Assessment of Sexuality and Frailty in Older Adults Living in Northeast Brazil
DOI:
https://doi.org/10.5294/aqui.2022.22.1.8Keywords:
Public health, older adults health, Sexuality, Frailty, comprehensive health careAbstract
Objective: to evaluate the experiences of sexuality and its correlation with frailty among older adults.
Materials and methods: cross-sectional study carried out with a total of 250 older adults living in the Northeast of Brazil. They answered three instruments to obtain biosociodemographic, sexuality and frailty data. The analysis was performed using Spearman correlation, Mann-Whitney and Kruskal-Wallis test with 95% confidence interval.
Results: sexual intercourse was negatively correlated with reduced strength (ρ = -0.263; p < 0.001) and walking speed (ρ = -0.201; p = 0.001) and positively correlated with reported fatigue (ρ = 0.149; p = 0.018). Affective relationships were negatively correlated with reduced strength (ρ = -0.254; p < 0.001) and walking speed (ρ = -0.207; p = 0.001) and positively correlated with reported fatigue (ρ = 0.207; p = 0.001). Finally, physical and social adversities were positively correlated with reduced strength (ρ = 0.279; p < 0.001), reduced walking speed (ρ = 0.261; p < 0.001) and low physical activity (ρ = 0.140; p = 0.034), in addition to being negatively correlated with reported fatigue (ρ = -0.171; p = 0.009).
Conclusion: it was found that the sexuality of older adults is better experienced in affective relationships and weak positive and negative correlations between sexuality and frailty.
Downloads
References
Ventriglio A, Bhugra D. Sexuality in the 21st Century: Sexual Fluidity. East Asian Arch Psychiatry. 2019;29(1):30-4. DOI: https://doi.org/10.12809/eaap1736
Srinivasan S, Glover J, Tampi RR, Tampi DJ, Sewell DD. Sexuality and the older adult. Curr Psychiatry Rep. 2019;21:97. DOI: https://doi.org/10.1007/s11920-019-1090-4
Whittle C, Butler C. Sexuality in the lives of people with intellectual disabilities: A meta-ethnographic synthesis of qualitative studies. Res Dev Disabil. 2018;75:68-81. DOI: https://doi.org/10.1016/j.ridd.2018.02.008
He W, Goodkind D, Kowal P. An aging world: 2015. International population reports, P95/16-1 Bureau USC (Ed.), U.S. Government Publishing Office, Washington, DC [internet]; 2016. Available from: https://www.census.gov/content/dam/Census/library/publications/2016/demo/p95-16-1.pdf
Walston J, Buta B, Xue QL. Frailty screening and interventions: Considerations for clinical practice. Clin Geriatr Med. 2018;34(1):25-38. DOI: https://doi.org/10.1016/j.cger.2017.09.004
Santos PHS, Fernandes MH, Casotti CA, Coqueiro RS, Carneiro JAO. Perfıl de fragilidade e fatores associados em idosos cadastrados em uma Unidade de Saúde da Família. Ciênc saúde coletiva. 2015;20(6):1917-24. DOI: https://doi.org/10.1590/1413-81232015206.17232014
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Bio Sci Med Sci. 2001;56(3):146-56. DOI: https://doi.org/10.1093/gerona/56.3.M146
Coelho T, Paúl C, Gobbens RJJ, Fernandes L. Multidimensional Frailty and Pain in Community Dwelling Elderly. Pain Med. 2016;18(4):693-701. DOI: https://doi.org/10.1111/pme.12746
Antonovsky A. The salutogenic model as a theory to guide health promotion. Health Promot Int. 1996;11(1):11-8. DOI: https://doi.org/10.1093/heapro/11.1.11
Esquivel Garzón N, Díaz Heredia LP. Salutogenesis and cardiovascular health in adults: A scoping review. Texto contexto-enferm. 2020;29:e20180376. DOI: https://doi.org/10.1590/1980-265x-tce-2018-0376
Vieira KFL. Sexualidade e qualidade de vida do idoso: desafios contemporâneos e repercussões psicossociais [internet]. João Pessoa: Universidade Federal da Paraíba; 2012. Disponível em: https://repositorio.ufpb.br/jspui/bitstream/tede/6908/1/arquivototal.pdf
Nunes DP, Duarte YAO, Santos JLF, Lebrão ML. Screening for frailty in older adults using a self-reported instrument. Rev Saúde Pública. 2015;49(1). DOI: https://doi.org/10.1590/S0034-8910.2015049005516
Freitas FFQ, Soares SM. Clinical-functional vulnerability index and the dimensions of functionality in the elderly person. Rev Rene. 2019;20:e39746. DOI: https://doi.org/10.15253/2175-6783.20192039746
Hulley SB, Cumming SR, Browner WS, Grady DG, Hearst NB, Newman TB. Delineando a pesquisa clínica: uma abordagem epidemiológica. 2a ed. Porto Alegre: Artmed; 2003.
Cavalcanti Júnior EO, Araújo EQX, Evangelista DR, Rezende FAC, Silva Netto LS, Osório NB et al. Relação das condições de vida e saúde sobre a fragilidade em idosos. Rev Humanid Inov [internet]. 2019;6(11):76-87. Disponível em: https://revista.unitins.br/index.php/humanidadeseinovacao/article/view/1574
Pereira De Llano PM, Lange C, Nunes DP, Pastore CA, Pinto AH, Casagranda LP. Frailty in rural older adults: Development of a care algorithm. Acta Paul Enferm. 2017;30(5):520-50. DOI: https://doi.org/10.1590/1982-0194201700075
Moura K, Jesus ITM, Orlandi AAS, Zazzetta MS. Fragilidade e suporte social de idosos em região vulnerável: uma abordagem em uma unidade de saúde da família. Revista deAtenção à Saúde. 2020;18(63):65-73. DOI: https://doi.org/10.13037/ras.vol18n63.6342
Gross CB, Kolankiewicz ACB, Schmidt CR, Berlezi EM. Frailty levels of elderly people and their association with sociodemographic characteristics. Acta Paul Enferm. 2018;31(2):209-16. DOI: https://doi.org/10.1590/1982-0194201800030
Farías-Antúnez S, Fassa AG. Frailty prevalence and associated factors in the elderly in Southern Brazil, 2014. Epidemiol Serv Saúde. 2019;28(1):e2017405. DOI: https://doi.org/10.5123/S1679-49742019000100008
Preto LSR, Conceição MCD, Amaral SIS, Figueiredo TM, Preto PMB. Frailty and associated risk factors in independent older people living in rural areas. Revista de Enfermagrm Referência. 2018;(16):73-84. DOI: https://doi.org/10.12707/RIV17078
Berlezi EM, Gross CB, Pimentel JJ, Pagno AR, Fortes CK, Pillatt AP. Estudo do fenótipo de fragilidade em idosos residentes na comunidade. Ciênc saúde colet. 2019;24(11):4201-10. DOI: https://doi.org/10.1590/1413-812320182411.31072017
Humboldt VS, Ribeiro-Gonçalves J, Costa A, Leal I. How do older adults express themselves sexually? An exploratory study. Psicol saúde doenças. 2020;21(01):62-8. DOI: https://doi.org/10.15309/20psd210110
Rodrigues LR, Portilho P, Tieppo A, Chambo Filho A. Analysis of the sexual behavior of elderly women treated at a gynecological outpatient clinic. Rev bras geriatr gerontol. 2018;21(6):724-30. DOI: https://doi.org/10.1590/1981-22562018021.180090
Barros TAF, Assunção ALA, Kabengele DC Sexualidade na terceira idade: sentimentos vivenciados e aspectos influenciadores [internet]. 2020;6(1):47-62. Disponível em: https://periodicos.set.edu.br/fitsbiosaude/article/download/6560/3888#:~:text=Em%20se%20tratando%20de%20terceira,de%20vida%20para%20o%20idoso
Martins ERC, Alves FS, Oliveira KL, Medeiros AS, Fassarella LG. Perception of man on the implantation of penile prosthesis: A contribution to nursing. Braz J Hea Rev. 2020;3(3):6480-7. DOI: https://doi.org/10.34119/bjhrv3n3-196
Quijada PDS, Fernandes PA, Ramos SB, Santos BMO. Qualidade de vida relacionada à saúde de pacientes com câncer de próstata. Rev Cuid. 2017;8(3):1826-38. DOI: https://doi.org/10.15649/cuidarte.v8i3.436
Chung E. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions. Med Sci. 2019;7(10):98. DOI: https://doi.org/10.3390/medsci7100098
Silva LA, Scorsolini-Comin F, Santos MA. Casamentos de longa duração: Recursos pessoais como estratégias de manutenção do laço conjugal. Psico-USF. 2017;22(2):323-35. DOI: https://doi.org/10.1590/1413-82712017220211
Almeida T , Lourenço ML. Envelhecimento, amor e sexualidade: utopia ou realidade? Rev bras geriatr gerontol. 2007;10(1):101-14. DOI: https://doi.org/10.1590/1809-9823.2007.10018
Lee DM, Tajar A, Ravindrarajah R, Pye SR, O’Connor DB, Corona G et al. Frailty and sexual health in older European men. J Gerontol A Bio Sci Med Sci.. 2013;68(7):837-44. DOI: https://doi.org/10.1093/gerona/gls217
Li C, Sun J, Zhao H, Dai T. Association between frailty and erectile dysfunction among chinese elderly men. Biomed Res Int. 2020. DOI: https://doi.org/10.1155/2020/9247237
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Aquichan
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.