重庆市中老年社区居民安全套使用现状及相关因素分析

卢雍; 彭欣; 李心一; 付雷雯; 田恬; 王炳懿; 欧阳琳; 吴国辉; 邹华春

Abstract

卢雍,彭欣,李心一,付雷雯,田恬,王炳懿,欧阳琳,吴国辉,邹华春.重庆市中老年社区居民安全套使用现状及相关因素分析[J].Chinese journal of Epidemiology,2023,44(12):1886-1892

重庆市中老年社区居民安全套使用现状及相关因素分析

Condom use and its correlates among community-based older adults in Chongqing

Received:May 19, 2023

DOI：10.3760/cma.j.cn112338-20230519-00317

KeyWord: 中老年社区居民安全套艾滋病

English Key Word: Community-based older adults Condom AIDS

FundProject:国家自然科学基金（72061137001）

Author Name	Affiliation	E-mail
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
Peng Xin	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
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
Wang Bingyi	School of Public Health(Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Ouyang Lin	Chongqing Center for Disease Control and Prevention, Chongqing 400042, China
Wu Guohui	Chongqing Center for Disease Control and Prevention, Chongqing 400042, China	wgh68803652@163.com
Zou Huachun	School of Public Health, Fudan University, Shanghai 200032, China	zouhuachun@fudan.edu.cn

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Abstract:

目的了解重庆市中老年社区居民安全套使用情况及相关因素。方法 2020年6月至2022年12月在重庆市开展1项多阶段抽样的横断面调查，样本量估计数为735名。调查员以面对面询问的方式开展问卷调查，收集研究对象的社会人口学信息、性行为特征、艾滋病防治知识知晓情况等信息。采用多因素logistic回归分析中老年社区居民最近1次性行为安全套使用情况的相关因素。结果共纳入研究对象761名（男性和女性分别为476名和285名），年龄（63.8±8.2）岁，以60~69岁（44.5%）为主。中老年社区居民最近1次性行为安全套使用率为9.7%。多因素logistic回归结果显示，中老年社区居民最近1次性行为安全套使用的相关因素包括居住在城镇（aOR=2.34，95%CI：1.12~4.89）、月均收入为1 000~4 999元和≥5 000元（aOR=4.49，95%CI：1.31~15.41；aOR=16.33，95%CI：4.30~62.00）、性行为风险自评为很危险/比较危险（aOR=3.97，95%CI：1.40~11.31）、知晓艾滋病防治知识（aOR=0.36，95%CI：0.21~0.62）。结论重庆市中老年社区居民安全套使用率较低。应结合中老年社区居民的特点和需求采取综合的干预措施，提高艾滋病防治知识的知晓率和艾滋病的风险感知，以提高安全套的使用。

English Abstract:

Objective To understand the current status of condom use and its correlates among community-based older adults in Chongqing, China. Methods Cross-sectional study based on a multistage sampling method was conducted in Chongqing from June 2020 to December 2022. The estimated sample size was 735. Through face-to-face interviews, the investigators collected the sociodemographic characteristics, sexual behavior characteristics, awareness of AIDS prevention knowledge, etc. A multivariable logistic regression model was used to explore the correlates of condom use during the last sexual behavior among the participants. Results A total of 761 participants were included in this study, with 476 males and 285 females, whose average age was (63.8±8.2) years old, mainly in the age group of 60-69 years (44.5%). Among the participants, the rate of condom use during the last sexual behavior was 9.7%. The multivariable logistic regression analysis indicated that correlates of condom use during the last sexual behavior included urban household registration (aOR=2.34, 95%CI: 1.12-4.89), monthly income of 1 000-4 999 Yuan, and 5 000 Yuan and above (aOR=4.49, 95%CI: 1.31-15.41; aOR=16.33, 95%CI: 4.30-62.00), self-assessed sexual behavior risk as very risky/relatively risky (aOR=3.97, 95%CI: 1.40-11.31), awareness of AIDS prevention knowledge (aOR=0.36, 95%CI: 0.21-0.62). Conclusions The rate of condom use among community-based older adults in Chongqing is low. Comprehensive intervention measures should be taken in combination with the characteristics and needs of community-based older adults to improve awareness of AIDS prevention knowledge and perception of AIDS risk and promote condom use among this population.

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