"The Pleasure Is Better as I've Gotten Older": Sexual Health, Sexuality, and Sexual Risk Behaviors Among Older Women Living With HIV.
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Author
Taylor, Tonya NMunoz-Plaza, Corrine E
Goparaju, Lakshmi
Martinez, Omar
Holman, Susan
Minkoff, Howard L
Karpiak, Stephen E
Gandhi, Monica
Cohen, Mardge H
Golub, Elizabeth T
Levine, Alexandra M
Adedimeji, Adebola A
Gonsalves, Rebecca
Bryan, Tiffany
Connors, Nina
Schechter, Gabrielle
Wilson, Tracey E
Journal title
Archives of sexual behaviorDate Published
2016-05-24Publication Volume
46Publication Issue
4Publication Begin page
1137Publication End page
1150
Metadata
Show full item recordAbstract
There is limited research examining the sexual health and well-being of older women living with HIV (OWLH). Most studies focus on sexual dysfunction, leaving aside the richer context of sexuality and sexual health, including the effect of age-related psychosocial and interpersonal changes on sexual health behaviors. Guided by the integrative biopsychosocial model and the sexual health model, this study explored the importance of sex and sexuality among OWLH to identify their sexual health and HIV prevention needs for program planning. A purposive sample (n = 50) of OWLH was selected from a parent study (n = 2052). We conducted 8 focus groups and 41 in-depth interviews with 50 African American and Latina OWLH aged 50-69 years old in three U.S. cities. The triangulation approach was used to synthesize the data. Six salient themes emerged: sexual pleasure changes due to age, sexual freedom as women age, the role of relationships in sexual pleasure, changes in sexual ability and sexual health needs, sexual risk behaviors, and ageist assumptions about older women's sexuality. We found that sexual pleasure and the need for intimacy continue to be important for OWLH, but that changing sexual abilities and sexual health needs, such as the reduction of sexual desire, as well as increased painful intercourse due to menopause-associated vaginal drying, were persistent barriers to sexual fulfillment and satisfaction. Particular interpersonal dynamics, including low perceptions of the risk of HIV transmission as related to gender, viral suppression, and habitual condomless sex with long-term partners without HIV transmission have resulted in abandoning safer sex practices with serodiscordant partners. These findings suggest that HIV prevention for OWLH should focus on how sexual function and satisfaction intersect with sexual risk. HIV prevention for OWLH should promote ways to maintain satisfying and safe sex lives among aging women.Citation
Taylor TN, Munoz-Plaza CE, Goparaju L, Martinez O, Holman S, Minkoff HL, Karpiak SE, Gandhi M, Cohen MH, Golub ET, Levine AM, Adedimeji AA, Gonsalves R, Bryan T, Connors N, Schechter G, Wilson TE. "The Pleasure Is Better as I've Gotten Older": Sexual Health, Sexuality, and Sexual Risk Behaviors Among Older Women Living With HIV. Arch Sex Behav. 2017 May;46(4):1137-1150. doi: 10.1007/s10508-016-0751-1. Epub 2016 May 24. PMID: 27220311; PMCID: PMC5122465.DOI
10.1007/s10508-016-0751-1ae974a485f413a2113503eed53cd6c53
10.1007/s10508-016-0751-1
Scopus Count
Collections
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
Related articles
- Sexuality and Intimacy Among Older Women Living with HIV: a Systematic Review.
- Authors: Stanton AM, Goodman G, Looby SE, Robbins GK, Psaros C
- Issue date: 2019 Dec
- Ageing and healthy sexuality among women living with HIV.
- Authors: Narasimhan M, Payne C, Caldas S, Beard JR, Kennedy CE
- Issue date: 2016 Nov
- Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types.
- Authors: Carter A, Greene S, Money D, Sanchez M, Webster K, Nicholson V, Brotto LA, Hankins C, Kestler M, Pick N, Salters K, Proulx-Boucher K, O'Brien N, Patterson S, de Pokomandy A, Loutfy M, Kaida A, CHIWOS Research Team
- Issue date: 2018 Nov-Dec
- "As I Grew Older, My Life Got Better": Conceptions of Successful Aging among Older Women Living with or at Risk of HIV.
- Authors: Rubtsova AA, Taylor TN, Wingood G, Ofotokun I, Gustafson D, Vance DE, Holstad M
- Issue date: 2024 May
- Understanding barriers to condom usage among HIV-infected African American women.
- Authors: Bedimo AL, Bennett M, Kissinger P, Clark RA
- Issue date: 1998 May-Jun
Related items
Showing items related by title, author, creator and subject.
-
Peppermint Patty: A Mint or a VaginaHaddad, Michele; The College at Brockport (2014-08-20)Sex education is a subject that all adolescents inevitably encounter. Abstinence-only and comprehensive sex educations are the two core foundational curricula that are being taught to most high school students in the United States. On the surface, both of these methodologies teach conflicting information about sex which perpetuates gender inequality and rape culture. Abstinence-only programs’ emphasis on women’s purity stigmatizes teens through heterosexual normative teachings and misleads teens and young people on the logistics of sexual health. Conversely, comprehensive sex education does not teach “real” sex education because it includes very basic understandings of human sexuality rather than teaching about men’s and women’s sexuality equally. Analyzing the flaws in both teachings can be a step forward in decreasing adolescences’ pregnancy rates, Sexually Transmitted Diseases, rape culture, and gender inequality.
-
Reframing Sexual Responsibility: Hooking-upMoore, Andrea; The College at Brockport (2014-08-20)“Hook-up” culture can be seen as an outlet for women’s sexual freedom. For centuries women have not been allowed to express or have equal rights as men. Some feminists believe that women have grasped this “hook-up” culture as a way to gain sexual freedom and thus become more equal to men, but did this phenomenon backfire? This paper traces the historical emergence of “hooking-up” as a courtship ritual, explaining where it came from as well as what is new about it. The paper addresses the three themes of drugs and alcohol, sexual satisfaction, and the psychological well-being as lenses to assess hook-up practice and its relationship with sexuality. The paper also examines whether or not hook-up culture is empowering or disenfranchising for women.
-
Dissenting Voices Volume 7 Issue 1 (Spring 2018) Complete Issue2018-08-27Dissenting Voices Cover Art Design by the members of the Women and Gender Studies Senior Seminar at The College at Brockport. The journal cover, a distinctive hand print of each author, captures the sense of feminist community that was present in our classroom and that spills into and gels the pages of the essays in the volume. Table of Contents All Voices - Our Voices. Joy Davidson-Davis, Gabriella Hoose, Bernie Lachman, Bailey Morse, Alise Murray, Kelsi Nau, Julia Palozzi, Melissa Szurgyi, Daphne Tucker, p. i. - Note from the Editor (Barbara LeSavoy), p. iii. Opening Voices - The Hunter vs. The Hunted. Julia Palozzi, p. 1-14. - The Outside Looking In: Examining Reasoning Behind the Choice to Report Sexual Assault and Domestic Violence. Melssia Szurgyi , p. 15-30. More Voices - Gender’s Impact on Majors in Higher Education: The Causes and the Consequences. Kelsi Nau, p. 31-46. - Redressing Dress Codes: The Effects of Sexualized School Dress Codes. Gabriella Hoose, p. 47-60. - LGBTQ Intimate Partner Violence: The Invisible Relationship. Alise Murray, p. 61-72. - A Woman Veteran Student’s Perspective. Bernie Lachman, p. 73-94. - Freedom en el fin del Mundo: Antarctica as the Key to Renegotiating Identity-Based Power Hierarchies. Bailey Morse, p. 95-106. Closing Voices - Book Review: A Queer and Pleasant Danger: The True Story of a Nice Jewish Boy who Joins the Church of Scientology, and Leaves Twelve Years Later to Become the Lovely Lady She is Today by Kate Bornstein (2012). Daphne Tucker, p. 105-114. - Book Review: The Other Side of Paradise by Staceyann Chin (2009). Joy Davidson-Davis, p. 115-122. - WMS 421 Spring 2018 Activism Photo Essay: #MeToo, p. 123.