{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T23:47:17Z","timestamp":1775864837317,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the determinants of sexual intimacy among married older people in Malaysia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was carried out among 1294 married Malaysian older couples who were randomly selected from all 14 states in Malaysia. The data were collected by trained enumerators using a set of validated questionnaires consisting of eight sections, namely sociodemographic characteristics, chronic diseases, perceived health status, life satisfaction, body mass index, disability status (World Health Organization Disability Assessment Schedule), social support (Lubben Social Network Scale) and sexual intimacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Having good social support (AOR 0.57, 95% CI 0.45\u20130.74) from family and friends were protective determinants against poor sexual intimacy in later life. Meanwhile, those who were aged 70\u201379\u2009years (AOR 1.81, 95% CI 1.35\u20132.42), aged &gt;80\u2009years (AOR 35.49, 95% CI 4.80\u2013262.18), women (AOR 1.47, 95% CI 1.13\u20131.90), non\u2010Malay (AOR 1.93, 95% CI 1.50\u20132.48), received only informal education (AOR 1.81, 95% CI 1.35\u20132.42), had gastritis (AOR 2.62, 95% CI 1.58\u20134.34), had a stroke (AOR 3.83, 95% CI 1.04\u201314.12), perceived their current health status was satisfactory (AOR 1.52, 95% CI 1.15\u20132.00) and disabled based on the World Health Organization Disability Assessment Schedule (AOR 3.14, 95% CI 1.34\u20137.36) were at risk of poor sexual intimacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of older Malaysian couples were having poor sexual intimacy despite being still married and sleeping with their partners, reflecting the presence of underlying barriers towards sexual intimacy in later life among older Malaysians. <jats:bold>Geriatr Gerontol Int 2019; 19: 492\u2013496<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13648","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T10:15:48Z","timestamp":1553768148000},"page":"492-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Sexual intimacy in later life: From the perspectives of older couples in Malaysia"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9134-3284","authenticated-orcid":false,"given":"Halimatus S","family":"Minhat","sequence":"first","affiliation":[{"name":"Malaysian Research Institute on Ageing Universiti Putra Malaysia  Serdang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazwan","family":"Mat Din","sequence":"additional","affiliation":[{"name":"Malaysian Research Institute on Ageing Universiti Putra Malaysia  Serdang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tengku A","family":"Hamid","sequence":"additional","affiliation":[{"name":"Malaysian Research Institute on Ageing Universiti Putra Malaysia  Serdang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siti S","family":"Hassan Nudin","sequence":"additional","affiliation":[{"name":"Institute for Behavioral Research  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.91902"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(05)70296-2"},{"key":"e_1_2_7_4_1","first-page":"64","article-title":"Sexuality in aging: focus on institutionalized elderly","volume":"9","author":"Kamel HK","year":"2001","journal-title":"Ann Long\u2010term Care"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-4572(05)80376-3"},{"key":"e_1_2_7_6_1","unstructured":"SchwartzP. 5 Myths About Sex and Aging: Wonder what happens to your love life as you get older? We separate the facts from the fiction.2011. [Cited 30 June 2016]. Available from URL:http:\/\/www.aarp.org\/relationships\/love-sex\/info-05-2011\/sex-myths.html"},{"key":"e_1_2_7_7_1","article-title":"Promoting awareness of sexuality of older people in residential care","volume":"8","author":"Lisa PL","year":"2005","journal-title":"Elect J Human Sexual"},{"key":"e_1_2_7_8_1","first-page":"321","article-title":"Issues of sexuality in the elderly","volume":"91","author":"McNicoll L","year":"2008","journal-title":"J Geriatr Pract Phys"},{"key":"e_1_2_7_9_1","unstructured":"Easy Living. Intimacy in later life.2015. [Cited 30 June 2016.] Available from URL:http:\/\/www.easylivingfl.com\/intimacy-later-life\/"},{"key":"e_1_2_7_10_1","volume-title":"Sex, and Aging: A Consumers Union Report","author":"Love BE","year":"1984"},{"key":"e_1_2_7_11_1","volume-title":"Dimensions in Human Sexuality","author":"Byer C","year":"1999"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067423"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr049"},{"key":"e_1_2_7_14_1","first-page":"16","article-title":"Sexual function in elderly women: a review of current literature","volume":"5","author":"Ambler DR","year":"2012","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067423"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/25.4.285"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/27.2.207"},{"key":"e_1_2_7_18_1","unstructured":"SymeM.2015. Later Life Sexual Expression. 2015. [Cited 31 July 2016]. Available from URL:https:\/\/www.div12.org\/section-2-later-life-sexual-expression\/"},{"key":"e_1_2_7_19_1","unstructured":"American Association of Retired Persons. Sex romance and relationships: AARP survey of midlife and older adults.2010. [Cited 29 July 2016]. Available from URL:http:\/\/assets.aarp.org\/rgcenter\/general\/srr_09.pdf"},{"key":"e_1_2_7_20_1","unstructured":"Centers for Disease Control and Prevention. HIV among older Americans. 2013. [Cited 30 July 2016]. Available from URL:http:\/\/www.cdc.gov\/hiv\/risk\/age\/olderamericans\/"},{"key":"e_1_2_7_21_1","article-title":"Social representations of sexuality for the elderly","volume":"68","author":"Maria ACQ","year":"2015","journal-title":"Rev Bras Enferm"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c810"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1A195"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200101)16:1<27::AID-GPS267>3.0.CO;2-S"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2004.07.003"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.13648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.13648","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.13648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T19:53:04Z","timestamp":1694375584000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.13648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,28]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/ggi.13648"],"URL":"https:\/\/doi.org\/10.1111\/ggi.13648","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,28]]},"assertion":[{"value":"2016-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}