Lin J, Wu G H, He Y P, Tan T Y
Institute for AIDS/STD Control and Prevention,Chongqing Center for Disease Control and Prevention, Chongqing 400707, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Sep 10;45(9):1239-1243. doi: 10.3760/cma.j.cn112338-20240410-00181.
To understand the characteristics of sexual behaviors in the elderly aged ≥60 years and provide evidence for AIDS prevention and control in the elderly. Local residents who were aged ≥60 years and had lived in Yongchuan District of Chongqing for more than half a year were recruited by multi-stage sampling with a sample size of 2 721 from September to December 2022 for a face to face questionnaire survey to collect the information about their demographic characteristics, awareness of AIDS related knowledge and sexual behaviors, and the incidence of non-marital sexual behaviors. Multivariate logistic regression model was used to analyze related factors non-marital sexual behaviors in the elderly aged ≥60 years. SPSS 23.0 software was used for statistical analysis. A total of 2 974 valid questionnaires were collected from 3 000 old persons aged ≥60 years, the male to female ratio of the elderly who returned the questionnaires was about 1∶1 (1 488∶1 486). The average age of them was (69.3± 7.0) years, and the awareness rate of AIDS related knowledge was 78.5% (2 336/2 974), 26.9% of them (801/2 974) had sexual behavior in the past year, 20.9% (493/2 350) of them had sexual behaviors with their spouses in the past year, and 10.8% (322/2 974) of them had non-marital sexual behaviors. The proportions of the elderly with commercial sexual behaviors and non-marital/non-commercial sexual behaviors were 10.2% (304/2 974) and 1.2% (36/2 974). The results of multivariate logistic regression analysis showed that being man (a=89.08, 95%: 36.30-218.60), age 70-79 years (a=1.93, 95%:1.44-2.59) and ≥80 years (a=2.41, 95%: 1.56-3.74), and unawareness of AIDS related knowledge (a=2.72, 95%: 2.04-3.64) were associated with the incidence of non-marital sex. The proportions of non-marital sexual behaviors were higher among the elderly aged ≥60 years in Yongchuan District of Chongqing. It is necessary to pay attention to the sexual needs and sexual health of the population, improve the awareness rate of AIDS prevention and treatment knowledge, advocate safe sex, and improve the sexual health and quality of life in the elderly.
为了解60岁及以上老年人的性行为特征，为老年人艾滋病防控提供依据。2022年9月至12月，采用多阶段抽样方法，从重庆市永川区居住半年以上的60岁及以上本地居民中招募2721人进行面对面问卷调查，收集其人口学特征、艾滋病相关知识知晓情况、性行为情况及非婚性行为发生率等信息。采用多因素logistic回归模型分析60岁及以上老年人非婚性行为的相关因素。运用SPSS 23.0软件进行统计分析。共收集到3000名60岁及以上老年人有效问卷2974份，回收问卷的老年人男女比例约为1∶1（1488∶1486）。平均年龄为（69.3±7.0）岁，艾滋病相关知识知晓率为78.5%（2336/2974），过去一年有性行为者占26.9%（801/2974），过去一年与配偶有性行为者占20.9%（493/2350），有非婚性行为者占10.8%（322/2974）。有商业性行为和非婚非商业性行为的老年人比例分别为10.2%（304/2974）和1.2%（36/2974）。多因素logistic回归分析结果显示，男性（a=89.08，95%CI：36.30～218.60）、70～79岁（a=1.93，95%CI：1.44～2.59）和≥80岁（a=2.41，95%CI：1.56～3.74）以及艾滋病相关知识知晓不足（a=2.72，95%CI：2.04～3.64）与非婚性行为发生率有关。重庆市永川区60岁及以上老年人非婚性行为比例较高。有必要关注该人群的性需求和性健康，提高艾滋病防治知识知晓率，倡导安全性行为，提升老年人的性健康水平和生活质量。
