Influence of Cognitive Status on the Sexual Life of 352 Elderly Italians aged 65-105 years

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Title Influence of Cognitive Status on the Sexual Life of 352 Elderly Italians aged 65-105 years
Author De Leo, Diego; Padoani, W.; Buono, M. Dello; Marietta, P.; Scocco, P.; Zaghi, PC.
Journal Name Gerontology
Year Published 2000
Place of publication Switzerland
Publisher S. Karger
Abstract Background: Various factors are considered to influence sexual behavior in the elderly, but the role played by preservation of adequate cognitive functioning has not been adequately explored. Objective: The aim of this research, conducted on 352 older adults aged between 65 and 105 years, was to identify the specific role played by cognitive functioning in sexual activity and sexual interest in the elderly. Methods: The data were collected from elderly people attending the surgeries of 21 general practitioners in the city of Padua (Italy). Analysis of sexual functioning was based on two items, from the LEIPAD questionnaire: 'Are you interested in sex?' and 'Do you have sexual relations?'. Subjects cognitive status was assessed objectively through the Mini Mental State Examination (MMSE) and subjectively by the LEIPAD subscale on cognitive functioning. Results: Subjects who were sexually active and interested in sex were more highly represented among the married elderly. The elderly who reported being active and interested in sex were significantly younger and had a significantly superior educational level and MMSE score. Mean scores for cognitive functioning and all quality-of-life indicators were in general significantly better for the active and interested. Univariate logistic regression analysis indicated that a higher MMSE score and cognitive functioning score influenced the maintenance of sexual interest. Conclusions: One third of the subjects reported being still sexually active and 40% being still interested in sex. This study seems to suggest that a significant role may be played by cognitive functioning in the maintenance of sexual interest in the elderly, especially older females in whom this dimension is evidently linked to far more diversified experiences than their male peers.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1159/000022169
Volume 46
Page from 258
Page to 265
ISSN 0304-324X
Date Accessioned 2001-01-01
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Subject PRE2009-Medical & Health Sciences
URI http://hdl.handle.net/10072/3017
Publication Type Article in Scholarly Refereed Journal
Publication Type Code c1

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