Sleep quality,sleep duration and sexual health among older people: Findings from the English Longitudinal Study of Ageing |
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| Institution: | 1. Clinical Laboratory Medicine, Fujita Health University Graduate School of Health Sciences, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan;2. Department of Hygiene, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan;3. Department of Biochemistry, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan;4. Department of Health Sciences, Kansai University of Welfare Sciences Faculty of Health and Welfare, 3-11-1 Asahigaoka, Kashiwara, Osaka, 582-0026, Japan;5. Department of Education, Kyoto Women’s University Faculty of Human Development and Education, 35 Kitahiyoshi-cho, Imakumano, Higashiyama-ku, Kyoto, 605-8501, Japan;6. Department of Clinical Biochemistry, Fujita Health University School of Health Sciences, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan;7. Department of Preventive Medical Sciences, Fujita Health University School of Health Sciences, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan;1. Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, Room 322, Reynolds Building, St Dunstan''s Road, W6 8RP London, England, UK;2. Department of Gerontology, University of Southampton, UK;3. ESRC International Centre for Lifecourse Studies in Society and Health (ICLS), UK;1. Department of Psychiatry, University of California San Diego, La Jolla, CA;2. Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA;3. San Diego Veterans Affairs Healthcare System, San Diego, CA;1. Department of Veterans Affairs Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama;2. Department of Veterans Affairs Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Atlanta, Georgia;3. Department of Medicine, Division of General Medicine and Geriatrics, Emory University, Atlanta, Georgia;4. Department of Medicine, University of California Los Angeles, North Hills, California;5. Department of Veterans Affairs Greater Los Angeles Geriatric Research, Education, and Clinical Center, North Hills, California;6. Department of Medicine, University of California San Francisco, San Francisco, California;7. Department of Medicine, Division of Geriatrics, Gerontology and Palliative Medicine, University of Alabama at Birmingham, Birmingham, Alabama |
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| Abstract: | ContextHow sleep quality and sexual health are associated among community-dwelling individuals remains largely unknown.ObjectiveWe examined the association of sleep disturbance and sleep duration with a range of measures assessing sexual activities, functioning and concerns in a representative sample of older people.MethodsParticipants were community-dwelling adults aged 50-90+ years from wave 6 (2012/2013) of the English Longitudinal Study of Ageing (ELSA) who reported any sexual activity in the last year. Sleep disturbance, sleep duration and sexual health were measured by self-report at wave 6. Retrospective reports of restless sleep (waves 1–6 2002–2013]) were also examined. The association between sleep measures and sexual health was assessed using logistic regressions stratified by gender and adjusted for demographic, health and lifestyle factors with results expressed as odds ratios (OR) and 95% confidence intervals (CI).ResultsAmong both men and women disturbed sleep was associated with reported declines in sexual activity and function over the last year, and increased concern about their sexual desire, frequency of sexual activity and sexual functioning. Robust associations between high sleep disturbance and vaginal pain (OR = 1.67, 95% CI = 1.21, 2.31) and vaginal dryness (OR = 1.69, 95% CI = 1.24, 2.30) were also observed among women. Retrospective reports of restless sleep showed a dose-response relationship with reported declines in sexual health over the last year, and increased concerns about sexual expression and functioning.ConclusionsSelf-reported sleep disturbance and retrospective restless sleep were mainly associated with subjective assessments of recent declines in sexual activity and functioning, and higher levels of sexual concerns. |
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| Keywords: | Sleep quality Sexual health Sexual function Ageing ELSA Population-based |
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