Evidence map›Paper›PMID 30917152›Full record

ArticlePloS one2019

Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study.

Bob Erens, Kirstin R Mitchell, Lorna Gibson, Jessica Datta, Ruth Lewis, Nigel Field, Kaye Wellings

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Health-related quality of life in osteoporosis: a systematic review of measurement properties of the QUALEFFO-41.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. Pooled it
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  4. Whose health matters? Longitudinal analyses of older romantic couples' health, physical capabilities, and sexual experiences.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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  14. Sexual Well-Being and Aging Patterns: Findings of a Cluster Analysis among Older Adults in Portugal and Spain.European journal of investigation in health, psychology and education · 2024
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  16. Exploring the Relationship between Early Adaptive Schemas and Sexual Satisfaction.International journal of sexual health : official journal of the World Association for Sexual Health · 2023
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  17. The Role of Non-penetrative Partnered Sex Activities in the Associations Among Erectile Difficulties, Sex and Relationship Satisfaction in Men Aged 50.International journal of sexual health : official journal of the World Association for Sexual Health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Bob ErensDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-4430-954X
Kirstin R MitchellMRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.
Lorna GibsonDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Jessica DattaDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Ruth LewisMRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-6768-6188
Nigel FieldInstitute for Global Health, University College London, London, United Kingdom.
Kaye WellingsDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.
London School of Hygiene & Tropical Medicine · GBUniversity College London · GB

Funding

Chief Scientist Office SPHSU11Medical Research Council G0701757Medical Research Council MC_UU_12017/11Wellcome TrustWellcome Trust 084840
6 · The paper itself

Abstract

backgroundMen and women are increasingly likely to stay sexually active into later life, but research shows that sexual activity and satisfaction decrease with increasing age. Ill health and medical treatments may affect sexual activity but there is little research on why some older people with a health problem affecting their sexual activity are satisfied with their sex life, and others are not.

methodsA mixed method study integrating data and analyses from the third British National Survey of Sexual Attitudes and Lifestyles (n = 3343 aged 55-74 years) and from follow-up in-depth interviews with 23 survey participants who reported having a health condition or taking medication affecting their sex life.

resultsOverall, 26.9% of men and 17.1% of women aged 55-74 reported having a health condition that affected their sex life. Among this group, women were less likely than men to be sexually active in the previous 6 months (54.3% vs 62.0%) but just as likely to be satisfied with their sex life (41.9% vs 42.1%). In follow-up interviews, participants sometimes struggled to tease out the effects of ill health from those of advancing age. Where effects of ill health were identified, they tended to operate through the inclination and capacity to be sexually active, the practical possibilities for doing so and the limits placed on forms of sexual expression. In close relationships partners worked to establish compensatory mechanisms, but in less close relationships ill health provided an excuse to stop sex or deterred attempts to resolve difficulties. Most fundamentally, ill health may influence whether individuals have a partner with whom to have sex.

conclusionThe data show complex interactions between health, lifestyle and relationship factors that affect sexual activity/satisfaction. When dealing with sexual problems in older people, practitioners need to take account of individual lifestyle, needs and preferences.

Indexed as

Health StatusSexual BehaviorAdultAgedFemaleHumansInterviews as TopicLife StyleMaleMiddle AgedPersonal SatisfactionSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID30917152
PMCPMC6436725
OpenAlexW2924422663

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.