Objectives: to construct a substantive theory on Sexuality expression Behaviours toward Graceful Aging among Filipino married elderly. Furthermore, to validate the theoretical categories that the sexuality expression behaviours and graceful aging have associate relationship to each other through cross-sectional survey method with a correlation design.
Methods:initially, substantive theory was generated, utilization of grounded theory research method. Filipino married elderly couples (N = 5 pairs), aged of 50 years and above, community dwellers, residing in Cebu city were willingly participated for qualitative study. Transcribed data were analysed using the constant comparison method.After theory generation, theory validation was employed with correlation design.Purposive sample of 288 married elderly in Cebu city was enlisted. An investigator-made 3-parts survey questionnaire was utilized to describe study sample's demographic profile, sexuality expression behaviours and graceful aging. The internal consistency of developed questionnaire was Cronbach's Alpha = 0.84; tested within twenty study sample, before finalize the final product of instrument.
Results:from grounded theory research method, substantive theory on "Sexuality and Graceful Aging Theory: the Filipino Culture in Context," was emerged. The data explores that Filipino married elderly used the basic social process of Sexuality Theory toward Graceful Agingto manage the basic social problem of sexuality expression behaviours toward graceful aging and experiencing diverse sexual expression activities to get sexual pleasure, emotional and physical attachment with partners and living a life gracefully in old age. The five theoretical categories were existed during data analysis were emotional sexual expression behaviours, sexual practices, sexual role negotiation, impact of sexual expression behaviours toward marital status and graceful aging.
Likewise, quantitative research findings highlighted that majority of married elderly were male, aged 65 to 69 years, Roman Catholic, finished secondary school education and perceived good current health. Demographic profile like age, sex, education and current health influence the overall sexuality expression behaviours and graceful aging, except the age factor is not associated to graceful aging. Further, sexuality expression behaviour like emotional sexual expression behaviours and sexual practices had significant relationship and predictors of graceful aging except the sexual role negotiation andimpact of sexual expression behaviours; as shown statistical results of chi-squire test, Cramer's V and Regression analysis.
Conclusion: a substantive theory on Sexuality and Graceful Aging Theory: the Filipino Culture in Context is inductively developed and validated by survey questionnaires. Sexuality expression behaviours like sexual expression behaviours are the predictor of graceful aging. Overall findings prevailed that most of the married elderly have some desires to engage in any kind (emotional or physical intercourse) of sexual expression behaviours with their partner in everyday life. They believed that such sexual expression activities to some extent directly impact to getsexual pleasure, happiness, life satisfaction, contentment and harmonious relationship with partners although demographic factors affect those displayed behaviours.But others factors like sexual role negotiation and impact of sexual expression behaviours toward marital status are not predictors of graceful aging.The findings of this study provide gerontology nurses with new knowledge regarding the everyday experience of sexuality expression behaviours of married elderly toward graceful aging and provide a theory on Sexuality Theory toward Graceful Aging that can be used in building research-based practices. Planned activities could be developed and employed by senior citizens organizations to bring awareness and promotion of sexual life among married elderly in the society. Future studies are advocated to further validate the theory.