DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20204285

Sexual satisfaction and associated individual factors among midlife and older people in Ile-Ife, Southwest Nigeria: implications for sexual and reproductive health

Rhoda Oluwatofunmi Omotosho, Bola Lukman Solanke

Abstract


Background: Studies in Nigeria have rarely documented the prevalence and associated factors of sexual satisfaction among the midlife and older persons as a special group of underserved population in the country. This study investigates the prevalence and individual associated factors of sexual satisfaction among the midlife and older people in Ile-Ife, Southwest Nigeria.

Methods: A sample size of 404 was analysed in the study. The outcome variable was sexual satisfaction. The explanatory variables are sets of individual and relational characteristics. Data were analysed using Stata 14. Bivariable and multivariable binary logistic regression models were estimated.

Results: Findings reveal 42.0% level of sexual satisfaction. Higher educational attainment (AOR=0.864, p<0.01; 95% CI: 0.841-0.886), longer length of marriage (AOR=0.931, p<0.01; 95% CI: 0.912-0.950), remarriage (AOR=0.536, p<0.01; 95% CI: 0.387-0.742), economic inactivity (AOR=0.456, p<0.01; 95% CI: 0.322-0.646) reduces the odds of sexual satisfaction while absence of serious health challenges (AOR=2.742, p<0.01; 95% CI: 1.594-4.716) and spousal high wealth level (AOR=1.038, p<0.01; 95% CI: 1.017-1.059) increase the odds of sexual satisfaction.

Conclusions: Individual characteristics of midlife and older men and women are significantly associated with their sexual satisfaction. These characteristics should be targeted in a special programme focusing on midlife and older persons in Nigeria.

 


Keywords


Midlife, Nigeria, Older person, Sexual health, Sexual satisfaction

Full Text:

PDF

References


Lawrence K, Byers ES. Sexual satisfaction in long term heterosexual relationships: The interpersonal exchange model of sexual satisfaction. Personal Relationships. 1995;2:267-85.

Sprecher S, Cate R. Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In: Harvey J, Wenzel, A, Sprecher S, eds. Handbook of sexuality in close relationships. Mahwah, NJ: Lawrence Erlbaum. 2004:235-56.

Ikechukwu II. Perception of Contributory Factors to Marital Sexual Satisfaction among Married Persons in Ebonyi State University, Abakaliki, Nigeria: Implications for Family Health. Community Med Health Educ. 2014;4:313.

Sánchez-Fuentes M, Santos-Iglesias, P, Sierra JC. A systematic review of sexual satisfaction. International J Clinic Health Psychol. 2014;14:67−75.

Flynn TJ, Gow AJ. Examining associations between sexual behaviours and quality of life in older adults. Age and Ageing. 2015;44:823-8.

Borji M, Molavi S, Rahimi Z. The Effect of Sexual Satisfaction on the Quality of Life on Patients with Cardiovascular Disease. International J Medic Res Health Sci. 2016;5(12):70-5.

Francis HM, Garcia JR, Meyerson BE, Chomistek AK, Abbruzzi E. They Shall Be One: Sexual Satisfaction Among Men and Women Married in the LDS Faith. J Sex Marital Therapy. 2019;45(1):60-72.

Lee JT, Hu YL, Meston CM, Lin HH, Tseng HM. The sexual satisfaction scale for women (SSS-W): adaptation and validation of a traditional Chinese version in Taiwan. J Sex Marital Therapy. 2019.

Bilal A, Rasool S. Marital satisfaction and satisfaction with life: mediating role of sexual satisfaction in married women. Journal of Psychosexual Health. 2020; 2(1):77-86.

Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J of Family and Reprod Health. 2013;7(4):171-6.

Moghadam HM, Farhadi V, Feizi H. Relationship between sexual satisfaction, happiness and mental health among spouses District of Islamabad Gharb, in 2014-2013. J Appl Environ Biol Sci. 2014;4(8):202-7.

Mat Din H, Akahbar SAN, Ibrahim R. The association between depression and sexual satisfaction among Malay elderly in Malaysia. Heliyon. 2019;5:e01940.

Carcedo RJ, Perlman D, Fernandez-Rouco N, Perez F, Hervalejo D. Sexual Satisfaction and Mental Health in Prison Inmates. J Clin Med. 2019;8:705.

Carcedo RJ, Fernandez-Rouco N, Fernandez-Fuertes AA, Martinez-Alvarez JL. Association between Sexual Satisfaction and Depression and Anxiety in Adolescents and Young Adults. Int J Environ Res Public Health. 2020; 17: 841.

Aboderin I. Sexual and reproductive health and rights of older men and women: addressing a policy blind spot. Reproductive Health Matters. 2014;22(44):185-90.

Federal Ministry of Health. National Reproductive Health Policy 2017. Abuja, Nigeria: FMoH; 2017.

Tavakol Z, Nasrabadi AN, Moghadam ZB, Salehiniya H, Razaei E. A review of the factors associated with marital satisfaction. GMJ. 2017;6(3):197-207.

Bello FA, Daramola OO. Attitude to the menopause and sex amongst middle-aged women in a family medicine clinic in Ibadan, Nigeria. Obstetrics and Gynecol Int. 2016;2016.

Thomas HN, Hamm M, Borrero S, Hess R, Thurston RC. Body image, attractiveness, and sexual satisfaction among midlife women: a qualitative study. Journal Women’s Health. 2018;28(1):100-6.

Harder H, Starkings RML, Fallowfield LJ, Menon U, Jacobs IJ, Jenkins VA, et al. Sexual functioning in 4,418 postmenopausal women participating in UKCTOCS: a qualitative free- text analysis. Menopause: The J The North Am Menopause Society. 2019;26(10):1100-9.

Agunbiade OM, Gilbert L. The night comes early for a woman: Menopause and sexual activities among urban older Yoruba men and women in Ibadan, Nigeria. J Women Aging. 2019;2019.

Egbewale BE, Adebimpe WO. Sexual behaviours among the elderly population in Osun State, Southwestern Nigeria. Elderly Health J. 2020;6(1):16-23.

Heywood W, Lyons A, Fileborn B, et al. Sexual satisfaction among older Australian heterosexual men and women: findings from the sex, age and Me study. J Sex Marital Ther. 2018;44(3):295-307.

Traeen B, Stulhofer A, Janssen E, Carvalheira AC, Hald GM, Lange T, et al. Sexual activity and sexual satisfaction among older adults in four european countries. Arch Sexual Behav. 2018;2018.

Mat Din H, Raja Adnan RNE, Minhat HS. Association between sexual satisfaction and self-rated health among married older persons. Asia Proceedings Social Sci. 2019;4(1):10-2.

Heiman JR, Scott Long J, Smith SN, Fisher WA, Sand MS, Rosen RC. Sexual satisfaction and relationship happiness in midlife and older couples in five countries. Arch Sex Behav. 2011;40:741-53.

Thomas HN, Hess R, Thurston RC. Correlates of sexual activity and satisfaction in midlife and older women. Ann Fam Med. 2015;13:336-42.

Mernone L, Fiacco S Ehlert U. Psychobiological factors of sexual functioning in aging women- findings from the women 40c healthy aging study. Front Psychol. 2019;10:546.

Agunbiade OM, Titilayo A. Ageing, sexuality and enhancement among Yoruba people in South western Nigeria. Culture, Health Sexuality. 2012;14(6):705-17.

Asekun-Olarinmoye EO, Adebimpe WO, Bamidele JO, Odu OO, Asekun-Olarinmoye IO, Ojofeitimi EO. Barriers to use of modern contraceptives among women in an inner-city area of Osogbo metropolis, Osun State, Nigeria. Int J Women’s Health. 2013;5:647-55.

Abdoly M, Pourmousavi L. The relationship between sexual satisfaction and education levels in women. Int J Women’s Health Reproduction Sci. 2013;1(2):39-44.

Tavakol Z, Mirmolaei ST, Mansouri A, Momeni-Movahed Z, Salehiniya H. Correlates of sexual satisfaction among Iranians women attending South Tehran health centers: a cross sectional study. J Anal Res Clin Med. 2014;2(3):135-41.

Zegeye B, Woldeamanuel GG, Negash W, Shibre G. Sexual satisfaction and its associated factors among married women in Kewot District, Northern Ethiopial. Ethiop J Health Sci. 2020;30(2):169.