Sexual Well-Being in Older Adults: a Qualitative Study with Older Adults from Portugal and Slovenia

Introduction Beyond living longer, it is increasingly important to live with more and better health during aging; sexual well-being was found to contribute to health and well-being in old age and is highly under-researched in the older population. This study aims to analyze sexual well-being in a cross-cultural way through older Portuguese and Slovenian older samples. Methods We interviewed 136 older participants with an average age of 71.6 years old. Participants were Portuguese and Slovenian and lived in the community. Participants were subjected to semi-structured interviews and these were subjected to a content analysis process. Results The content analysis indicated nine themes related to sexual well-being: self-reported good health; demonstrations of love; non-sexual joint activities; overall well-being and quality of life; partner support; positive self-image; being independent and active; sexual compatibility; and masturbation. Conclusions Portuguese older adults experience their sexual well-being associated mainly with self-reported good health and demonstrations of love, while Slovenians older adults associate their sexual well-being mainly with non-sexual joint activities and overall well-being and quality of life. Policy Implications The themes found in this study are fundamental evidence for cultural interventions and guidelines outlining in the context of sexual health in aging, mainly due to the scarcity of knowledge of sexual well-being among older adults.