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Data from the National Social Life, Health, and Aging Project show that 95% of sex is within a partnered relationship for older adults. We work from the life course perspective to conceptualize partnered sexuality as a unique type of social relationship that defines the life context over the life course. While much research has studied various social relationships over the life course, the sexual relationship has been largely ignored, perhaps because sex is often considered to be a private or individual behavior (Harvey, Wenzel, and Sprecher 2004). According to the life course perspective, the developmental tasks and challenges of life change from childhood through young adulthood, middle and older ages; men and women differ in their pathways and relationship transitions across life course stages. Increasingly, scholars build on a life course perspective to view the status and transitions of social relationships as one ages (Elder and O’Rand 1995). The present study provides the first generalizable, population-based evidence of the longitudinal links between partnered sexuality and cardiovascular risk in later life.

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More importantly, our results suggest that the benefits and costs of partnered sexuality highly depend on the nature of the sexual relationship, with substantial variation by gender. These results suggest that women who had uncontrolled hypertension at Wave 1 tend to report both higher frequency of sex (Model B) and higher levels of emotional satisfaction (Model D) in their sexual relationship at Wave 2 than women whose blood pressure were normal at Wave 1. Our analysis sample includes only respondents who were interviewed in both waves of NSHAP. We also include body mass index (BMI), a significant predictor of CVD, as an indicator of obesity (Izzo and Black 2003). These events are the most common forms of CVD among older adults. During the home interviews, all NSHAP respondents were asked whether they had ever been told by a medical doctor that they had had a heart attack, heart failure, or stroke.

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Then, we measure sexual frequency based on the question asking respondents how often they had sex with the partner during the last 12 months. Thus, our final sample includes 1,046 men and 1,158 women who were interviewed in both waves. Wave 2 consisted of 2,261 Wave 1 respondents who were re-interviewed during 2010–2011 (Waite, Cagney, et al. 2014). The NSHAP, one of the first national-scale population-based studies of health and intimate relationships at older ages, was conducted by NORC at the University of Chicago. Social relationship scholars further distinguish quantitative (e.g., sexual frequency) and qualitative (e.g., sexual quality) dimensions of a relationship, and argue that both dimensions have significant implications for health (Umberson and Montez 2010). More importantly, these clinical studies mainly utilize a medical perspective that emphasizes the physical and behavioral traits of sex in the disease development processes, and tend to overlook the social and psychological context in which partnered sex occurs.

It is also common for people to be as sexually satisfied by being kissed, touched erotically, or held as they are during sexual intercourse. Sexual intercourse or other sexual activity can encompass various sexually stimulating factors (physiological stimulation or psychological stimulation), including different sex positions (such as the missionary position, the most common human sex position) or the use of sex toys. Vaginal, anal and oral sex are recognized as sexual intercourse more often than other sexual behaviors. Various vulgarisms, slang, and euphemisms are used for sexual intercourse or other sexual activity, such as fuck, screw, shag, and the phrase “sleep together”. The World Health Organization (WHO) states that non-English languages and cultures use different words for sexual activity, “with slightly different meanings”.

He then stores the sperm in reservoirs on his large pedipalps, from which he transfers sperm to the female’s genitals. Before mating and copulation, the male spider spins a small web and ejaculates on it. In many religious communities, including the Catholic Church and Mahayana Buddhists, religious leaders are expected to refrain from sexual intercourse in order to devote their full attention, energy, and loyalty to their religious duties. In some cases, the sexual intercourse between two people is seen as contrary to religious law or doctrine. Some countries consider same-sex sexual behavior an offense punishable by imprisonment or execution; this is the case, for example, in Islamic countries, including LGBT issues in Iran. There are various legal positions regarding the meaning and legality of sexual intercourse between persons of the same sex or gender.