The review highlights that barriers to sexual health among older adults in institutional care are shaped by interacting and mutually reinforcing processes, rather than isolated factors. Addressing sexual health in nursing homes therefore requires approaches that move beyond single-level interventions and consider the relational and systemic nature of these barriers. Future research should focus on empirically testing these mechanisms and developing multi-level, person-centred interventions to support sexual health in long-term care settings.
Karaahmet et al. (Wed,) studied this question.