Evidence map›Paper›PMID 40311125›Full record

ArticleJMIR aging2025

Sexual Response Problems and Their Correlates Among Older Adults From the Sexual Well-Being (SWELL) Study in China: Multicenter Cross-Sectional Study.

Bingyu Liang, Chen Xu, Bingyi Wang, Xinyi Li, Xin Peng, Ying Wang, Hui Li, Yong Lu, Xiaopei Shen, Lin Ouyang and 6 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

16 authors.

Bingyu Liang *School of Public Health, Guangxi Key Laboratory of AIDS Prevention and Treatment, Guangxi Medical University, Nanning, China.ORCID http://orcid.org/0000-0001-9788-5826
Chen Xu *Public Health Research Center, Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0009-0004-7158-5402
Bingyi Wang *School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.ORCID http://orcid.org/0000-0002-3713-0488
Xinyi Li *School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.ORCID http://orcid.org/0009-0003-2305-4757
Xin Peng *School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.ORCID http://orcid.org/0009-0007-5357-2503
Ying WangSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-6036-4135
Hui LiDepartment of AIDS/STD Control and Prevention, Shizhong District Center for Disease Control and Prevention, Jinan, China.ORCID http://orcid.org/0000-0003-2351-9377
Yong LuSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Guizhou Medical University, Guizhou, China.ORCID http://orcid.org/0000-0001-5226-5113
Xiaopei ShenDepartment of AIDS/STD Control and Prevention, Affiliation Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.ORCID http://orcid.org/0009-0005-1886-2148
Lin OuyangDepartment of AIDS/STD Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China.ORCID http://orcid.org/0000-0002-4109-9874
Guohui WuDepartment of AIDS/STD Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China.ORCID http://orcid.org/0000-0002-4140-7734
Maohe YuDepartment of AIDS/STD Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin, China.ORCID http://orcid.org/0000-0002-7466-1624
Jiewei LiuBaiyun District Center for Disease Control and Prevention, Guanghzou, China.ORCID http://orcid.org/0009-0001-3721-4905
Xiaojun MengDepartment of AIDS/STD Control and Prevention, Wuxi Municipal Center for Disease Control and Prevention, Wuxi, China.ORCID http://orcid.org/0000-0001-5201-0452
Yong Cai *Public Health Research Center, Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-5706-7906
Huachun Zou *School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.ORCID http://orcid.org/0000-0002-8161-7576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sexual response problems among older adults are not an inevitable consequence of aging but rather a response to sexual health. However, there is a lack of recent and multicenter data on this issue in China. Objective: This study aims to assess the prevalence of sexual response problems and their correlates among older adults. Methods: A multicenter cross-sectional study on sexual well-being was conducted among individuals aged more than 50 years in China between June 2020 and December 2022. Data on sociodemographics, physical health, psychological health, and sexual response problems were collected through face-to-face interviews. We included sexually active older adults who reported either vaginal, oral, or anal sex in the past 12 months for this study. Sexual response problems included a lack of interest or enjoyment in sex; feeling anxious, having pain, or no excitement during sex; no desire or orgasms; and the lack of lubrication in sex. The stepwise logistic regression models were used to examine the correlates of sexual response problems. Results: A total of 1317 sexually active older adults (842 men, 475 women) were included. Older women reported a higher prevalence of sexual response problems than older men (52.0% [247/475] vs 43.1% [363/842]). Common factors associated with at least one of the sexual response problems included living in rural areas (men: adjusted odds ratio [aOR]=0.31, 95% CI 0.22-0.43; women: aOR=0.29, 95% CI 0.19-0.43) and abnormal BMI (aOR=men: 1.52, 95% CI1.11-2.07; women: aOR=2.19, 95% CI 1.47-3.28). Among older men, sleep quality (aOR=1.87, 95% CI 1.30-2.68), emotional connection with sex partners during sexual intercourse (aOR=0.69, 95% CI 0.50-0.96), frequently experienced fatigue (aOR=2.47, 95% CI 1.59-3.90), anxiety (aOR=4.26, 95% CI 1.12-21.27), and seeking professional help for sex life (aOR=1.58, 95% CI 1.14-2.21) were associated with sexual response problems. Among older women, sexual response problems were associated with a lack of physical exercise (aOR=1.69, 95% CI 1.13-2.54), poor sex-partner relationships (aOR=1.70, 95% CI 1.12-2.60), and depressive symptoms (aOR=3.18, 95% CI 1.18-10.24). Conclusions: Sexual response problems are common among older adults. These problems were associated with adverse physical health, mental health, and poor sex-partner relationships. These findings highlight the importance for health care providers to take into account the physical and psychological health of older adults, as well as the quality of their relationships with sexual partners when diagnosing and addressing sexual response problems.

Indexed as

Sexual BehaviorSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalSexual HealthAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceagingChinacorrelatecross-sectional studydysfunctionelderelderlygeriatricsgerontologyolder adultsolder personsex partner relationshipsexual activitysexual healthsexually activesexual well-beingwell-being

Identifiers

PMID40311125
PMCPMC12061351

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Registered trials

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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.