Sex-seeking behavior and frequency of sexual activity among single and non-monogamous older gay men

Studies that focus on frequency of sexual activity among older gay men are scarce. The current study explores the relationship between internalized gay ageism and frequency of sexual activity with a potential mediator of sex-seeking behaviors among gay men aged 50 or older in the Midwestern U.S. Internalized gay ageism did not predict frequency of sexual activity when mediated by sex-seeking behaviors. However, more frequent sex-seeking behaviors were associated with more frequent sexual activity. Participants in open relationships (compared to single/widowed) reported more frequent sex-seeking behaviors; those in both monogamish and open relationships reported more frequent sexual activity compared to single/widowed participants. Additionally, participants with income of US$50,000 to US$75,000 and > US$75,000 report less frequent sexual activity compared to participants reporting <US$25,000. Cultural sensitivity around relationships and sexual behavior that may be unique to older gay men is critical.