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Predictors of Sexual Function and Performance in Young- and Middle-Old Women

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  • Krzysztof Nowosielski

    (Department of Gynecology, Obstetrics and Gynecological Oncology, University Clinical Hospital, Medical University of Silesia, 40-752 Katowice, Poland)

Abstract

Background: Maintaining sexual life in older women might be perceived as a measure of healthy and successful aging. This study aimed to establish the prevalence of female sexual dysfunction (FSD) based on the DSM-5 criteria and predictors of sexual performance in older women. Methods: A total of 185 women between 55 and 79 years old were included in the study. Validated scales were used to assess sexual function (Changes in Sexual Function Questionnaire (CSFQ)), the propensity for sexual excitation/inhibition (Sexual Excitation/Sexual Inhibition Inventory for Women), and sexual anxiety/avoidance (Body Exposure during Sexual Activity Questionnaire (BESAQ)). Multiple regression was used to assess the factors affecting sexual function and the prevalence of FDS. Results: Sexual distress was diagnosed in 14.1% of women, and FSD in 16.2% ( n = 53), whereas sexual problems (CSFQ) were diagnosed in 33.3% of women, and distressing sexual concerns in 35.1%. Women with a lower number of male sexual partners (β = −0.22), a better attitude toward sex (β = 0.25), higher importance of sex (β = 0.31), a higher level of sexual excitation (β = 0.34), and that were sexually active (β = 0.39) had better sexual function, as evaluated by CSFQ. Conclusions: Most older women remain sexually active. The diversity of sexual activity in later life should be affirmed to encourage women to be sexually active and to strengthen the response to sexual stimuli.

Suggested Citation

  • Krzysztof Nowosielski, 2022. "Predictors of Sexual Function and Performance in Young- and Middle-Old Women," IJERPH, MDPI, vol. 19(7), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4207-:d:785162
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    References listed on IDEAS

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    1. Aleksandar Štulhofer & Tanja Jurin & Cynthia Graham & Erick Janssen & Bente Træen, 2020. "Emotional intimacy and sexual well-being in aging European couples: a cross-cultural mediation analysis," European Journal of Ageing, Springer, vol. 17(1), pages 43-54, March.
    2. Krzysztof Nowosielski & Jacek Kurpisz & Robert Kowalczyk, 2021. "Sexual inhibition and sexual excitation in a sample of Polish women," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-27, April.
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