Hum. Reprod. Advance Access originally published online on September 19, 2005
Human Reproduction 2005 20(12):3429-3434; doi:10.1093/humrep/dei307
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Sexual activity, fertility and contraceptive use in middle-aged and older men: Men in Australia, Telephone Survey (MATeS)
1 Andrology Australia, Monash Institute of Medical Research, Monash University, Melbourne, Victoria, 2 Prince Henry’s Institute of Medical Research, Melbourne, Victoria, 3 Centre for Education & Research on Ageing and School of Public Health, University of Sydney, Sydney, NSW, 4 Department of Medicine, University of Adelaide, Adelaide, SA, 5 Department of Andrology, Concord Hospital, ANZAC Research Institute, University of Sydney, Sydney, NSW and 6 Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Victoria
7 To whom correspondence should be addressed at: Andrology Australia, Monash Institute of Medical Research, Monash Medical Centre, 246 Clayton Road, Clayton, VIC 3168, Australia. E-mail: carol.holden{at}med.monash.edu.au
BACKGROUND: With limited information regarding fertility and sexual activity in the older population, men’s behaviour, attitudes and concerns were explored in a representative population of middle-aged and older men using the Men in Australia, Telephone Survey (MATeS). METHODS: A stratified random national sample of 5990 men participated in a standardized computer-assisted telephone interview. Equal numbers in the age strata 40–49, 50–59, 60–69 and $70 years were surveyed with findings census-standardized to the national population. Broad aspects of men’s health and well-being, including reproductive health, were explored. RESULTS: The majority of men were sexually active in the last 12 months (age-standardized proportion, 78.3%) with ~37% of men aged $70 years still continuing sexual activity. Overall, 12.2% of men had never fathered children, of whom most (7.7%) had chosen not to have children. Questioning on failed attempts to produce a pregnancy suggested an involuntary infertility rate of 7.6%. The age-standardized vasectomy rate was 25.1%, with 5.6% of vasectomized men having no children. Although 9.2% of vasectomized men regretted sterilization, only 1.4% had undergone vasectomy reversal. CONCLUSIONS: Continuing sexual activity, fertility and contraception needs in middle-aged and older men suggests that education and service delivery must be more appropriately directed to an ageing population.
Key words: ageing/contraception/epidemiology/male infertility/sexuality
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