{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:09:10Z","timestamp":1789099750907,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Sexual health among older adults (ages 50 and above) remains under\u2010addressed in clinical settings, often due to ageism and misconceptions about older adults being asexual. Despite high rates of sexual activity in this age group, healthcare providers rarely initiate discussions about sexual wellness, particularly related to HIV and STIs. This project aimed to explore how health communication tools, specifically film and reflexive exercises, can challenge implicit bias and improve provider comfort with sexual health conversations across the lifespan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 24\u2010min documentary film, <jats:italic>Even Me<\/jats:italic>, focusing on HIV wellness and prevention among older adults, was screened at a professional conference attended by sexual health clinicians and researchers. Participants first engaged in a word\u2010association activity reflecting on the phrase \u201c82\u2010years\u2010old\u201d to surface implicit associations with aging. After the film, attendees participated in a facilitated discussion and completed a Qualtrics\u2010based postevaluation survey (<jats:italic>n<\/jats:italic>\u2009=\u200935\/50, 70% response rate).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Initial word\u2010association responses revealed ageist stereotypes, including terms like \u201cfrail,\u201d \u201cbent,\u201d and \u201calmost dead.\u201d Post\u2010screening dialogue reflected a shift in awareness and sparked robust conversations. Survey responses indicated that 65% of attendees lacked a standardized tool to assess sexual history in older clients. Many reported an intention to integrate sexual health screenings into their practice and to educate peers and students. Educators emphasized a need to normalize sexual health education for older adults in academic curricula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Health communication films like <jats:italic>Even Me<\/jats:italic>, paired with self\u2010awareness activities, are promising tools to disrupt ageist assumptions and promote sexual health conversations among providers. Such interventions can help foster inclusive, routine clinical practices that support sexual wellness throughout the aging process.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.70733","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T13:41:56Z","timestamp":1744983716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["I Just Wish They'd Ask the Right Questions About Sex: Working to Improve Sexual Health Communication With Older Adults"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8796-634X","authenticated-orcid":false,"given":"Megan T.","family":"Ebor","sequence":"first","affiliation":[{"name":"College of Health and Human Services, School of Social Work San Diego State University San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline Y.","family":"Sutton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Morehouse School of Medicine Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12448"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2023.03.006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067423"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2020.100316"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2022.0110"},{"key":"e_1_2_11_7_1","unstructured":"American Academy of Pediatrics \u201cEducation and Training Opportunities in Adolescent Health Care \u201d2021 https:\/\/www.aap.org\/en\/patient-care\/adolescent-sexual-health\/education-and-training-opportunities\/?utm_source=chatgpt.com."},{"key":"e_1_2_11_8_1","unstructured":"National Coalition for Sexual Health \u201cCompendium of Sexual & Reproductive Healthcare Providers \u201d2025 https:\/\/www.nationalcoalitionforsexualhealth.org\/tools\/for-healthcare-providers\/compendium-of-sexual-reproductive-health-resources-for-healthcare-providers\/?utm_source=chatgpt.com."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2885.2003.tb00287.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2010.06.003"},{"key":"e_1_2_11_11_1","unstructured":"M.EborandM.Sutton \u201cI'm Gonna be Sexually Active Until the Day I Die!' Sex Myths and Seniors: HIV Awareness and Sexuality Among Older Adults \u201d Presented at: The Society for the Scientific Study of Sexuality Nov 16\u201319;New Orleans LA 2023."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hlv041"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0328"},{"issue":"12","key":"e_1_2_11_14_1","first-page":"1924","article-title":"Sexual History\u2010Taking Among Primary Care Physicians","volume":"98","author":"Wimberly Y. H.","year":"2006","journal-title":"Journal of the National Medical Association"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S178672"},{"key":"e_1_2_11_16_1","volume-title":"Patient and Provider Perspectives on Sexual History Taking During Gynecological Care: A Pilot Study in an Academic Family Medical Setting in New York City","author":"Chastain A. M.","year":"2019"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103566"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.22454\/PRiMER.2018.728252"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05435-x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab022"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.5867\/medwave.2024.03.2710"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.70733","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T02:27:09Z","timestamp":1746412029000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.70733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/hsr2.70733"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.70733","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70733"}}