Evidence map›Paper›PMID 40908516›Full record

ArticlePerspectives on sexual and reproductive health2025

Sexual Health Behaviors and Outcomes Among Middle-Aged and Older Disabled Adults in Britain.

Yoshiko Sakuma, Bernice Lin, Eneyi Kpokiri, Junead Khan, Huachun Zou, Joseph D Tucker, Tom Shakespeare, Hannah Kuper, Dan Wu

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Yoshiko SakumaDepartment of Clinical Research, Faculty of Infectious and Tropic Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Bernice LinMSc Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Eneyi KpokiriDepartment of Clinical Research, Faculty of Infectious and Tropic Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Junead KhanDepartment of Clinical Research, Faculty of Infectious and Tropic Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Huachun ZouSchool of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong, China.
Joseph D TuckerDepartment of Clinical Research, Faculty of Infectious and Tropic Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Tom ShakespeareDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Hannah KuperDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Dan WuDepartment of Clinical Research, Faculty of Infectious and Tropic Diseases, London School of Hygiene and Tropical Medicine, London, UK.

Funding

Mentoring Multidisciplinary Global HIV Patient-Oriented ResearchK24AI143471 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph David Tucker · 2019 to 2026
$1.4M
Economic and Social Research Council, UK Research and Innovation (UKRI) ES/T014547/1National Natural Science Foundation of China 72061137001NIAID NIH HHS K24 AI143471
6 · The paper itself

Abstract

backgroundSexual health is crucial for well-being, yet research often overlooks middle-aged and older adults, as well as those with disabilities. This study explores the sexual health of disabled middle-aged and older adults in Britain.

objectiveWe aim to explain sexual behaviors and outcomes among disabled adults aged 45-74 in Britain.

methodsWe conducted a secondary quantitative analysis using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a British population-representative survey. The study did not focus on a specific type of disability but rather included people who consider themselves to have a long-standing illness that limits their activity. The analysis incorporated variables on sexual behaviors and outcomes: bivariate analyses and multiple logistic regressions stratified by sex compared behaviors and outcomes by disability status.

resultsOf 7082 participants included, 1906 were classified as being with limiting disability status. Adjusting for sociodemographic differences, compared to nondisabled individuals, those with limiting disability status adults were less likely to engage in sex in the last 4 weeks (aOR: 0.60, CI: 0.51-0.71) or be in a steady relationship (aOR: 0.69, CI: 0.59-0.80) and were more likely to report poorer sexual health outcomes, including having experienced coerced sex attempts (aOR:1.83, CI:1.48-2.27), had coerced sex (aOR: 1.64, CI:1.33-2.01), had their sex life affected by health in the last year (aOR: 5.08, CI:4.27-6.05), and sought help for their sex lives (aOR:1.73, CI:1.38-2.17).

conclusionsMiddle-aged and older disabled adults in Britain are less likely to be sexually active, yet more likely to experience negative sexual health outcomes. The increased health-seeking behaviors and their vulnerability highlight the necessity for tailored sexual health services, extending into middle age and older adulthood.

Indexed as

Persons with DisabilitiesSexual BehaviorSexual HealthAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID40908516
PMCPMC12747597

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.