天津市中老年社区居民性活跃现状及相关因素分析

王炳懿; 李心一; 彭欣; 付雷雯; 田恬; 卢雍; 徐鹏; 于茂河; 邹华春

Abstract

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].Chinese journal of Epidemiology,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

Received:May 19, 2023

DOI：10.3760/cma.j.cn112338-20230519-00316

KeyWord: 中老年社区居民性活跃性健康

English Key Word: Community-based older adults Sexually active status Sexual health

FundProject:国家自然科学基金（72061137001）

Author Name	Affiliation	E-mail
Wang Bingyi	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Li Xinyi	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Peng Xin	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Fu Leiwen	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Tian Tian	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Lu Yong	School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 550025, China
Xu Peng	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Yu Maohe	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China	yumaohe@tj.gov.cn
Zou Huachun	School of Public Health, Fudan University, Shanghai 200032, China	zouhuachun@fudan.edu.cn

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Abstract:

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。

English Abstract:

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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