Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample

Miriam K. Forbes, Nicholas R. Eaton, Robert Krueger

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Unlike other life domains, sexual quality of life (SQoL) has a negative relationship with age. This study disentangled the effect of age in this relationship from confounding sociocultural influences (e.g., the period of time in which data were collected, and cohort differences) and aimed to understand the roles of other sexual domains (i.e., frequency, perceived control, thought and effort invested in sex, and number of sexual partners). We analyzed data from the longitudinal Midlife in the United States study (n = 6,278; age range 20–93), which were collected between 1995 and 2013. Repeated measures linear mixed-effects models showed that age was the most robust time-related predictor of declining SQoL. However, after the sexual domains were included in the model, age had a positive relationship with SQoL and older adults’ SQoL was differentially influenced by the quality—not quantity—of sex. When partnership characteristics were included in the model, age was no longer related to SQoL. These findings suggest that aging may be associated with the acquisition of skills and strategies that can buffer age-related declines in SQoL, particularly in the context of a positive relationship. We summarize these findings as sexual wisdom.

Original languageEnglish (US)
Pages (from-to)137-148
Number of pages12
JournalJournal of Sex Research
Issue number2
StatePublished - Feb 12 2017

Bibliographical note

Funding Information:
This research was supported in part by a National Institute of Drug Abuse (NIDA) training grant supporting the work of Miriam Forbes (T320A037183). NIDA had no further role in the study design; in the collection, analysis, and interpretation of data; in writing; or in the decision to submit the manuscript for publication. The MIDUS study was supported by the John D. and Catherine T. MacArthur Foundation Research Network on Successful Midlife Development and by National Institute on Aging Grant AG20166.

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