Sexual Behaviors of Middle-age and Older People in Southern Taiwan

台灣南部中老年人性行為

趙建剛(Jian-Kang Chao) ； 林燕卿(Yen-Chin Lin) ； 馬瀰嘉(Mi-Chia Ma) ； 郝立智(Lyh-Jyh Hao) ； 奚明德(Ming-Der Shi)

《台灣精神醫學》 23卷4期 (2009/12) Pp. 307-319

https://doi.org/10.29478/TJP.200912.0007

摘要

目的：本研究之目的為探討45歲以上中老年人的人口學變項與性行為模式及探討老人性行為模式的影響因素。方法：本研究共收集醫院志工、台南縣市社區民眾、非精神科門診病人、護理之家及榮民之家住民，45歲以上有效之個案283名，在告知被施測者作答方式及問卷內容後，分別施測基本問卷及性行為模式問卷。結果：很明顯的在過去一年中，除自慰外(20.1%)，大部份受試者還存有廣義的性經驗，如觸摸／牽手(42.8%)、接吻(38.2%)、擁抱(42.8%)、相互撫摸(41.7%)及性交(40.3%)。男與女的受試者最常的性問題為，性欲減低。本研究也清楚的顯示，年齡、伴侶、教育程度及健康狀態等，皆可影響性行為。這些項目也與性滿意度及性需求相關。如在羅輯回歸分析下，則顯示性生活滿意度與有無伴侶、飲酒及性需求相關。結論：老年人的性生活應該從較廣義的角度去看，而不是狹義地集中於器官的性接觸，因為很多時候親密接觸、牽手、擁抱或愛撫等已經可以為年老的伴侶帶來性滿足。

關鍵字

性行為 ； 中老年人 ； 性滿意度 ； 性需求

並列摘要

Objective: This study was to investigate the relationship of demographic variables to the sexual behavior, sexual desire and sexual satisfaction of the elderly population in Southern Taiwan. Methods: A total of 283 individuals over the age of 45 years was recruited from communities in Southern Taiwan. Participants were asked to complete a questionnaire form. Results: In the past year, except for masturbation (20.1%), the percentage of people participating in general sexual behavior at least once per month was found to be nearly 40% for most elderly adults, including touching/hand holding (42.8%), embracing (42.8%), kissing (38.2%), mutual stroking (41.7%) and sexual intercourse (40.3%). The most common sexually related problem was found to have a hypoactive sexual desire in both male and female participants. This study clearly showed that age, partner, education level and health status influences sexual behavior, these items also have relevance to sexual satisfaction and sexual desire. If sexual satisfaction was rated using a binary outcome and then analyzed using multiple logistic regression analyses forward model selection the factors influencing sexual satisfaction were found to be partner, alcohol and sexual desire. Conclusion: The sexual life of the elderly should be observed from a broad point of view, rather than just focusing on sexual intercourse, because simple hand holding, intimate closeness, hugs, or mutual stroking can also give elderly partners sexual satisfaction.

並列關鍵字

sexual behavior ； older adults ； sexual satisfaction ； sexual desire

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