Currently, a third of Australian aged care residents are partnered, with many experiencing institutional interference in their relationships. Staff duty of care usually takes precedence over privacy. Some institutions separate couples; residents' doors may be kept open; staff enter without knocking, ignore 'do not disturb' signs, or gossip about residents; all of which make privacy a challenge. This paper reports on findings from an online survey into the needs of partnered Baby Boomers (born 1946-65) and the levels of privacy that they anticipate they will require to maintain their primary relationships in residential aged care facilities. At a time marked by a policy shift towards consumer-directed residential aged care, it is pertinent to understand the needs of this subset of future consumers. Our research found that the majority of respondents expected to remain sexual indefinitely, considered physical intimacy with their partners essential to their wellbeing, and required a high degree of privacy to maintain their relationships. Respondents were asked to rate seven domains of privacy. Those considered most important were visual privacy, private space, and bodily privacy. This paper outlines various ways for service providers to prepare for the next generation of consumers, initiatives that would enable residents and their families to make informed decisions when choosing a facility, potentially improving the experiences of both residents and staff.

This paper reviews the evidence concerning the epidemiology of sexually transmitted infections (STIs) with a particular focus on older people. Evidence from North America, Australia, China and Korea clearly shows increasing rates of many STIs in the population group aged 50 years and older. Similar changes are identified in three studies conducted in sub-Saharan Africa. There is a significant lack of detailed epidemiological data from Asia-Pacific and many African countries. There is also a lack of health education and health programmes directed towards older people. It is likely that sexual ageism is the dynamic that underpins this lack of focus and resources for older people.