摘要
目的:了解天津市中老年社区居民性活跃现状及其相关因素。方法:2020年6月至2022年12月,通过多阶段抽样方法,对天津市≥50岁中老年社区居民开展横断面调查。样本量估计数为735名。通过调查员面对面收集问卷,包括社会人口学特征、健康特征以及性生活方式有关特征等相关信息。采用多因素logistic回归模型分析性活跃状态的相关因素。结果:共纳入776名研究对象(男性和女性分别为510名和266名),年龄以50~59岁(45.9%)为主。总体性活跃率为45.6%。年龄更大(60~69岁:a OR=0.67,95% CI:0.45~0.99;≥70岁:a OR=0.12,95% CI:0.07~0.21)、男性(a OR=1.93,95% CI:1.32~2.82)、城镇居民(a OR=0.18,95% CI:0.12~0.28)、同居/已婚(a OR=2.80,95% CI:1.41~5.58)、独居(a OR=0.51,95% CI:0.27~0.96)、爬楼或行走困难(a OR=0.55,95% CI:0.31~0.97)、现患慢性病(1种:a OR=0.55,95% CI:0.36~0.85;≥2种:a OR=0.53,95% CI:0.33~0.84)与性活跃状态有关。 结论:相当比例的中老年社区居民仍然保持性活跃。身体健康状况与中老年社区居民的性活跃状态存在关联。应将性健康服务纳入中老年社区居民卫生保健服务范围,加强社区卫生服务人员的性健康相关服务意识和技能。
Objective To understand the sexually active status among community-based older adults aged≥50 years in Tianjin,China,and to explore the potential correlates.Methods A cross-sectional survey using multistage sampling among community-based older adults aged≥50 was conducted between June 2020 and December 2022.The estimated sample size was 735.The survey collected questionnaire information through face-to-face interviews with investigators,including sociodemographic,health,and sexual lifestyle characteristics.The multivariable logistic regression model was used to assess correlates of sexually active status.Results A total of 776 study participants(510 males and 266 females)were included,whose major age distribution was 50-59 years(45.9%).The overall sexual activity prevalence of the participants was 45.6%.Older age(60-69:aOR=0.67,95%CI:0.45-0.99;≥70:aOR=0.12,95%CI:0.07-0.21),being male(aOR=1.93,95%CI:1.32-2.82),living in urban area(aOR=0.18,95%CI:0.12-0.28),living with spouse/married(aOR=2.80,95%CI:1.41-5.58),living alone(aOR=0.51,95%CI:0.27-0.96),having difficulty climbing stairs or walking(aOR=0.55,95%CI:0.31-0.97),having chronic diseases(one chronic disease:aOR=0.55,95%CI:0.36-0.85;two or more chronic diseases:aOR=0.53,95%CI:0.33-0.84)were associated with sexually active status among older adults.Conclusions Many community-based older adults remained sexually active.There was an association between physical health and sexually active status among community-based older adults.Incorporating sexual health services into healthcare services for community-based older adults could be advocated,with a concurrent emphasis on enhancing the awareness and competence of providing sexual health services among community-based healthcare workers.
作者
王炳懿
李心一
彭欣
付雷雯
田恬
卢雍
徐鹏
于茂河
邹华春
Wang Bingyi;Li Xinyi;Peng Xin;Fu Leiwen;Tian Tian;Lu Yong;Xu Peng;Yu Maohe;Zou Huachun(School of Public Health(Shenzhen),Sun Yat-sen University,Shenzhen 518107,China;School of Public Health,the Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guizhou Medical University,Guiyang 550025,China;Tianjin Centers for Disease Control and Prevention,Tianjin 300011,China;School of Public Health,Fudan University,Shanghai 200032,China)
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2023年第12期1874-1879,共6页
Chinese Journal of Epidemiology
基金
国家自然科学基金(72061137001)。
关键词
中老年社区居民
性活跃
性健康
Community-based older adults
Sexually active status
Sexual health
