Abstract
The Global Study of Sexual Attitudes and Behaviors (GSSAB) is an international survey of various aspects of sex and relationships among adults aged 40–80 y. An analysis of GSSAB data was performed to estimate the prevalence and correlates of sexual problems in 13 882 women and 13 618 men from 29 countries. The overall response rate was modest; however, the estimates of prevalence of sexual problems are comparable with published values. Several factors consistently elevated the likelihood of sexual problems. Age was an important correlate of lubrication difficulties among women and of several sexual problems, including a lack of interest in sex, the inability to reach orgasm, and erectile difficulties among men. We conclude that sexual difficulties are relatively common among mature adults throughout the world. Sexual problems tend to be more associated with physical health and aging among men than women.
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References
Tiefer L . A new view of women's sexual problems: Why new? Why now? J Sex Res 2001; 38: 89–96.
Simons JS, Carey MP . Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav 2001; 30: 177–219.
Laumann EO, Paik A, Rosen RD . Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281: 537–544.
Dunn KM, Croft PR, Hackett GI . Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. J Epidemiol Community Health 1999; 53: 144–148.
Fugl-Meyer AR, Fugl-Meyer KS . Sexual disabilities, problems and satisfaction in 18–74 year old Swedes. Scand J Sexol 1999; 2: 79–105.
Bacon CG et al. Sexual function in men older than 50 years of age: results from the Health Professionals Follow-up Study. Ann Intern Med 2003; 139: 161–168.
Trudel G, Turgeon L, Piche L . Marital and sexual aspects of old age. Sex Relationship Ther 2000; 154: 381–406.
Feldman HA et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.
Panser LA et al. Sexual function of men ages 40 to 79 years: The Olmsted County Study of Urinary Symptoms and Health Status among Men. J Am Geriatr Soc 1995; 43: 1107–1111.
Moreira ED et al. Incidence of erectile dysfunction in men 40 to 69 years old: results from a population-based cohort study in Brazil. Urology 2003; 61: 431–436.
Clement U . Sex in long-term relationships: a systematic approach to sexual desire problems. Arch Sex Behav 2002; 31: 241–246.
Kaplan HS . The New Sex Therapy: Active treatment of Sexual Dysfunctions. Brunner/Mazel: New York, 1974.
Masters WH, Johnson VE . Human Sexual Inadequacy. Little, Brown and Company: Boston, 1970.
Southern S . Facilitating sexual health: intimacy enhancement techniques for sexual dysfunction. J Mental Health Counsel 1999; 21: 15–32.
Nebot M et al. AISA and behavioural risk factors in women in inner city Baltimore: a comparison of telephone and face to face surveys. J Epidemiol Community Health 1994; 48: 412–418.
Nicolosi A et al. Sexual behavior and sexual problems after the age of 40: the Global Study of Sexual Attitudes and Behaviors. Urology (accepted in press).
Pinnock CB, Stapleton AM, Marshall VR . Erectile dysfunction in the community: a prevalence study. Med J Aust 1999; 171: 353–357.
Richters J et al. Sex in Australia: sexual difficulties in a representative sample of adults. Aus N Z J Public Health 2003; 27: 164–170.
Moreira Jr ED et al. Prevalence and correlates of erectile dysfunction: results of the Brazilian Study of Sexual Behavior. Urology 2001; 58: 583–588.
Nicolosi A et al. Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology 2003; 61: 201–206.
Moreira Jr ED et al. Prevalence and correlates of erectile dysfunction in Salvador, northeastern Brazil: a population-based study. Int J Impot Res 2002; 14(Suppl 2): S3–S9.
Braun M et al. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res 2000; 12: 305–311.
Parazzini F et al. Frequency and determinants of erectile dysfunction in Italy. Eur Urol 2000; 37: 43–49.
Kongkanand A, and the Thai Erectile Dysfunction Epidemiology Study Group. Prevalence of erectile dysfunction in Thailand. Int J Androl 2000; 23(Suppl 2): 77–80.
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: 569–575.
Dunn KM, Croft PR, Hackett GI . Sexual problems: a study of the prevalence and need for health care in the general population. Fam Pract 1998; 15: 519–524.
Berrada S, Kadri N, Mechakra-Tahiri S, Nejjari C . Prevalence of erectile dysfunction and its correlates: a population-based study in Morocco. Int J Impot Res 2003; 15(Suppl 1): S3–S7.
Ugarte y Romano F, Aguirre JB . Prevalencia de disfunción eréctil en México y factores de riesgo asociados. Rev Mex Urol 2001; 61: 63–76.
Cho BL et al. Prevalence and risk factors for erectile dysfunction in primary care: results of a Korean study. Int J Impot Res 2003; 15: 323–328.
Seyam RM et al. Prevalence of erectile dysfunction and its correlates in Egypt: a community-based study. Int J Impot Res 2003; 15: 237–245.
Guiliano F et al. Prevalence of erectile dysfunction in France: results of an epidemiological survey of a representative sample of 1004 men. Eur Urol 2002; 42: 382–389.
Blanker MH et al. Erectile and ejaculatory dysfunction in a community-based sample of men 50 to 78 years old: prevalence, concern, and relation to sexual activity. Urology 2001; 57: 763–768.
Mak R, de Backer G, Kornitzer M, De Meyer J . Prevalence and correlates of erectile dysfunction in a population-based study in Belgium. Eur Urol 2002; 41: 132–138.
Koskimäki J, Hakama M, Huhtala H, Tammela TLJ . Effect of erectile dysfunction on frequency of intercourse: a population based prevalence study in Finland. J Urol 2000; 164: 367–370.
Shiri R et al. Prevalence and severity of erectile dysfunction in 50 to 75-year-old Finnish men. J Urol 2003; 170: 2342–2344.
Akkus E et al. Prevalence and correlates of erectile dysfunction in Turkey: a population-based study. Eur Urol 2002; 41: 298–304.
Ansong KS, Lewis C, Jenkins P, Bell J . Epidemiology of erectile dysfunction: a community-based study in rural New York state. Ann Epidemiol 2000; 10: 293–296.
Ventegodt S . Sex and the quality of life in Denmark. Arch Sexual Behav 1998; 27: 295–307.
Lewis RW et al. Definition, classification, and epidemiology of sexual dysfunction. In: Rosen et al (eds). Sexual Dysfunctions. Heath Productions, Ltd: London, 2004, pp. 3–37.
Acknowledgements
The Global Study on Sexual Attitudes and Behaviors was funded by Pfizer Inc. We acknowledge the contribution of our colleagues on the international advisory board for this study: Jacques Buvat (France), Gerald Brock (Canada), Uwe Hartmann (Germany), Sae-Chul Kim (Korea), Rosie King (Australia), Bernard Levinson (South Africa), Ken Marumo (Japan), and Ferruh Simsek (Turkey).
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Laumann, E., Nicolosi, A., Glasser, D. et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17, 39–57 (2005). https://doi.org/10.1038/sj.ijir.3901250
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DOI: https://doi.org/10.1038/sj.ijir.3901250
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