Holden C A, McLachlan R I, Cumming R, Wittert G, Handelsman D J, de Kretser D M, Pitts M
Andrology Australia, Monash Institute of Medical Research, Monash University, Melbourne, Victoria, Auatralia.
Hum Reprod. 2005 Dec;20(12):3429-34. doi: 10.1093/humrep/dei307. Epub 2005 Sep 19.
With limited information regarding fertility and sexual activity in the older population, men's behaviour, attitudes and concerns were explored in a representative population of middle-aged and older men using the Men in Australia, Telephone Survey (MATeS).
A stratified random national sample of 5990 men participated in a standardized computer-assisted telephone interview. Equal numbers in the age strata 40-49, 50-59, 60-69 and >or=70 years were surveyed with findings census-standardized to the national population. Broad aspects of men's health and well-being, including reproductive health, were explored.
The majority of men were sexually active in the last 12 months (age-standardized proportion, 78.3%) with approximately 37% of men aged >or=70 years still continuing sexual activity. Overall, 12.2% of men had never fathered children, of whom most (7.7%) had chosen not to have children. Questioning on failed attempts to produce a pregnancy suggested an involuntary infertility rate of 7.6%. The age-standardized vasectomy rate was 25.1%, with 5.6% of vasectomized men having no children. Although 9.2% of vasectomized men regretted sterilization, only 1.4% had undergone vasectomy reversal.
Continuing sexual activity, fertility and contraception needs in middle-aged and older men suggests that education and service delivery must be more appropriately directed to an ageing population.
鉴于关于老年人群生育能力和性活动的信息有限，我们通过澳大利亚男性电话调查（MATeS），在具有代表性的中老年男性人群中，对男性的行为、态度和担忧进行了探究。
一个由5990名男性组成的分层随机全国样本参与了标准化的计算机辅助电话访谈。对年龄在40 - 49岁、50 - 59岁、60 - 69岁和≥70岁的各年龄层，按相等数量进行了调查，并将结果按普查标准换算为全国人口数据。探究了男性健康和幸福的广泛方面，包括生殖健康。
大多数男性在过去12个月内有性活动（年龄标准化比例为78.3%），约37%的70岁及以上男性仍在进行性活动。总体而言，12.2%的男性从未生育过子女，其中大多数（7.7%）是选择不生育。关于受孕失败的询问表明，非自愿不育率为7.6%。年龄标准化的输精管切除术率为25.1%，输精管切除术后无子女的男性占5.6%。尽管9.2%的输精管切除术后男性对绝育感到后悔，但只有1.4%的人进行了输精管复通术。
中老年男性持续的性活动、生育能力和避孕需求表明，必须更适当地针对老年人群开展教育和服务。
