Lu Y, Peng X, Li X Y, Fu L W, Tian T, Wang B Y, Ouyang L, Wu G H, Zou H C
School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 550025, China.
School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2023 Dec 10;44(12):1886-1892. doi: 10.3760/cma.j.cn112338-20230519-00317.
To understand the current status of condom use and its correlates among community-based older adults in Chongqing, China. 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, . A multivariable logistic regression model was used to explore the correlates of condom use during the last sexual behavior among the participants. 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 (a=2.34, 95%: 1.12-4.89), monthly income of 1 000-4 999 Yuan, and 5 000 Yuan and above (a=4.49, 95%: 1.31-15.41; a=16.33, 95%: 4.30-62.00), self-assessed sexual behavior risk as very risky/relatively risky (a=3.97, 95%: 1.40-11.31), awareness of AIDS prevention knowledge (a=0.36, 95%: 0.21-0.62). 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.
为了解中国重庆社区老年人使用避孕套的现状及其相关因素。2020年6月至2022年12月在重庆采用多阶段抽样方法进行了横断面研究。估计样本量为735。通过面对面访谈，调查人员收集了社会人口学特征、性行为特征、艾滋病预防知识知晓情况等。采用多变量逻辑回归模型探讨参与者上次性行为时使用避孕套的相关因素。本研究共纳入761名参与者，其中男性476名，女性285名，平均年龄为（63.8±8.2）岁，主要集中在60 - 69岁年龄组（44.5%）。参与者中，上次性行为时使用避孕套的比例为9.7%。多变量逻辑回归分析表明，上次性行为时使用避孕套的相关因素包括城市户籍（a = 2.34，95%：1.12 - 4.89）、月收入1000 - 4999元以及5000元及以上（a = 4.49，95%：1.31 - 15.41；a = 16.33，95%：4.30 - 62.00）、自我评估性行为风险为非常高风险/相对高风险（a = 3.97，95%：1.40 - 11.31）、艾滋病预防知识知晓情况（a = 0.36，95%：0.21 - 0.62）。重庆社区老年人使用避孕套的比例较低。应结合社区老年人的特点和需求采取综合干预措施，以提高艾滋病预防知识知晓率和艾滋病风险认知，促进该人群使用避孕套。
