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Prevalence of sexual problems and associated distress in aging men across four European countries

Prevalence of sexual problems and associated distress in aging men across four European countries
Prevalence of sexual problems and associated distress in aging men across four European countries
Background: Among older men, comparable cross-cultural investigations of sexual problems and associated distress that also include a multitude of relevant explanatory variables of these sexual problem and related distress are rare in the research literature. Aims: The aim of this study was to investigate prevalence rates of sexual problems and associated distress among older men across four European countries (Norway, Denmark, Belgium, Portugal) and assess which mental- and health related factors were associated with these. Methods: Multinational cross-sectional questionnaire study using self-report measures. Outcomes: Prevalence rates of sexual problems and associated distress. Results: The study found a high prevalence of sexual problems lasting three months or longer across countries but that many men with sexual problems experienced minimal or no distress about these problems. The study also found marked cross-cultural differences in reported distress about sexual problems, with Southern European men (Portugal) reporting significantly more distress related to the majority of sexual problems investigated compared with Northern European men (Denmark, Norway). Finally, the study identified several relational, physical and mental health problems that were associated with the number of sexual problems men reported and the distress related to these problems. Clinical Translation: We suggest that healthcare professionals also target distress when considering sexual problems among older men and contextualize these considerations within a multifactorial approach to general health where (other) mental- and physical health factors relevant to the patient’s sexual health and function are also jointly considered. Strengths & Limitations: Strengths of this study include the sample size, the inclusion of participants from four European countries, the assessment of distress associated with sexual problems, and the similar research design and method of data collection across the four included countries. Limitations of the study include the cross-sectional design of the study, which precludes causal conclusions, the low response rate in the Portuguese sample, the lack of homosexual participants, and the lack of comprehensive assessments of dyadic factors which may be of relevance to sexual problems and associated distress. Conclusion: The study found a high prevalence of sexual problems lasting three months or longer among older men across four European countries but also that many of the men with sexual problems experienced minimal or no distress about these problems.
1743-6095
Hald, M.
6cd4ce5f-091a-4286-9818-5dce124fe1bf
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Stulhofer, Aleksandar
04f0a942-5293-4e52-aca1-50cdbbbba497
Carvalheira, Ana
5c147286-c3e0-424d-b1a1-c33463380e23
Janssen, Erick
65bc29b2-0975-4841-842d-22049eb356e6
Træen, Bente
b1e0cf58-f435-4c39-8c5d-6a9e7a40a89c
Hald, M.
6cd4ce5f-091a-4286-9818-5dce124fe1bf
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Stulhofer, Aleksandar
04f0a942-5293-4e52-aca1-50cdbbbba497
Carvalheira, Ana
5c147286-c3e0-424d-b1a1-c33463380e23
Janssen, Erick
65bc29b2-0975-4841-842d-22049eb356e6
Træen, Bente
b1e0cf58-f435-4c39-8c5d-6a9e7a40a89c

Hald, M., Graham, Cynthia, Stulhofer, Aleksandar, Carvalheira, Ana, Janssen, Erick and Træen, Bente (2019) Prevalence of sexual problems and associated distress in aging men across four European countries. The Journal of Sexual Medicine. (In Press)

Record type: Article

Abstract

Background: Among older men, comparable cross-cultural investigations of sexual problems and associated distress that also include a multitude of relevant explanatory variables of these sexual problem and related distress are rare in the research literature. Aims: The aim of this study was to investigate prevalence rates of sexual problems and associated distress among older men across four European countries (Norway, Denmark, Belgium, Portugal) and assess which mental- and health related factors were associated with these. Methods: Multinational cross-sectional questionnaire study using self-report measures. Outcomes: Prevalence rates of sexual problems and associated distress. Results: The study found a high prevalence of sexual problems lasting three months or longer across countries but that many men with sexual problems experienced minimal or no distress about these problems. The study also found marked cross-cultural differences in reported distress about sexual problems, with Southern European men (Portugal) reporting significantly more distress related to the majority of sexual problems investigated compared with Northern European men (Denmark, Norway). Finally, the study identified several relational, physical and mental health problems that were associated with the number of sexual problems men reported and the distress related to these problems. Clinical Translation: We suggest that healthcare professionals also target distress when considering sexual problems among older men and contextualize these considerations within a multifactorial approach to general health where (other) mental- and physical health factors relevant to the patient’s sexual health and function are also jointly considered. Strengths & Limitations: Strengths of this study include the sample size, the inclusion of participants from four European countries, the assessment of distress associated with sexual problems, and the similar research design and method of data collection across the four included countries. Limitations of the study include the cross-sectional design of the study, which precludes causal conclusions, the low response rate in the Portuguese sample, the lack of homosexual participants, and the lack of comprehensive assessments of dyadic factors which may be of relevance to sexual problems and associated distress. Conclusion: The study found a high prevalence of sexual problems lasting three months or longer among older men across four European countries but also that many of the men with sexual problems experienced minimal or no distress about these problems.

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Prevalence of Sexual problems and associated distress in aging men CLEAN COPY FINAL R1 - Accepted Manuscript
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Accepted/In Press date: 10 April 2019

Identifiers

Local EPrints ID: 430248
URI: https://eprints.soton.ac.uk/id/eprint/430248
ISSN: 1743-6095
PURE UUID: aacea790-dcba-4aaa-9208-5858d8d771ce
ORCID for Cynthia Graham: ORCID iD orcid.org/0000-0002-7884-599X

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Date deposited: 23 Apr 2019 16:30
Last modified: 24 Apr 2019 00:31

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Contributors

Author: M. Hald
Author: Cynthia Graham ORCID iD
Author: Aleksandar Stulhofer
Author: Ana Carvalheira
Author: Erick Janssen
Author: Bente Træen

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