“AUTOPERCEPCIÓN SOBRE SEXUALIDAD EN ADULTOS MAYORES. REVISIÓN SISTEMÁTICA Y META ANÁLISIS”

Abstract

Background: Sexuality in older adults has historically been an overlooked topic in scientific research, despite its influence on overall well-being. Substantial gaps remain in the literature regarding how age, cultural norms, and social stigmas affect sexual self- perception in this population. Objective: To identify the self-perception of sexuality among older adults, focusing on cultural, socioeconomic, and demographic factors, through a systematic review and meta-analysis. Methods: The systematic review focused on empirical studies and reviews published between 2019 and 2024 that analyzed sexual self-perception in older adults, following the PRISMA 2020 guidelines. Results: The 20 studies included revealed that sexuality in older adults is a complex dimension influenced by cultural, emotional, physical, and social factors. Sexual self-perception is often conditioned by sexual education, emotional health, and access to information. Attitudes toward sexuality vary based on family context, religious beliefs, and social environment. Significant differences were also observed based on gender, age, and marital status. Finally, a strong association between sexual expression and overall well-being was identified, highlighting the importance of addressing it from a comprehensive perspective. Conclusion: Sexuality in old age requires holistic attention, considering biopsychosocial factors that influence experience, perception, and well-being. Keywords: older adults, sexual behavior, self-perception, socioeconomic factors, public health