北京地区老年男性性生活现状初步调查

Sexual function of aging males in Beijing:A primary investigation

目的:了解北京地区老年男性性生活平均终止年龄及勃起功能障碍(ED)的发生率及影响因素。方法:共入选764例健康体检门诊接受检查60岁以上的男性,调查采用性健康评估资源(SHARE)问卷及国际勃起功能指数5(IIEF-5)和门诊咨询形式,根据患者的自我评价诊断ED。结果:北京地区男性终止性生活(2年以上无性交)年龄为(68.4±5.2)岁,ED的总发生率为89.4%,其中轻度6.7%、中度18.6%、重度28.4%和无性生活率35.7%。在严重ED终止性生活的老年男性中,60～64岁组占26.8%,而70岁以上组则超过50%。统计分析结果显示,年龄、糖尿病、心脑血管疾病、肥胖和下尿路症状(LUTS)是影响ED的重要危险因子。结论:ED是老年人群中的常见病,也是终止性生活的主要原因。年龄和一般身体状态是影响ED的重要因素。

Objective：To assess the mean age of sexual activity termination,the prevalence of erectile dysfunction（ED）,and their related factors in the old male population in Beijing.Methods：We included in this study 764 males aged over 60 years old received in the health examination clinic and investigated the prevalence of ED and the related factors using the sexual health assessment resource（SHARE）and IIEF-5 questionnaires.Results：The average age of sexual activity termination（no sexual intercourse in over 2 years）was 68.4±5.2 years among the subjects.The prevalence of ED was 89.4%,of which the rates of mild,moderate and severe ED and non-sexuality were 6.7,18.6,28.4 and 35.7%,respectively.Those who had no sexual intercourse for over 2 years because of severe ED accounted for 26.8% among the 60-64 years old males and more than 50% in the 70 yr group.The main risk factors for ED-induced sexual activity termination included age,diabetes,cardiovascular and cerebrovascular diseases,obesity,and low urinary tract symptoms（LUTS）.Conclusion：ED is a common problem as well as the main risk factor for sexual activity termination,and age and general health status are significantly associated with the prevalence of ED among aging males.