Abstract

The incidence of sexually transmitted infections (STIs) in older adults has increased with sexual intercourse being the most common mode of transmission. This demonstrates their participation in risky sexual behaviors. The objective of this systematic review was to determine the individual, psychological, and sociocultural factors associated with the use or nonuse of condoms for vaginal, oral, or anal intercourse and having one or multiple sexual partners in older adults. Primary research articles with correlational designs that identify an association between some individual, psychological, or sociocultural factors with the use or nonuse of condoms for vaginal, oral, or anal intercourse or with monogamous or non-monogamous relationships in older adults were included. Some of the variables associated with safe and risky sexual behaviors were the power of sexual decision-making, self-silencing, the importance of sex, income, frequency of sex, education, and social capital. The literature regarding factors associated with safe and risky sexual behaviors in older adults is scarce and represents an area of opportunity for future research.

摘要

随着性交成为最常见的传播方式，老年人性传播感染 (STI) 的发病率有所增加。这表明他们参与了危险的性行为。本系统评价的目的是确定与使用或不使用避孕套进行阴道、口腔或肛门性交以及有一个或多个性伴侣的老年人相关的个体、心理和社会文化因素。包含相关设计的主要研究文章确定了某些个人、心理或社会文化因素与使用或不使用避孕套进行阴道、口腔或肛门性交或与老年人的一夫一妻制或非一夫一妻制关系之间的关联。与安全和危险性行为相关的一些变量是性决策的力量、自我沉默、性的重要性、收入、性频率、教育和社会资本。关于老年人安全和危险性行为相关因素的文献很少，代表了未来研究的机会领域。