ArticleArchives of sexual behavior2017
"The Pleasure Is Better as I've Gotten Older": Sexual Health, Sexuality, and Sexual Risk Behaviors Among Older Women Living With HIV.
Article in Archives of sexual behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.Current HIV/AIDS reports · 2017Pooled it
- Ageing and healthy sexuality among women living with HIV.Reproductive health matters · 2016Pooled it
- The barriers and enablers to accessing sexual health and sexual well-being services for midlife women (aged 40-65 years) in high-income countries: A mixed-methods systematic review.Women's health (London, England)Pooled it
- Sleep Profiles of Caregivers for Persons Living with Dementia: A Qualitative Study.Western journal of nursing research · 2023Trial
- Exploring Condom Use Among Adult Cisgender Black Women in Texas: a Qualitative Analysis.Journal of racial and ethnic health disparities · 2026Article
- Genitopelvic pain in racially/ethnically, sexually, and gender/sex minoritized samples in Canada and the United States: a scoping review.Sexual medicine reviews · 2026Article
- "It's like it's the old boys club"-the age-related experiences of diverse older women living with HIV: A scoping review and consultative exercise.HIV medicine · 2025Article
- Gender and Age Trends in HIV Incidence in Turkey between 1990 and 2021: Joinpoint and Age-Period-Cohort Analyses.Medicina (Kaunas, Lithuania) · 2024Article
- Perceived HIV risk and factors associated with condom use among women aged 40 and older: A cross-sectional survey.International journal of nursing sciences · 2023Article
- A Qualitative Study of the Impact of HIV on Intimacy and Sexuality Among Older Childhood Sexual Abuse Survivors Living with HIV.Archives of sexual behavior · 2022Article
- Tailoring Sexual Health Interventions for Middle-Aged and Older Adults, Including Vulnerable Populations: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2022Article
- Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research.Archives of sexual behavior · 2021Article
- The impact of aging on innate and adaptive immunity in the human female genital tract.Aging cell · 2021Review
- HIV Pathogenesis in the Human Female Reproductive Tract.Current HIV/AIDS reports · 2021Review
- Interest in Long-Acting Injectable Pre-exposure Prophylaxis (LAI PrEP) Among Women in the Women's Interagency HIV Study (WIHS): A Qualitative Study Across Six Cities in the United States.AIDS and behavior · 2021Article
- Radical Pleasure: Feminist Digital Storytelling by, with, and for Women Living with HIV.Archives of sexual behavior · 2021Article
- Association of HIV status with sexual function in women aged 45-60 in England: results from two national surveys.AIDS care · 2020Article
- Sexuality and Intimacy Among Older Women Living with HIV: a Systematic Review.Current sexual health reports · 2019Article
- Substance Use Among Older People Living With HIV: Challenges for Health Care Providers.Frontiers in public health · 2019Review
- Prevalence and correlates of sexual concerns and associated distress among women living with HIV in Canada.Women's health (London, England)Article
Corrections and comments
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Authors and funding
17 authors at 10 institutions in 1 country.
Funding
Abstract
There is limited research examining the sexual health and well-being of older women living with HIV (OWLH). Most studies focus on sexual dysfunction, leaving aside the richer context of sexuality and sexual health, including the effect of age-related psychosocial and interpersonal changes on sexual health behaviors. Guided by the integrative biopsychosocial model and the sexual health model, this study explored the importance of sex and sexuality among OWLH to identify their sexual health and HIV prevention needs for program planning. A purposive sample (n = 50) of OWLH was selected from a parent study (n = 2052). We conducted 8 focus groups and 41 in-depth interviews with 50 African American and Latina OWLH aged 50-69 years old in three U.S. cities. The triangulation approach was used to synthesize the data. Six salient themes emerged: sexual pleasure changes due to age, sexual freedom as women age, the role of relationships in sexual pleasure, changes in sexual ability and sexual health needs, sexual risk behaviors, and ageist assumptions about older women's sexuality. We found that sexual pleasure and the need for intimacy continue to be important for OWLH, but that changing sexual abilities and sexual health needs, such as the reduction of sexual desire, as well as increased painful intercourse due to menopause-associated vaginal drying, were persistent barriers to sexual fulfillment and satisfaction. Particular interpersonal dynamics, including low perceptions of the risk of HIV transmission as related to gender, viral suppression, and habitual condomless sex with long-term partners without HIV transmission have resulted in abandoning safer sex practices with serodiscordant partners. These findings suggest that HIV prevention for OWLH should focus on how sexual function and satisfaction intersect with sexual risk. HIV prevention for OWLH should promote ways to maintain satisfying and safe sex lives among aging women.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.