STI epidemiology in the global older population: emerging challenges

Minichiello, Victor; Rahman, Saifur; Hawkes, Gail; Pitts, Marian

doi:10.1177/1757913912445688

Cited by 76 publications

(75 citation statements)

References 16 publications

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“…[1][2][3][4] UK based diagnoses of chlamydia, gonorrhoea, herpes, syphilis, warts and HIV have risen among both heterosexual men and women and men who have sex with men aged 45-65 (defined within this paper as "middleaged") within the last decade. 2,3 Although young people under 25 and men who have sex with men are at greater risk for STIs within the UK, 2,3 STIs among older adults continue to rise, supported by high mid-life rates of divorce and repartnering.…”

Section: Introductionmentioning

confidence: 99%

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Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland

Dalrymple

Booth

Flowers

et al. 2016

Reproductive Health Matters

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There has been a recent global increase in sexually transmitted infections (STIs) including HIV among adults aged over 45. Limited evidence exists regarding middle-aged adults' knowledge of STIs other than HIV. This qualitative study sought to understand middle-aged adults' knowledge of STIs within a socio-cultural context. Individual interviews, based on a life-course approach, were conducted with 31 recently sexually active heterosexual men and women. Participants were aged between 45 and 65 and of mixed relationship status (14 were single, 17 in a relationship). Thematic analysis identified four key findings, including: "engagement with STI-related knowledge"; "general knowledge of STIs"; "learning about STIs from children"; and "limited application of knowledge". The findings allow insight into a neglected area, and indicate that socio-cultural factors influence middle-aged adults' STI-related knowledge acquisition throughout the life course. These are important implications for the prevention of STIs, particularly in addressing the on-going stigmatisation of STIs in older age groups.

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Section: Introductionmentioning

confidence: 99%

“…7 older adults within the UK and elsewhere. 1,2,4 In addition, people may assess themselves as low risk for HIV and disregard other STIs. Furthermore, similarly to HIV, other STIs often have unclear or no symptoms.…”

Section: Introductionmentioning

confidence: 99%

Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland

Dalrymple

Booth

Flowers

et al. 2016

Reproductive Health Matters

View full text Add to dashboard Cite

show abstract

“…Several authors (e.g., Barrett, 2011;DeLamater, 2012;Kenny, 2013;Minichiello et al, 2012) have recently drawn attention to the negative impact of asexual and ageist stereotypes on older people's sexuality. More specifically, pronatalist and youth oriented conceptions of sexuality pervasively perpetuated by the media appear to influence older women more than older men, namely because women experience menopause at around age 51 whilst men remain fertile until later life stages (Alterovits & Mendelsohn, 2009;Baker, 2005;DeLamater & Koepsel, 2015;Kenny, 2013;Vares, 2009).…”

Section: Sex As a Privilege Of The Young And Beautifulmentioning

confidence: 99%

Sexuality in Older Adults (65+)—An Overview of The Recent Literature, Part 2: Body Image and Sexual Satisfaction

Træen

Carvalheira

Kvalem

et al. 2016

International Journal of Sexual Health

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Aim: the aim of the paper is to provide an overview of the literature published 2005-2015 on sexual satisfaction and body image in older adults. Method:A narrative literature search using the PsycINFO database was conducted.Results: Although women in general seem less satisfied with their bodies than men, particularly in sexual contexts, older women appear to be less vulnerable to body-related dissatisfaction than younger women. Despite the age-specific dynamics of sexual satisfaction and sexual well-being, which parallel age-related decrease in the frequency of sexual activity, research findings from ACCEPTED MANUSCRIPT ACCEPTED MANUSCRIPT 3 different countries show that substantial proportions of aging men and women are satisfied with their sex life. There is some limited evidence that this proportion may be increasing across cohorts. Gender differences in factors that influence sexual satisfaction among older adults appear marginal. Conclusion:Older age can affect sexual satisfaction on individual, interpersonal, and culturerelated levels. Future research in older adults' sexuality should focus on sexual well-being in women who are without partners, sexual satisfaction among aging LGBT individuals and couples, the relationship between religiosity and sexual satisfaction, and employ a comparative, cross-cultural approach.

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“…Yet STIs such as chlamydia, gonorrhoea and syphilis are being increasingly diagnosed among older adults. [1][2][3] In the US, data from the Centers for Disease Control and Prevention found increases in the rates of all three STIs among those aged 55 years and older between 2009 and 2013. These increases were found for both men and women, except for syphilis, where rates only increased among men.…”

Section: Introductionmentioning

confidence: 99%

Self-reported testing and treatment histories among older Australian men and women who may be at risk of a sexually transmissible infection

et al. 2017

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Background: Rates of sexually transmissible infections (STIs) are increasing among older adults in many countries. Little is known about the testing and treatment histories of these populations. Correlates of testing in the past 5 years among older adults who may be at risk of a STI were examined. Methods: A cross-sectional survey of 2137 Australians aged 60+ years that involved questions on STIs and STI testing was conducted in 2015. To help inform potential education campaigns, analyses focused on those who may have been at risk of a STI (n = 805, 38%). Results: Less than one in three reported a STI test in the past 5 years (n = 241, 30%) while 6% (n = 51) reported a STI diagnosis. Those diagnosed typically received treatment from a family doctor or general practitioner. Among men, lower testing rates were associated with older age, identifying as heterosexual, lower educational attainment, not using online dating and reporting one partner in the past 5 years. For women, lower rates of testing were found among those who did not use a condom at their most recent sexual encounter and those with one partner in the past 5 years. Conclusions: STI testing rates were low. This study indicates that consideration should be given to the way targeted education campaigns are formulated, such as emphasising the importance of STI testing to older people who are at risk, as well as encouraging healthcare professionals to discuss sexual health with their older patients.

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STI epidemiology in the global older population: emerging challenges

Cited by 76 publications

References 16 publications

Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland

Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland

Sexuality in Older Adults (65+)—An Overview of The Recent Literature, Part 2: Body Image and Sexual Satisfaction

Self-reported testing and treatment histories among older Australian men and women who may be at risk of a sexually transmissible infection

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