Perceptions of care among elderly couples

Silva, Eloise Panagio; Nogueira, Iara Sescon; Labegalini, Célia Maria Gomes; Carreira, Lí­gia; Baldissera, Vanessa Denardi Antoniassi

doi:10.1590/1981-22562019022.180136

Cited by 16 publications

(14 citation statements)

References 6 publications

(15 reference statements)

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“…Además, las necesidades afectivas y sexuales se expresan de diferentes formas y fortalecen la dinámica y los vínculos conyugales, manteniéndolos saludables (24) . Cabe recordar que, en general, las relaciones de las parejas mayores parten de la juventud y se mantienen hasta la vejez (25) , siendo acompañadas de las transformaciones de los tiempos y la revolución en los roles de género, que incluso, están en constante aumento en la sociedad actual.…”

Section: Resultsunclassified

Sexualidade e sintomatologia depressiva em idosos residentes no nordeste do Brasil

et al. 2021

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Objetivo: Analizar la asociación entre sexualidad y variables biosociodemográficas y síntomas depresivos en adultos mayores. Método: Se trata de un estudio seccional diseñado con 292 personas mayores. La recolección de datos se realizó entre agosto y octubre de 2020. Se utilizó la Escala de Experiencias Sexuales y Afectivas de Ancianos y la Escala de Depresión Geriátrica. Se utilizaron pruebas de Mann-Whitney, correlación de Spearman y pruebas de Kruskal-Wallis, adoptando un intervalo de confianza del 95% para todos los análisis estadísticos.Resultados: Predominaron los varones (52,1%) y entre 60 y 64 años (46,6%). La prevalencia de síntomas depresivos fue del 30,1% para los casos leves y del 8,6% para los graves. Los ancianos con síntomas depresivos experimentaron peor el acto sexual, las relaciones afectivas y las adversidades físicas y sociales relacionadas con la sexualidad. La única dimensión de la sexualidad que se asoció con las variables biosociodemográficas fue el acto sexual, mostrando que es mejor vivido por los ancianos en unión estable (p = 0.023) y entre quienes conviven con la pareja por un período ≤ 5 años, en comparación con los mayores de 20 años (p = 0,001). Además, solo la dimensión acto sexual se correlacionó negativamente y con magnitud moderada entre los síntomas depresivos graves (ρ = -0,442; p = 0,027), lo que indica que estas dos variables exhiben comportamientos inversamente proporcionales. Conclusión: La sexualidad se asocia con algunas variables biosociodemográficas y se correlaciona con síntomas depresivos severos en ancianos. Objective: To analyze the association of sexuality with the bio-sociodemographic variables and depressive symptomatology in the elderly. Method: This is a sectional study designed with 292 elderly people. Data were collected between August and October 2020. The Elderly Affective and Sexual Experiences Scale and the Geriatric Depression Scale were used. Mann-Whitney, Spearman correlation, and Kruskal-Wallis tests were used, adopting a 95% confidence interval for all statistical analyses.Results: The participants were predominantly male (52.1%) and aged between 60 and 64 years (46.6%). The prevalence of depressive symptoms was 30.1% for mild cases and 8.6% for severe cases. The elderly with depressive symptomatology experienced worse the sexual act, affective relationships, and physical and social adversities related to sexuality. The only dimension of sexuality that was associated with the bio-sociodemographic variables was the "sexual act," proving to be better experienced by the elderly in stable unions (p = 0.023) and among those who live with their partner for a period ≤ 5 years, when compared to those with living together for more than 20 years (p = 0.001). In addition, only the Sexual act dimension correlated negatively and with moderate magnitude with severe depressive symptoms (ρ = -0.442; p = 0.027), indicating that these two variables present inversely proportional behaviors.Conclusion: Sexuality is associated with some bio-sociodemographic variables and correlated with severe depressive symptoms among the elderly. Objetivo: Analisar a associação entre a sexualidade com as variáveis biosociodemográficas e sintomatologia depressiva em idosos. Método: Trata-se de um estudo seccional delineado com 292 idosos. Realizou-se a coleta de dados entre agosto e outubro de 2020. Foi utilizada a Escala de Vivências Afetivas e Sexuais do Idoso e a Escala de Depressão Geriátrica. Utilizou-se os testes de Mann-Whitney, correlação de Spearman e Kruskal-Wallis, adotando intervalo de confiança de 95% para todas as análises estatísticas.Resultados: Predominaram-se os participantes do sexo masculino (52,1%) e com idade entre 60 e 64 anos (46,6%). A prevalência de sintomatologia depressiva foi de 30,1% para os casos leves e 8,6% para os severos. Os idosos com sintomatologias depressivas pior vivenciaram o ato sexual, as relações afetivas e as adversidades física e social relacionadas à sexualidade. A única dimensão da sexualidade que se associou com as variáveis biosociodemográficas foi o ato sexual, demonstrando ser melhor vivenciada pelos idosos em união estável (p=0,023) e entre aqueles que convivem com o parceiro por um período ≤ 5 anos, quando comparados a aqueles com convivência superior a 20 anos (p=0,001). Além disso, somente a dimensão ato sexual se correlacionou de maneira negativa e com moderada magnitude entre os sintomas depressivos severos (ρ= -0,442; p=0,027), indicando que essas duas variáveis apresentam comportamentos inversamente proporcionais.Conclusão: A sexualidade está associada à algumas variáveis biosociodemográficas e correlacionada às sintomatologias depressivas severas entre os idosos.

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Section: Resultsunclassified

Sexualidade e sintomatologia depressiva em idosos residentes no nordeste do Brasil

et al. 2021

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“…A possible explanation for this result concerns the monotony that affects spouses after a few years of marriage 25 , and this clearly represents elderly people couples who, in overall, begin to relate from youth, maintaining the same relationship until the old age 26 . This context may also justify the reason why elderly people who live with their partners for a period equal to or less than 5 years experience sexual activity better than those who live together for more than 20 years.…”

Section: /15mentioning

confidence: 99%

“…Indeed, the literature states that sexuality is directly related to QoL 15,25,27 and plays a prominent role over the years, through new forms of pleasure when the person reaches old age, through sexual expressions and/or affective, also contributing to the promotion of pleasure, well-being, self-knowledge and self-esteem 16 .…”

Section: /15mentioning

confidence: 99%

Correlational Analysis Between Elderly People’s Sexuality and Quality of Life

Júnior

Souza

Santos

et al. 2022

Texto contexto - enferm.

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Objective: to analyze the correlation between the experiences of elderly people’s sexuality and quality of life. Method: this is a sectional, descriptive and analytical study carried out with 592 elderly people living in northeastern Brazil. Data were collected exclusively online through Facebook, between August and October 2020. The Affective and Sexual Experiences Scale for Elderly was used to assess sexuality and the World Health Organization Quality of Life - Old to assess quality of life. Non-parametric statistics were used through the Mann-Whitney test, Spearman and Kruskal-Wallis correlations with application of Bonferroni correlation when necessary, with 95% confidence interval (p<0.05) for all statistical analyses. Results: there was a predominance of male elderly (60.5%), aged between 60 and 64 years (44.6%) and who had never received guidance on sexuality by healthcare professionals (75.8%). The best correlations found were positive between “intimacy” with “sexual activity” (ρ=0.561; p<0.001) and “affective relationships” (ρ=0.626; p<0.001). Conclusion: it was found that the dimensions “sexual activity” and “affective relationships” of sexuality had the best positive correlations with the “intimacy” facet of elderly people’s quality of life. In this sense, it is evident that healthcare professionals can adopt approaches with these dimensions in their consultations as a way to promote and protect elderly people’s quality of life, thus fulfilling the proposal of active aging.

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“…Also, studies indicate an association between marital status and suicide, where married individuals prevail (11,16,21,24,29) . This phenomenon can be explained by the fact that relationships of elderly couples are often instituted in youth, conserved for years and kept during all the transitions of life, until old age (45) . However, long-lasting relationships can refer to marital problems, considered an important determinant for suicide in the elderly (20,26) .…”

Section: -Intermediate Social Determinants Of Healthmentioning

confidence: 99%

Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model

et al. 2020

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Objective: Identify in literature the social determinants of health related to suicide in the elderly, according to the model proposed by Dahlgren and Whitehead. Method: Integrative review of articles indexed in the databases BDENF, CINAHL, LILACS, and MEDLINE, with the following main descriptors: aged, suicide, social determinants of health, and risk factors. Primary studies were included which addressed social determinants of health and suicide in the elderly. Results: From the 19 articles analyzed, three categories emerged: proximal social determinants of health (male gender, mental disorders, physical illnesses, white race, 70-74 years old); intermediate social determinants of health (substance abuse, use of alcohol or psychotropic drugs, marital status, marital, social, and family problems, violence, previous suicide attempt, history of admission to psychiatric service); and distal social determinants of health (schooling, economic issues, sanitation, stressful events). Conclusion: Proximal determinants have more effects on suicide. Intermediate determinants are composed mainly of changeable factors. Distal determinants showed lesser associations.

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Perceptions of care among elderly couples

Cited by 16 publications

References 6 publications

Sexualidade e sintomatologia depressiva em idosos residentes no nordeste do Brasil

Sexualidade e sintomatologia depressiva em idosos residentes no nordeste do Brasil

Correlational Analysis Between Elderly People’s Sexuality and Quality of Life

Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model

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