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Introduction <p>With increasing life expectancy, women now spend a larger portion of their lives in the postmenopausal stage. Menopause can substantially affect sexual well-being, making it essential to understand the psychosocial factors shaping women’s quality of life during this period. This study examined the relationship between perception of aging, attitudes toward menopause, and sexual quality of life among elderly women, an association that has received limited empirical attention.</p> Materials and methods <p>This cross-sectional study was conducted in 2023 among 342 women aged 60–75 years attending health centers in Gonabad, Iran, selected through cluster sampling. Data were collected using a demographic questionnaire, the Sexual Quality of Life–Female (SQOL-F), the Aging Perceptions Questionnaire (APQ), and the Attitude toward Menopause (ATM) scale. Data analysis was performed in SPSS (v25) using Spearman’s correlation and multiple linear regression at a 0.05 significance level.</p> Results <p>Participants had a mean age of 64.74 ± 3.84 years, and 71.6% had more than three children. A positive correlation was observed between attitudes toward menopause (ATM) and sexual quality of life (SQOL-F) (<i>r</i> = 0.158, <i>p</i> = 0.003), and between perception of aging (APQ) and SQOL-F (<i>r</i> = 0.469, <i>p</i> &lt; 0.001). Regression analysis indicated that both positive attitudes toward menopause (β = 0.143, <i>p</i> = 0.002) and favorable aging perception (β = 0.391, <i>p</i> &lt; 0.001) were significant predictors of higher sexual quality of life after adjusting for sociodemographic variables.</p> Conclusions <p>Positive perceptions of aging and menopause significantly contribute to better sexual quality of life among elderly women. These findings underscore the importance of incorporating menopause and aging awareness into geriatric health programs through culturally sensitive educational and counseling interventions. Future longitudinal and interventional studies are recommended to confirm causal pathways and to evaluate the effectiveness of targeted psychosocial strategies in promoting sexual well-being among older women.</p>

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Relationship between the Sexual Quality of Life, Aging Perception, and Attitude towards Menopause among Elderly Women: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2025年12月6日

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  • Zakieh Abdollahi,
  • Narjes Bahri,
  • Nasim Khajavian,
  • Leila Sadeghmoghadam

摘要

Introduction

With increasing life expectancy, women now spend a larger portion of their lives in the postmenopausal stage. Menopause can substantially affect sexual well-being, making it essential to understand the psychosocial factors shaping women’s quality of life during this period. This study examined the relationship between perception of aging, attitudes toward menopause, and sexual quality of life among elderly women, an association that has received limited empirical attention.

Materials and methods

This cross-sectional study was conducted in 2023 among 342 women aged 60–75 years attending health centers in Gonabad, Iran, selected through cluster sampling. Data were collected using a demographic questionnaire, the Sexual Quality of Life–Female (SQOL-F), the Aging Perceptions Questionnaire (APQ), and the Attitude toward Menopause (ATM) scale. Data analysis was performed in SPSS (v25) using Spearman’s correlation and multiple linear regression at a 0.05 significance level.

Results

Participants had a mean age of 64.74 ± 3.84 years, and 71.6% had more than three children. A positive correlation was observed between attitudes toward menopause (ATM) and sexual quality of life (SQOL-F) (r = 0.158, p = 0.003), and between perception of aging (APQ) and SQOL-F (r = 0.469, p < 0.001). Regression analysis indicated that both positive attitudes toward menopause (β = 0.143, p = 0.002) and favorable aging perception (β = 0.391, p < 0.001) were significant predictors of higher sexual quality of life after adjusting for sociodemographic variables.

Conclusions

Positive perceptions of aging and menopause significantly contribute to better sexual quality of life among elderly women. These findings underscore the importance of incorporating menopause and aging awareness into geriatric health programs through culturally sensitive educational and counseling interventions. Future longitudinal and interventional studies are recommended to confirm causal pathways and to evaluate the effectiveness of targeted psychosocial strategies in promoting sexual well-being among older women.