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Abstract
Introduction: The sexuality and sexual health of older people is an invisible dimension in the provision of health services. Therefore, it is important to know the perceptions and difficulties of health personnel to provide this care. Objective: To identify differences and similarities in the perception that health service providers in Colombia have about sexuality and sexual health in the elderly. Methodology: A total of 5 focus groups were held in Bogotá, Barranquilla, Cali and Medellín with the participation of 19 health professionals from an institution that provides sexual and reproductive health services. Results: Health professionals recognize sexuality as an important aspect in the provision of health services in the elderly, despite the current invisibility of the issue in medical care. They recognize the complexity of talking about sexuality in the doctor-patient interaction, partly due to the lack of training
of health professionals, and due to the patients’ own inhibitions. Discussion: Social and theoretical obstacles persist to address sexuality issues in consultation, as well as gender differences for the treatment of sexuality and sexual health issues. Conclusions: Health service providers are key to removing barriers to care, accompaniment and understanding of the sexual health and sexuality of the elderly.
References
Ávila N. Envejecimiento: Edad, Salud y Sociedad. Horizonte Sanitario. 2018; 17(2): 87–88. doi: https://doi.org/10.19136/hs.a17n2.209
Ministerio de Salud y Protección Social, Profamilia. Encuesta Nacional de Demografía y Salud. ENDS 2015. Bogotá: MSPS; 2015.
Alvarado A, Salazar Á. Análisis del concepto de envejecimiento. Gerokomos. 2014; 25(2): 57–62. doi: https://dx.doi.org/10.4321/S1134- 928X2014000200002
Garita-Sánchez G. Envejecimiento y sexualidad. Alrededor de la historicidad de su vivencia y sus determinaciones. Rev Ciencias Soc (Cr). 2004; III (105): 59–79.
Chen YH, Jones C, Bannatyne A. Assessment of health-care professionals’ knowledge and attitudes on sexuality and aging: an integrative review. Educ Gerontol. 2020; 46(7): 393–417. doi: https://doi.org /10.1080/03601277.2020.1767883
Levkovich I, Gewirtz-Meydan A, Karkabi K, Ayalon L. Views of family physicians on heterosexual sexual function in older adults. BMC Fam Pract. 2018; 19(1):86. doi: https://doi.org/10.1186/s12875- 018-0770-1
Levkovich I, Gewirtz-Meydan A, Karkabi K, Ayalon L. Views of family physicians on heterosexual sexual function in older adults. BMC Fam Pract. 2018; 19(2): 86. doi: https://doi.org/10.1186/ s12875-018-0770-1
Gott M, Hinchliff S, Galena E. General practitioner attitudes to discussing sexual health issues with older people. Soc Sci Med. 2004; 58(11): 2093–2103. doi: https://doi.org/10.1016/j.socscimed.2003.08.025
Haesler E, Bauer M, Featherstonehaugh D. Sexuality, sexual health and older people: A systematic review of research on the knowledge and attitudes of health professionals. Nurse Educ Today [Internet]. 2016; 40: 57–71. doi: http://dx.doi.org/10.1016/j. nedt.2016.02.012
Dogan S, Demir B, Eker E, Karim S. Knowledge and attitudes of doctors toward the sexuality of older people in Turkey. Int Psychogeriatr. 2008; 20(5): 1019–1027. doi: http://dx.doi.org/10.1017/ S1041610208007229
Gott M, Galena E, Hinchliff S, Elford H. Opening a can of worms: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract. 2004; 21(5): 528–536. doi: http://dx.10.1093/ fampra/cmh509
Balami JS. Are geriatricians guilty of failure to take a sexual history? J Clin Gerontol Geriatrics. 2011; 2(1): 17–20.doi: https://doi. org/10.1016/j.jcgg.2011.02.003
Malta S, Hocking J, Lyne J, McGavin D, Hunter J, Bickerstaffe A, et al. Do you talk to your older patients about sexual health? Aust J Gen Pract. 2018; 47(11): 807–11. doi: https://doi.org/10.31128/ AJGP-04-18-4556
Merghati-Khoei E, Pirak A, Yazdkhasti M, Rezasoltani P. Sexuality and elderly with chronic diseases: A review of the existing literature. J Res Med Sci. 2016; 21: 127. doi: https://doi.org/10.4103/1735-1995.196618
Levkovich I, Gewirtz-Meydan A, Karkabi K, Ayalon L. When sex meets age: Family physicians’ perspectives about sexual dysfunction among older men and women: A qualitative study from Israel. Eu J General Practice [Internet].2019; 25(2): 85–90. doi: https://doi.org/10.1080/13814788.2019.1580263
Cannon SM, Shukla V, Vanderbilt AA. Addressing the healthcare needs of older lesbian, gay, bisexual, and transgender patients in medical school curricula: A call to action. Med Educ Online. 2017; 22(1), 1320933. doi: https://doi.org/10.1080/10872981.20 17.1320933
Fredriksen-Goldsen KI, Simoni JM, Kim HJ, Lehavot K, Walters KL, Yang J, et al. The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities. Am J Orthopsychiatry. 2014; 84(6): 653–663. doi: https://doi.org/10.1037/ ort0000030
González JM, González J. Estudio descriptivo de la sexualidad de personas mayores de 60 años en el caribe colombiano. Psicogente. 2005; 8(13): 17–27. doi: https://doi.org/10.17081/psico.8.13.1546 19. Kitzinger J. Qualitative Research: Introducing focus groups. BMJ. 1995; 311(7000): 299–302. doi: https://doi.org/10.1136/bmj.311.7000.299
Obregon R de FA, Vanzin T, Ulbricht VR. Focal Group Technique: Overcoming Normality Standards While Comprehending Inclusive Learning. Create Educ. 2016; 7(3): 520–532. doi: https://doi. org/10.4236/ce.2016.73053
Morse Janice M. The significance of saturation. Qual. Res. J. 1995; 5(2): 147–149. doi: https://doi. org/10.1177/104973239500500201
Bouman WP, Arcelus J, Benbow SM. Nottingham study of sexuality & ageing (NoSSA I). Attitudes regarding sexuality and older people: A review of the literature. Sex Relatsh Ther. 2006; 21(2): 149–161. doi: https://doi.org/10.1080/14681990600618879
Haboubi NHJ, Lincoln N. Views of health professionals on discussing sexual issues with patients. Disabil Rehabil. 2003; 25(6): 291–296. doi: https://doi.org/10.1080/0963828021000031188
di Napoli EA, Breland GL, Allen RS. Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes. J Aging Health. 2013; 25(7): 1087–105. doi: https://doi. org/10.1177/0898264313494802
Ricoy-Cano AJ, Obrero-Gaitán E, Caravaca-Sánchez F, Fuente-Robles YMD la. Factors Conditioning Sexual Behavior in Older Adults: A systematic review of qualitative studies. J Clin Med. 2020; 9(6): 1716. doi: https://doi.org/10.3390/ jcm9061716
Schaller S, Traeen B, Lundin Kvalem I, Hinchliff S. Linking the past and the present: constructing meaning from childhood emotional and sexual experiences towards present sexual well-being in older adults. Sex Relatsh Ther. 2020; 35(3): 382–399. doi: https://doi.org/10.1080/14681994.2018.15 39227
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