Background:

Sexual behaviour encompasses biological, psychological and social elements and good sexual health is essential to wellbeing. Within rural and ageing populations, understanding what impacts sexual behaviour is critical to supporting positive sexual experiences. An ageing population contributes to more people having health issues, yet the impact on sexual behaviour is under researched. Coastal and rural towns often experience higher deprivation, limiting access to health services, yet little is understood about the impact on sexual health.

Aim of the study:

This study aimed to examine the influence of comorbidities, ageing and intimacy on sexual behaviour in a rural and coastal population.

Methodology:

Nineteen in-depth semi-structured life history interviews were conducted with adults over 65 in an east coast Lincolnshire rural coastal town. Analysis of the data used deductive thematic analysis with a specific focus on sexual behaviour in this setting.

Results:

Older adults encounter numerous health issues affecting their sexual health and that of their partners. Many seek sexual relationships and experiences though participants’ attitudes varied. Handholding and cuddling are valued expressions of intimacy. Some felt modern society allowed more openness to talk about sexual health and behaviour whilst others experienced ageism and discrimination. Geographically, lack of service provision and digital illiteracy may reduce access to health services.

Conclusions:

Many older adults are still sexually active but experience difficulty discussing sexual health with healthcare providers. Healthcare providers should avoid age-related prejudice and initiate sexual health discussion when addressing apparently unrelated health concerns. Policy makers and healthcare providers should seek to develop accessible services for rural and coastal populations and to provide support for older adults with accessing digital tools.