Sexual behaviours and sexual health among middle-aged and older adults in Britain.

Khan, J; Greaves, E; Tanton, C; Kuper, HORCID logo; Shakespeare, TORCID logo; Kpokiri, EORCID logo; Wang, Y; Ong, JJORCID logo; Day, S; Pan, SW; +7 more...Tang, W; Wang, B; Peng, X; Liang, B; Zou, HORCID logo; Tucker, JDORCID logo; Wu, DORCID logo and (2022) Sexual behaviours and sexual health among middle-aged and older adults in Britain. Sexually Transmitted Infections, 99 (3). pp. 173-179. ISSN 1368-4973 DOI: 10.1136/sextrans-2021-055346
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OBJECTIVES: Population-representative studies of the sexual health of middle-aged and older adults are lacking in ageing societies. This study aimed to identify latent patterns of sexual behaviours and health of people aged 45-74 years. METHODS: We conducted a latent class analysis of the National Attitudes and Sexual Lifestyles Survey (Natsal-3), a nationally representative survey conducted in Britain in 2011. RESULTS: Of the 5260 respondents aged 45-74 years, 48.86% of men and 44.91% of women belonged to the Content Caseys class who reported good sexual health. The Infrequent Indigos (30.94% of men, 44.38% of women) were characterised by a lack of sexual activity, reported some dissatisfaction, and were more likely to have a disability. The Low-Functioning Lees (11.65% of men, 8.41% of women) reported some more disability and had issues with sexual functioning and higher levels of distress. The Multiple-Partnered Morgans (8.62% of men, 2.30% of women) were characterised by a greater number of sexual partners and several risk behaviours. CONCLUSIONS: The use of these four classes can aid in improved targeting of tailored sexual health services to improve sexual function, sexual satisfaction, reduce distress and risky behaviours among middle-aged and older adults. These services should be inclusive of the disabled community.


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