昆明市西山区50岁及以上男性性行为及其影响因素

Study on the sexual behaviors and its influencing factors among men aged 50 and above in Xishan District, Kunming

目的了解≥50岁男性性行为发生情况及其影响因素。方法采用方便抽样方法,在西山区3个公园内选取360名研究对象进行问卷调查,收集人口学特征、近6个月性行为等信息,并对非婚性行为发生情况及其影响因素进行分析。结果研究对象年龄为(63.70±3.86)岁,小学及以下文化程度,独居、生活费以退休工资为主。近6个月非婚性行为发生率为18.29%(64/350),其中商业性行为发生率为12.90%(45/350)。每次坚持使用安全套比例为0.86%(3/350)。Logistic回归分析模型分析结果表明,离异/丧偶(OR=25.00,P<0.001)、独居(OR=16.70,P<0.001)是研究对象近6个月内发生非婚性行为的危险因素。结论≥50岁男性非婚性行为较普遍、安全套使用率低,应以提高其健康防范和自我保护意识,减少不安全性行为为干预工作重点。

Objective To explore sexual behavior and its influencing factors among men aged 50 years and above in Xishan district of Kunming City. Methods 360 men aged 50 and above were recruited to participate in a face to face questionnaire survey to collect information, including socio-demographics and sexual behaviors in the past 6 months. Chi-square test and Logistic regression methods were used to analyze the occurrence of unmarried sexual behavior and its influencing factors. Results The average age of participate was(63.70±3.86) years old. The majority of participants had a degree of primary school or below. Most them were living by themselves, and their income was mainly pension. 18.29%(64/350) participants had unmarried sexual behaviors in the past 6 months and 12.90%(45/350) participants had commercial sexual behaviors. 0.86%(3/350)participants used condoms each time. Results of logistic regression models indicated that divorced/widowed(OR=25.00, P<0.001) and living alone(OR=25.00, P<0.001) were associated with unmarried sexual behaviors. Conclusions Unmarried sexual behaviors and low condom use rate were common among men aged 50 years and above. The intervention strategies focus on increasing their health awareness and reducing their risk sexual behaviors.