Aging & Longevity

Gender Differences in Sexually Active Life Expectancy in France.

TL;DR

Sexually active life expectancy shows significant gender differences in France, with men expecting 47.1 years versus 44.5 years for women, but these differences narrow when accounting for sexual satisfaction and non-partnered behaviors.

Key Findings

A 20-24-year-old man in France has a sexually active life expectancy of 47.1 years, compared to 44.5 years for a woman.

  • The 2.6-year gender gap reflects differences in partnered sexual activity across the life course.
  • Estimates were derived using Sullivan's method integrating 2023 vital registration life table data with sexual activity prevalence from the CSF-2023 French national survey.
  • This baseline measure focuses on partnered sexual behaviors only.

Including masturbation expands sexually active life expectancy to 52.9 years for men and 48.9 years for women.

  • Adding non-partnered sexual behaviors (masturbation) increases male sexually active life expectancy by 5.8 years (from 47.1 to 52.9 years).
  • The increase for women is 4.4 years (from 44.5 to 48.9 years).
  • The gender gap remains at approximately 4 years when masturbation is included.
  • This finding highlights the importance of broadening the definition of sexual activity beyond partnered behaviors.

Men lose more years of sexual life expectancy due to poor sexual satisfaction than women, but the gender gap in overall sexually active life expectancy narrows when accounting for satisfaction.

  • Men lose 11 years of sexual life expectancy due to poor sexual satisfaction.
  • Women lose 8 years of sexual life expectancy due to poor sexual satisfaction.
  • The quality-adjusted sexually active life expectancy was calculated using a quality-adjustment for sexual satisfaction.
  • Despite men losing more years to poor satisfaction, the gender gap in total sexually active life expectancy narrows when quality is considered.

Among individuals aged 50-89, the gender gap in being sexually active and satisfied narrows substantially after adjusting for partnership status, health, and sociodemographic factors.

  • After adjusting for age only, the odds ratio for women being sexually active and satisfied compared to men was OR = 0.64 [95% CI: 0.57–0.72].
  • After further adjustment for partnership status, health, and sociodemographic factors, the odds ratio improved to OR = 0.76 [95% CI: 0.67–0.87].
  • The sample included individuals aged 50-89 years from the CSF-2023 French national survey.
  • Partnership status, health, and sociodemographic factors explain a meaningful portion of the gender gap in satisfying sexual activity in older age.

The study used Sullivan's method combining 2023 French vital registration life tables with the CSF-2023 national survey to estimate sexually active life expectancy.

  • Sullivan's method integrates life table data with prevalence of a health state (here, sexual activity) to estimate expected years spent in that state.
  • The CSF-2023 is a French national survey providing sexual activity prevalence data.
  • The study calculated both standard sexually active life expectancy and a quality-adjusted version accounting for sexual satisfaction.
  • Sociodemographic and health factors associated with satisfying sexual activity were identified among individuals aged 50-89.

What This Means

This research suggests that in France, men can expect to have more years of sexual activity than women across their lifetimes, but the size of this difference depends heavily on how 'sexual activity' is defined and whether quality of that activity is taken into account. Starting from age 20-24, men can expect about 47 years of sexually active life compared to about 44.5 years for women when only partnered sex is counted. When masturbation is included, these figures rise to roughly 53 years for men and 49 years for women. Importantly, when the researchers factored in sexual satisfaction, men lost more years (11 years) to poor satisfaction than women (8 years), which narrowed the overall gender gap in fulfilling sexual life expectancy. The study also found that among older adults (ages 50-89), women were less likely than men to report being both sexually active and satisfied, but much of this gap could be explained by differences in partnership status, health, and other social factors — suggesting that women's lower sexual satisfaction in later life is not simply a matter of gender, but is tied to the social and health circumstances they are more likely to face as they age. This research matters because it moves beyond a narrow view of sexual health that focuses only on partnered intercourse, and instead captures a fuller picture of sexual life including solo activity and subjective satisfaction. The findings suggest that policies and healthcare approaches aimed at supporting sexual well-being across the lifespan may need to address gender-specific patterns, particularly the role that partnership availability and health play in shaping older women's sexual experiences.

Have a question about this study?

Citation

C. Moreau, Lena Pamboutzoglou, Antoine Sireyjol, Nathalie Bajos. (2026). Gender Differences in Sexually Active Life Expectancy in France.. Perspectives on sexual and reproductive health. https://doi.org/10.1111/psrh.70076