推进老年的性、性别和公平研究的未来研究蓝图：从自豪地老龄化、国家健康、老龄化和性/性别研究中汲取的教训

Blueprint for Future Research Advancing the Study of Sexuality, Gender, and Equity in Later Life: Lessons Learned from Aging with Pride, The National Health, Aging, and Sexuality/Gender Study (NHAS)

——原载《老年学家》2023年第63卷第2期——

<The Gerontologist>, 2023, Volume 63, Issue 2

【摘要】虽然人们对性\研究的兴趣日益增长，但在过去，它在老年学中基本上是不可见的。通过探索性的全部范围和维度及其与多种因素的相互关系，本文提出了老年的性领域的概念、实质性和方法论进展。基于性平等框架（健康公平促进模型的延伸），本文强调了性行为在整个生命过程中的异质性和交叉性，探讨了历史和当代背景如何在多个层面（个人、人际、社会文化和结构）构建性行为的关键维度及其与性生活质量的关系。利用“自豪地老龄化：国家健康、老龄化和性/性别研究”的发现，年龄、性别、种族和民族的异质性和交叉性对于理解性及其在晚年生活中的维度至关重要。随着时间的推移，许多成年人的性和性别认同都会发生变化。肯定性和性别认同、社会联系和促进健康的行为与性生活质量呈正相关，而性耻辱和边缘化则会产生不利后果。性研究需要充分融入老年学。性平等框架阐明了历史和当代结构对性行为的潜在有害影响，以及老年人中的肯定、代理和复原力的重要作用，并认识到人权在提高性生活质量方面的重要作用。本文概述了未来研究、实践和政策的重要方向。

【关键词】多元化、性别平等、寿命、生活质量、性平等

[Abstract] While interest in sexuality\research is growing, in the past, it has been largely invisible in gerontology. By exploring the full range and dimensions of sexuality and their interrelationships with multiple factors, this article presents conceptual, substantive, and methodological advances for the field of sexuality in later life. Based on the Sexual Equity Framework, an extension of the Health Equity Promotion Model, this article highlights the heterogeneity and intersectionality of sexuality across the life course, examining how historical and contemporary contexts frame key dimensions of sexuality at multiple levels (intrapersonal, interpersonal, sociocultural, and structural) and their relationship with sexual quality of life. Utilizing findings from Aging with Pride: National Health, Aging and Sexuality/Gender Study, the heterogeneity and intersectionality of age, gender, race, and ethnicity are critical to understanding sexuality and its dimensions in later life. Many adults experience changes in sexual and gender identities over time. Affirming sexual and gender identities, social connections, and health-promoting behaviors are positively associated with sexual quality of life, while sexual stigma and marginalization have adverse consequences. The study of sexuality needs to be fully integrated into gerontology. The Sexual Equity Framework explicates the potential deleterious effect of historical and contemporary structures on sexuality as well the important roles of affirmation, agency, and resilience among older adults, and recognizes the important role of human rights to advance sexual quality of life. Important directions for future research, practices, and policies are outlined.

[Key words] Diverse, Gender equity, Life span, Quality of life, Sexual equity

论文原文：Karen Fredriksen-Goldsen (2023). Blueprint for Future Research Advancing the Study of Sexuality, Gender, and Equity in Later Life: Lessons Learned from Aging with Pride, The National Health, Aging, and Sexuality/ Gender Study (NHAS). The Gerontologist, Volume 63, Issue 2, Pages 373–381.

https://doi.org/10.1093/geront/gnac146

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