Older Adults and Sexuality in Israel: Knowledge, Attitudes, Sexual Activity and Quality of Life

Abstract

Background: Sexual interest and activity continue to play a role in people's life as they age. However, research on this subject is limited. Purpose: To examine knowledge about sexuality, attitudes towards sexuality and sexual activity, and the relationship of sexual activity to quality of life among older adults in Israel. Method: Data included 203 Israeli Jews, with an average age of 69.59. The participants completed questionnaires, through an Internet panel, about sexuality knowledge and attitudes, sexual activity, quality of life and a sociodemographic questionnaire. Results: The results revealed that older adults continue to engage in sexual activities in later life. Knowledge and permissive attitudes are related to more sexual activity. Frequency of sexual activity was found as a predictor variable of quality of life, indicating a mediating effect on the relationship between attitudes towards older adults’ sexuality and quality of life. Men and older adults who have a spouse have a higher frequency of sexual activity than women and older adults who do not have a spouse. A correlation was found between the variables: health status, economic situation, education, and knowledge, attitudes, and sexual activity. Conclusion: Similar to other societies, Israeli older adults are still interested in sex, and sexual activity contributes to their quality of life. The practical recommendations are aimed primarily at professionals working with the older adult population. The older adults should be encouraged to seek help in the event that problems arise. Educational programs should be designed for the older adults themselves and for professionals as well. Education should emphasize the benefits of older adults' sexuality; provide knowledge of current sexual behavior patterns, and the biological and psychosocial aspects of sexuality.