Correlates of Sexual Lifestyles Among Older Adults Living With HIV in China: Findings From the Sexual Well-being (SWELL) Study  

作　　者：Bingyi Wang Xin Peng Leiwen Fu Xinyi Li Tongxin Shi Bowen Liang Tian Tian Thomas Fitzpatrick Zhen Lu Weijie Zhang JunyeBian Xin Xiao YingWang Yunlong Ao Lin Ouyang YongCai Maohe Yu Guohui Wu Linghua Li Xiaojun Meng Huachun Zou 

机构地区：[1]School of Public Health(Shenzhen),Sun Yat-sen University,Shenzhen,China [2]Tianjin Hexi District Center for Disease Control and Prevention,Tianjin,China [3]Division of Allergy and Infectious Diseases,Department ofMedicine,University ofWashington,Seattle,Washington,USA [4]Department of Scientific Research,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning,China [5]Hongqiao International Institute of Medicine,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,China [6]School of Public Health,Shanghai Jiao Tong University School ofMedicine,Shanghai,China [7]Guangzhou Eighth People’s Hospital,GuangzhouMedical University,Guangzhou,China [8]Department of AIDS/STD Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing,China [9]Department of AIDS/STD Control and Prevention,Tianjin Center for Disease Control and Prevention,Tianjin,China [10]WuxiMunicipal Center for Disease Control and Prevention,Wuxi,China [11]School of Public Health,Fudan University,Shanghai,China [12]School of Public Health,Southwest Medical University,Luzhou,China [13]Kirby Institute,University of New South Wales,Sydney,Australia

出　　处：《Infectious Microbes & Diseases》2023年第3期145-151,共7页感染微生物与疾病（英文）

基　　金：supported by the Natural Science Foundation of China International/Regional Research Collaboration Project(72061137001);Natural Science Foundation of China Excellent Young Scientists Fund(82022064);Chongqing Talents Program for Innovative and Entrepreneurial Pioneers(cstc2021ycjh-bgzxm0097);Chongqing Natural Science Foundation Project(cstc2021jcyj-msxmX1171);Chinese State Key Laboratory of Infectious Disease Prevention and Control(2021SKLID303).

摘　　要：Sexual lifestyles are closely related to overall human health and well-being.Few studies have focused on sexual lifestyles among older adults living with HIV(OALHIV),especially in low-and middle-income countries.This study is a part of the sexual well-being among older adults in China(SWELL)study,which is a multicenter cross-sectional study focused on sexual health among older adults aged 50 years and older.Participants were 680 OALHIV(≥50 years old)from the SWELL study conducted from June 2020 to December 2022.Data were collected through one-on-one interviews.We used logistic regression to assess the correlates of sexual activity and sexual satis-faction.Among all participants,37.1%were sexually active.Being older,male,in a steady relationship and employed were associated with being sexually active.The prevalence of sexual satisfaction was 69.8%among sexually active OALHIV.Being homosexual and reporting a better general health status were associated with sexual satisfaction.The OALHIV who have depressive symptoms were less likely to report sexual satisfaction.To support holistic healthy aging among OALHIV,it is important for healthcare providers to be educated about the importance of enquiring about sexual activity,satisfaction and problems and addressing concerns while conveying sex-positive attitudes during clinical reviews,as these are still critical aspects of their health and well-being.

关 键 词：aging older adults HIV INTIMACY SEXUALITY China 

分 类 号：R512.91[医药卫生—内科学] R167[医药卫生—临床医学]