Evidence map›Paper›PMID 31432361›Full record

ArticleArchives of sexual behavior2020

Declines in Sexual Activity and Function Predict Incident Health Problems in Older Adults: Prospective Findings from the English Longitudinal Study of Ageing.

Sarah E Jackson, Lin Yang, Ai Koyanagi, Brendon Stubbs, Nicola Veronese, Lee Smith

Open access · hybridAbstract read
In one paragraph

Article in Archives of sexual behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Sexual problems in patients with hematological diseases: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  3. Pooled it
  4. The prediction of mortality by quality of life assessed with the WHOQOL-BREF: a longitudinal analysis at the domain and item levels using a seven-year follow-up period.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Sexual Function, Behavior, and Satisfaction in Masters Athletes.International journal of sexual health : official journal of the World Association for Sexual Health · 2023
    Article
  17. Factors influencing intercourse frequency among the young and middle-aged men.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Sarah E JacksonDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK. s.e.jackson@ucl.ac.uk.ORCID 0000-0001-5658-6168
Lin YangDepartment of Epidemiology, Center for Public Health, Vienna, Austria.
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain.
Brendon StubbsPhysiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK.
Nicola VeroneseConsiglio Nazionale delle Ricerche Area della Ricerca di Padova, Neuroscience Institut, Padua, Italy.
Lee SmithThe Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.
Anglia Ruskin University · GBInstituto de Salud Carlos III · ESKing's College London · GBNeuroscience Institute · ITUniversity College London · GB

Funding

Cancer Research UK C1417/A22962Department of Health ICA-CL-2017-03-001
6 · The paper itself

Abstract

The objective of this study was to investigate cross-sectional and longitudinal associations between declines in sexual activity and function and health outcomes in a large population-based sample of older adults. Data were from 2577 men and 3195 women aged ≥ 50 years participating in the English Longitudinal Study of Ageing. Past-year changes in sexual desire, frequency of sexual activity, and ability to have an erection (men)/become sexually aroused (women) were assessed at baseline by self-completion questionnaire. Health outcomes (self-rated health, limiting long-standing illness, doctor-diagnosed diseases of the vascular system, and cancer) were self-reported at baseline (2012/2013) and 4-year follow-up (2016/2017). Data were analyzed using logistic regression, adjusted for sociodemographics, health behaviors, and depressive symptoms. Prospectively, men who reported a decline in sexual desire had higher odds of incident limiting long-standing illness (OR 1.41, 95% CI 1.04-1.91) and incident cancer (OR 1.63, 95% CI 1.06-2.50) than those who maintained their sexual desire. Men who reported a decline in the frequency of sexual activities had higher odds of deterioration in self-rated health (OR 1.47, 95% CI 1.04-2.08) and incident limiting long-standing illness (OR 1.69, 95% CI 1.20-2.37). In women, a decline in frequency of sexual activities was associated with deterioration of self-rated health (OR 1.64, 95% CI 1.07-2.51). Erectile dysfunction was longitudinally associated with poorer health outcomes including incident cancer (OR 1.73, 95% CI 1.11-2.70), coronary heart disease (OR 2.29, 95% CI 1.29-4.07), and fair/poor self-rated health (OR 1.66, 95% CI 1.19-2.32). Practitioners should be mindful that a decline in sexual activity, desire, or function in older age may be an important indicator of future adverse health outcomes.

Indexed as

AgedAged, 80 and overAgingFemaleHumansLibidoLongitudinal StudiesMaleMiddle AgedProspective StudiesSexual BehaviorErectile dysfunctionHealth outcomesOlder adultsSexual activitySexual function

Identifiers

PMID31432361
PMCPMC7058559
OpenAlexW2931896752

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.