Objectives: This study aims to identify the biological, psychological, and social factors associated with positive perceptions of sexuality in the population aged 60 and over in Colombia.
Methods: Cross sectional study based on the Colombian National Survey of Health, Well-being and Aging (SABE 2015) (n=26,694). A Laten Class Analysis was performed to combine objective and subjective variables on health status, domestic violence and social participation; a univariate analysis to describe data and covered population, and multivariate logistic regression models to identify the association of determinants with positive attitudes towards sexuality among elderly population. Data was disaggregated by women and men.
Results: Sex, age, mental and physical health and social contexts represent are the main determinants contributing with positive attitudes towards sexuality in the older adult population in this study. This study identified a wider gender inequality in sexuality among older people. For 40% of women, the sexuality is \"not important\", while only 7% of men considered it this way. This gender gap was consistent through the multivariate models.
Conclusions: The importance given to sexuality by people aged 60 and over is result of a multiples factors that confirm the multidimensionality of sexual health during lifespan, particularly at older ages, despite the scarce research based on probabilistic samples, Colombia provided new relevant evidence to inform policy development to address sexuality among older people.