Perceived Importance and Enjoyment of Sexuality in Late Midlife: Cohort Differences in the Longitudinal Aging Study Amsterdam (LASA)

Abstract

Introduction Age-related declines in multiple facets of sexuality in later life are well documented. However, most studies have been cross-sectional with data collected at one point in time, leaving questions about cohort differences and interrelated historical changes in physical health and psychosocial functioning unanswered. Methods We examined cohort differences in perceived importance and enjoyment of sexuality in late midlife using data from the Longitudinal Aging Study Amsterdam (LASA) obtained 20 years apart, 1992–1993 (N = 718) and 2012–2013 (N = 860), from two independent samples aged 55 to 65 years (both samples: Mage ≈ 60, 52–53% women). Results Later-born adults in late midlife reported attributing slightly higher importance to sexuality than their earlier-born peers and experiencing their sex life as slightly less pleasant. Effect sizes were small at the sample level (d < .15), but substantial for certain population segments. For example, historical increases in reported importance of sexuality were especially pronounced among women with no partner (d = .56). When controlling for socio-demographic, physical health, and psychosocial factors, cohort differences in perceived importance of sexuality remained significant, but those for enjoyment did not. Conclusions Late-midlife sexuality undergoes historical changes. Specifically, reported perceived importance of sexuality has increased over historical time, especially in particular population segments. Policy implications We discuss whether our findings represent historical changes in actual behavior, perception, or the willingness to report on one’s sex life.

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“…24 However, strikingly, these appear to be independent of the degree of impairment, age, gender, number of years of education, number of years of illness, or medication. [23][24][25]…”

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