed Web of Science ®Google Scholar
• Ginsberg, T. B., Pomerantz, S. C., & Kramer-Feeley, V. (2005).) Sexuality in older adults: behaviours and preferences. Age and Ageing, 34(5), 475–480. https://doi.org/10.1093/ageing/afi143
   PubMed Web of Science ®Google Scholar
• Glaude-Hosch, J. A., Smith, M. L., Heckman, T. G., Miles, T. P., Olubajo, B. A., & Ory, M. G. (2015). Sexual Behaviors, Healthcare Interactions, and HIV-Related Perceptions Among Adults Age 60 Years and Older: An Investigation by Race/Ethnicity. Current HIV Research, 13(5), 359–368. 10.2174/1570162x13666150511124959 25981706
   PubMed Web of Science ®Google Scholar
• Graham, C. A., Catania, J. A., Brand, R., Duong, T., & Canchola, J. A. (2003). Recalling sexual behavior: A methodological analysis of memory recall bias via interview using the diary as the gold standard. Journal of Sex Research, 40(4), 325–332. https://doi.org/10.1080/00224490209552198
   PubMed Web of Science ®Google Scholar
• Herbenick, D., Reece, M., Schick, V., Sanders, S. A., Dodge, B., & Fortenberry, J. D. (2010). Sexual behavior in the United States: Results from a national probability sample of men and women ages 14-94. The Journal of Sexual Medicine, 7 (Supplement_5), 255–265. https://doi.org/10.1111/j.1743-6109.2010.02012.x
   PubMedGoogle Scholar
• Heywood, W., Lyons, A., Fileborn, B., Hinchliff, S., Minichiello, V., Malta, S., Barrett, C., & Dow, B. (2018). Sexual satisfaction among older Australian heterosexual men and women: Findings from the sex, age & me study. Journal of Sex & Marital Therapy, 44(3), 295–307. https://doi.org/10.1080/0092623x.2017.1366959
   PubMed Web of Science ®Google Scholar
• Hillman, J. (2012). Sexuality and aging. Clinical perspectives. Springer.
   Google Scholar
• Howard, J. R., O'Neill, S., & Travers, C. (2006). Factors affecting sexuality in older Australian women: sexual interest, sexual arousal, relationships and sexual distress in older Australian women. Climacteric: The Journal of the International Menopause Society, 9(5), 355–367. https://doi.org/10.1080/13697130600961870
   PubMed Web of Science ®Google Scholar
• Hsu, B., Hirani, V., Naganathan, V., Blyth, F. M., Le Couteur, D. G., Seibel, M. J., Waite, L. M., Handelsman, D. J., & Cumming, R. G. (2016). Sexual function and mortality in older men: The concord health and ageing in men project. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 72(4), 520–527. https://doi.org/10.1093/gerona/glw101
   Web of Science ®Google Scholar
• Hyde, ZOË., Flicker, L., Hankey, G. J., Almeida, O. P., McCaul, K. A., Chubb, S. A. P., & Yeap, B. B. (2010). Prevalence of sexual activity and associated factors in men aged 75 to 95 years: a cohort study. Annals of Internal Medicine, 153(11), 693–702. 10.7326/0003-4819-153-11-201012070-00002 21135292
   PubMed Web of Science ®Google Scholar
• Jaccard, J., McDonald, R., Wan, C. K., Dittus, P. J., & Quinlan, S. (2002). The accuracy of self-reports of condom use and sexual behavior. Journal of Applied Social Psychology, 32(9), 1863–1905. https://doi.org/10.1111/j.1559-1816.2002.tb00263.x
   Web of Science ®Google Scholar
• Keil, J. E., Sutherland, S. E., Knapp, R. G., Waid, L. R., & Gazes, P. C. (1992). Self-reported sexual functioning in elderly blacks and whites: The Charleston heart study experience. Journal of Aging and Health, 4(1), 112–125. https://doi.org/10.1177/089826439200400107
   Google Scholar
• Kim, O., & Jeon, H. O. (2013). Gender differences in factors influencing sexual satisfaction in Korean older adults. Archives of Gerontology and Geriatrics, 56(2), 321–326. https://doi.org/10.1016/j.archger.2012.10.009
   PubMed Web of Science ®Google Scholar
• Knodel, J., & Chayovan, N. (2001). Sexual activity among older Thais: the influence of age, gender and health. Journal of Cross-Cultural Gerontology, 16(2), 173–200. 10.1023/a:1010608226594 14617988
   PubMedGoogle Scholar
• Kolodziejczak, K., Rosada, A., Drewelies, J., Düzel, S., Eibich, P., Tegeler, C., Wagner, G. G., Beier, K. M., Ram, N., Demuth, I., Steinhagen-Thiessen, E., & Gerstorf, D. (2019). Sexual activity, sexual thoughts, and intimacy among older adults: Links with physical health and psychosocial resources for successful aging. Psychology and Aging, 34(3), 389–404. https://doi.org/10.1037/pag0000347
   PubMed Web of Science ®Google Scholar
• Kontula, O., & Haavio-Mannila, E. (2009). The impact of aging on human sexual activity and sexual desire. Journal of Sex Research, 46(1), 46–56. https://doi.org/10.1080/00224490802624414
   PubMed Web of Science ®Google Scholar
• Kvalem, I. L., Graham, C. A., Hald, G. M., Carvalheira, A. A., Janssen, E., & Štulhofer, A. (2020). The role of body image in sexual satisfaction among partnered older adults: a population-based study in four European countries. European Journal of Ageing, 17(2), 163–173. 10.1007/s10433-019-00542-w 32549871
   PubMed Web of Science ®Google Scholar
• Leigh, B. C., Temple, M. T., & Trocki, K. F. (1993). The sexual behavior of US adults: results from a national survey. American Journal of Public Health, 83(10), 1400–1408. https://doi.org/10.2105/ajph.83.10.1400
   PubMed Web of Science ®Google Scholar
• Lindau, S. T., & Gavrilova, N. (2010). Sex, health, and years of sexually active life gained due to good health: Evidence from two US population based cross sectional surveys of ageing. BMJ (Clinical Research ed.), 340(mar09 2), c810–c810. https://doi.org/10.1136/bmj.c810
   PubMedGoogle Scholar
• Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, B., Muircheartaigh, C. A., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. The New England Journal of Medicine, 357(8), 762–774. https://doi.org/10.1056/NEJMoa067423
   PubMed Web of Science ®Google Scholar
• Macleod, A., & McCabe, M. P. (2020). Defining sexuality in later life: A systematic review. Australasian Journal on Ageing, 39 Suppl 1(S1), 6–15. https://doi.org/10.1111/ajag.12741
   PubMedGoogle Scholar
• Maharani, A. P., Setiyani, R., Triyanto, E., & Iskandar, A. (2021). Sexuality in later life: A descriptive study of sexual desire, expression and satisfaction among older adults. Annals of Tropical Mecicine and Public Health, 7(1), 137–142. https://doi.org/10.36295/AOTMPH.2021.7122
   Google Scholar
• Malakouti, S. K., Salehi, M., Nojomi, M., Zandi, T., & Eftekhar, M. (2012). Sexual functioning among the elderly population in Tehran, Iran. Journal of Sex & Marital Therapy, 38(4), 365–377. https://doi.org/10.1080/0092623X.2011.628438
   PubMed Web of Science ®Google Scholar
• Mardi, A., Behboodi Moghadam, Z., Ghafoori, F., & Refahi, S. (2019). Sexual activity, interest and satisfaction in older women in Iran. Journal of Biostatistics and Epidemiology 5(1), 50-57. https://doi.org/10.18502/jbe.v5i1.1906
   Google Scholar
• Marsiglio, W., & Donnelly, D. (1991). Sexual relations in later life: a national study of married persons. Journal of Gerontology, 46(6), S338–S344. 10.1093/geronj/46.6.s338 1940100
   PubMedGoogle Scholar
• Minhat, H. S., Din, H. M., Ibrahim, R., & Akahbar, S. A. (2019). Sexuality in later life: Sexual desire and satisfaction among malay older persons in Malaysia. Malaysian Journal of Medicine and Health Sciences, 15(SP3), 45–50.
   Google Scholar
• Minichiello, V., Plummer, D., & Loxton, D. (2004). Factors predicting sexual relationships in older people: an Australian study. Australasian Journal on Ageing, 23(3), 125–130. https://doi.org/10.1111/j.1741-6612.2004.00018.x
   Web of Science ®Google Scholar
• Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N., Copas, A. J., Tanton, C., Erens, B., Sonnenberg, P., Clifton, S., Macdowall, W., Phelps, A., Johnson, A. M., & Wellings, K. (2013). Sexual function in Britain: filndings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet (London, England), 382(9907), 1817–1829. https://doi.org/10.1016/S0140-6736(13)62366-1
   PubMed Web of Science ®Google Scholar
• Momtaz, Y. A., Hamid, T. A., & Ibrahim, R. (2013). The impact of mild cognitive impairment on sexual activity. American Journal of Alzheimer’s Disease and Other Dementias, 28(8), 759–762. https://doi.org/10.1177/1533317513504612
   PubMed Web of Science ®Google Scholar
• Mulligan, T., & Moss, C. R. (1991). Sexuality and aging in male veterans: A cross-sectional study of interest, ability, and activity. Archives of Sexual Behavior, 20(1), 17–25. https://doi.org/10.1007/BF01543004
   PubMed Web of Science ®Google Scholar
• O'Sullivan, L. F., Brotto, L. A., Byers, E. S., Majerovich, J. A., & Wuest, J. A. (2014).) Prevalence and characteristics of sexual functioning among sexually experienced middle to late adolescents. The Journal of Sexual Medicine, 11(3), 630–641. https://doi.org/10.1111/jsm.12419
   PubMed Web of Science ®Google Scholar
• Olatayo, A. A., Kubwa, O. O., & Adekunle, A. E. (2015). Sexuality in nigerian older adults. Pan African Medical Journal, 2210.11604/pamj.2015.22.315.7617
   PubMedGoogle Scholar
• Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J., M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J., M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, … V. A., Whiting, McKenzie, J. E. (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ (Clinical Research ed.), 372, n160. https://doi.org/10.1136/bmj.n160
   PubMed Web of Science ®Google Scholar
• Palacios-Ceña, D., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Jiménez-García, R., & Fernández-de-las-Peñas, C. (2012). Sexual behaviors among older adults in Spain: Results from a population-based national sexual health survey. The Journal of Sexual Medicine, 9(1), 121–129. https://doi.org/10.1111/j.1743-6109.2011.02511.x
   PubMed Web of Science ®Google Scholar
• Papaharitou, S., Nakopoulou, E., Kirana, P., Giaglis, G., Moraitou, M., & Hatzichristou, D. (2008). Factors associated with sexuality in later life: An exploratory study in a group of Greek married older adults. Archives of Gerontology and Geriatrics, 46(2), 191–201. https://doi.org/10.1016/j.archger.2007.03.008
   PubMed Web of Science ®Google Scholar
• Peterson, Z. D., & Muehlenhard, C. L. (2007). What is sex and why does it matter? A motivational approach to exploring individuals’ definitions of sex. Journal of Sex Research, 44(3), 256–268. https://doi.org/10.1080/00224490701443932
   PubMed Web of Science ®Google Scholar
• Rodrigues, C. F. do C., Duarte, Y. A. de O., Rezende, F. A. C., Brito, T. R. P. de, & Nunes, D. P. (2019). Atividade sexual, satisfação e qualidade de vida em pessoas idosas. Revista Eletrônica De Enfermagem, 21, 57337. https://doi.org/10.5216/ree.v21.57337
   Google Scholar
• Sanders, S. A., Hill, B. J., Yarber, W. L., Graham, C. A., Crosby, R. A., & Milhausen, R. R. (2010). Misclassification bias: diversity in conceptualisations about having 'had sex. Sexual Health, 7(1), 31–34. https://doi.org/10.1071/sh09068
   PubMed Web of Science ®Google Scholar
• Sanders, S. A., & Reinisch, J. M. (1999). Would you say you "had sex" if…? JAMA, 281(3), 275–277. https://doi.org/10.1001/jama.281.3.275
   PubMed Web of Science ®Google Scholar
• Santos-Iglesias, P., Byers, E. S., & Moglia, R. (2016). Sexual well-being of older men and women. The Canadian Journal of Human Sexuality, 25(2), 86–98. https://doi.org/10.3138/cjhs.252-A4
   Web of Science ®Google Scholar
• Shkolnik, D., & Iecovich, E. (2013). Health, body image, gender, and migration status: their relationship to sexuality in old age. International Psychogeriatrics, 25(10), 1717–1727. 10.1017/S1041610213000604 23642354
   PubMed Web of Science ®Google Scholar
• Skałacka, K., & Gerymski, R. (2019). Sexual activity and life satisfaction in older adults. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 19(3), 195–201. https://doi.org/10.1111/psyg.12381
   PubMed Web of Science ®Google Scholar
• Smith, L. J., Mulhall, J. P., Deveci, S., Monaghan, N., & Reid, M. C. (2007). Sex after seventy: A pilot study of sexual function in older persons. The Journal of Sexual Medicine, 4(5), 1247–1253. https://doi.org/10.1111/I.1743-6109.2007.00568.X
   PubMed Web of Science ®Google Scholar
• Spector, I. P., & Fremeth, S. M. (1996). Sexual behaviors and attitudes of geriatric residents in long-term care facilities. Journal of Sex & Marital Therapy, 22(4), 235–246. https://doi.org/10.1080/00926239608404402
   PubMed Web of Science ®Google Scholar
• Stentagg, M., Skär, L., Berglund, J. S., & Lindberg, T. (2021). Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adult's ≥60 Years of Age. Sexual Medicine, 9(2), 100316 10.1016/j.esxm.2020.100316 PMC: 33676227
   PubMed Web of Science ®Google Scholar
• Štulhofer, A., Jurin, T., Graham, C., Janssen, E., & Træen, B. (2019). Emotional intimacy and sexual well-being in aging European couples: a cross-cultural mediation analysis. European Journal of Ageing, 17(1), 43–54. https://doi.org/10.1007/s10433-019-00509-x
   PubMed Web of Science ®Google Scholar
• Thompson, W. K., Charo, L., Vahia, I. V., Depp, C., Allison, M., & Jeste, D. V. (2011). Association between higher levels of sexual function, activity, and satisfaction and self-rated successful aging in older postmenopausal women. Journal of the American Geriatrics Society, 59(8), 1503–1508. https://doi.org/10.1111/j.1532-5415.2011.03495.x
   PubMed Web of Science ®Google Scholar
• Træen, B., Carvalheira, A., Kvalem, I. L., Štulhofer, A., Janssen, E., Graham, C. A., Hald, G. M., & Enzlin, P. (2017). Sexuality in older adults (65+)—An overview of the recent literature, part 2: Body image and sexual satisfaction. International Journal of Sexual Health, 29(1), 11–21. https://doi.org/10.1080/19317611.2016.1227012
   Web of Science ®Google Scholar
• Træen, B., Hald, G. M., Graham, C. A., Enzlin, P., Janssen, E., Kvalem, I. L., Carvalheira, A., & Štulhofer, A. (2017). Sexuality in older adults (65+)—An overview of the literature, part 1: Sexual function and its difficulties. International Journal of Sexual Health, 29(1), 1–10. https://doi.org/10.1080/19317611.2016.1224286
   Web of Science ®Google Scholar
• 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
   PubMed Web of Science ®Google Scholar
• Trudel, G., Dargis, L., Villeneuve, L., Cadieux, J., Boyer, R., & Préville, M. (2014). Marital, sexual and psychological functioning of older couples living at home: The results of a national survey using longitudinal methodology (Part II). Sexologies, 23(2), e35–e48. https://doi.org/10.1016/j.sexol.2013.03.007
   Google Scholar
• Tsang, A. K. T., Fuller-Thomson, E., & Lai, D. W. L. (2011). Sexuality and health among Chinese seniors in Canada. Journal of International Migration and Integration, 13(4), 525–540. https://doi.org/10.1007/s12134-011-0221-5
   Google Scholar
• Tsatali, M., & Tsolaki, M. Sexual function in normal elders, MCI and patients with mild dementia. Sexuality and Disability, 32, 205–219. 201410.1007/s11195-014-9353-9
   Web of Science ®Google Scholar
• Twenge, J. M., Sherman, R. A., & Wells, B. E. (2015). Changes in American adults’ sexual behavior and attitudes, 1972–2012. Archives of Sexual Behavior, 44(8), 2273–2285. https://doi.org/10.1007/s10508-015-0540-2
   PubMed Web of Science ®Google Scholar
• United Nations Department of Economic and Social Affairs. (2022). World population prospects 2022: summary of results. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/wpp2022_summary_of_results.pdf
   Google Scholar
• Ussher, J. M., Perz, J., & Parton, C. (2015). Menopause and sexuality: Resisting representations of the abject sexual women. In M. C. Mchugh & J. C. Chrisler (Eds.), The wrong prescription: How medicine and media create a "need" for treatments, drugs, and surgery (pp. 123–146). Praeger.
   Google Scholar
• Von Humboldt, S., Ribeiro-Gonçalves, J. A., Costa, A., Low, G., & Leal, I. (2020). Sexual expression in old age: how older adults from different cultures express sexually? Sexuality Research and Social Policy, 18(2), 246–260. https://doi.org/10.1007/s13178-020-00453-x
   Web of Science ®Google Scholar
• Wainipitapong, S., Oon-Arom, A., Wiwattarangkul, T., Vadhanavikkit, P., Wiwattanaworaset, P., Srifuengfung, M., & Chiddaycha, M. (2023). Sexual behaviors among lesbian, gay, bisexual, transgender, and other sexual and gender diverse medical students: A national study of Thai medical schools. International Journal of Sexual Health, 35(3), 352–362. https://doi.org/10.1080/19317611.2023.2214801
   Web of Science ®Google Scholar
• Wang, T.-F., Lu, C.-H., Chen, I.-J., & Yu, S. (2008). Sexual knowledge, attitudes and activity of older people in Taipei, Taiwan. Journal of Clinical Nursing, 17(4), 443–450. https://doi.org/10.1111/j.1365-2702.2007.02003.x
   PubMed Web of Science ®Google Scholar
• Wong, S. Y. S., Leung, J. C. S., & Woo, J. (2009). Sexual activity, erectile dysfunction and their correlates among 1,566 older Chinese men in Southern China. The Journal of Sexual Medicine, 6(1), 74–80. https://doi.org/10.1111/j.1743-6109.2008.01034.x
   PubMed Web of Science ®Google Scholar
• Yang, S., & Yan, E. (2016). Demographic and psychosocial correlates of sexual activity in older Chinese people. Journal of Clinical Nursing, 25(5-6), 672–681. https://doi.org/10.1111/jocn.12998
   PubMed Web of Science ®Google Scholar
• Yaşan, A., Essizoglu, A., & Yildirim, E. A. (2009). Predictor factors associated with premarital sexual behaviors among university students in an Islamic culture. International Journal of Sexual Health, 21(3), 145–152. https://doi.org/10.1080/19317610903113813
   Web of Science ®Google Scholar