EFFECTS OF SEXUALITY ON COMMON MENTAL DISORDERS AND QUALITY OF LIFE IN ELDERLY PEOPLE

Souza Júnior, Edison Vitório de; Cruz, Diego Pires; Siqueira, Lais Reis; Silva Filho, Benedito Fernandes da; Cairo, Gabriel Magalhães; Infante, Lucas Dias Brito; Sawada, Namie Okino

doi:10.5380/ce.v27i0.86919

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.86919 copy

EFFECTS OF SEXUALITY ON COMMON MENTAL DISORDERS AND QUALITY OF LIFE IN ELDERLY PEOPLE

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze the effects of sexuality on common mental disorders and quality of life in elderly people.

Method:

cross-sectional study conducted with 721 elderly people from all regions of Brazil who answered four instruments: bio-sociodemographic, EVASI, SRQ-20 and WHOQOL-Old between July and October 2020. Data were analyzed using Mann-Whitney and Structural Equation Modeling tests adopting a 95% confidence interval.

Results:

sexuality exerted a strong, positive effect on quality of life (SC=0.778 [95%CI=0.680-0.862] p<0.001), while on common mental disorders, the effect was strong and negative (SC=-0.481 [95%CI=-0.540 - -0.421] p<0.001).

Conclusion:

because a strong effect on the variables was identified, the clinical relevance of sexuality being worked on more frequently in health services was verified. Thus, society benefits with the insertion of a little explored theme and with the weakening of existing prejudices, including among the elderly themselves.

DESCRIPTORS:
Public Health; Health of the Elderly; Mental Health; Sexuality; Quality of Life.

VARIABLES	n	%	VARIABLES	n	%
Gender			Marital status
Male	429	59.5	Married	467	64.8
Female	289	40.1	Stable Union	120	16.6
Other	3	0.4	With steady partner	134	18.6
Age (years)			Living Time
60 - 64	355	49.2	≤ 5 years	119	16.5
65 - 69	232	32.2	Between 6 and 10 years old	61	8.5
70 - 74	105	14.6	Between 11 and 15 years old	39	5.4
75 - 79	27	3.7	Between 16 and 20 years old	43	6.0
≥ 80 years old	2	0.3	> 20 years old	459	63.7
Education			Lives with the children
Primary	62	8.6	Yes	198	27.5
Elementary	92	12.8	No	485	67.3
Medium	256	35.5	I do not have children	38	5.3
Superior	310	43.0	Have you ever had orientation about sexuality
No Education	1	0.1	Yes	160	22.2
Ethnicity			Never	561	77.8
White	498	69.1	Sexual orientation
Yellow	13	1.8	Heterosexual	629	87.2
Black	35	4.9	Homosexual	14	1.9
Brown	163	22.6	Bisexual	13	1.8
Indigenous	6	0.8	Other	65	9.0
Doesn’t know	6	0.8	Brazil Region
Religion			North	33	4.6
Catholic	393	54.5	Northeast	127	17.6
Protestant	98	13.6	Center-West	57	7.9
Spiritualist	83	11.5	Southeast	322	44.7
Of African origins	14	1.9	South	182	25.2
Other	57	7.9
No religion	76	10.5

Variables	WITH CMD	WITHOUT CMD	U	p-value
Variables	Median (IQR)	Median (IQR)	U	p-value
Sexuality
Sexual act	67.00 (54.00-77.00)	77.00 (69.00-81.00)	36296.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Affective Relationships	69.00 (54.00-77.00)	78.00 (71.00-83.00)	34901.00	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Physical and Social Adversities	6.00 (5.00-8.00)	8.00 (7.00-10.00)	36020.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
General sexuality	145.00 (118.00-162.50)	161.00 (147.00-169.00)	37837.00	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Quality of Life
Sensory Abilities	75.00 (56.25-87.50)	81.25 (75.00-93.75)	41629.00	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Autonomy	56.25 (43.75-71.87)	75.00 (62.50-81.25)	38397.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Past, present, and future activities	62.50 (43.75-68.75)	75.00 (62.50-81.25)	32466.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Social participation	56.25 (43.75-68.75)	75.00 (62.50-81.25)	31925.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Death and dying	62.50 (37.50-81.25)	75.00 (56.25-93.75)	42123.00	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
Intimacy	68.75 (50.00-75.00)	75.00 (75.00-87.50)	33293.00	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)
General QoL	60.41 (52.08-68.75)	73.95 (67.70-82.29)	25500.50	<0.001^* * Statistical significance by Mann-Whitney U test (p<0.05)

	SC	CI95%	p
Measurement model
DOM 2 ↓ QoL	0.636	0.583 - 0.689	<0.001
DOM 3↓ QoL	0.698	0.651 - 0.745	<0.001
DOM 4 ↓ QoL	0.590	0.534 - 0.645	<0.001
DOM 6 ↓ QoL	0.865	0.830 - 0.899	<0.001
EVASI 1 ↓ Sex	0.900	0.879 - 0.920	<0.001
EVASI 2 ↓ Sex	0.951	0.933 - 0.969	<0.001
Structural Model
QoL ↓ Sex	0.778	0.680 - 0.862	<0.001
CMD ↓ Sex	-0.481	-0.540 - -0.421	<0.001

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] *
Artígo não extraído de dissertação ou tese.