文章摘要
王炳懿,李心一,彭欣,付雷雯,田恬,卢雍,徐鹏,于茂河,邹华春.天津市中老年社区居民性活跃现状及相关因素分析[J].中华流行病学杂志,2023,44(12):1874-1879
天津市中老年社区居民性活跃现状及相关因素分析
Sexually active status and its correlates among community-based older adults in Tianjin
收稿日期:2023-05-19  出版日期:2023-12-15
DOI:10.3760/cma.j.cn112338-20230519-00316
中文关键词: 中老年社区居民  性活跃  性健康
英文关键词: Community-based older adults  Sexually active status  Sexual health
基金项目:国家自然科学基金(72061137001)
作者单位E-mail
王炳懿 中山大学公共卫生学院(深圳), 深圳 518107  
李心一 中山大学公共卫生学院(深圳), 深圳 518107  
彭欣 中山大学公共卫生学院(深圳), 深圳 518107  
付雷雯 中山大学公共卫生学院(深圳), 深圳 518107  
田恬 中山大学公共卫生学院(深圳), 深圳 518107  
卢雍 贵州医科大学公共卫生与健康学院, 环境污染与疾病监控教育部重点实验室, 贵阳 550025  
徐鹏 天津市疾病预防控制中心, 天津 300011  
于茂河 天津市疾病预防控制中心, 天津 300011 yumaohe@tj.gov.cn 
邹华春 复旦大学公共卫生学院, 上海 200032 zouhuachun@fudan.edu.cn 
摘要点击次数: 2256
全文下载次数: 597
中文摘要:
      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:aOR=0.67,95%CI:0.45~0.99;≥70岁:aOR=0.12,95%CI:0.07~0.21)、男性(aOR=1.93,95%CI:1.32~2.82)、城镇居民(aOR=0.18,95%CI:0.12~0.28)、同居/已婚(aOR=2.80,95%CI:1.41~5.58)、独居(aOR=0.51,95%CI:0.27~0.96)、爬楼或行走困难(aOR=0.55,95%CI:0.31~0.97)、现患慢性病(1种:aOR=0.55,95%CI:0.36~0.85;≥2种:aOR=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。
英文摘要:
      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.
查看全文   Html全文     查看/发表评论  下载PDF阅读器
关闭