老年妇女的性健康:基于社会生态学方法,通过焦点小组访谈确定影响因素

IF 1.1 4区 医学 Q3 REHABILITATION
Roghie Bagheri, Yadollah Abolfathi Momtaz, Mahshid Foroughan, Farahnaz Mohammadi Shahboulaghi
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引用次数: 0

摘要

尽管老年人的性健康非常重要且好处多多,但由于性别和年龄方面的禁忌和陈规陋习,尤其是针对老年妇女的禁忌和陈规陋习,老年人的性健康往往是一个被忽视的话题。我们采用焦点小组访谈的方式进行了一项定性研究,以探讨影响老年妇女性健康的因素。来自德黑兰的 24 名已婚老年妇女参加了 7 次焦点小组访谈,她们的社会经济地位各不相同,平均年龄为 65.33±5.32 岁。按照 Elo 和 Kyngäs(2008 年)的演绎法,并根据社会生态学方法的不同层次进行了内容分析。总体而言,研究结果表明,5 个不同层面的影响因素非常重要,它们是主要类别,包括 14 个子类别。除了健康和与年龄有关的变化等个体因素外,参与者还认为性适应的作用和不同时期的性满 足程度是影响老年妇女性健康的重要因素。在人际交往方面,丈夫的健康状况、与丈夫的关系质量以及子女的影响也起着决定性作 用。在更高层次上,隐私、医护人员的态度和社会文化信仰等因素也对性健康有影响。这项研究的结果有望为今后的研究提供依据,并加强基于社会结构的老年人性健康计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women’s Sexual Health in Old Age: Identification of Influencing Factors Using Focus Group Interviews Based on Socioecological Approach

Despite its importance and numerous benefits, sexual health in the elderly is often a neglected topic due to gender- and age-specific taboos and stereotypes, especially those addressing elderly women. A qualitative study was conducted using focus group interviews to explore the factors influencing the sexual health of elderly women. Twenty-four married elderly women from Tehran with different socioeconomic statuses and a mean age of 65.33 ± 5.32 participated in 7 focus group interviews. Content analysis was done following the deductive method of Elo and Kyngäs (2008) and based on the different levels of socioecological approach. Overall, the findings indicated the importance of influential factors at 5 different levels as the main categories which included 14 sub-categories. In addition to individual factors such as health and age-related changes, the participants regarded the role of sexual adaptation and the level of satisfaction with it in different periods of life as important factors contributing to the elderly women’s sexual health. The role of the husband’s health and the quality of the relationship with him along with the children influences were also found to have a decisive role at the interpersonal level. At higher levels, factors such as having privacy, the attitude of health care workers, and socio-cultural beliefs also contributed to sexual health. Results of this study are expected to provide the basis for future research and strengthen sexual health programs for the elderly based on social structures.

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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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