Sexuality of elders with dementia: social representation of nursing students




Health of the Elderly; Mental Health; Dementia; Students, Nursing.


Objective: to learn about the social representation of nursing students about the sexuality of elders with dementia. Methods: qualitative study, based on the Theory of Social Representations, developed with 20 Nursing Graduation students from a Brazilian higher education institution. Data was collected through a focal group, processed in the software IRAMUTEQ and analyzed using a Descending Hierarchical Classification. Results: four semantic classes emerged: Sexuality as a right, The theme was insufficient in graduation, Meanings attributed to sexuality, and Care from the perspective of students. Conclusion: the study showed that the nursing students investigated had polysemic representations about the sexuality of elders with dementia, among which discriminatory and stigmatizing conceptions stood out, socially constructed and anchored in common sense.


Moreira WC, Carvalho ARB, Lago EC, Amorim FCM, Alencar DC, Almeida CAPL. Training of nursing students in integrated care for the elderly. Rev Bras Geriatr Gerontol. 2018; 21(2):186-93. doi:

Windle G, Gregory S, Howson-Griffiths T, Newman A, O’Brien D, Gouldin A. Exploring the theoretical foundations of visual art programmes for people living with dementia. Dementia (London). 2018; 17(6):702-27. doi:

Srinivasan S, Glover J, Tampi RR, Tampi DJ, Sewell DD. Sexuality and the older adult. Curr Psychiatry Rep. 2019; 21(10):97. doi:

Roelofs TSM, Luijkx KG, Embregts PJCM. Love, intimacy and sexuality in residential dementia care: a client perspective. Clin Gerontol. 2019; 1-11. doi:

Lima CFM, Trotte LAC, Souza TA, Ferreira AMO, Caldas CP. Sexuality of spouse-caregivers of demented older people: an integrative review of the literature. Rev Min Enferm. 2015; 19(2):218-24. doi:

Souza Júnior EV, Silva CS, Lapa PS, Trindade LES, Silva Filho BF, Sawada NO. Influence of sexuality on the health of the elderly in process of dementia: integrative review. Aquichan. 2020; 20(1):e2016. doi:

Moreira WC, Carvalho ARB, Amorim FCM, Lago EC, Nóbrega MPSS. Bibliometric analysis of scientific research about sexuality and dementia in the elderly. Biosci J. 2020; 36(4):1438-45. doi:

Pinho S, Pereira H. Sexuality and intimacy behaviors in the elderly with dementia: the perspective of healthcare professionals and caregivers. Sex Disabil. 2019; 37(4):489-509. doi:

Moscovici S. Representações Sociais: investigações em psicologia social. Petrópolis: Vorazes; 2015.

Nóbrega DO, Andrade ERG, Melo ESN. Research with focal group: contributions to the study on social representation. Psicol Soc. 2016; 28(3):433-41. doi:

Souza MAR, Wall ML, Thuler ACMC, Lowen IMV, Peres AM. The use of IRAMUTEQ software for data analysis in qualitative research. Rev Esc Enferm USP. 2018; 52:e03353. doi:

Ilik F, Büyükgöl, Kayhan F, Ertem DH, Ekiz T. Effects of inappropriate sexual behaviors and neuropsychiatric symptoms of patients with Alzheimer disease and caregivers’ depression on caregiver burden. J Geriatr Psychiatry Neurol. 2019; 33(5):243-24. doi:

Cipriani G, Ulivi M, Danti S, Lucetti C, Nuti A. Sexual disinhibition and dementia. Psychogeriatrics. 2016; 16(2):145-53. doi:

Silva FG, Pelzer MT, Neutzling BRS. Attitudes of elderly women regarding the expression of their sexuality. Aquichan. 2019; 19(3):e1934. doi:

Baydoun M, Ferreira CP, Donadon M. The perception of sexuality among elderly people who attend a senior living center in the Amazon region. J Sex Med. 2017; 14(5):e317-e8. doi:

Queiroz MAC, Lourenço RME, Coelho MMF, Miranda KCL, Barbosa RGB, Bezerra STF. Social representations of sexuality for the elderly. Rev Bras Enferm. 2015; 68(4):662-7. doi:

Grigorovich A, Kontos P. Advancing an ethic of embodied relational sexuality to guide decision-making in dementia care. Gerontologist. 2018; 58(2):219-25. doi:

Roelofs TSM, Luijkx KG, Cloin MCM, Embregts PJCM. The influence of organizational factors on the attitudes of residential care staff toward the sexuality of residents with dementia. BMC Geriatr. 2019; 19(1):8. doi:

Mahieu L, Casterlé BD, Acke J, Vandermarliere H, Elssen KV. Nurses’ knowledge and attitudes toward aged sexuality in flemish nursing homes. Nurs Ethics. 2016; 23(6):605-23. doi:

Evangelista AR, Moreira ACA, Freitas CASL, Val DR, Diniz JL, Azevedo SGV. Sexuality in old age: knowledge/attitude of nurses of Family Health Strategy. Rev Esc Enferm USP. 2019; 53:e03482. doi:



How to Cite

Moreira, W. C., Fontinele, V. C., Amorim, F. C. M. ., Nóbrega, M. do P. S. de S. ., Carvalho, C. M. S. de, & Almeida, C. A. P. L. (2020). Sexuality of elders with dementia: social representation of nursing students. Rev Rene, 21, e44199.



Research Article

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