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Sexuality in later life is an essential factor for quality of life among older adults However, little is known about the sexuality of older adult immigrants from East Asia who have experienced both Western and Eastern cultures. In addition, we have limited information about the mechanism of how sexual attitudes impact life satisfaction through knowledge of sexuality. To address these knowledge gaps, a cross-sectional research design was conducted by collecting data from older East Asian immigrants aged 60 or over in a large city in a Midwestern state. We analyzed 96 responses using exploratory factor analysis and mediation analysis. The results showed that older adult immigrants who had more open sexual attitudes were likely to possess accurate sexual knowledge. Older adult immigrants’ sexual knowledge mediated the relationship between their sexual attitudes and life satisfaction. The findings highlight the importance of lifelong sexual education for older adult immigrants and recommend social workers train in culturally sensitive approaches.
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