两个人跳探戈:老年人和双性恋的认知障碍和性活动。

IF 3.2
Linda J Waite, James Iveniuk, Ashwin Kotwal
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引用次数: 1

摘要

目的:本文研究了认知障碍(包括轻度认知障碍(MCI)和早期痴呆(ED))与性活动之间的关系,研究对象是一个大型的纵向社区老年人样本。我们这里关注的是性行为,包括与伴侣的性行为和手淫。方法:我们使用国家社会生活、健康和老龄化项目(2010年和2015年)分析了3777名老年人和955名亲密二人组的成员。我们使用有序probit回归、交叉滞后面板模型和probit回归。结果:我们发现有认知障碍的老年人,无论是轻度认知障碍还是ED,与那些认知功能正常的人相比,与伴侣发生性行为的可能性是一样的。在横截面和纵向上都是如此。然而,患有ED的男性和女性都不太可能手淫。在已婚和同居的夫妻中,我们没有发现丈夫、妻子或双方的认知障碍与他们共同的性行为之间的联系。认知功能比丈夫低的女性报告自慰的可能性更小。讨论:与伴侣做爱,一种基本的社会活动,在面对认知限制时似乎是保守的,但手淫,一种单独的活动,却不是。我们认为,亲密的二分体在保存伴侣性活动中起着重要的作用。研究结果可以作为提高生活质量总体策略的一部分,为维持认知障碍老年人及其伴侣的性健康提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Takes Two to Tango: Cognitive Impairment and Sexual Activity in Older Individuals and Dyads.

Objectives: This article examines the association between cognitive impairment, including mild cognitive impairment (MCI) and early dementia (ED), and sexual activity in a large, longitudinal sample of community-dwelling older adults. We focus here on sexual activity, which includes both sexual activity with a partner and masturbation.

Methods: We analyzed 3,777 older individuals and members of 955 intimate dyads using the National Social Life, Health, and Aging Project (2010 and 2015). We used ordered probit regression, cross-lagged panels models, and probit regression.

Results: We find that older adults with cognitive limitations, either MCI or ED, are about as likely to be sexually active with a partner as those with normal cognitive function. This is the case both in the cross-section and longitudinally. Both men and women with ED are less likely to have masturbated, however. Among married and cohabiting couples, we find no association between cognitive impairment in either the husband, the wife, or in both partners and their joint sexual activity. Women whose measured cognitive function is lower than their husbands are less likely to report any masturbation.

Discussion: Sex with a partner, a fundamentally social activity, seems to be conserved in the face of cognitive limitation but masturbation, a solitary activity, does not. We argue that the intimate dyad plays an important role in conserving partnered sexual activity. Results can inform strategies to maintain the sexual well-being of older adults with cognitive impairment and their partners as part of overall strategies to improve quality of life.

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