ArticleArchives of sexual behavior2025
A Cross-Sectional Study of Sexual Health and Well-Being in Married or Cohabitating Middle-Aged and Older Adults in Nouna, Burkina Faso.
Article in Archives of sexual behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Sexual health and well-being is important for middle-aged and older adults, but knowledge is limited on prevalence and determinants in countries in Sub-Saharan Africa. We analyzed cross-sectional data collected in 2021 from married or cohabitating adults age ≥ 40 in Nouna, Burkina Faso. Sexual health and well-being were measured using the Sexual Relationships and Activities Questionnaire. Descriptive statistics and multivariable logistic models were used to describe the dimensions of sexual health and well-being-including levels of sexual activity, sexual function, and sexual health concerns-and their associations with age, sex, and education. Among 2336 individuals (56.8% men; mean age 53.2 years) almost all reported having a sexual partner (96.0% men, 93.2% women) in the last year. Men reported more frequent sexual thoughts (71.8% versus 51.2%) and sexual activity (69.4% versus 46.4%, both p < 0.001) than women. Being a woman was associated with lower sexual activity (aOR = 0.57) and intercourse frequency (aOR = 0.37, both p < 0.001). Older age was associated with reduced sexual thoughts and intercourse (both aOR = 0.93, p < 0.001), greater erectile difficulties in men (aOR = 1.06, p < 0.001), and arousal difficulties in women (aOR = 1.07, p < .001). Higher education was associated with more frequent sexual thoughts (aOR = 1.50, p < 0.001), and intercourse (aOR = 1.41, p = 0.012). Married and co-habitating middle-aged and older respondents in Nouna reported high rates of sexual activity, with variability in other areas of sexual health and well-being, identifying areas where more research and interventions are needed.
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