Perceptions and experiences of old people on sexuality and sexual health services in Colombia
PDF (Español (España))

Keywords

Older people; Aging; Sexuality; Sexual Health; Health service

How to Cite

Ruiz-Vallejo, F., Cifuentes-Avellaneda, Ángela ., Devía, C., Alfonso, M., Alegría, A. ., & Vera, C. (2023). Perceptions and experiences of old people on sexuality and sexual health services in Colombia. Salud UIS, 55. https://doi.org/10.18273/saluduis.55.e:23040

Abstract

Introduction: Although worldwide has been demonstrated that the older adult population maintains an active sexual life, this is limited by stereotypes, physiological changes resulting from the aging process and the absence of comprehensive health strategies for sexuality. Objective: To document the sexual experience of older adults in the country and to understand the reasons that promote or limit the search for sexual healthcare. Methodology: Qualitative study. Thirty-nine interviews and four virtual workshops were conducted with men and women 50 years of age and older in Barranquilla, Bogotá, Cali, and Medellín, although people from other cities were not excluded. Results: Among the main findings, it is evident that this population has positive evaluations of sexuality and sex, but its development is limited, especially for women, by gender roles. Sexuality in the elderly is formed by their initial education, the transformation of ideas about sexuality throughout their life trajectories, the transformations of their bodies, their state of health, recent sexual practices and experiences, and the way in which they approach this topic with health professionals.  Conclusions: The heterogeneity of experiences, practices and values given to sexuality and sex in old age require policies and programs based on empirical research that overcome the ageist conception of sexuality. This study is a contribution to the national literature on sexuality and aging, and to the design of health care and well-being services according to the specific needs, identities and circumstances of the older adult population in terms of sexuality.

https://doi.org/10.18273/saluduis.55.e:23040
PDF (Español (España))

References

Organización Mundial de la Salud [Internet]. Envejecimiento y salud. Ginebra: OMS; c2021. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health

Lindau ST, Gavrilova N. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ [Internet]. 2010; 340: c810. doi: https://doi.org/10.1136/bmj.c810

Sinković M, Towler L. Sexual aging: A systematic review of qualitative research on the sexuality and sexual health of older adults. Qual Health Res [Internet]. 2019; 29(9): 1239-1254. doi: https://doi.org/10.1177/1049732318819834

Gott M, Hinchliff S. How important is sex in later life? The views of older people. Soc Sci Med [Internet]. 2003; 56(8): 1617-1628. doi: https://doi.org/10.1016/s0277-9536(02)00180-6

Rowntree MR. Comfortable in my own skin: A new form of sexual freedom for ageing baby boomers. J Aging Res [Internet]. 2014; 31: 150–158. doi: http://dx.doi.org/10.1016/j.jaging.2014.09.006

Lagana L, Maciel M. Sexual desire among Mexican-American older women: A qualitative study. Cult Health Sex [Internet]. 2010; 12(6): 705-719. doi: https://doi.org/10.1080%2F13691058.2010.482673

Departamento Administrativo Nacional de Estadística [Internet]. Resultados del Censo Nacional de Población y Vivienda 2018. Bogotá: DANE; 2018. Disponible en: https://www.dane.gov.co/files/censo2018/informacion-tecnica/cnpv-2018-presentacion-3ra-entrega.pdf

Dulcey-Ruiz E, Arrubla D, Sanabria P. Envejecimiento y vejez en Colombia. Serie: Estudios a Profundidad basados en las ENDS 1990-2010 [Internet]. Profamilia. Vol. 6. Bogotá: Profamilia; 2013. Disponible en: https://profamilia.org.co/wpcontent/uploads/2018/12/3-ENVEJECIMIENTOY-VEJEZ-EN-COLOMBIA.pdf

Ministerio de Salud y Protección Social [Internet]. Encuesta SABE Colombia 2015: Situación de Salud, Bienestar y Envejecimiento en Colombia. Bogotá: MSPS; 2016. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/Resumen-Ejecutivo-Encuesta-SABE.pdf

Cerquera AM, Álvarez JA, Saavedra ÁC. Identificación de estereotipos y prejuicios hacia la vejez presentes en una comunidad educativa de Floridablanca. Psychol Av Discip. 2010; 4(1): 73–87.

Piña López JA, Fierros Dávila LE, García Cadena C, Ybarra Sagarduy JL. Psicología y Salud (II): tendiendo puentes entre la Psicología Básica y la Aplicada. El rol del fenómeno de personalidad. Pensam Psicol. 2011; 9(16): 203-212.

Robledo Marín CA, Cardona Arango D, Cardona Jiménez J, Lizcano Cardona D, Quintero Echeverri Á. Percepción de la sexualidad en personas mayores de 60 años. Medellín, Colombia. Rev Col Cienc Soc. [Internet]. 2020; 11(1): 56–77. doi: https://doi.org/10.21501/22161201.3286

Melguizo-Herrera E, Castillo-Ávila I. Factores asociados al uso de servicios de atención primaria por adultos mayores de Cartagena, Colombia. Rev Sal Pública. 2012; 14(5): 765–775.

Cerquera Córdoba AM, Galvis Aparicio MJ, Cala Rueda ML. Amor, sexualidad e inicio de nuevas relaciones en la vejez: Percepción de tres grupos etarios. Psychol Av Discip. 2012; 6(2): 73–81.

Ramos Caballero EJ, Melguizo Herrera E. Factores asociados a actitudes sobre la sexualidad en la vejez en Medellín, Colombia. Civil Cienc Soc Hum. 2017; 17(33): 267–275.

Bedoya AM, Gaviria AM, Baena A, Borrero M, Duarte DF, Combita AL, et al. Age-specific seroprevalence of human papillomavirus 16, 18, 31, and 58 in women of a rural town of Colombia. Int J Gynecol Cancer. 2012; 22(2): 303-310. doi: https://doi.org/10.1097/igc.0b013e31823c2469

Flores RJ, Campo-Arias A, Stimpson JP, Chalela CM, Reyes-Ortiz CA. The association between past sexual abuse and depression in older adults from Colombia. J Geriatr Psychiatry Neurol. 2018; 31(1): 13-18. doi: https://doi.org/10.1177/0891988717743588

Strauss AL, Corbin J. Bases de la investigación cualitativa: técnicas y procedimientos para desarrollar la teoría fundada. 1ra ed. Medellín: Editorial Universidad de Antioquia; 2002.

Sávolt A, Musonda P, Mátrai Z, Polgár C, Rényi- Vámos F, Rubovszky G, et al. Optimal treatment of the axilla after positive sentinel lymph node biopsy in early invasive breast cancer. Early results of the OTOASOR trial. Orv Hetil [Internet]. 2013; 154(49): 1934–1942. doi: https://doi.org/10.1556/oh.2013.29765

Fileborn B, Thorpe R, Hawkes G, Minichiello V, Pitts M, Dune T. Sex, desire and pleasure: considering the experiences of older Australian women. Sex Relation Ther [Internet]. 2015; 30(1): 117–130. doi: http://dx.doi.org/10.1080/14681994.2014.936722

Ravanipour M, Gharibi T, Gharibi T. Elderly women’s views about sexual desire during old age: A qualitative study. Sez Disabil [Internet]. 2013; 31(2): 179–188. doi: http://dx.doi.org/10.1007/s11195-013-9295-7

Yun O, Kim M, Chung SE. The sexuality experience of older widows in Korea. Qualitative Healt Research. 2014; 24(4): 474–483.

Gott M, Hinchliff S. Barriers to seeking treatment for sexual problems in primary care: A qualitative study with older people. Fam Pract [Internet]. 2003; 20(6) :690–695. doi: https://doi.org/10.1093/ fampra/cmg612

Morton CR, Kim H, Treise D. Safe Sex after 50 and mature women’s beliefs of sexual health. J Consum Aff. 2011; 45(3): 372–390.

Hughes AK, Lewinson TDW. Facilitating communication about sexual health between aging women and their health care providers. Qual Health Res. 2015; 25(4): 540-550. doi: https://doi.org/10.1177/1049732314551062

López Sánchez F. Sexualidad y afectos en la vejez. Madrid: Ediciones Pirámide; 2012. p. 1–291.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Ángela Cifuentes-Avellaneda, Fernando Ruiz-Vallejo, Catalina Devía, Mónica Alfonso, Alexander Alegría, Camila Vera

Downloads

Download data is not yet available.