| 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 |
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| 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. |
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