High sexual quality and activity predict psychological well-being in heterosexual middle-aged and older adults; however, these associations have not been documented in sexual minorities, who have faced lifelong stigma concerning their sexuality. This paper presents data from two secondary studies that explored the benefits of being sexually active and satisfied and the role of internalized homonegativity in a sample of middle-aged and older sexual minorities. Study 1 was a cross-sectional survey collected on 91 sexually active sexual minorities (ages 40–80) in same-sex relationships. Study 2 was a cross-sectional survey collected on 235 single and partnered sexual minorities (ages 40–90), which included sexually active (N = 101) and inactive (N = 134) participants. In Study 1, sexual satisfaction was associated with higher psychological well-being and dissatisfaction was more prominently associated with lower psychological well-being. In Study 2, we found that the sexually active participants had higher levels of psychological well-being, in addition to corroborating the Study 1 findings. Additionally, we also determined that sexual dissatisfaction was a mediator between internalized homonegativity and psychological well-being. These findings accentuate the benefits of retaining high sexual quality and activity for middle-aged and older sexual minorities. Although there are apparent advantages of being sexually satisfied, the relationship to psychological well-being is stronger and more of a concern for those who are dissatisfied, which is rooted in internalized homonegativity. These results can guide practitioners working with middle-aged and older sexual minorities to help them achieve successful aging trajectories by reducing their internalized homonegativity and promoting higher sexual quality.

高性生活质量和性活动预示着异性恋中老年人的心理健康;然而，这些关联尚未在性少数群体中被记录下来，他们一生都面临着关于自己性行为的耻辱。本文提供了来自两项次要研究的数据，这些研究探讨了性活跃和性满足的好处以及内化人格消极性在中老年性少数群体样本中的作用。研究 1 是一项横断面调查，收集了 91 名同性关系中性活跃的性少数群体（40-80 岁）。研究 2 是一项横断面调查，收集了 235 名单身和有伴侣的性少数群体 （40-90 岁），其中包括性活跃 （N = 101） 和不活跃 （N = 134） 参与者。在研究 1 中，性满意度与较高的心理健康相关，而不满意与较低的心理健康相关更为突出。在研究 2 中，我们发现性活跃的参与者除了证实研究 1 的发现外，还具有更高水平的心理健康。此外，我们还确定性不满是内化的人类消极性和心理健康之间的中介。这些发现强调了中老年性少数群体保持高性生活质量和活动的好处。尽管性满足有明显的好处，但与心理健康的关系更强，对那些不满意的人来说更值得关注，这植根于内化的人类消极性。 这些结果可以指导与中老年性少数群体合作的从业者，通过减少他们内化的人类消极性和促进更高的性质量，帮助他们实现成功的衰老轨迹。