THE INVISIBILITY OF SEXUALITY IN OLDER AGE AND ITS INFLUENCE ON THE INCREASE OF SEXUALLY TRANSMITTED INFECTIONS: AN INTEGRATIVE REVIEW

Abstract

Objective: To describe how lack of information, prejudice, and taboos surrounding sexuality in older adulthood influence older adults’ vulnerability to Sexually Transmitted Infections (STIs) and to map health strategies for comprehensive care. Methods: Integrative review of the PubMed, ScienceDirect and EBSCO databases, with screening in Rayyan, resulting in 13 articles. Results: The view of older adults as asexual, ageism, and taboos were associated with misinformation, low risk perception, infrequent condom use, and late diagnosis of HIV and syphilis. Healthcare professionals’ lack of preparedness and the exclusion of older adults from prevention campaigns were also highlighted. Strategies include team training, adapted counseling, participatory creation of educational materials, strengthening primary care, and combating stigma. Conclusion: The invisibility of sexuality in old age directly contributes to vulnerability to STIs. Professional training, health education, and welcoming, non-judgmental dialogue are essential for prevention, early diagnosis, and sexual health promotion in this population.