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Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults.
J Am Geriatr Soc. 2018 10; 66(10):1902-1910.JA

Abstract

OBJECTIVES

To determine patterns and prevalence of sexual behavior, problems, and attitudes in individuals with different cognitive status.

DESIGN

We used data from the National Social Life, Health, and Aging Project to describe the relationship between sexual behavior, function, and cognitive status (normal, mild cognitive impairment, dementia), classified using an adapted Montreal Cognitive Assessment (MoCA) (0-30 points).

SETTING

U.S. home-dwelling older adults.

PARTICIPANTS

Nationally representative probability sample of 3,196 adults (1,682 women, 1,514 men) aged 62 to 91 (mean 72).

MEASUREMENTS

Cognitive status and sexual activity, problems, and attitudes.

RESULTS

The weighted response rate was 74%. Mean MoCA score was 22.7. Of partnered people with dementia, 59% of men and 51% of women were sexually active, including 41% of those aged 80 to 91; 46% of all men (95% confidence interval (CI)=37.8-53.2%) and 18% of all women (95% CI=13.6-21.5%) with dementia were sexually active. The rate of sexual function problems was high across gender and cognitive groups (77%). Having sex primarily out of obligation was similar across cognitive groups for women (12%) and higher in men with dementia (17%) than other men (2-5%; P <.001). The majority of people were having sex less often than they would like. Few men (17%) or women (1%) with dementia talked with a doctor about sex.

CONCLUSION

Many home-dwelling men and women with dementia are sexually active. Although the rate of sexual function problems was uniformly high, people with lower cognitive function infrequently discussed sex with a physician.

Authors+Show Affiliations

Section of Geriatrics and Palliative Medicine, Department of Obstetrics and Gynecology and Medicine, MacLean Center on Clinical Medical Ethics, University of Chicago, Chicago, Illinois.Department of Supportive Care Medicine, City of Hope National Medical Center, Duarte, California.Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.Department of Internal Medicine, Institute for Social Research, and Institute of Gerontology, University of Michigan. Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan.Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.Department of Public Health Sciences, University of Chicago, Chicago, Illinois.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30207599

Citation

Lindau, Stacy Tessler, et al. "Sexuality and Cognitive Status: a U.S. Nationally Representative Study of Home-Dwelling Older Adults." Journal of the American Geriatrics Society, vol. 66, no. 10, 2018, pp. 1902-1910.
Lindau ST, Dale W, Feldmeth G, et al. Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults. J Am Geriatr Soc. 2018;66(10):1902-1910.
Lindau, S. T., Dale, W., Feldmeth, G., Gavrilova, N., Langa, K. M., Makelarski, J. A., & Wroblewski, K. (2018). Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults. Journal of the American Geriatrics Society, 66(10), 1902-1910. https://doi.org/10.1111/jgs.15511
Lindau ST, et al. Sexuality and Cognitive Status: a U.S. Nationally Representative Study of Home-Dwelling Older Adults. J Am Geriatr Soc. 2018;66(10):1902-1910. PubMed PMID: 30207599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults. AU - Lindau,Stacy Tessler, AU - Dale,William, AU - Feldmeth,Gillian, AU - Gavrilova,Natalia, AU - Langa,Kenneth M, AU - Makelarski,Jennifer A, AU - Wroblewski,Kristen, Y1 - 2018/09/12/ PY - 2018/03/08/received PY - 2018/05/25/revised PY - 2018/05/30/accepted PY - 2018/9/13/pubmed PY - 2019/9/7/medline PY - 2018/9/13/entrez KW - cognitive function KW - dementia KW - home-dwelling older adults KW - sexuality SP - 1902 EP - 1910 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 66 IS - 10 N2 - OBJECTIVES: To determine patterns and prevalence of sexual behavior, problems, and attitudes in individuals with different cognitive status. DESIGN: We used data from the National Social Life, Health, and Aging Project to describe the relationship between sexual behavior, function, and cognitive status (normal, mild cognitive impairment, dementia), classified using an adapted Montreal Cognitive Assessment (MoCA) (0-30 points). SETTING: U.S. home-dwelling older adults. PARTICIPANTS: Nationally representative probability sample of 3,196 adults (1,682 women, 1,514 men) aged 62 to 91 (mean 72). MEASUREMENTS: Cognitive status and sexual activity, problems, and attitudes. RESULTS: The weighted response rate was 74%. Mean MoCA score was 22.7. Of partnered people with dementia, 59% of men and 51% of women were sexually active, including 41% of those aged 80 to 91; 46% of all men (95% confidence interval (CI)=37.8-53.2%) and 18% of all women (95% CI=13.6-21.5%) with dementia were sexually active. The rate of sexual function problems was high across gender and cognitive groups (77%). Having sex primarily out of obligation was similar across cognitive groups for women (12%) and higher in men with dementia (17%) than other men (2-5%; P <.001). The majority of people were having sex less often than they would like. Few men (17%) or women (1%) with dementia talked with a doctor about sex. CONCLUSION: Many home-dwelling men and women with dementia are sexually active. Although the rate of sexual function problems was uniformly high, people with lower cognitive function infrequently discussed sex with a physician. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/30207599/Sexuality_and_Cognitive_Status:_A_U_S__Nationally_Representative_Study_of_Home_Dwelling_Older_Adults_ L2 - https://doi.org/10.1111/jgs.15511 DB - PRIME DP - Unbound Medicine ER -