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Research finds that older people’s sexual problems are being dismissed

Older people’s sexual activity problems and desires are being dismissed by health practitioners due to their age, a new study has suggested.

seniors

Research by The University of Manchester’s MICRA (Manchester Institute for Collaborative Research on Ageing) and Manchester Metropolitan University highlighted the obstacles some older couples face in maintaining fulfilling sexual lives, and how they adapt to these barriers.

The study analysed written comments from over a thousand adults aged 50 to 90 who responded to the English Longitudinal Study of Ageing Sexual Health and Relationships questionnaire. Respondents of both sexes emphasised their anxiety at not being taken seriously by health practitioners as they sought to overcome issues affecting their , such as a drop in sexual desire or physical difficulties. One man in his eighties reported being refused Viagra for erectile dysfunction on the grounds of cost.

Participants in the study, published in Ageing and Society, cited other elements influencing sexual activity, including health conditions and physical impairment, the evolving status of sex in relationships and mental wellbeing. It was also found that men were more likely to talk about the impact of on sexual activities, but women were more likely to talk about health-related sexual difficulties in the context of a relationship.

The study recommends that health care practice should positively engage with issues of sexual function and sexual activity to improve the health and wellbeing of , particularly in the context of long-term health problems.

“This research further improves our understanding of love and intimacy in later life”, said study co-author David Lee, Research Fellow from The University of Manchester. “It builds upon empirical findings published in our earlier paper (Sexual health and wellbeing among older men and women in England; Archives of Sexual Behaviour) which described a detailed picture of the sex lives of older men and women. However, this new research uses narrative data to better understand how changing age, health and relationships interrelate to impact sexual health and satisfaction.”

“Appreciating individual and personal perspectives around sexuality and sexual is of paramount importance if we are to improve services for older people.”

Complete Article HERE!

Low sexual desire, related distress not uncommon in older women

By Kathryn Doyle

senior intimacy

Just because social attitudes toward sex at older ages are more positive than in the past doesn’t mean all older women have positive feelings about sex, according to a new Australian study.

Researchers found that nearly 90 percent of women over 70 in the study had low sexual desire and a much smaller proportion were distressed about it. The combination of low desire and related distress is known as hypoactive sexual desire dysfunction (HSDD) and nearly 14 percent of women had it.

Older people are increasingly remaining sexually active and sexual wellbeing is important to them, said senior author Susan R. Davis of Monash University in Melbourne.

“This is probably because people for this age are healthier now than people of this age in past decades,” Davis told Reuters Health by email.

A random national sample of women ages 65 to 79 was contacted by phone and invited to take part in a women’s health study. Those who agreed received questionnaires asking about demographic data, partner status and health history, including menopausal symptoms, vaginal dryness, pelvic floor dysfunction, depression symptoms, sexual activity and sexual distress.

Of the 1,548 women who completed and returned the questionnaires, about half were married or partnered, 43 percent had pelvic surgery and 26 percent had cancer of some kind. About a third had menopausal symptoms and one in five had vaginal dryness during intercourse.

In the entire sample, 88 percent reported having low sexual desire, 15.5 percent had sex-related personal distress, and women with both, who qualified for HSDD, made up 13.6 percent of the group, as reported in Menopause.

That’s lower than has been reported for this age group in the past, and similar to how many women report HSDD at midlife, Davis noted.

“Considering how conservative women of this age are, we were surprised that over 85 percent of the women completed all the questions on desire and sexual distress so we could actually assess this on most of the study participants,” Davis said.

Vaginal dryness, pelvic floor dysfunction, moderate to severe depressive symptoms and having a partner were all associated with a higher likelihood of HSDD. Sexually active women, partnered or not, more often had HSDD than others.

“We would never label women with low/diminished sex drive as having HSDD,” Davis said. “In our study 88 percent had low desire and only 13.6 percent had HSDD, this is because low desire is not an issue if you are not bothered by it.”

Vaginal dryness, associated with HSDD in this study, can easily treated by low dose vaginal estrogen which is effective and safe, she said.

HSDD was also associated with urinary incontinence, depressive symptoms and hot flashes and sweats, she said.

“Even talking about the problem with a health care professional who is interested and sympathetic is a good start,” Davis said. “Conversely health care professionals need to realize that many older women remain sexually active and do care about this issue.”

Complete Article HERE!

Assisted-living facilities limit older adults’ rights to sexual freedom, study finds

Georgia State University

senior intimacy

ATLANTA — Older adults in assisted-living facilities experience limits to their rights to sexual freedom because of a lack of policies regarding the issue and the actions of staff and administrators at these facilities, according to research conducted by the Gerontology Institute at Georgia State University.

Though assisted-living facilities emphasize independence and autonomy, this study found staff and administrators behave in ways that create an environment of surveillance. The findings, published in the Journals of Gerontology: Social Sciences, indicate conflict between autonomy and the protection of residents in regard to sexual freedom in assisted-living facilities.

Nearly one million Americans live in assisted-living facilities, a number expected to increase as adults continue to live longer. Regulations at these facilities may vary, but they share a mission of providing a homelike environment that emphasizes consumer choice, autonomy, privacy and control. Despite this philosophy, the autonomy of residents may be significantly restricted, including their sexuality and intimacy choices.

Sexual activity does not necessarily decrease as people age. The frequency of sexual activity in older adults is lower than in younger adults, but the majority maintain interest in sexual and intimate behavior. Engaging in sexual relationships, which is associated with psychological and physical wellbeing, requires autonomous decision-making.

While assisted-living facilities have many rules, they typically lack systematic policies about how to manage sexual behavior among residents, which falls under residents’ rights, said Elisabeth Burgess, an author of the study and director of the Gerontology Institute.

“Residents of assisted-living facilities have the right to certain things when they’re in institutional care, but there’s not an explicit right to sexuality,” Burgess said. “There’s oversight and responsibility for the health and wellbeing of people who live there, but that does not mean denying people the right to make choices. If you have a policy, you can say to the family when someone moves in, here are our policies and this is how issues are dealt with. In the absence of a policy, it becomes a case-by-case situation, and you don’t have consistency in terms of what you do.”

The researchers collected data at six assisted-living facilities in the metropolitan Atlanta area that varied in size, location, price, ownership type and resident demographics. The data collection involved participant observation and semi-structured interviews with administrative and care staff, residents and family members, as well as focus groups with staff.

The study found that staff and administrators affirmed that residents had rights to sexual and intimate behavior, but they provided justifications for exceptions and engaged in strategies that created an environment of surveillance, which discouraged and prevented sexual and intimate behavior.

The administrators and staff gave several overlapping reasons for steering residents away from each other and denying rights to sexual and intimate behavior. Administrators emphasized their responsibility for the residents’ health and safety, which often took precedence over other concerns.

Family members’ wishes played a role. Family members usually choose the home and manage the residents’ financial affairs. In some instances, they transport family members to doctor’s appointments, volunteer at the facility and help pay for the facility, which is not covered by Medicaid. They are often very protective of their parents and grandparents and are uncomfortable with new romantic or intimate partnerships, according to staff. Administrators often deferred to family wishes in order to reduce potential conflict.

Staff and administrators expressed concern about consent and cognitive impairment. More than two-thirds of residents in assisted-living facilities have some level of cognitive impairment, which can range from mild cognitive impairment to Alzheimer’s Disease or other forms of dementia. They felt responsible for protecting residents and guarding against sexual abuse, even if a person wasn’t officially diagnosed.

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Co-authors of the study, Georgia State alumni, include Christina Barmon of Central Connecticut State University, Alexis Bender of Ripple Effect Communications in Rockville, Md., and James Moorhead Jr. of the Georgia Department of Human Services’ Division of Aging Services.

The study was supported by a grant from the National Institute on Aging at the National Institutes of Health.

Read the study HERE!

Complete Article HERE!

Raising a gender nonconforming child

An interview with Eileen O’Connor

By Kim Cavill

gender-nonconforming-child

Eileen O’Connor, blogger at No Wire Hangers Ever, lives life to the fullest. With her unapologetic love for wine and honest humor, she looks at life through rose-colored glasses. She has been published on Huffington Post 26 times and appeared on the WGN morning news. Recently, she wrote a blog about raising a gender nonconforming child. I asked her for an interview and she very kindly accepted.

Hi Eileen! Before we get started, why don’t you tell us a little bit about yourself and your family.

I am a working mom of four. I have been married to my husband for eleven years. My kids are 9, 8, 7, and 6 years old.

Sex Positive Parent is about teaching parents how to talk to kids about sex and relationships, including conversations about gender norms. Gender norms are expectations and rules about the the way women and men “should” look and behave. As the parent of a gender nonconforming child, what do you want other parents say to their children about gender norms?

I would love people to know that my kids want the same thing every kid wants: to be loved and accepted. They may not fit the gender norms when it comes to the clothes they wear, but they are just clothes. Clothes don’t define who they are as people.

Excellent advice for all of us, I think. What sorts of things have other adults said to you about your child or your parenting. How did those things make you feel?

I have been told that I’m “making my kids this way”. That “God doesn’t make mistakes”. I have had grown ass adults tell my kids that they can’t be something for Halloween because their gender. And my favorite is “you’re the parent. Tell them no”. At the beginning I worried about what people thought. I didn’t know how to respond. Now I just laugh at people’s ignorance. I don’t have time for that nonsense. You go ahead and tell your kids no all he time. I’m going to let mine live their lives.

Wow. Any parent can tell you that making a child be anything is an uphill battle, right? On your blog, you wrote, “At the beginning we were hesitant. We said things like, ‘You’re a boy and boys don’t wear dresses. Be a man! Stop being such a little sissy!’ You know, the normal things you say to a toddler questioning their gender role. But we soon learned his love for all things fancy wasn’t going away. We could either accept him the way he is or we could make his life and our lives miserable. We CHOSE to accept him for who he is. He did not CHOOSE to be this way.” Can you describe your thought process in coming to that realization? I’ve worked with families who flat out refuse to allow their child to express their gender outside societal norms, even when that expression persists for many years. What do you want to say to those parents?

When my kids first started to show an interest in gender non-conforming clothing, I started to research it. The first article I read said that children who struggle with their gender are way more likely than gender conforming kids to commit suicide. That’s all it took. My husband and I discussed and decided we weren’t going to spend one second having them feel bad about who they were. I immediately went to Oldnavy.com and ordered them both new wardrobes. To parents who are struggling I want to say that it’s okay. It’s going to be okay. And the sooner you can accept your child the way they are the happier they will be. An the happier you will be. There’s nothing to be afraid of. Embrace your child just the way they are. Nothing you can say or do will change who they are. Nothing. Not one God damn thing.
Also would you ever try to change your gender conforming child? Would you ever try to convince your heterosexual child that they are homosexual? No, you wouldn’t.

The risk of suicide is extremely serious. Statistics consistently show that children who are gender nonconforming experience a much higher risk of suicide, as well as bullying and violence. Having a supportive family goes a long way toward mitigating those risks. And you are very right that it isn’t feasible to control someone’s gender or sexual orientation. At best, you can temporarily regulate their expression. How do you balance the parental desires to raise independent children, but also keep them safe in a sometimes dangerous world? How do you deal with fear?

We’re lucky that our kids are still little and are being raised in such an amazing community. Our kids are surrounded by family and friends that truly accept them for who they are. They are in a school with 27 cousins. That’s a built in security system. Of course I fear what will happen when they get older, but I’m not going to worry about that now. I learned a long time ago that we have to take it one day at a time.

That’s such good advice, taking things one day at a time. I absolutely loved this statement that you wrote in your blog: “And for any parent out there that doesn’t want their kid playing with our kid because he wears a dress? Joke’s on you. We decided a long time ago that our kids weren’t allowed to play with kids who have closed-minded parents. We’d much rather raise a gender spectacular child than an asshole.” A lot of people feel that the current political climate has shown a spotlight on deep divisions running through the fabric of an increasingly diverse American society. As members of that society, how do you think we should address those divisions, some of which are gender-related, going forward?

I think every person just needs to choose kind. Always remember you never know what another person is going through. If everyone could always do this and treat people with kindness, things would be fine. Also I think that things are so much better now then they were when I was growing up. So I know things will continue to improve. Over the summer I was at the pool and I overheard a convo between a group of people in their 60’s-70’s. They were talking about gender non-conforming children and how they didn’t agree with it. All the while my little boy was swimming right by them in his bikini. It made me happy. Mostly because I knew they’d all be dead soon and I won’t have to worry about them for very long.

What a perfect illustration of how simply living life can be a form of protest and bring about change. Aziz Ansari, one of my favorite comedians, does a bit about interracial sex and says something to the effect of, “Well, you can think it’s wrong, but I’m still going to f*ck white girls and there’s nothing you can actually do about it.” Finally, my favorite question from the French host, Bernard Pivot, “If Heaven exists, what would you like to hear God say when you arrive at the Pearly Gates?”

You’ll eternally be a size two and the wine is unlimited.

LOL. Thank you, Eileen, for your time and your words. Readers, make sure get more of both by following her blog on ChicagoNow, and you can find her on Facebook/Twitter.

Complete Article HERE!

You have sex. Let’s talk about it

Our unwillingness to talk about sex risks us from realising the possibilities of critical discussions on larger societal problems.

By Brian Horton

“So why do you want to work with only the transgender community?”

It was the middle of a call with a corporate representative interested in talking about transgender issues in the workplace. Given that people across the LGBTQ spectrum are invisibilised in corporate spaces in India, I found it strange that this particular person was only interested in talking about transgender persons (mostly hijras and transwomen).

In response to my question, the representative explained that “we want to give them choices and options as well as to save them from their…historic professions”.

The palpable hesitation in the speaker’s voice as they said historic professions, instead of sex work or prostitution, said as much as the intentional censorship of any immediate reference to sex. Even the recent Transgender Bill passed by the Union Cabinet strategically skirts the issue of sexuality (and 377 of the Indian Penal Code) all together while promising to rescue hijras from begging and sex work.

At every turn, the sex in sexuality is in danger of being silenced by our own discomfort with talking of desire, flesh, and well… sex. This imposed censorship risks us realising the possibilities of critical discussions about everything from gender inequality to sexual consent to the resilience of casteism.

Throughout my fieldwork as an anthropologist studying LGBTQ social movements in India, I have encountered discomfort, and at times, disgust regarding the topic of sex, particularly sex between non-heterosexual and/or cisgender-identified persons.

Often this disgust or discomfort does not register as plain and outspoken revulsion. Rather, it becomes more banal dismissals of sex talk as something that is “not Indian”. Sometimes there are no words, just the cacophony of cliquing tongues and monosyllabic sounds of disgust, “chee”.

Throughout my fieldwork as an anthropologist studying LGBTQ social movements in India, I have encountered discomfort, and at times, disgust.

Throughout my fieldwork as an anthropologist studying LGBTQ social movements in India, I have encountered discomfort, and at times, disgust.

Much like the turn to describing reviled things, people, and ideologies as “anti-national”, such claims of national or cultural inauthenticity amplify compulsions to remain silent about everything from sexual dissidence to our own experiences of desire.

Once, during a “Hug a Queer” rally organised by an LGBTQ youth group at Marine Drive, I watched as members of the public chided the event organisers.

At one point an older man on the footpath with his family began shouting down the organisers claiming that this is not done, homosexuality is against the culture of the Mahabharata and the Shastras, and that this should be something reserved for the privacy of the bedroom.

Such a visceral reaction is not simply to hugs or even to alienated young people searching for affirmation. The invocation of tradition and culture aims to silence newness, moments where individuals attempt to challenge the status quo, here by talking openly about sex and desire.

And the shame around sex and sexuality talk is not just limited to uncles shouting down those challenging the heterosexual and normative limits of sex. Last week, The Telegraph reported that an expert panel working on recommendations for adolescent education was pressured by the Ministry of Human Resource Development (MHRD) to strike the words “sex” and “sexual” from their final document.

An anonymous member of the expert panel cited that the ministry’s justification was that the usage of the words sex and sexual might offend people.

It is ironic that an effort to empower young people with knowledge think that we have come to the point where the mention of sex – even in an effort to empower young people about their sexual health – is subject to being labeled as offensive.

But what could possibly be offensive about sex, let alone talking about it openly?

The booming 1.252 billion population of India suggests that someone must be having sex. However the ways in which it is policed, relegated to the private sphere, and sanitised out of the public domain suggests the disruptive and subversive potential of sex.

And when it does enter into the public consciousness, it is often so wrapped in metaphor and metonymy (and patriarchy) that the subversiveness of it is muddled by a parade of stylised images of lovers dancing in the rain, extinguished flames, and kissing flowers all set to a Lata Mangeshkar tune.

“Why must you people talk about it”, is a question LGBTQ persons in this country are often asked about speaking openly about sex and sexuality

My answer to this nettlesome question is simply, because heterosexuals talk about it so often. At the office water cooler, at weddings where aunties and uncles talk about who is next in the matrimonial firing squad, in films where heroines clad in wet saris dance to the tunes of male protagonists, our world is dripping in sex.

Even without uttering the words sex, erotic, the names of organs, or positions, heterosexual sex is not only privileged, it is the singular lens through which sex can be imagined.

So talking about sex for LGBTQ persons incites us to imagine an otherwise and other side to the limited frame of public discourses on sex and sexuality.

Complete Article HERE!