Jackson Sarah E, Yang Lin, Veronese Nicola, Koyanagi Ai, López Sánchez Guillermo Felipe, Grabovac Igor, Soysal Pinar, Smith Lee
Department of Behavioural Science and Health, University College London (UCL), London, UK.
Center for Public Health, Medical University Vienna, Vienna, Austria.
BMJ Sex Reprod Health. 2019 Mar 4;45(2):138-46. doi: 10.1136/bmjsrh-2018-200230.
No current data are available on correlates of lifetime sexual partners at older ages. This study aimed to explore correlates of the lifetime number of sexual partners in a sample of older adults.
Data were from 3054 men and 3867 women aged ≥50 years participating in the English Longitudinal Study of Ageing. Participants reported their lifetime number of sexual partners and a range of sociodemographic characteristics and health behaviours. Multivariable multinomial logistic regression was used to examine correlates of lifetime number of sexual partners, with analyses performed separately for men and women and weighted for non-response.
Younger age, being separated/divorced or single/never married, being a current or former smoker, and drinking alcohol regularly or frequently were independently associated with a higher number of sexual partners in both men and women. Homosexuality in men and bisexuality in women were also associated with a higher number of sexual partners. White ethnicity, regular moderate and vigorous physical activity, and the absence of limiting long-standing illness were independently associated with a higher number of sexual partners in women only, and being in the highest and lowest quintiles of wealth was independently associated with a higher number of sexual partners in men only.
A higher lifetime number of sexual partners is associated with a number of sociodemographic and behavioural factors. An understanding of who is more likely to have had more sexual partners may help health practitioners to identify individuals who are at greatest risk of sexually transmitted infection and their associated health complications across the life course.
目前尚无关于老年人终身性伴侣相关因素的现有数据。本研究旨在探讨老年人群样本中终身性伴侣数量的相关因素。
数据来自参与英国老龄化纵向研究的3054名年龄≥50岁的男性和3867名女性。参与者报告了他们的终身性伴侣数量以及一系列社会人口学特征和健康行为。采用多变量多项逻辑回归分析来研究终身性伴侣数量的相关因素,分别对男性和女性进行分析,并对无应答情况进行加权处理。
在男性和女性中,年龄较小、分居/离婚或单身/从未结婚、目前或曾经吸烟、经常或频繁饮酒均与性伴侣数量较多独立相关。男性中的同性恋和女性中的双性恋也与性伴侣数量较多有关。仅在女性中,白人种族、定期进行适度和剧烈体育活动以及没有长期限制性生活的疾病与性伴侣数量较多独立相关,而仅在男性中,处于最高和最低财富五分位数与性伴侣数量较多独立相关。
较高的终身性伴侣数量与一些社会人口学和行为因素相关。了解哪些人更有可能有较多的性伴侣,可能有助于医疗从业者识别在整个生命过程中面临性传播感染及其相关健康并发症最大风险的个体。