Effects of sexuality experiences on older adults' self-esteem and quality of life

AUTHORS' CONTRIBUTIONS

Study design. Edison Vitório de Souza Júnior. Benedito Fernandes da Silva Filho. Namie Okino Sawada Data collection. Edison Vitório de Souza Júnior. Diego Pires Cruz. Namie Okino Sawada Data analysis. Edison Vitório de Souza Júnior. Diego Pires Cruz. Benedito Fernandes da Silva Filho. Lucas Dias Brito Infante. Randson Souza Rosa. Cristiane dos Santos Silva. Lais Reis Siqueira. Namie Okino Sawada Interpretation of the results. Edison Vitório de Souza Júnior. Diego Pires Cruz. Benedito Fernandes da Silva Filho. Lucas Dias Brito Infante. Randson Souza Rosa. Cristiane dos Santos Silva. Lais Reis Siqueira. Namie Okino Sawada Writing and critical review of the manuscript. Edison Vitório de Souza Júnior. Diego Pires Cruz. Benedito Fernandes da Silva Filho. Lucas Dias Brito Infante. Randson Souza Rosa. Cristiane dos Santos Silva. Lais Reis Siqueira. Namie Okino Sawada Approval of the final version of the article. Edison Vitório de Souza Júnior. Diego Pires Cruz. Benedito Fernandes da Silva Filho. Lucas Dias Brito Infante. Randson Souza Rosa. Cristiane dos Santos Silva. Lais Reis Siqueira. Namie Okino Sawada Responsibility for all aspects of the content and integrity of the published article. Edison Vitório de Souza Júnior. Diego Pires Cruz. Benedito Fernandes da Silva Filho. Lucas Dias Brito Infante. Randson Souza Rosa. Cristiane dos Santos Silva. Lais Reis Siqueira. Namie Okino Sawada

VARIABLES	n	%	VARIABLES	n	%
Gender			Marital status
Male	354	68.2	Married	313	60.3
Female	165	31.8	Stable union	108	20.8
Age (years old)			With a steady partner	98	18.9
60 - 64	257	49.5	Time living together
65 - 69	156	30.1	≤ 5 years	102	19.7
70 - 74	78	15.0	6-10 years	41	7.9
75 - 79	23	4.4	11-15 years	51	9.8
≥ 80 years	5	1.0	16-20 years	32	6.2
Schooling			> 20 years	293	56.5
No schooling	1	0.2	Lives with children
Primary	44	8.5	Yes	156	30.1
Elementary School	92	17.7	No	339	65.3
High School	186	35.8	Has no children	24	4.6
Higher Education	196	37.8	Has already had guidance on sexuality
Ethnicity			Yes	121	23.3
White	340	65.5	Never	398	76.7
Asian	11	2.1	Sexual orientation
Black	27	5.2	Heterosexual	445	85.7
Brown	129	24.9	Homosexual	17	3.3
Indigenous	2	0.4	Bisexual	10	1.9
Does not know	10	1.9	Others	47	9.1
Religion			Brazilian region
Catholic	258	49.7	North	40	7.7
Protestant	71	13.7	Northeast	77	14.8
Spiritualist	70	13.5	Midwest	62	11.9
African origins	9	1.7	Southeast	239	46.1
Others	55	10.6	South	101	19.5
No religion	56	10.8

	SELF-ESTEEM
Variables	SATISFACTORY	NOT SATISFACTORY	U	p-value
Variables	Median (IQ)	Median (IQ)	U	p-value
Sexuality
Sexual act	75.00 (66.00-82.00)	62.00 (49.00-72.00)	13,297.00	<0.001 ^* * Statistical significance for the Mann-Whitney U test (p<0.05)
Affective relationships	76.00 (66.00-81.00)	61.00 (53.00-73.00)	13,117.00	<0.001*
Physical and social adversity	9.00 (7.00-11.00)	7.00 (5.00-9.00)	16,287.00	<0.001*
EASES	158.00 (142.00-168.75)	132.00 (109.00-152.00)	13,558.00	<0.001*
Quality of Life
Sensory abilities	81.25 (68.75-93.75)	68.75 (50.00-81.25)	16,605.00	<0.001*
Autonomy	75.00 (62.50-81.25)	56.25 (43.75-68.75)	11,607.00	<0.001*
Past, present and future activities	68.75 (56.25-81.25)	50.00 (37.50-62.50)	10,189.00	<0.001*
Social participation	71.87 (56.25-81.25)	50.00 (31.25-56.25)	11,451.00	<0.001*
Death and dying	75.00 (50.00-87.50)	56.25 (37.50-75.00)	17,327.50	<0.001*
Intimacy	75.00 (68.75-87.50)	56.25 (37.50-75.00)	11,116.50	<0.001*
WHOQOL-Old	71.87 (62.50-80.20)	53.12 (46.87-61.45)	7,779.00	<0.001*

	QUALITY OF LIFE							SELF-ESTEEM
SEXUALITY	SS	AUT	PPFA	SP	DD	INT	OQoL	r
	ρ	ρ	ρ	ρ	ρ	ρ	ρ	r
Sexual act	0.207^*†	0.411*^‡	0.468*^‡	0.456*^‡	0.202*^†	0.633*^§	0.544*^§	0.430*^‡
Affective relationships	0.205*^†	0.391*^†	0.468*^‡	0.441*^‡	0.181*^†	0.685*^§	0.543*^§	0.431*^‡
Physical and social adversity	-0.326*^†	-0.286*^†	-0.293*^†	-0.289*^†	-0.310*^†	-0.274*^†	-0.402*^‡	-0.366*^†
General sexuality	0.179*^†	0.385*^†	0.458*^‡	0.439*^‡	0.160*^†	0.662*^§	0.522*^§	0.408*^‡

Brasil