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Sexual functioning in a population-based study of men aged 40–69 years: the good news

International Journal of Impotence Research volume 16, pages 512–520 (2004)Cite this article

Abstract

The aim of the study was to provide cross-sectional data on age-related sexual functioning of men aged 40-69 y. The study was a randomised age-stratified community-based sample survey. In all, 799 men from two comparable middle-sized areas of Belgium participated in the study. Trained male nurses visited each participant at home and conducted a structured interview during which the participants filled out the International Index of Erectile Function (IIEF). The main outcome measures were scores on the IIEF questionnaire at item level. This study showed that 69% of the sample attempted to have intercourse during the past 4 weeks with an age-related increase in the proportion of sexually inactive men (11% at age 40–49 y; 25% at age 50–59 y; 52% at age 60–69 y; P=0.0001). Almost 90% of sexually active men reported to be able to get and keep an erection until completion of intercourse, to ejaculate with a feeling of orgasm, and reported to be satisfied with their sexual partner relation and their overall sex life. About 75% of sexually active men reported to be (very) highly confident about their erectile functioning. Only 15% of sexually inactive men reported a high to very high frequency and strong to very strong level of sexual desire. Whereas 26% still reported high to very high confidence in their erectile capacity, 34% reported to be moderately to (very) satisfied with their sexual life. This study showed that sexuality still matters at middle to high age and that it deserves to be regarded as an important and continuing aspect of the overall adaptation to getting older.

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References

  1. Kermode S, MacLean D . A study of the relationship between quality of life, health and self-esteem. Aust J Adv Nurs 2001; 19: 33–40.

    CAS  PubMed  Google Scholar 

  2. Mulligan T, Moss R . Sexuality and aging in male veterans: a cross-sectional study of interest, ability and activity. Arch Sex Behav 1991; 20: 17–25.

    Article  CAS  Google Scholar 

  3. Pfeiffer E, Verwoerdt A, Davis G . Sexual behavior in middle life. Am J Psychiatry 1972; 128: 1262–1267.

    Article  CAS  Google Scholar 

  4. Pearlman C. . Frequency of intercourse in males at different ages. Med Aspects Hum sexuality 1972; November: 92–113.

    Google Scholar 

  5. Schiavi R et al. Healthy aging and male sexual function. Am J Psychiatry 1990; 147: 766–771.

    Article  CAS  Google Scholar 

  6. Diokno A, Brown M, Herzog R . Sexual function in the elderly. Arch Intern Med 1990; 150: 197–200.

    Article  CAS  Google Scholar 

  7. George L, Weiler S . Sexuality in middle and late life. The effects of age, cohort and gender. Arch Gen Psychiatry 1981; 38: 919–923.

    Article  CAS  Google Scholar 

  8. Reading A, Wiest W . An analysis of self reported sexual behavior in a sample of normal males. Arch Sex Behav 1984; 13: 69–83.

    Article  CAS  Google Scholar 

  9. Simons J, Carey M . Prevalance of sexual dysfunctions: results from a decade of research. Arch Sex Behav 2001; 30: 177–219.

    Article  CAS  Google Scholar 

  10. Laumann E, Paik A, Rosen R . Sexual dysfunction in the United States. Prevalence and predictors. JAMA 1999; 281: 537–544.

    Article  CAS  Google Scholar 

  11. Frank E, Anderson C, Rubinstein D . Frequency of sexual dysfunction in ‘normal’ couples. N Engl J Med 1978; 299: 111–115.

    Article  CAS  Google Scholar 

  12. Frenken J, Van Tol P . Sexual problems in gynaecological practice. J Psychosom Obstet Gyn 1987; 6: 143–155.

    Article  Google Scholar 

  13. Bhugra D, Cordle C. . Sexual dysfunction in Asian couples. BMJ 1986; 292: 111–112.

    Article  CAS  Google Scholar 

  14. Osborn M, Hawton K, Gath D . Sexual dysfunction among middel aged women in the community. BMJ 1988; 269: 959–962.

    Article  Google Scholar 

  15. Feldman HA et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  16. Braun M et al. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res 2000; 12: 305–311.

    Article  CAS  Google Scholar 

  17. Martin-Morales A et al. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol 2001; 166: 569–574.

    Article  CAS  Google Scholar 

  18. Kinsey Ac et al. Sexual Behaviour in the Human Male. WB Saunders Co: Philidelphia, PA, 1948.

    Google Scholar 

  19. Panser LA et al. Sexual function of men ages 40–79 years: the Olmsted County study of urinary symptoms and health status among young men. J Am Geriat Soc 1995; 43: 1107–1111.

    Article  CAS  Google Scholar 

  20. Mak R, De Backer G, Kornitzer M, De Meyer JM . Prevalence and correlates of erectile dysfunction in a population-based study in Belgium. Eur Urol 2002; 41: 132–138.

    Article  Google Scholar 

  21. Rosen RC et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.

    Article  CAS  Google Scholar 

  22. Dunn KM, Croft PR, Hackett GI . Satisfaction in the sex life of a general population sample. J Sex Mar Ther 2000; 26: 141–151.

    Article  CAS  Google Scholar 

  23. Starr BD, Weiner MB . Sex and Sexuality in the Mature Years. Stein and Day: Briarcliff Manor, NY, 1981, p 25.

    Google Scholar 

  24. Bretschneider JG, McCoy NL . Sexual interest and behavior in healthy 80- to 102-year-olds. Arch Sex Behav 1988; 17: 109–129.

    Article  CAS  Google Scholar 

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Acknowledgements

The ‘Assessment of Diseases in Ageing Men’ (ADAM study) was supported by an educational grant of Pfizer Belgium.

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Authors and Affiliations

  1. Institute for Family and Sexuality Studies, Catholic University, Leuven, Belgium

    P Enzlin & K Demyttenaere

  2. Department of Public Health, Ghent University, Ghent, Belgium

    R Mak

  3. Department of Epidemiology and Health Promotion, Public Health School, Université Libre de Bruxelles, Brussels, Belgium

    F Kittel

  4. Department of Psychiatry, University Hospitals Gasthuisberg, Leuven, Belgium

    P Enzlin & K Demyttenaere

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  1. P Enzlin
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Correspondence to P Enzlin.

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Enzlin, P., Mak, R., Kittel, F. et al. Sexual functioning in a population-based study of men aged 40–69 years: the good news. Int J Impot Res 16, 512–520 (2004). https://doi.org/10.1038/sj.ijir.3901221

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