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Abstract@#Introduction: Malaysia is known for its shy and prudent community that indirectly causing the stigma and taboos related to later life sexuality. This study aimed to explore the sexual desire and satisfaction in later life among the Malay ethnic elderly in Malaysia who were living in the urban area, where discussions about sexual issues are perceived less sensitive and stigmatized. Methods: A total of 234 eligible elderly were approached but only 160 older people completed the questionnaire, sampled using multistage cluster sampling method. Face-to-face interviews were conducted using questionnaires consisted of sociodemographic characteristics, cognitive function, perceived health status, presence of chronic illnesses, smoking history, disability, perceived sexual problems, sexual desire and satisfaction. Multiple logistic regression was conducted to determine the associated factors for sexual desire and satisfaction, respectively. All tests significant level was set at 0.05. Results: Majority of the respondents were having sexual desire (53.8%) and not satisfied with their sexual life (51.3%), with elderly women (55.7%) experienced more sexual problems compared to men. The results showed male, being married, good perceived health and absence of arthritis were the significant contributing factors of better sexual desire. Having good health perception, being married and absence of sexual problems were significantly predicting better sexual satisfaction. Conclusion: The study emphasized the multifactorial aspects contributed towards the sexual dissatisfaction among the respondents despite having desire for sexual activity. Focus should be given to elderly women who tend to have multiple chronic diseases and more likely a widow due to their longer life expectancy.
RESUMO
Background: This study examined the impacts of an Emotional Focused Intervention on emotional abuse behaviors and marital satisfaction among the elderly married couples
Methods: This randomized controlled trial study was carried out in Shiraz-Iran, during September 2013-2014. The elderly couples were invited to join an emotional focused intervention, following the advertisement and announcement on bulletin boards in the elderly day clinic centers and all governmental primary health care centers. Then, 57 couples [114 participants] who were eligible for study were assigned in two groups by block randomization [29 in the experimental and 28 in the control group[.The couples in the experimental group received intervention twice a week for four weeks. Each session lasted 90 minutes. The control group didn't receive any intervention and the subjects were put in the waiting list. The outcome measures were evaluated by Multidimensional Measure of Emotional Abuse Questionnaire [MMEAQ] and Marital Satisfaction Questionnaire for Older People [MSQFOP]. Repeated measurement ANOVA was used to detect any significant changes between groups in their mean scores of emotional abuse behaviors and marital satisfaction from pre- to post-test, and 3 months after the intervention. Analysis of data was performed using SPSS, version 19, and P
Results: The mean duration of marriage was 39.56+/-9.64 years. In the experimental group, the abusive behaviors decreased significantly [P<0.001] at times 2 and 3 compared with time 1, and marital satisfaction improved significantly only at time 3 [P<0.001]. These differences were not significant in the control group
Conclusion: Emotion-focused couple-based interventions are helpful in reducing the spousal emotional abuse and improving marital satisfaction in among the elderly couples
RESUMO
Introduction: Urinary incontinence [UI] is high prevalent in older women. Little is known about how they manage with this chronic condition from their points of view. The aim of this study was to explore older women's experiences of management strategies in dealing with UI
Methods: Eight community dwelling women aged 60 and over, with long term UI participated in this qualitative study. After conducting semi-structured interviews, we transcribed the participants' responses, and analyzed them using Van-Mannen hermeneutic phenomenological method
Results: One theme emerged from the data which is labeled as strategies adopted to combat the UI
Conclusion: Results indicated that women needs to inform that there exist various treatment for UI and encourage them to seek treatment for UI