Department of Urology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Investig Clin Urol. 2019 May;60(3):202-209. doi: 10.4111/icu.2019.60.3.202. Epub 2019 Apr 1.
To study the sexual behavior and status of sexually transmitted urethritis (STU) in the elderly population of South Korea.
Congregating places for elderly population, which were selected on the expected risk of sexually transmitted infections, were visited to study their sexual behavior, awareness on sexually transmitted diseases (STDs), and STU status using a specially developed survey and urine polymerase chain reaction (PCR) test. In addition, analysis of the Health Insurance Review & Assessment Service (HIRA) database was done to study the nationwide status and trends of STU of the elderly population.
The study found that approximately 42% of elderly South Koreans were sexually active. Elderlies in the high-risk group showed a higher percentage of multiple sexual partners and prostitution than elderlies in the low-risk group. Only 3% and 14% in the low-risk group and high-risk group used condoms, showing a very low rate of condom use. Both the urine PCR results and HIRA database analysis showed that the prevalence of STU was not high and it remained stable in recent years, implying that currently, STU is not a significant burden on public health in the elderly population of South Korea.
The current study presented the sexual behavior in the elderly population of South Korea, as well as the recent prevalence and trend of STU in the elderly population. These results may be used as baseline data for future study, education, prevention and public campaign plan for STDs in the elderly population.
研究韩国老年人群的性行为和性传播尿道炎症（STU）状况。
选择预期存在性传播感染风险的老年人群聚集场所，通过专门设计的调查和尿液聚合酶链反应（PCR）检测，了解他们的性行为、性传播疾病（STD）意识以及 STU 状况。此外，还对健康保险审查与评估服务（HIRA）数据库进行了分析，以研究韩国老年人群 STU 的全国状况和趋势。
研究发现，约 42%的韩国老年人有性行为。高风险组的老年人比低风险组的老年人有更高比例的多个性伴侣和卖淫行为。低风险组和高风险组中只有 3%和 14%的人使用避孕套，避孕套使用率非常低。尿液 PCR 结果和 HIRA 数据库分析均表明，STU 的患病率不高，近年来保持稳定，这意味着目前 STU 对韩国老年人群的公共卫生没有造成重大负担。
本研究介绍了韩国老年人群的性行为，以及近年来老年人群中 STU 的患病率和趋势。这些结果可作为未来 STD 老年人群研究、教育、预防和公共宣传计划的基线数据。
