Sexuality behind clinic doors: experiences of healthcare professionals in primary care addressing sexuality with older people.

Background Sexual health in later life remains an overlooked area in healthcare. Despite being the first point of contact for most patients, primary care healthcare professionals (HCPs) rarely initiate discussions about sexuality with older adults (OAs). This study investigates how these HCPs talk a...

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Publicado en:Age & Ageing Vol. 55; no. 7; pp. 1 - 11
Autores principales: Kocurkova, Andrea, Boos, Danielle De, Cogger-Ward, Heather
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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          Kocurkova, Andrea
          Boos, Danielle De
          Cogger-Ward, Heather
        affil:
          School of Psychology, Sport Science & Wellbeing, College of Health and Science, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, United Kingdom of Great Britain and Northern Ireland
          University of Nottingham Faculty of Medicine and Health Sciences, Doctorate in Clinical Psychology, School of Medicine, University of Nottingham, B Floor, YANG Fujia Building, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, United Kingdom of Great Britain and Northern Ireland
          Doctorate in Clinical Psychology, School of Medicine, University of Nottingham, B Floor, YANG Fujia Building, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, United Kingdom of Great Britain and Northern Ireland
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        England
        Qualitative research
        Time pressure
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        Human sexuality
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        Sound recordings
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        Sexual health
        National health services
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        Physicians' attitudes
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      keyword:
        aged
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        healthcare professionals
        https://dx.doi.org/10.1093/ageing/afag219
        inLanguage:en
        older adults
        older people
        oral allergy syndrome
        overt aggression scale
        primary care
        primary health care
        publisher:Oxford University Press
        qualitative research
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42506889/
        sexual health
        sexuality
        aged
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
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        https://dx.doi.org/10.1093/ageing/afag219
        inLanguage:en
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        older people
        oral allergy syndrome
        overt aggression scale
        primary care
        primary health care
        publisher:Oxford University Press
        qualitative research
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42506889/
        sexual health
        sexuality
      ab: Background Sexual health in later life remains an overlooked area in healthcare. Despite being the first point of contact for most patients, primary care healthcare professionals (HCPs) rarely initiate discussions about sexuality with older adults (OAs). This study investigates how these HCPs talk about sexuality in later life and examines the extent to which existing guidelines support inclusive, age-appropriate care. Objective To explore NHS primary care professionals' experiences of discussing sexuality with OAs, including the circumstances that prompt these conversations, the factors shaping them and the extent to which professionals use formal guidance in these discussions. Design A qualitative design was used. Semi-structured interviews were conducted with 16 HCPs in England. An inductive reflexive thematic analysis approach was used for data analysis. Results Three key themes were identified. First, unspoken assumptions, clinician discomfort and time pressures often limited discussions, creating uncertainty around how and when to address sexual health. Second, physical symptoms served as 'natural openers,' but such conversations maintained their medical focus, overlooking other aspects contributing to OAs' quality of life. Third, participants described minimal reliance on guidance, instead drawing on instinct or experience. Overall, discussions were reactive and shaped by competing clinical demands. Clinicians consistently expressed a need for clear, concise and psychologically informed tools and training. Conclusion This study highlights the need to normalise later-life sexual health discussions by attending to clinician discomfort and integrating inclusive practices into routine care. Recognising sexuality as important in later life may help challenge age-related assumptions in primary care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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