{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:53:21Z","timestamp":1787864001003,"version":"build-2784847793"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Surveys have indicated an increase of sexual activity in aging men; recently, however, a decrease of sexual activity has been reported in young men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess (i) sexual activity and desire and their determinants across the age range in a population-based male sample and (ii) their changes over 11 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A representative survey of men (N\u00a0= 1,095) 18 to 93 years old from 2016 was compared with a survey from 2005 (N\u00a0= 1,106 men) with the same age range. Samples were drawn from the German population at random using standardized sampling procedures. Questions were filled out by participants in the presence of a trained interviewer. Sexual activity was compared using logistic regression with the factors survey (2005 vs 2016), living with a partner (yes vs no), and age. Frequency of sexual desire was compared using analysis of covariance with the factors survey (2005 vs 2016), living with a partner (yes vs no), and the covariate age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Sexual activity was assessed as having been intimate with someone in the past year; frequency of sexual desire was evaluated within the past 4 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The great majority of men cohabiting with a partner in 2016 was sexually active and indicated sexual desire until 70 years of age; half did so at an older age. Across the age range, men living without a partner reported considerably less sexual activity and desire. Compared with 2005, fewer men reported living with a partner. The overall proportion of men reporting sexual activity deceased from 81% to 73% in 2016 and absent sexual desire increased from 8% to 13%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Translation<\/jats:title><jats:p>The findings highlight the relevance of living with a partner for sexual activity and desire. We advocate using a measure of sexual activity that encompasses many variants of intimate behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths and Limitations<\/jats:title><jats:p>Large and methodologically comparable population-based samples were compared. However, interpretations are limited by the absence of longitudinal data. We did not assess the effect of having a partner living elsewhere.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sexual activity and desire decreased, especially in the young and middle-age groups. The decrease of men living with a partner contributed to this decreased sexual activity and desire. There was a generation effect, with younger and middle-age men living without a partner becoming less sexually active and experiencing less desire compared with the previous survey. The findings unveil changes in sexual activity and desire in a short time span.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.03.010","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T23:06:13Z","timestamp":1524524773000},"page":"750-756","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":43,"title":["Declining Sexual Activity and Desire in Men\u2014Findings From Representative German Surveys, 2005 and 2016"],"prefix":"10.1093","volume":"15","author":[{"given":"Manfred E.","family":"Beutel","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy , Mainz, \u00a0 Germany"},{"name":"University Medical Center Mainz , Mainz, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Burghardt","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy , Mainz, \u00a0 Germany"},{"name":"University Medical Center Mainz , Mainz, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana N.","family":"Tibubos","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy , Mainz, \u00a0 Germany"},{"name":"University Medical Center Mainz , Mainz, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva M.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy , Mainz, \u00a0 Germany"},{"name":"University Medical Center Mainz , Mainz, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Schmutzer","sequence":"additional","affiliation":[{"name":"Selbst\u00e4ndige Abteilung f\u00fcr Medizinische Psychologie , Leipzig, \u00a0 Germany"},{"name":"Universit\u00e4t Leipzig , Leipzig, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Br\u00e4hler","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy , Mainz, \u00a0 Germany"},{"name":"University Medical Center Mainz , Mainz, \u00a0 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,5,1]]},"reference":[{"key":"2023012309384890700_bib1","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1016\/S0140-6736(13)62366-1","article-title":"Sexual function in Britain: findings from the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)","volume":"382","author":"Mitchell","year":"2013","journal-title":"Lancet"},{"key":"2023012309384890700_bib2","first-page":"486","article-title":"How did erectile dysfunction become \u201cnatural\u201d? 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