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Sexuality and Intimacy in Assisted Living: Residents’ Perspectives and Experiences

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Abstract The assisted living industry provides residential, medical, nutritional, functional, and social services for approximately 1 million older adults in the United States. Data for this article were drawn from 3 National Institute on Aging—funded ethnographic studies conducted in 13 assisted living settings over 9 years. Assisted living settings are unique in that they are not subject to the same federal rules and regulations that govern the operation of nursing homes in the United States. However, all assisted living regulations are hallmarked by ideals of privacy, autonomy, and quality of life Assisted Living Workgroup, ; Mollica, Furthermore, there is a dearth of research investigating resident experiences, practices, and expressions of sexuality and intimacy in assisted living. Future cohorts of older adults are expected to have even higher sustained interest in sex, as well as higher frequencies of participating in sexual acts, as generational acceptance and perception that sexuality is normal for elders increases Hillman, Our purpose here is to contribute to an understanding of how sexuality and intimacy are experienced within the social models of care provided in assisted living communities. In this article, we examine the discourse of sexuality, the impact of institutional structure and the role of oversight on sexual attitudes and behaviors, and the relationship of assisted living values to sexual expression.

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