Tan H H, Wong M L, Chan R K W
National Skin Centre, 1 Mandalay Road, Singapore 308205.
Singapore Med J. 2006 Oct;47(10):886-91.
This study was conducted to determine the disease patterns of sexually transmitted infections (STI) in older men, as well as to gather information on their knowledge, attitudes, beliefs and sexual practices.
A prospective study was carried out from January to June 2005 in men aged 50 years or older who attended the Department of STI Control clinic.
There were 104 men enrolled. The majority (92.3 percent) were Chinese, and 62.5 percent were aged between 50 and 59 years, 25.9 percent between 60 and 69 years, and 11.5 percent aged 70 years or older. The patients were predominantly heterosexual, and had fairly low levels of education--85.6 percent of the patients had received primary or secondary school level of education. Majority (79.8 percent) of the men had been sexually active in the preceding six months, and 37.3 percent had paid sex during that time. 29.8 percent of men reported having taken drugs such as sildenafil (Viagra, Pfizer, New York, NY, USA) or similar drugs such as vardenafil (Levitra, Bayer, Wuppertal, Germany) or tadalafil (Cialis, Eli Lilly, Indianapolis, IN, USA). 56.7 percent of the men had active infections, with non-gonococcal urethritis (15.4 percent), genital warts (12.5 percent) and gonorrhoea (10.6 percent) being the commonest. Generally, condom usage was accepted as an effective way to prevent transmission of STI. However, many of the men surveyed felt that condom usage reduced their sexual pleasure, and 38.5 percent felt that condoms were inconvenient. There were also areas of human immunodeficiency virus (HIV) knowledge that were lacking. Most patients listed the media as their main source of knowledge about STI and HIV.
Older males attending the clinic remain at significant risk of STI and targeted educational efforts are warranted.
本研究旨在确定老年男性性传播感染（STI）的疾病模式，并收集他们在知识、态度、信念和性行为方面的信息。
2005年1月至6月，对到性传播感染控制门诊就诊的50岁及以上男性进行了一项前瞻性研究。
共纳入104名男性。大多数（92.3%）为华裔，62.5%年龄在50至59岁之间，25.9%在60至69岁之间，11.5%年龄在70岁及以上。患者主要为异性恋，教育水平相当低——85.6%的患者接受过小学或中学教育。大多数（79.8%）男性在过去六个月内有过性活动，其中37.3%在那段时间有过付费性行为。29.8%的男性报告曾服用过西地那非（万艾可，辉瑞公司，美国纽约）或伐地那非（艾力达，拜耳公司，德国伍珀塔尔）或他达拉非（希爱力，礼来公司，美国印第安纳波利斯）等药物。56.7%的男性有活动性感染，其中非淋菌性尿道炎（15.4%）、尖锐湿疣（12.5%）和淋病（10.6%）最为常见。一般来说，人们认为使用避孕套是预防性传播感染传播的有效方法。然而，许多接受调查的男性认为使用避孕套会降低他们的性快感，38.5%的人觉得避孕套不方便。在人类免疫缺陷病毒（HIV）知识方面也存在欠缺。大多数患者将媒体列为他们获得性传播感染和HIV知识的主要来源。
到门诊就诊的老年男性仍然面临性传播感染的重大风险，有必要开展针对性的教育工作。
