Sexuality Among Middle-Aged and Older Adults With Diagnosed and Undiagnosed Diabetes
| Autor: | Marshall H. Chin, Hui Tang, Melinda L. Drum, Ada Gomero, Dima M. Qato, Anusha M. Vable, Elbert S. Huang, Stacy Tessler Lindau |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
Research design Gerontology Pediatrics medicine.medical_specialty Sexual characteristics Cross-sectional study Sexual Behavior Endocrinology Diabetes and Metabolism media_common.quotation_subject 030232 urology & nephrology Human sexuality Orgasm 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Diabetes Mellitus Internal Medicine medicine Humans 030212 general & internal medicine Epidemiology/Health Services Research Original Research Aged media_common Aged 80 and over Advanced and Specialized Nursing business.industry Odds ratio Middle Aged medicine.disease Middle age 3. Good health Cross-Sectional Studies Logistic Models Female business |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| DOI: | 10.2337/dc10-0524 |
| Popis: | OBJECTIVE To describe sexual activity, behavior, and problems among middle-age and older adults by diabetes status. RESEARCH DESIGN AND METHODS This was a substudy of 1,993 community-residing adults, aged 57–85 years, from a cross-sectional, nationally representative sample (N = 3,005). In-home interviews, observed medications, and A1C were used to stratify by diagnosed diabetes, undiagnosed diabetes, or no diabetes. Logistic regression was used to model associations between diabetes conditions and sexual characteristics, separately by gender. RESULTS The survey response rate was 75.5%. More than 60% of partnered individuals with diagnosed diabetes were sexually active. Women with diagnosed diabetes were less likely than men with diagnosed diabetes (adjusted odds ratio 0.28 [95% CI 0.16–0.49]) and other women (0.63 [0.45–0.87]) to be sexually active. Partnered sexual behaviors did not differ by gender or diabetes status. The prevalence of orgasm problems was similarly elevated among men with diagnosed and undiagnosed diabetes compared with that for other men, but erectile difficulties were elevated only among men with diagnosed diabetes (2.51 [1.53 to 4.14]). Women with undiagnosed diabetes were less likely to have discussed sex with a physician (11%) than women with diagnosed diabetes (19%) and men with undiagnosed (28%) or diagnosed (47%) diabetes. CONCLUSIONS Many middle-age and older adults with diabetes are sexually active and engage in sexual behaviors similarly to individuals without diabetes. Women with diabetes were more likely than men to cease all sexual activity. Older women with diabetes are as likely to have sexual problems but are significantly less likely than men to discuss them. |
| Databáze: | OpenAIRE |
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