Sex and the nursing home

Hajjar, Ramzi R.; Kamel, Hosam K.

doi:10.1016/s0749-0690(02)00099-x

Cited by 20 publications

(28 citation statements)

References 34 publications

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“…For example, internalized stigma among older adults may emerge as body image concerns, lack of knowledge about sexual health, and/or incorrect or misinformation about aging sexuality (Huffstetler, 2006; Weeks, 2002). Current research and healthcare policies also suggest that aging stigma is present within healthcare institutions where aging sexual concerns are often underreported, ignored, and left untreated (Hajjar & Kamel, 2003; Hinchliff & Gott, 2011; Ports et al, 2014). Further, individuals may also hold implicit aging sexual stigma attitudes, which are typically linked with associated behaviors (Bargh, Chen, & Burrows, 1996 as cited in Hillman, 2012, p. 61).…”

Section: Discussionmentioning

confidence: 99%

Examining aging sexual stigma attitudes among adults by gender, age, and generational status

Syme¹,

Cohn²

2015

Aging & Mental Health

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Objectives Stigma related to later life sexuality could produce detrimental effects for older adults, through individual concerns and limited sexual healthcare for older adults. Identifying groups at risk for aging sexual stigma will help to focus interventions to reduce it. Accordingly, the purpose of this study was to examine cross-sectional trends in aging sexual stigma attitudes by age group, generational status, and gender. Method An online survey was administered to a national sample of adults via a crowdsourcing tool, in order to examine aging sexual stigma across age groups, generational status, and gender (N=962; 47.0% male, 52.5% female, and .5% other; mean age = 45 yrs.). An aging sexual stigma index was formulated from the attitudinal items of the Aging Sexual Knowledge and Attitudes Scale. Results This sample reported moderately permissive attitudes toward aging sexuality, indicating a low level of aging sexual stigma. Though descriptive data showed trends of stigma attitudes increasing with age and later generations, there were no significant differences between age groups or generations in terms of aging sexual stigma beliefs. Men, regardless of age and/or generation, were found to espouse significantly higher stigmatic beliefs than women or those reporting “other” gender. Conclusions Aging sexual stigma beliefs may not be prevalent among the general population as cohorts become more sexually liberal over time, though men appear more susceptible to these beliefs. However, in order to more comprehensively assess aging sexual stigma, future research may benefit from measuring explicit and implicit aging sexual stigma beliefs.

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Section: Discussionmentioning

confidence: 99%

Examining aging sexual stigma attitudes among adults by gender, age, and generational status

Syme¹,

Cohn²

2015

Aging & Mental Health

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“…Although sexual needs are similar in the elderly and in younger people, there are many variations in specific modes of their experience and expression (Hajjar & Kamel, 2003).…”

Section: Hypersexuality Through the Lens Of Emotion Regulationmentioning

confidence: 99%

Emotion dysregulation and hypersexuality: review and clinical implications

Garofalo

Velotti

Zavattini

2015

Sexual and Relationship Therapy

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“…sexual acts, sexual talk, romantic activities) (Doll ). Yet, there are several individual barriers to sexual expression for LTC residents, including lack of a willing/able partner, physical and mental health problems, and medication side effects (Hajjar & Kamel , Villar et al . ).…”

Section: Introductionmentioning

confidence: 99%

Recommendations for sexual expression management in long‐term care: a qualitative needs assessment

Syme

Lichtenberg

Moye

2016

Journal of Advanced Nursing

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Aims To conduct a qualitative needs assessment of Directors of Nursing regarding challenges and recommendations for addressing sexual expression and consent. Background Sexual expression management among long-term care residents is a complex issue for nursing home staff. Little guidance is available for those wanting to follow a person-centred approach. Policies and procedures are needed, and must be usable across long-term care settings. Design Qualitative design for in-depth exploration. Methods Semi-structured interviews were conducted with 20 Directors of Nursing in the spring and summer of 2013, representing a range of regions, facility sizes and resident populations. Interview questions prompted them to identify recommendations that address challenges to improving sexual expression management in long-term care settings. Results Comparative thematic analysis resulted in several codes, which were grouped into eight overall categories. Recommendation categories that addressed key challenges included: address the issue, make environmental changes, identify staff expertise, provide education and training, assess sexuality initially and recurrently, establish policies/procedures for sexual expression management, develop assessment tools for sexual expression and consent, and clarify legal issues. The recommendation to develop national guidelines was observed across categories. Discussion Directors of Nursing report several challenges to sexual expression management in their facilities, and perceive their current methods to be ad hoc. A proactive approach to policy and procedure development is needed.

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Sex and the nursing home

Cited by 20 publications

References 34 publications

Examining aging sexual stigma attitudes among adults by gender, age, and generational status

Examining aging sexual stigma attitudes among adults by gender, age, and generational status

Emotion dysregulation and hypersexuality: review and clinical implications

Recommendations for sexual expression management in long‐term care: a qualitative needs assessment

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