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Sexual Health Sexual Health Society
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EDITORIAL (Open Access)

Sexual health in an aging world: a global call to action for more resilient services for older and disabled adults

Sophia Randazzo A , Suzanne Day A , Isabella Kritzer A , Huachun Zou https://orcid.org/0000-0002-8161-7576 B , Hayley Conyers C , Yoshiko Sakuma C , Dan Wu https://orcid.org/0000-0003-0415-5467 C D , Eneyi E. Kpokiri https://orcid.org/0000-0003-1180-1439 C , Lianne Gonsalves E # and Joseph D. Tucker https://orcid.org/0000-0003-2804-1181 A C # *
+ Author Affiliations
- Author Affiliations

A Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

B School of Public Health, Fudan University, Shanghai, People’s Republic of China.

C Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.

D Department of Social Medicine and Health Education, Nanjing Medical University, Nanjing, China.

E UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

* Correspondence to: jdtucker@med.unc.edu

# Co-senior authors

Handling Editor: Ian Simms

Sexual Health 21, SH24137 https://doi.org/10.1071/SH24137
Submitted: 2 July 2024  Accepted: 30 October 2024  Published: 12 November 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY)

Abstract

Sexual health and well-being are critical for people across all age groups. However, older adults are neglected in sexual health research, programs, and policies. This editorial is a call to action for greater attention to the sexual health of older adults. We welcome all related research on this topic, but are particularly interested in manuscripts related to sexual functioning and co-morbidities, menopause and related topics, sexual health service utilization, research that links sexual activity and health, perspectives from low and middle-income countries, and community-engaged research on sexual health among older adults.

Keywords: disability, health span, HIV, middle-aged, older adult, sexual health, STI, stigma.

References

UN. United Nations demographic yearbook 2019. Bloomfield: United Nations Publications; 2021.

Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton N. Sexual health and well-being among older men and women in England: findings from the English longitudinal study of ageing. Arch Sex Behav 2016; 45(1): 133-44.
| Crossref | Google Scholar | PubMed |

Træen B, Štulhofer A, Janssen E, Carvalheira AA, Hald GM, Lange T, et al. Sexual activity and sexual satisfaction among older adults in four European countries. Arch Sex Behav 2019; 48(3): 815-29.
| Crossref | Google Scholar | PubMed |

Karaye IM, Kyriacou CM. HIV and other sexually transmitted infections in older adults. Lancet Healthy Longev 2024; 5(1): e2-e3.
| Crossref | Google Scholar | PubMed |

Træen B, Hald GM, Graham CA, Enzlin P, Janssen E, Kvalem IL, et al. Sexuality in Older Adults (65+) – an overview of the literature, Part 1: sexual function and its difficulties. Int J Sex Health 2017; 29(1): 1-10.
| Crossref | Google Scholar |

Hameed S, Maddams A, Lowe H, Davies L, Khosla R, Shakespeare T. From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries. BMJ Glob Health 2020; 5(10): e002903.
| Crossref | Google Scholar | PubMed |

Rabathaly P, Chattu VK. Emphasizing the importance of sexual healthcare among middle and old age groups: a high time to re-think? J Nat Sci Biol Med 2018; 10: 91.
| Crossref | Google Scholar |

Schaller S, Traeen B, Lundin Kvalem I. Barriers and facilitating factors in help-seeking: a qualitative study on how older adults experience talking about sexual issues with healthcare personnel. Int J Sex Health 2020; 32(2): 65-80.
| Crossref | Google Scholar |

Guaraldi G, Milic J, Cascio M, Mussini C, Martinez E, Levin J, et al. Ageism: the -ism affecting the lives of older people living with HIV. Lancet HIV 2024; 11(1): e52-e9.
| Crossref | Google Scholar | PubMed |

10  Levy BR, Ding L, Lakra D, Kosteas J, Niccolai L. Older persons’ exclusion from sexually transmitted disease risk-reduction clinical trials. Sex Transm Dis 2007; 34(8): 541-4.
| Crossref | Google Scholar | PubMed |

11  Glaude-Hosch JA, Smith ML, Heckman TG, Miles TP, Olubajo BA, Ory MG. Sexual behaviors, healthcare interactions, and HIV-related perceptions among adults age 60 years and older: an investigation by race/ethnicity. Curr HIV Res 2015; 13(5): 359-68.
| Crossref | Google Scholar | PubMed |

12  Minichiello V, Hawkes G, Pitts M. HIV, sexually transmitted infections, and sexuality in later life. Curr Infect Dis Rep 2011; 13(2): 182-7.
| Crossref | Google Scholar | PubMed |

13  Baumann A, Crea-Arsenio M, Smith V, Antonipillai V, Idriss-Wheeler D. Abuse in Canadian long-term care homes: a mixed methods study. BMJ Open Qual 2024; 13(2): e002639.
| Crossref | Google Scholar |

14  Tyndall I, Hartland T, Banerjee M, Giacomelli V, Ball I, Churchill S, et al. Tailoring sexual health interventions for middle-aged and older adults, including vulnerable populations: a scoping review. Int J Sex Health 2022; 34(4): 593-613.
| Crossref | Google Scholar | PubMed |

15  Fu L, Tian T, Wang B, Lu Z, Bian J, Zhang W, et al. Global, regional, and national burden of HIV and other sexually transmitted infections in older adults aged 60–89 years from 1990 to 2019: results from the Global Burden of Disease Study 2019. Lancet Healthy Longev 2024; 5(1): e17-e30.
| Crossref | Google Scholar |

16  Sinković M, Towler L. Sexual aging: a systematic review of qualitative research on the sexuality and sexual health of older adults. Qual Health Res 2019; 29(9): 1239-54.
| Crossref | Google Scholar | PubMed |

17  Wong WCW, Marley G, Li J, Yan W, Chan P-L, Tucker JD, et al. A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention. npj Digit Med 2022; 5(1): 95.
| Crossref | Google Scholar | PubMed |

18  SHOAR. Sexual health among older adults research. SHOAR; 2024.

19  ConyersH. Innovative approaches to engage older adult in co-creating solutions for inclusive health services: a process description. SIHI Sweden Conference; Stockholm; 2023. Available at https://www.uu.se/en/centre/swedesd/collaboration/sihi-sweden/sihi-conference-2023.html

20  Finley N, Swartz TH, Cao K, Tucker JD. How to make your research jump off the page: co-creation to broaden public engagement in medical research. PLoS Med 2020; 17(9): e1003246.
| Crossref | Google Scholar | PubMed |

21  WHO/TDR/SESH/SIHI. Crowdsourcing in health and health research: a practical guide. Geneva: WHO/TDR; 2018.