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Health, body image, gender, and migration status: their relationship to sexuality in old age

Published online by Cambridge University Press:  03 May 2013

Darya Shkolnik  and
Esther Iecovich
Darya Shkolnik
Affiliation:
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Esther Iecovich*
Affiliation:
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
*
Correspondence should be addressed to: Esther Iecovich, Ph.D., Department of Public Health, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel. Phone: +972-8-647-7424; Fax: +972-8-647-7635. Email: iecovich@bgu.ac.il.
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Abstract

Background: The aim of this study was to assess the relationships between gender, migration status, perceived health, body image, and sexual activity and satisfaction among older adults. It was hypothesized that men and those who are long-standing residents in Israel will report better perceived health, a positive body image, and these will be associated with greater sexuality, compared with women, new immigrants with poorer perceived health and a negative body image.

Methods: The sample included 200 respondents who were 60 years and older, functionally independent and living with a spouse or a partner for at least one year, heterosexual, and living in the community in Israel. Respondents were recruited through community-based services for older persons and snowballing. Multivariate analyses were performed to examine differences by groups of respondents and to identify the best predictors of the outcome variables.

Results: The majority had some kind of sexual activity. No significant differences were found between men and women with regard to perceived health, body image, sexual activity and satisfaction, but significant differences were found between new immigrants from former Soviet Union countries and long-standing residents in Israel. Mental health, age, and migration status were significant in explaining sexual activity, while age, education, and sexual activity were significant in explaining sexual satisfaction.

Conclusions: A variety of factors play a role with regard to sexuality in old age, in particular immigration status. Appropriate interventions can help older adults cope with the determinants that negatively affect their mental health and sexual life.

Keywords

older adultsimmigrantsformer Soviet Uniongenderbody imageperceived healthsexual activitysexual satisfaction
Type
Research Article
Information
International Psychogeriatrics , Volume 25 , Issue 10 , October 2013 , pp. 1717 - 1727
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Ahn, S. H.et al. (2007). Health-related quality of life in disease-free survivors of breast cancer with the general population. Annals of Oncology, 18, 173–182. doi:10.1093/annonc/mdl333.CrossRefGoogle ScholarPubMed
Amit, K. and Litwin, H. (2010). The subjective well-being of immigrants aged 50 and older in Israel. Social Indicators Research, 98, 89–104. doi:10.1007/s11205-009-9519-5.CrossRefGoogle ScholarPubMed
Baker, L. and Gringart, E. (2009). Body image and self-esteem in older adulthood. Aging and Society, 29, 977–995. doi:10.1017/S0144686X09008721.CrossRefGoogle Scholar
Beckman, N., Waern, M., Gustafson, D. and 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. British Medical Journal, 337, 151–154. doi:10.1136/bmj.a279.CrossRefGoogle ScholarPubMed
Bouman, W. P., Arcelus, J. and Benbow, S. M. (2006). Nottingham study of sexuality & aging. Attitudes regarding sexuality in older people: a review of the literature. Sexual and Relationship Therapy, 21, 149–161. doi:10.1080/14681990600618879.CrossRefGoogle Scholar
Bradley, D. E. and van Willigen, M. (2010). Migration and psychological well-being among older adults: a growth curve analysis based on panel data from the Health and Retirement Study, 1996–2006. Journal of Aging and Health, 22, 882–913. doi:10.1177/0898264310368430.CrossRefGoogle ScholarPubMed
Brodsky, J., Shnoor, Y. and Be'er, S. (2012). The Elderly in Israel: Statistical Abstract 2011. Jerusalem, IL: Myers-Brookdale Institute. Available at: http://mashav.jdc.org.il/?CategoryID=233&ArticleID=162; last accessed 18 March 2013.Google Scholar
Burr, J. A.et al. (2012). The living arrangements of older immigrants from the former Soviet Union: a comparison of Israel and the United States. Journal of Aging Studies, 26, 401–409. doi:10.1016/j.jaging.2012.05.002.CrossRefGoogle ScholarPubMed
Carpentier, M. Y. and Fortenberry, J. D. (2010). Romantic and sexual relationships, body image, and fertility in adolescent and young adult testicular cancer survivors: a review of the literature. Journal of Adolescent Health, 47, 115–25. doi:10.1016/j.jadohealth.2010.04.005.CrossRefGoogle Scholar
DeLamater, J. and Moorman, S. M. (2007). Sexual behavior in later life. Journal of Aging and Health, 19, 921–945. doi:10.1177/0898264307308342.CrossRefGoogle ScholarPubMed
Figueiredo, M. I., Cullen, J., Hwang, Y., Rowland, J. H. and Mandelblatt, J. S. (2004). Breast cancer treatment in older women: does getting what you want improve your long-term body image and mental health? Journal of Clinical Oncology, 22, 4002–4009. doi:10.1200/JCO.2004.07.030.CrossRefGoogle ScholarPubMed
Fooken, I. (1994). Sexuality in the later years: the impact of health and body-image in a sample of older women. Patient Education and Counseling, 23, 227–233. doi:10.1016/0738-3991(94).90038-8.CrossRefGoogle Scholar
Fry, P. S. (2001). Predictors of health-related quality of life perspectives, self-esteem, and life satisfaction of older adults following spousal loss: an 18-month follow-up study of widows and widowers. The Gerontologist, 41, 787–798. doi:10.1093/geront/41.6.787.CrossRefGoogle ScholarPubMed
Ginsberg, T. B., Pomerantz, S. C. and Kramer-Feeley, V. (2005). Sexuality in older adults: behaviors and preferences. Age and Ageing, 34, 475–480. doi:10.1093/ageing/afi143.CrossRefGoogle ScholarPubMed
Gott, M. and Hinchliff, S. (2003). How important is sex in later life? The views of older people. Social Science and Medicine, 56, 1617–1628. doi:10.1016/S0277-9536(02)00180-6.CrossRefGoogle ScholarPubMed
Gray, S. A. (1977). Social aspects of body-image: perception and normalcy of weight and affect of college undergraduates. Perceptual and Motor Skills, 45, 1035–1040.CrossRefGoogle ScholarPubMed
Guy, H. (1995). Joy, Intimacy and Sexuality among Second Generation of Holocaust Survivors: A MA Dissertation. Tel-Aviv, IL: Tel Aviv University [Hebrew].Google Scholar
Hirayama, R. and Walker, J. A. (2011). Who helps older adults with sexual problems? Confidants versus physicians. The Journals of Gerontology Series B Psychological Sciences and Social Sciences, 66, 109–118. doi:10.1093/geronb/gbq021.CrossRefGoogle ScholarPubMed
Horowitz, T. R. (1996). Between isolation and integration: patterns of absorption in the first five years of immigrants from the former Soviet Union in to Israel. Social Security, 45, 95–107 [Hebrew].Google Scholar
Hudson, W. (1982). Index of sexual satisfaction. In Corcoran, K. and Fischer, J. (eds.), Measures for Clinical Practice: A Source Book (pp. 190–191). New York: The Free Press.Google Scholar
Kleinplatz, P. J. (2008). Sexuality and older people. British Medical Journal, 337, 121–122. doi:10.1136/bmj.a239.CrossRefGoogle ScholarPubMed
Kon, I. S. (2005). Sexual culture and politics in contemporary Russia. In Stulhofer, A. and Sandfort, T. (eds.), Sexuality and Gender in Postcommunist Eastern Europe and Russia (pp. 11–123). London: The Haworth Press.Google Scholar
Laumann, E. O., Das, A. and Waite, L. (2008). Sexual dysfunction among older adults: prevalence and risk factors from nationally representative U.S. probability sample of men and women 57–85 years of age. Journal of Sexual Medicine, 5, 2300–2311. doi:10.1111/j.1743-6109.2008.00974.x.CrossRefGoogle ScholarPubMed
Laumann, E. O.et al. (2005). Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the global study of sexual attitudes and behaviors. International Journal of Impotence Research, 17, 39–57. doi:10.1038/sj.ijir.3901250.CrossRefGoogle ScholarPubMed
Leiblum, S. R., Koochaki, P. E., Rodenberg, C. A., Barton, Y. P. and Rosen, R. C. (2006). Hypoactive sexual desire disorder in postmenopausal women: US results from the Women's International Study of Health and Sexuality (WISHeS). The Journal of the North American Menopause Society, 13, 46–56.CrossRefGoogle Scholar
Lewin-Epstein, N., Sagiv-Schifter, T., Shbtai, E. L. and Shmueli, A. (1998). Validation of the 36 items short form health survey (Hebrew version) in the adult population of Israel. Medical Care, 36, 1361–1370.CrossRefGoogle ScholarPubMed
Lindau, S. T. and 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. British Medical Journal, 340, 810–821. doi:10.1136/bmj.c810.CrossRefGoogle ScholarPubMed
Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O'Muircheartaigh, C. A. and Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. The New England Journal of Medicine, 357, 762–774.CrossRefGoogle ScholarPubMed
Lowenstein, L.et al. (2009). Sexual function is related to body image perception in women with pelvic organ prolapsed. Journal of Sexual Medicine, 6, 2286–2291. doi:10.1111/j.1743-6109.2009.01329.x.CrossRefGoogle Scholar
McCall-Hosenfeld, J.et al. (2008). Corollaries of sexual satisfaction among sexually active postmenopausal women in the women's health initiative-observational study. Journal of General Internal Medicine, 23, 2000–2009. doi:10.1007/s11606-008-0820-9.CrossRefGoogle Scholar
Mirsky, J. (2009). Mental health implications of migration: a review of mental health community studies on Russian-speaking immigrants in Israel. Social Psychiatry and Psychiatric Epidemiology, 44, 179–187. doi:10.1007/s00127-008-0430-1.CrossRefGoogle ScholarPubMed
Moin, V., Duvdevany, I. and Mazor, D. (2009). Sexual identity, body image and life satisfaction among women with and without physical disability. Sexuality and Disability, 27, 83–95. doi:10.1007/s11195-009-9112-5.CrossRefGoogle Scholar
NIA (National Institute of Ageing) (2008). Sexuality in Later Life. Available at: http://www.nia.nih.gov/HealthInformation/Publications/sexuality.htm; last accessed 25 October 2008.Google Scholar
Nusbaum, M. R. H., Lenahan, P. and Sadovsky, R. (2005). Sexual health in aging men and women: addressing the physiologic and psychological sexual changes that occur with age. Geriatrics, 60, 18–23.Google ScholarPubMed
Palgi, Y. (1995). Tolerance to Physical Pain among Youth with Suicidal Tendencies. (Unpublished master's thesis). Haifa, IL: Haifa University[Hebrew].Google Scholar
Papaharitou, S., Nakopoulou, E., Kirana, P., Giaglis, G., Moraitou, M. and 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, 191–201. doi:10.1016/j.archger.2007.03.008.CrossRefGoogle Scholar
Pujols, Y., Meston, C. M. and Seal, B. N. (2010). The association between sexual satisfaction and body image in women. Journal of Sexual Medicine, 7, 905–916. doi:10.1111/j.1743-6109.2009.01604.x.CrossRefGoogle ScholarPubMed
Ratner, E. S., Erekson, E. A., Minkin, M. J. and Foran-Tuller, K. A. (2011). Sexual satisfaction in the elderly female population: a special focus on women with gynecologic pathology. Maturitas, 70, 210–215. doi:10.1016/j.maturitas.2011.07.015.CrossRefGoogle ScholarPubMed
Ritsner, M., Ponizovsky, A., Kurs, R. and Modai, I. (2000). Somatization in an immigrant population in Israel: a community survey of prevalence, risk factors, and help seeking behavior. American Journal of Psychiatry, 157, 385–392. doi:10.1176/appi.ajp.157.3.385.CrossRefGoogle Scholar
Robinson, J. G. and Molzahn, A. E. (2007). Sexuality and quality of life. Journal of Gerontological Nursing, 33, 19–27. doi:10.1177/0193945906292553.CrossRefGoogle ScholarPubMed
Salonia, A.et al. (2004). Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. European Urology, 45, 642–648. doi:10.1016/j.eururo. 2003.11.023.CrossRefGoogle ScholarPubMed
Shabat, S. (2006). Images of Intimacy and Spousal Relations among Urban Older Persons in Israel. (Unpublished master's thesis). Ramat Gan, IL; Bar-Ilan University [Hebrew].Google Scholar
Sharpe, T. H. (2004). Introduction to sexuality in late life. The Family Journal, 12, 199–205. doi:10.1177/0022167804264106.CrossRefGoogle Scholar
TNS NFO Atlanta and AARP. (2005). Sexuality at midlife and beyond: 2004 update of attitudes and behaviors. Available at: http://assets.aarp.org/rgcenter/general/2004_sexuality.pdf; last accessed 23 April 2013.Google Scholar
United Nations (2011). World Population Ageing 1950–2050. Available at: http://www.un.org/esa/population/publications/worldageing19502050/pdf/116israe.pdf; last accessed 27 May 2011.Google Scholar
Whitehouse, C. R. (2009). Sexuality in the older female with diabetes mellitus – a review of the literature. Urologic Nursing, 29, 11–29.Google ScholarPubMed