School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Maturitas. 2024 Jun;184:107965. doi: 10.1016/j.maturitas.2024.107965. Epub 2024 Mar 4.
Sexual and reproductive health (SRH) is critical to the overall health of older adults. We assessed the utilization of SRH services and its correlates among older adults in China.
We recruited community-dwelling adults aged 50 and above in five Chinese cities between June 2020 and December 2022. In this study SRH services included reproductive health examination, cervical cancer screening, and sexual life counselling. Logistic regression was used to assess correlates of SRH services utilization.
A total of 3001 older adults (1819 men and 1182 women) were enrolled. Among them, 11.4 % (343/3001) of participants received a reproductive health examination, 35.4 % (418/1182) of female participants received cervical cancer screening, and 30.1 % (401/1332) of sexually active participants sought help for their sexual lives. Older men with an annual income of USD 7500 or more (aOR = 3.21, 95%CI: 1.39-7.44), two or more chronic conditions (2.38, 1.39-4.08), and reproductive health problems (2.01, 1.18-3.43) were more likely to receive a urological examination. For older women, individuals who were younger (aged 50-59 years: 5.18, 2.84-9.43; aged 60-69 years: 2.67, 1.49-4.79), lived in an urban area (1.88, 1.31-2.71), were employed (1.73, 1.21-2.47), had two or more chronic conditions (2.04, 1.37-3.05), were sexually active (1.72, 1.15-2.58) and talked about sex (1.69, 1.21-2.36) were more likely to receive a gynecological examination.
SRH services utilization among older adults was low, with urological examination among older men particularly low. SRH messages and services tailored for older adults are needed to enhance their utilization of SRH services.
性与生殖健康对老年人的整体健康至关重要。本研究评估了中国老年人性与生殖健康服务的利用情况及其相关因素。
我们于 2020 年 6 月至 2022 年 12 月在中国五个城市招募了年龄在 50 岁及以上的社区居民。本研究中的性与生殖健康服务包括生殖健康检查、宫颈癌筛查和性生活咨询。采用 logistic 回归评估性与生殖健康服务利用的相关因素。
共纳入 3001 名老年人（1819 名男性和 1182 名女性）。其中，11.4%（343/3001）的参与者接受了生殖健康检查，35.4%（418/1182）的女性参与者接受了宫颈癌筛查，30.1%（401/1332）有性生活的参与者寻求了性生活方面的帮助。年收入为 7500 美元或以上的老年男性（aOR=3.21，95%CI：1.39-7.44）、患有两种或两种以上慢性病（2.38，1.39-4.08）和生殖健康问题（2.01，1.18-3.43）的男性更有可能接受泌尿科检查。对于老年女性，年龄在 50-59 岁（5.18，2.84-9.43）和 60-69 岁（2.67，1.49-4.79）、居住在城市（1.88，1.31-2.71）、有工作（1.73，1.21-2.47）、患有两种或两种以上慢性病（2.04，1.37-3.05）、有性生活（1.72，1.15-2.58）和谈论性话题（1.69，1.21-2.36）的女性更有可能接受妇科检查。
老年人性与生殖健康服务的利用率较低，尤其是老年男性的泌尿科检查利用率较低。需要为老年人提供有针对性的性与生殖健康信息和服务，以提高他们对性与生殖健康服务的利用。
