Cohort analysis , Gender , Health , Linear decomposition , Sexual activity THE relationship between sexual activity and aging has been studied extensively e. The NSHAP data contain information on the demographic characteristics; romantic, sexual, and social relationships; and physical and mental health of 3, Americans aged 57—85 years. Specific illnesses are associated with declines in sexual function, including diabetes Lindau et al. Results from regression models are used to select an appropriate model. In addition, most research utilizes an individual-level regression approach that neglects changes in population composition associated with aging. The decomposition contains three components: Hyde and colleagues reported the results of a longitudinal study of 3, men aged 75—95 years. For example, hypertension, which is associated with vascular problems, may compromise the mechanics of vaginal intercourse for men through erectile dysfunction, but the same condition in a woman may not interfere with her capacity for vaginal intercourse. In addition, Valiant found that within a short time frame about six weeks , happiness is more stable than depression and thus may better measure global emotional well-being.
Our article contributes to the literature by examining the decline in the frequency of partnered heterosexual sex using an actual birth cohort, which is particularly important since several of the factors associated with sexual frequency marital status, physical health, and emotional well-being vary by age. Previous studies have also found gender differences in the role of partner health on sexual frequency. To assess whether the inclusion of additional measures of psychological well-being may affect our results, in sensitivity analyses not shown here, we included a measure of depressive symptoms Center for Epidemiological Studies—Depression scale scores in our analysis of the NSHAP data, for which these measures are available. Dependent Variable Our dependent variable is sexual frequency per month. Independent Variables Marital status. In addition, Valiant found that within a short time frame about six weeks , happiness is more stable than depression and thus may better measure global emotional well-being. The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. Cohort members generally benefited from economic and social stability during their adult years. Among the most important of these is relationship duration. In the United States, women live about 5 years longer than men Austad, On the other hand, there is a large class of medications that specifically target sexual dysfunction, mostly among men. Relationship duration and partner health are not included because of data constraints and because these characteristics are only applicable to individuals in relationships—we aim to examine factors applicable to all individuals in the population. Weighted results differ little from those presented here. This article uses data from an actual birth cohort and regression decomposition techniques to examine the roles of changes in both associations between covariates and changes in population composition in sexual frequency decline among men and women. For example, depression, a condition one become increasingly susceptible to at older ages Alexopoulos et al. These differences may be particularly pronounced in middle and later life, periods when conditions emerge that are more likely to befall women, such as arthritis, which may compromise functional capacity. Only 23 respondents in the combined sample report having a same-sex current sexual partner. Our analysis focuses on population-level factors changes in marital status, physical health, and emotional well-being with age associated with partnered heterosexual sex. Psychological Well-being Psychological factors are also associated with sexual frequency and may be as or more important than physiological factors for sexual function in both men and women Bancroft, ; Kingsberg, Thus, although typical regression approaches identify important changes that may be relevant for frequency of sex among particular individuals, they miss important compositional factors that may explain declines at the population level. Although women live longer than men, women have poorer physical health and greater disability days than men at almost all ages across the life course Austad, These factors can be organized into four interrelated domains: Hormone replacement therapy and artificial lubrication can amend these problems, but if treatment is not obtained, sexual function may be compromised. The effect of this shortage of men on the availability of monogamous sexual partners for women is exacerbated by the typical sexual partnering patterns of older men with younger women. The final response rate was
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When fantasy meets reality: Sexual communication in relationships
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