HIV感染率较高农村地区50岁及以上女性性行为模式婚内性行为现状及相关因素研究  

Study on the sexual behavior patterns and the related factors among women aged 50 years and older with high HIV infection rates in rural areas

作　　者：胡宓[1] 谢关情 王新婷 李京新 周海叶 周启富[3] 蔡畅[4] HU Mi;XIE Guanqing;WANG Xinting;LI Jingxin;ZHOU Haiye;ZHOU Qifu;CAI Chang(Xiangya School of Public Health,Central South University,Changsha 410078,China;Shaoyang Centre for Disease Control and Prevention,Shaoyang 422000,China;Ya’an Centre for Disease Control and Prevention,Ya’an 625000,China;Centre for STD and AIDS Prevention and Control,Chinese Centre for Disease Control and Prevention,Beijing 102206,China)

机构地区：[1]中南大学湘雅公共卫生学院,长沙410078 [2]湖南省邵阳市疾病预防控制中心,邵阳422000 [3]四川省雅安市疾病预防控制中心,雅安625000 [4]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206

出　　处：《广西医科大学学报》2024年第7期1076-1081,共6页Journal of Guangxi Medical University

基　　金：教育部人文社科基金资助项目(No.17YJC840014)。

摘　　要：目的:了解农村50岁及以上女性性行为模式现状及其相关因素。方法:采用多阶段分层整群随机抽样法在湖南省邵阳县和四川省荥经县农村抽取50岁及以上女性,采用自编的电子问卷对调查对象进行面对面访谈,内容主要包括一般社会人口学特征和性行为模式等,采用χ^(2)检验比较不同特征人群性行为满意度,采用多元线性回归分析性行为满意度的相关因素。结果:724例研究对象中,过去1年中409例(56.4%)有婚内性行为,9例(1.2%)存在非婚性行为;有婚内性行为的409例中,91.9%的人过去1年从未使用安全套。单因素分析显示,过去1年婚内性行为的满意度在受教育程度、夫妻关系、性需求和性行为态度的老年女性人群中差异均有统计学意义。多因素分析显示,受教育程度、性需求和性行为态度是农村地区50岁及以上女性人群中性行为满意度的相关因素。结论:农村地区50岁及以上女性绝大多数人在过去1年内发生性行为时从未使用安全套,少数发生过婚外性行为,大部分人婚内性行为满意度较低,受教育程度高、有性需求及认为性行为必要者婚内性行为满意度高,应促进农村地区50岁及以上女性人群中安全套的使用,减少非婚性行为,加强性健康知识指导,以降低该人群性传播感染风险。Objective:To understand the sexual behavior patterns and the related factors among rural women aged≥50 years.Methods:A multistage stratified cluster random sampling method was used to select women aged≥50 years in Shaoyang County,Hunan Province and Xingjing County,Sichuan Province,and a self-adminis-tered electronic questionnaire was used to conduct face-to-face interviews with the respondents,which mainly in-cluded general socio-demographic characteristics,sexual behavioral patterns and so on;χ^(2)-test was used to com-pare the sexual behavioural satisfaction of people with different characteristics,and multiple linear regression was used to analyse the related factors of sexual behavioural satisfaction.Results:Of the 724 participants,409(56.4%)had marital sexual behaviors,9(1.2%)had non-marital sex,and 91.9%of 409 with marital sexual behav-iors never used a condom in the past year.The results of simple linear regression showed that there were statisti-cally significant differences in education levels,couple relationship,sexual needs and attitudes towards sexual be-haviour among older women.The results of multiple linear regression showed that education levels,sexual needs and attitudes towards sexual behaviour were related factors of marital sexual satisfaction among women aged 50 years and older in rural areas.Conclusion:In rural areas over the past year,the majority of women aged≥50 years have never used condoms during sex,and a few have engaged in extramarital sex.Most of these women re-port low satisfaction with marital sexual behavior.However,those with higher levels of education,greater sexual needs,and a belief in the necessity of sex exhibit higher levels of sexual behavior satisfaction.Promoting condom use among women aged≥50 years in rural areas,reducing non-marital sex,and strengthening sexual health educa-tion are essential to reduce the risk of sexually transmitted infections(STIs)in this population.

关 键 词：性行为 农村女性 老年人 

分 类 号：R512.91[医药卫生—内科学]