{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:25:31Z","timestamp":1789647931483,"version":"4.0.0"},"reference-count":44,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexuality is a key component of psycho-physical well-being among older adults. We aimed to understand sexual attitudes and conversations, and their correlates among older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was based on a cross-sectional survey conducted from June 2020 to December 2022 in China. Community-dwelling heterosexual older adults aged \u226550 were recruited. Sexual attitudes included believing that sex is harmful to health and supporting sex education. The conversation was defined as talking about sex with a partner. Logistic regressions were used to assess the correlates of sexual attitude and conversation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3001 older adults (60.6% men, 39.4% women) were included. Of these, 13.3% believed sex is harmful to health, 53.2% supported sex education and 34.6% reported conversation. For men, age (60\u201369\u00a0years: aOR\u00a00.57, 95% CI: 0.39\u20130.82), living in urban areas (aOR 2.78, 95% CI: 1.90\u20134.05), being employed (aOR 0.44, 95% CI: 0.29\u20130.66), higher annual incomes (aOR 0.42, 95% CI: 0.22\u20130.78) and being sexually active (aOR 0.54, 95% CI: 0.36\u20130.79) were associated with believing that sex is harmful. For women, higher educational levels (aOR 0.48, 95% CI: 0.29\u20130.79) and sexual knowledge acquisition (aOR 1.95, 95% CI: 1.24\u20133.05) were significantly associated with this negative belief. Notably, older adults who reported life satisfaction (men: aOR 1.70, 95% CI: 1.32\u20132.18; women: aOR 2.66, 95% CI: 1.90\u20133.72) and sexual knowledge acquisition (men: aOR 2.00, 95% CI: 1.53\u20132.43; women: aOR 1.56, 95% CI: 1.13\u20132.17) were more likely to talk about sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A minority of older adults believed that sex was harmful to health, whereas over half supported sex education, and approximately one-third reported conversations with their partner about sex. Targeted interventions are needed to adjust sexual attitudes and facilitate sex-related conversations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh25234","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T05:12:01Z","timestamp":1779167521000},"source":"Crossref","is-referenced-by-count":1,"title":["Sexual attitudes and conversations among heterosexual older adults in China: findings from the sexual well-being (SWELL) study"],"prefix":"10.1071","volume":"23","author":[{"given":"Xin","family":"Peng","sequence":"first","affiliation":[{"name":"ASchool of Health Management, Southern Medical University, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3713-0488","authenticated-orcid":true,"given":"Bingyi","family":"Wang","sequence":"additional","affiliation":[{"name":"BInstitute for HIV\/AIDS Control and Prevention, Guangdong Provincial Center for Disease Control and 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