What are two primary reasons for a lack of sexual expression in long-term care facilities?

The choice highlighting a lack of privacy and no available partner accurately captures two significant barriers to sexual expression in long-term care facilities. Privacy is essential for individuals wishing to engage in any form of intimate behavior. In many long-term care settings, residents live in shared spaces where personal privacy is often compromised, making it difficult for them to feel comfortable expressing their sexuality.

Moreover, the absence of an available partner contributes to this lack of expression. Many residents may find themselves in environments that limit romantic interactions due to factors such as distance from their previous social circles, a decline in the resident population, or personal circumstances affecting their social engagement. This combination of limited privacy and lack of partners creates a challenging environment for sexual expression, making this option the most relevant and comprehensive response to the question.