Sexual function in 1,202 aging males: Differentiating aspects

Background. Late-life sexuality is an important quality-of-life issue that has been minimally explored. This survey seeks to extend our knowledge of t he relationship of sexual attitudes and preferences to sexual functioning o f a large group of older, community-dwelling men. Methods. Older men aged 58-94(N = 1,202) were surveyed with an anonymous se lf-administered questionnaire including 63 items regarding present and past , actual and desired sexual practices and attitudes. Results. Although age correlated consistently with increased erectile dysfu nction and decreased sexual activity, a substantial number of older men con tinued active sexual behaviors supported by positive attitudes toward sexua l function. It was found that both health status and perceived partner's re sponsiveness are prominent moderators of the age effect. Conclusion. In the absence of social isolation and health issues, many olde r men show persistently active sexual lifestyles as evidenced in their inte rest and participation in sexual activities. These findings negate a portio n of the starkly negative imagery of sexual expression in aging males.