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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