重庆市中老年社区居民安全套使用现状及相关因素分析  

Condom use and its correlates among community-based older adults in Chongqing

作　　者：卢雍 彭欣 李心一 付雷雯 田恬 王炳懿 欧阳琳[3] 吴国辉[3] 邹华春 Lu Yong;Peng Xin;Li Xinyi;Fu Leiwen;Tian Tian;Wang Bingyi;Ouyang Lin;Wu Guohui;Zou Huachun(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;Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵阳550025 [2]中山大学公共卫生学院(深圳),深圳518107 [3]重庆市疾病预防控制中心,重庆400042 [4]复旦大学公共卫生学院,上海200032

出　　处：《中华流行病学杂志》2023年第12期1886-1892,共7页Chinese Journal of Epidemiology

基　　金：国家自然科学基金(72061137001)。

摘　　要：目的:了解重庆市中老年社区居民安全套使用情况及相关因素。方法:2020年6月至2022年12月在重庆市开展1项多阶段抽样的横断面调查,样本量估计数为735名。调查员以面对面询问的方式开展问卷调查,收集研究对象的社会人口学信息、性行为特征、艾滋病防治知识知晓情况等信息。采用多因素logistic回归分析中老年社区居民最近1次性行为安全套使用情况的相关因素。结果:共纳入研究对象761名(男性和女性分别为476名和285名),年龄(63.8±8.2)岁,以60~69岁(44.5%)为主。中老年社区居民最近1次性行为安全套使用率为9.7%。多因素logistic回归结果显示,中老年社区居民最近1次性行为安全套使用的相关因素包括居住在城镇(a OR=2.34,95% CI:1.12~4.89)、月均收入为1 000~4 999元和≥5 000元(a OR=4.49,95% CI:1.31~15.41;a OR=16.33,95% CI:4.30~62.00)、性行为风险自评为很危险/比较危险(a OR=3.97,95% CI:1.40~11.31)、知晓艾滋病防治知识(a OR=0.36,95% CI:0.21~0.62)。 结论:重庆市中老年社区居民安全套使用率较低。应结合中老年社区居民的特点和需求采取综合的干预措施,提高艾滋病防治知识的知晓率和艾滋病的风险感知,以提高安全套的使用。Objective To understand the current status of condom use and its correlates among community-based older adults in Chongqing,China.Methods 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,etc.A multivariable logistic regression model was used to explore the correlates of condom use during the last sexual behavior among the participants.Results 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(aOR=2.34,95%CI:1.12-4.89),monthly income of 1000-4999 Yuan,and 5000 Yuan and above(aOR=4.49,95%CI:1.31-15.41;aOR=16.33,95%CI:4.30-62.00),self-assessed sexual behavior risk as very risky/relatively risky(aOR=3.97,95%CI:1.40-11.31),awareness of AIDS prevention knowledge(aOR=0.36,95%CI:0.21-0.62).Conclusions 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.

关 键 词：中老年社区居民 安全套 艾滋病 

分 类 号：R167[医药卫生—公共卫生与预防医学]