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<p>Sexual health and well-being is important for middle-aged and older adults, but knowledge is limited on prevalence and determinants in countries in Sub-Saharan Africa. We analyzed cross-sectional data collected in 2021 from married or cohabitating adults age ≥ 40 in Nouna, Burkina Faso. Sexual health and well-being were measured using the Sexual Relationships and Activities Questionnaire. Descriptive statistics and multivariable logistic models were used to describe the dimensions of sexual health and well-being—including levels of sexual activity, sexual function, and sexual health concerns—and their associations with age, sex, and education. Among 2336 individuals (56.8% men; mean age 53.2&#xa0;years) almost all reported having a sexual partner (96.0% men, 93.2% women) in the last year. Men reported more frequent sexual thoughts (71.8% versus 51.2%) and sexual activity (69.4% versus 46.4%, both <i>p</i> &lt; 0.001) than women. Being a woman was associated with lower sexual activity (aOR = 0.57) and intercourse frequency (aOR = 0.37, both <i>p</i> &lt; 0.001). Older age was associated with reduced sexual thoughts and intercourse (both aOR = 0.93, <i>p</i> &lt; 0.001), greater erectile difficulties in men (aOR = 1.06, <i>p</i> &lt; 0.001), and arousal difficulties in women (aOR = 1.07, <i>p</i> &lt; .001). Higher education was associated with more frequent sexual thoughts (aOR = 1.50, <i>p</i> &lt; 0.001), and intercourse (aOR = 1.41, <i>p</i> = 0.012). Married and co-habitating middle-aged and older respondents in Nouna reported high rates of sexual activity, with variability in other areas of sexual health and well-being, identifying areas where more research and interventions are needed.</p>

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A Cross-Sectional Study of Sexual Health and Well-Being in Married or Cohabitating Middle-Aged and Older Adults in Nouna, Burkina Faso

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月30日

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  • Oluwadamilola A. Omojola,
  • Cristina A. Osborne,
  • Mamadou Bountogo,
  • Maxime Inghels,
  • Guy Harling,
  • Ali Sie,
  • Dina Goodman Palmer,
  • Till Bärnighausen,
  • Justine I. Davies,
  • Lisa R. Hirschhorn

摘要

Sexual health and well-being is important for middle-aged and older adults, but knowledge is limited on prevalence and determinants in countries in Sub-Saharan Africa. We analyzed cross-sectional data collected in 2021 from married or cohabitating adults age ≥ 40 in Nouna, Burkina Faso. Sexual health and well-being were measured using the Sexual Relationships and Activities Questionnaire. Descriptive statistics and multivariable logistic models were used to describe the dimensions of sexual health and well-being—including levels of sexual activity, sexual function, and sexual health concerns—and their associations with age, sex, and education. Among 2336 individuals (56.8% men; mean age 53.2 years) almost all reported having a sexual partner (96.0% men, 93.2% women) in the last year. Men reported more frequent sexual thoughts (71.8% versus 51.2%) and sexual activity (69.4% versus 46.4%, both p < 0.001) than women. Being a woman was associated with lower sexual activity (aOR = 0.57) and intercourse frequency (aOR = 0.37, both p < 0.001). Older age was associated with reduced sexual thoughts and intercourse (both aOR = 0.93, p < 0.001), greater erectile difficulties in men (aOR = 1.06, p < 0.001), and arousal difficulties in women (aOR = 1.07, p < .001). Higher education was associated with more frequent sexual thoughts (aOR = 1.50, p < 0.001), and intercourse (aOR = 1.41, p = 0.012). Married and co-habitating middle-aged and older respondents in Nouna reported high rates of sexual activity, with variability in other areas of sexual health and well-being, identifying areas where more research and interventions are needed.