“I’m Too Old for That”: The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants and Procedure
2.2. Measures
2.3. Data Analysis
3. Results
3.1. Demographic Information
3.2. Sexual Activity
3.3. Perceived Ageism toward Ageing and Sexuality
3.4. Dysfunctional Beliefs toward Ageing and Sexuality
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- World Health Organization (WHO). Ageing and Health. Available online: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (accessed on 27 December 2022).
- Donizzetti, A.R. Ageism in an Aging Society: The Role of Knowledge, Anxiety about Aging, and Stereotypes in Young People and Adults. Int. J. Environ. Res. Public Health 2019, 16, 1329. [Google Scholar] [CrossRef] [PubMed]
- Levy, B. Stereotype Embodiment. Curr. Dir. Psychol. Sci. 2009, 18, 332–336. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization (WHO). Ageing: Ageism. Available online: https://www.who.int/westernpacific/news/q-a-detail/ageing-ageism (accessed on 27 December 2022).
- Butler, R.N. Ageism: A Foreword. J. Soc. Issues 1980, 36, 8–11. [Google Scholar] [CrossRef]
- Robb, C.; Chen, H.; Haley, W.E. Ageism in Mental Health and Health Care: A Critical Review. J. Clin. Geropsychol. 2002, 8, 1–12. [Google Scholar] [CrossRef]
- Lyons, A.; Alba, B.; Heywood, W.; Fileborn, B.; Minichiello, V.; Barrett, C.; Hinchliff, S.; Malta, S.; Dow, B. Experiences of Ageism and the Mental Health of Older Adults. Aging Ment. Health 2018, 22, 1456–1464. [Google Scholar] [CrossRef]
- Levy, B.R.; Myers, L.M. Preventive Health Behaviors Influenced by Self-Perceptions of Aging. Prev. Med. (Balt.). 2004, 39, 625–629. [Google Scholar] [CrossRef]
- Bodner, E.; Cohen-Fridel, S. Relations between Attachment Styles, Ageism and Quality of Life in Late Life. Int. Psychogeriatr. 2010, 22, 1353–1361. [Google Scholar] [CrossRef]
- Donizzetti, A.R.; Lagacé, M. COVID-19 and the Elderly’s Mental Illness: The Role of Risk Perception, Social Isolation, Loneliness and Ageism. Int. J. Environ. Res. Public Health 2022, 19, 4513. [Google Scholar] [CrossRef]
- Angus, J.; Reeve, P. Ageism: A Threat to “Aging Well” in the 21st Century. J. Appl. Gerontol. 2006, 25, 137–152. [Google Scholar] [CrossRef]
- Mitchell, K.R.; Lewis, R.; O’Sullivan, L.F.; Fortenberry, J.D. What Is Sexual Wellbeing and Why Does It Matter for Public Health? Lancet Public Health 2021, 6, e608–e613. [Google Scholar] [CrossRef]
- Brennan-Ing, M.; Kaufman, J.E.; Larson, B.; Gamarel, K.E.; Seidel, L.; Karpiak, S.E. Sexual Health Among Lesbian, Gay, Bisexual, and Heterosexual Older Adults: An Exploratory Analysis. Clin. Gerontol. 2021, 44, 222–234. [Google Scholar] [CrossRef]
- Dominguez, L.J.; Barbagallo, M. Ageing and Sexuality. Eur. Geriatr. Med. 2016, 7, 512–518. [Google Scholar] [CrossRef]
- Minichiello, V.; Rahman, S.; Hawkes, G.; Pitts, M. STI Epidemiology in the Global Older Population: Emerging Challenges. Perspect. Public Health 2012, 132, 178–181. [Google Scholar] [CrossRef] [PubMed]
- Tavoschi, L.; Gomes Dias, J.; Pharris, A.; Schmid, D.; Sasse, A.; Van Beckhoven, D.; Varleva, T.; Nemeth Blazic, T.; Hadjihannas, L.; Koliou, M.; et al. New HIV Diagnoses among Adults Aged 50 Years or Older in 31 European Countries, 2004–2015: An Analysis of Surveillance Data. Lancet HIV 2017, 4, e514–e521. [Google Scholar] [CrossRef] [PubMed]
- Peixoto, M.M.; Nobre, P. Dysfunctional Sexual Beliefs: A Comparative Study of Heterosexual Men and Women, Gay Men, and Lesbian Women with and Without Sexual Problems. J. Sex. Med. 2014, 11, 2690–2700. [Google Scholar] [CrossRef]
- DePallo, M.; Thomas, R.; Thompson, J.; Fox, R.J.; Goyer, A.; Abrams, T. Images of Aging in America; AARP: Washington, DC, USA, 1995. [Google Scholar]
- Levy, B.R. Mind Matters: Cognitive and Physical Effects of Aging Self-Stereotypes. J. Gerontol. Ser. B 2003, 58, P203–P211. [Google Scholar] [CrossRef] [PubMed]
- Gott, M. Barriers to Seeking Treatment for Sexual Problems in Primary Care: A Qualitative Study with Older People. Fam. Pract. 2003, 20, 690–695. [Google Scholar] [CrossRef] [PubMed]
- Heywood, W.; Minichiello, V.; Lyons, A.; Fileborn, B.; Hussain, R.; Hinchliff, S.; Malta, S.; Barrett, C.; Dow, B. The Impact of Experiences of Ageism on Sexual Activity and Interest in Later Life. Ageing Soc. 2019, 39, 795–814. [Google Scholar] [CrossRef]
- Syme, M.L.; Cohn, T.J. Aging Sexual Stereotypes and Sexual Expression in Mid- and Later Life: Examining the Stereotype Matching Effect. Aging Ment. Health 2021, 25, 1507–1514. [Google Scholar] [CrossRef]
- Graf, A.S.; Patrick, J.H. The Influence of Sexual Attitudes on Mid-to Late-Life Sexual Well-Being: Age, Not Gender, as a Salient Factor. Int. J. Aging Hum. Dev. 2014, 79, 55–79. [Google Scholar] [CrossRef]
- Hatzenbuehler, M.L. Social Factors as Determinants of Mental Health Disparities in LGB Populations: Implications for Public Policy. Soc. Issues Policy Rev. 2010, 4, 31–62. [Google Scholar] [CrossRef]
- Gayman, M.D.; Barragan, J. Multiple Perceived Reasons for Major Discrimination and Depression. Soc. Ment. Health 2013, 3, 203–220. [Google Scholar] [CrossRef]
- Grollman, E.A. Multiple Disadvantaged Statuses and Health. J. Health Soc. Behav. 2014, 55, 3–19. [Google Scholar] [CrossRef]
- Grabovac, I.; Smith, L.; McDermott, D.T.; Stefanac, S.; Yang, L.; Veronese, N.; Jackson, S.E. Well-Being among Older Gay and Bisexual Men and Women in England: A Cross-Sectional Population Study. J. Am. Med. Dir. Assoc. 2019, 20, 1080–1085.e1. [Google Scholar] [CrossRef] [PubMed]
- Fleishman, J.M.; Crane, B.; Koch, P.B. Correlates and Predictors of Sexual Satisfaction for Older Adults in Same-Sex Relationships. J. Homosex. 2020, 67, 1974–1998. [Google Scholar] [CrossRef] [PubMed]
- Gonçalves, J.A.R.; Costa, P.A.; Leal, I. Minority Stress in Older Portuguese Gay and Bisexual Men and Its Impact on Sexual and Relationship Satisfaction. Sex. Res. Soc. Policy 2020, 17, 209–218. [Google Scholar] [CrossRef]
- World Health Organization (WHO). Definition of an Older or Elderly Person. Available online: https://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html (accessed on 27 December 2022).
- Feldman, H.A.; Goldstein, I.; Hatzichristou, D.G.; Krane, R.J.; McKinlay, J.B. Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study. J. Urol. 1994, 151, 54–61. [Google Scholar] [CrossRef]
- Levy, S.R.; Macdonald, J.L. Progress on Understanding Ageism. J. Soc. Issues 2016, 72, 5–25. [Google Scholar] [CrossRef]
- Brinkhof, L.P.; de Wit, S.; Murre, J.M.J.; Krugers, H.J.; Ridderinkhof, K.R. The Subjective Experience of Ageism: The Perceived Ageism Questionnaire (PAQ). Int. J. Environ. Res. Public Health 2022, 19, 8792. [Google Scholar] [CrossRef]
- Laidlaw, K.; Power, M.J.; Schmidt, S. The Attitudes to Ageing Questionnaire (AAQ): Development and Psychometric Properties. Int. J. Geriatr. Psychiatry 2007, 22, 367–379. [Google Scholar] [CrossRef]
- American Psychiatric Association (APA). DSM V. Diagnostic and Statistical Manual of Mental Disorders, 5th ed.; American Psychiatric Publishing: Arlington, VA, USA, 2013. [Google Scholar]
- MedCalc Statistical Software. 2014. Available online: https://www.medcalc.org/calc/ (accessed on 1 February 2023).
- Carnaghi, A.; Rusconi, P.; Bianchi, M.; Fasoli, F.; Coladonato, R.; Hegarty, P. No Country for Old Gay Men: Age and Sexuality Category Intersection Renders Older Gay Men Invisible. Gr. Process. Intergr. Relat. 2022, 25, 964–989. [Google Scholar] [CrossRef]
- ISTAT—Italian National Institute of Statistics. La Popolazione Omosessuale Nella Società Italiana. 2012. Available online: https://www.istat.it/it/files/2012/05/report-omofobia_6giugno.pdf (accessed on 1 February 2023).
- Julious, S.A. Pilot Studies in Clinical Research. Stat. Methods Med. Res. 2016, 25, 995–996. [Google Scholar] [CrossRef] [PubMed]
- Hertzog, M.A. Considerations in Determining Sample Size for Pilot Studies. Res. Nurs. Health 2008, 31, 180–191. [Google Scholar] [CrossRef] [PubMed]
- Sim, J.; Lewis, M. The Size of a Pilot Study for a Clinical Trial Should Be Calculated in Relation to Considerations of Precision and Efficiency. J. Clin. Epidemiol. 2012, 65, 301–308. [Google Scholar] [CrossRef]
- Faul, F.; Erdfelder, E.; Lang, A.-G.; Buchner, A. G*Power 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and Biomedical Sciences. Behav. Res. Methods 2007, 39, 175–191. [Google Scholar] [CrossRef] [PubMed]
- Brennan-Ing, M.; Seidel, L.; Larson, B.; Karpiak, S.E. Social Care Networks and Older LGBT Adults: Challenges for the Future. J. Homosex. 2014, 61, 21–52. [Google Scholar] [CrossRef] [PubMed]
- Mollaioli, D.; Sansone, A.; Ciocca, G.; Limoncin, E.; Colonnello, E.; Di Lorenzo, G.; Jannini, E.A. Benefits of Sexual Activity on Psychological, Relational, and Sexual Health During the COVID-19 Breakout. J. Sex. Med. 2021, 18, 35–49. [Google Scholar] [CrossRef]
- Sansone, A.; Mollaioli, D.; Ciocca, G.; Limoncin, E.; Colonnello, E.; Vena, W.; Jannini, E.A. Addressing Male Sexual and Reproductive Health in the Wake of COVID-19 Outbreak. J. Endocrinol. Investig. 2021, 44, 223–231. [Google Scholar] [CrossRef] [PubMed]
- Sansone, A.; Mollaioli, D.; Limoncin, E.; Ciocca, G.; Bắc, N.H.; Cao, T.N.; Hou, G.; Yuan, J.; Zitzmann, M.; Giraldi, A.; et al. The Sexual Long COVID (SLC): Erectile Dysfunction as a Biomarker of Systemic Complications for COVID-19 Long Haulers. Sex. Med. Rev. 2022, 10, 271–285. [Google Scholar] [CrossRef]
- Shnoor, Y.; Berg-Warman, A. Needs of the Aging LGBT Community in Israel. Int. J. Aging Hum. Dev. 2019, 89, 77–92. [Google Scholar] [CrossRef] [PubMed]
- Barak, B.; Stern, B. Subjective Age Correlates: A Research Note. Gerontologist 1986, 26, 571–578. [Google Scholar] [CrossRef]
- Carpenter, L.M.; Nathanson, C.A.; Kim, Y.J. Sex after 40?: Gender, Ageism, and Sexual Partnering in Midlife. J. Aging Stud. 2006, 20, 93–106. [Google Scholar] [CrossRef]
- Choi, S.; Meyer, I. LGBT Aging: A Review of Research Findings, Needs, and Policy Implications; The Williams Institute: Los Angeles, CA, USA, 2016. [Google Scholar]
- Hillman, J. The Sexuality and Sexual Health of LGBT Elders. Annu. Rev. Gerontol. Geriatr. 2017, 37, 13–26. [Google Scholar] [CrossRef]
- Toomey, R.B.; Ryan, C.; Diaz, R.M.; Russell, S.T. Coping with Sexual Orientation–Related Minority Stress. J. Homosex. 2018, 65, 484–500. [Google Scholar] [CrossRef] [PubMed]
- Cortoni, F.; Marshall, W.L. Sex as a Coping Strategy and Its Relationship to Juvenile Sexual History and Intimacy in Sexual Offenders. Sex. Abus. 2001, 13, 27–43. [Google Scholar] [CrossRef]
- Gillespie, S.M.; Jones, A.; Uzieblo, K.; Garofalo, C.; Robinson, E. Coping Using Sex during the Coronavirus Disease 2019 (COVID-19) Outbreak in the United Kingdom. J. Sex. Med. 2021, 18, 50–62. [Google Scholar] [CrossRef]
- Levy, B.R.; Slade, M.D.; Gill, T.M. Hearing Decline Predicted by Elders’ Stereotypes. J. Gerontol. Ser. B Psychol. Sci. Soc. Sci. 2006, 61, P82–P87. [Google Scholar] [CrossRef]
- Jones, R.L.; Changfoot, N.; King, A. Revisioning Ageing Futures: Feminist, Queer, Crip and Decolonial Visions of a Good Old Age. J. Aging Stud. 2022, 63, 101083. [Google Scholar] [CrossRef] [PubMed]
- Fredriksen-Goldsen, K.I.; Muraco, A. Aging and Sexual Orientation: A 25-Year Review of the Literature. Res. Aging 2010, 32, 372–413. [Google Scholar] [CrossRef]
- Karpiak, S.; Shippy, R.; Cantor, M. Research on Older Adults with HIV; AIDS Community Research Initiative of America: New York, NY, USA, 2006. [Google Scholar]
- MetLife. Still out, Still Aging: The MetLife Study of Lesbian, Gay, Bisexual, and Transgender Baby Boomers; MetLife: Westport, CT, USA, 2010. [Google Scholar]
- Lytle, A.; Apriceno, M.; Dyar, C.; Levy, S.R. Sexual Orientation and Gender Differences in Aging Perceptions and Concerns Among Older Adults. Innov. Aging 2018, 2, igy036. [Google Scholar] [CrossRef] [PubMed]
- Slevin, K.F.; Mowery, C.E. Exploring Embodied Aging and Ageism among Old Lesbians and Gay Men. In Sex for Life; NYU Press: New York, NY, USA, 2012; pp. 260–277. [Google Scholar]
Variables | Heterosexual Group (n = 104) | Control Group (n = 111) | p |
---|---|---|---|
Age (mean; 95% CI for the mean) | 69; 67.8–70.6 | 64; 63.2–66.6 | 0.0001 |
Sex assigned at birth (n; %) | |||
Male | 49 (47.1%) | 90 (81%) | <0.0001 |
Female | 55 (52.8%) | 21 (18.9%) | <0.0001 |
Gender Identity (n; %) | |||
Cisgender | 104 (100%) | 103 (92.8%) | 0.0001 |
Non binary | 0 (0%) | 2 (1.8%) | <0.0001 |
Transgender MtF | 0 (0%) | 6 (5.4%) | <0.0001 |
Transgender FtM | 0 (0%) | 0 (0%) | / |
Variables | Final group | Final group | p |
Heterosexual group | LGB group | ||
(n = 104) | (n = 103) | ||
Relational status (n; %) | |||
Celibate/nubilate | 9 (8.6%) | 61 (59.2%) | <0.0001 |
Civil marriage | 3 (2.8%) | 27 (26.2%) | <0.0001 |
Marriage/cohabiting | 64 (61.5%) | 5 (4.8%) | <0.0001 |
Separated | 6 (5.7%) | 4 (3.8%) | 0.72 |
Divorced | 14 (13.5%) | 4 (3.8%) | 0.02 |
Widowed | 8 (7.7%) | 2 (1.8%) | 0.09 |
Whit whom do you live? (n; %) | |||
Alone | 30 (28.8%) | 53 (51.4%) | 0.001 |
With the partner | 49 (47.1%) | 36 (34.9%) | 0.1 |
With the partner and children | 20 (19.2%) | 3 (2.9%) | 0.0004 |
Alone with children | 3 (2.8%) | 2 (1.9%) | 0.9 |
With other persons | 2 (1.9%) | 9 (8.7%) | 0.9 |
Religion (n; %) | |||
Believer and practicing | 17 (16.3%) | 6 (5.8%) | 0.02 |
Believer and not practicing | 39 (37.5%) | 25 (24.2%) | 0.05 |
Not believer | 48 (46.1%) | 72 (69%) | 0.001 |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | p |
---|---|---|---|
Subjective perception of health (n; %) | |||
Bad (1) | 6 (5.8) | 12 (11.7) | 0.2 |
Good (2) | 84 (80.8) | 83 (80.6) | 0.88 |
Optimal (3) | 14 (13.5) | 8 (7.8) | |
Participation to social activities (n; %) | |||
Never (0) | 2 (1.9) | 10 (9.7) | |
Two-three times at month (1) | 20 (19.2) | 36 (35) | |
One time at week (2) | 12 (11.5) | 15 (14.6) | |
Two times at week (3) | 26 (25) | 20 (19.4) | |
Three-six times at week (4) | 35 (33.7) | 20 (19.4) | 0.02 |
Each day (5) | 9 (8.7) | 2 (1.9) | |
To experience depression in the last 12 months (n; %) | |||
Always (4) | 1 (22.1) | 1 (1) | |
Often (3) | 15 (33.7) | 16 (15.5) | |
Sometimes (2) | 30 (28.8) | 42 (40.8) | |
Rarely (1) | 35 (14.4) | 33 (32) | 0.09 |
Never (0) | 23 (1) | 11 (10.7) | |
To experience loneliness in the last 12 months (n; %) | |||
Always (4) | 1 (1) | 3 (2.9) | |
Often (3) | 9 (8.7) | 18 (17.5) | |
Sometimes (2) | 22 (21.2) | 32 (31.1) | 0.09 |
Rarely (1) | 27 (26) | 25 (24.3) | 0.14 |
Never (0) | 45 (43.3) | 25 (24.3) |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | Odds Ratio | 95% CI | p |
---|---|---|---|---|---|
Frequency of sexual intercourse is | |||||
increased (n; %) | |||||
Completely agree (0) | 2 (2.1) | 88 (85.4) | 0.126 | 0.028–0.567 | 0.0009 |
Disagree at all (1) | 93 (97.9) | 15 (14.6) | |||
Frequency of masturbation is increased (n; %) | |||||
Completely agree (1) | 11 (10.6) | 29 (28.2) | 3.313 | 1.552–7.071 | 0.001 |
Disagree at all (0) | 93 (89.4) | 74 (71.8) | |||
Quality of sexual intrecourse is increased (n; %) | |||||
Completely agree (1) | 18 (19.1) | 36 (35) | 3.116 | 1.567–6.198 | 0.001 |
Disagree at all (0) | 76 (80.9) | 67 (65) | |||
Presence of sexual dysfunctions (n; %) | |||||
No | 95 (91.8) | 97 (94.3) | 0.722 | 0.197–2.640 | 0.77 |
Yes | 4 (8.2) | 6 (5.8) |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | Odds Ratio | 95% CI | p |
---|---|---|---|---|---|
Image society gives to aging people (n; %) | |||||
Positive/ Neither positive nor negative (0) | 59 (56.7) | 49 (47.6) | 0.692 | 0.40–1.196 | 0.18 |
Negative (1) | 45 (43.3) | 54 (52.4) | |||
Do you perceive yourself represented by the image society has of the elederly people? (n; %) | |||||
Enough/very (0) | 14 (13.5) | 12 (11.7) | 0.847 | 0.371–1.933 | 0.69 |
For nothing/little (1) | 90 (86.5) | 91 (88.3) | |||
Perceived ageism toward aging (n; %) | |||||
Yes (0) | 60 (57.7) | 56 (54.4) | 1.144 | 0.66–1.982 | 0.63 |
No (1) | 44 (42.3) | 47 (45.6) |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | Odds Ratio | 95% CI | p |
---|---|---|---|---|---|
Society represents the sexuality of the elderly as non-existing (n; %) | |||||
Disagree at all (0) | 62 (59.6) | 36 (35) | 2.74 | 1.56–4.83 | 0.0004 |
Agree at all (1) | 42 (40.4) | 67 (65) |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | Odds Ratio | 95% CI | p |
---|---|---|---|---|---|
You worry about the idea of getting old (n; %) | |||||
For nothing/little (0) | 61 (58.7) | 40 (38.8) | 0.447 | 0.256–0.78 | 0.004 |
Enough/very (1) | 43 (41.3) | 63 (61.2) |
Variables | Heterosexual Group (n = 104) | LGB Group (n = 103) | Odds Ratio | 95% CI | p |
---|---|---|---|---|---|
Sexuality is important at all life stages (n; %) | |||||
Completely agree (0) | 102 (98.1) | 102 (99) | 1.98 | 0.176–22.18 | 0.57 |
Disagree at all (1) | 2 (1.9) | 1 (1) | |||
Sexuality is not about older people (n; %) | |||||
Completely agree (1) | 9 (8.7) | 4 (3.9) | 2.344 | 0.698–7.87 | 0.167 |
Disagree at all (0) | 95 (91.3) | 99 (96.1) | |||
Dysfunctional beliefs about sexuality of elderly (n; %) | |||||
Absent (0) | 70 (67.3) | 93 (90.4) | 4.565 | 2.114–9.86 | 0.0001 |
Present (1) | 34 (32.7) | 10 (9.6) |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Flesia, L.; Monaro, M.; Jannini, E.A.; Limoncin, E. “I’m Too Old for That”: The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study. Healthcare 2023, 11, 459. https://doi.org/10.3390/healthcare11040459
Flesia L, Monaro M, Jannini EA, Limoncin E. “I’m Too Old for That”: The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study. Healthcare. 2023; 11(4):459. https://doi.org/10.3390/healthcare11040459
Chicago/Turabian StyleFlesia, Luca, Merylin Monaro, Emmanuele A. Jannini, and Erika Limoncin. 2023. "“I’m Too Old for That”: The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study" Healthcare 11, no. 4: 459. https://doi.org/10.3390/healthcare11040459
APA StyleFlesia, L., Monaro, M., Jannini, E. A., & Limoncin, E. (2023). “I’m Too Old for That”: The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study. Healthcare, 11(4), 459. https://doi.org/10.3390/healthcare11040459