Sexuality Among Older Women in Southeastern Turkey: A Qualitative Interview Study


Suzen Kesen F. N., Kesen M., Arici A., Artan T.

INTERNATIONAL JOURNAL OF SEXUAL HEALTH, 2026 (SSCI, Scopus)

  • Publication Type: Article / Article
  • Publication Date: 2026
  • Doi Number: 10.1080/19317611.2026.2709736
  • Journal Name: INTERNATIONAL JOURNAL OF SEXUAL HEALTH
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus, IBZ Online, CINAHL, Psycinfo, Public Affairs Index, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest), Sociology Source Ultimate (EBSCO)
  • Istanbul University Affiliated: Yes

Abstract

Objectives Sexuality is a multidimensional pillar of well-being, yet the sexual experiences of older women remain understudied, particularly in culturally conservative settings. This study explores the sexual experiences of women aged 60 and older in & Scedil;anl & imath;urfa, Turkey-a region characterized by deeply rooted patriarchal structures and religious norms-through a biopsychosocial lens. The research focuses on the personal, relational, and sociocultural factors that collectively shape sexuality and intimacy in later life.Method Using a qualitative interview design, in-depth semi-structured interviews were conducted with 12 women aged 60 years and older in & Scedil;anl & imath;urfa, T & uuml;rkiye, recruited through snowball sampling. Data were analyzed using thematic analysis.Results Thematic analysis revealed four primary domains: the perception and continuity of sexuality; sexual functionality and partner relationships; physical changes and partner attitudes; and sexual knowledge deficits, social perceptions, and taboos. Findings indicate that while most participants view sexuality as meaningful in later life, its continuity is frequently adversely affected by health issues, menopausal transitions, and restrictive social norms. Male-centered expectations and internalized cultural taboos often lead women to suppress their own sexual needs in order to prioritize partner satisfaction, highlighting a significant gendered power imbalance.Conclusions While emotional intimacy and empathy emerge as key facilitators, a lifelong "culture of silence" makes autonomous sexual expression difficult. These results suggest that supporting sexual health in aging requires culturally sensitive, biopsychosocial interventions that increase the visibility of sexual health within clinical and social services. Counseling strategies integrating sexuality and partner communication are vital in such culturally shaped contexts. Future research should employ comparative designs to inform aging-related policies. Ultimately, discussions of sexual health in later life must adopt context-sensitive approaches that acknowledge regional disparities and gendered experiences.