重庆市永川区60岁及以上老年人非婚性行为特征及相关因素调查  

Survey of non-marital sexual behaviors in the elderly aged 60 years and older and related factors in Yongchuan District,Chongqing

作　　者：林璟 吴国辉[1] 贺亚萍 谭天宇 Lin Jing;Wu Guohui;He Yaping;Tan Tianyu(Institute for AIDS/STD Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400707,China)

机构地区：[1]重庆市疾病预防控制中心性病艾滋病预防控制所,重庆400707

出　　处：《中华流行病学杂志》2024年第9期1239-1243,共5页Chinese Journal of Epidemiology

基　　金：重庆市首批公共卫生重点专科(学科)建设项目。

摘　　要：目的分析≥60岁老年人非婚性行为特征及相关因素,为老年人群的艾滋病防控提供参考依据。方法2022年9-12月在重庆市永川区招募居住≥6个月的≥60岁老年人开展横断面调查,采用多阶段抽样方法,样本量为2721人。收集调查对象人口学特征、艾滋病防治知识和性行为等信息,采用logistic回归模型分析调查对象发生非婚性行为的相关因素。采用SPSS 23.0软件进行统计学分析。结果≥60岁老年人调查对象共3000人,有效问卷2974份,男女性别比为1∶1(1488∶1486),年龄(69.3±7.0)岁,艾滋病防治知识知晓率为78.5%(2336/2974)。最近1年发生性行为的比例为26.9%(801/2974),最近1年与配偶发生性行为的比例为20.9%(493/2350),发生非婚性行为的比例为10.8%(322/2974),发生商业性行为比例为10.2%(304/2974),发生非婚非商业性行为的比例为1.2%(36/2974)。多因素logistic回归分析结果显示,≥60岁老年人发生非婚性行为的相关因素包括男性(aOR=89.08,95%CI:36.30~218.60)、70~79岁(aOR=1.93,95%CI:1.44~2.59)和≥80岁(aOR=2.41,95%CI:1.56~3.74)、艾滋病防治知识不知晓(aOR=2.72,95%CI:2.04~3.64)。结论重庆市永川区≥60岁老年人发生非婚性行为的比例较高,应关注老年人群的性需求和性健康,提高其艾滋病防治知识水平,倡导安全性行为,提高其性健康和生活质量。Objective To understand the characteristics of sexual behaviors in the elderly aged≥60 years and provide evidence for AIDS prevention and control in the elderly.Methods 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 2721 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.Results A total of 2974 valid questionnaires were collected from 3000 old persons aged≥60 years,the male to female ratio of the elderly who returned the questionnaires was about 1∶1(1488∶1486).The average age of them was(69.3±7.0)years,and the awareness rate of AIDS related knowledge was 78.5%(2336/2974),26.9%of them(801/2974)had sexual behavior in the past year,20.9%(493/2350)of them had sexual behaviors with their spouses in the past year,and 10.8%(322/2974)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%(304/2974)and 1.2%(36/2974).The results of multivariate logistic regression analysis showed that being man(aOR=89.08,95%CI:36.30-218.60),age 70-79 years(aOR=1.93,95%CI:1.44-2.59)and≥80 years(aOR=2.41,95%CI:1.56-3.74),and unawareness of AIDS related knowledge(aOR=2.72,95%CI:2.04-3.64)were associated with the incidence of non-marital sex.Conclusions 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 treatme

关 键 词：老年人 非婚性行为 艾滋病 

分 类 号：R195[医药卫生—卫生统计学]