中老年人性生活状况及对心理健康的影响研究

A survey of sexual behavior status of middle-aged and old people and its influence on mental health

目的分析中老年人性生活状况及性行为对心理健康的影响,为促进中老年人健康性行为和心理状态提供科学依据。方法选取2017年6月至2019年6月金华市第二医院附近社区的367名中老年人进行抽样调查。采用调查问卷对其进行性生活、抑郁、焦虑状况进行分析。结果本研究共纳入367名40~70岁中老年人,其中男性156名(42.5%),女性211名(57.5%)。性别间每月性生活频度、每次性交时间、性满意度、配偶高潮频数差异不显著(P>0.05),而男性性生活质量总分、性欲得分、配偶性满意度、高潮频数均显著高于女性(P<0.05)。有51名(13.9%)中老年伴有焦虑,其每月性生活频度、每次性交时间、性生活质量总分、性欲得分、性满意度、配偶性满意度、配偶高潮频数均显著低于无焦虑者。有46名(12.5%)中老年人伴有抑郁,其每月性生活频度、每次性交时间、性生活质量总分、性满意度、配偶高潮频数均显著低于无抑郁者(P<0.05)。结论中老年人焦虑和抑郁的发生与性生活频次低、持续时间短、性生活质量低相关,应关注中老年人性生活状况,通过科普宣教等方式,促进中老年人健康性行为,减少不良心理问题的发生。

Objective To analyze the influence of sexual life and sexual behavior on mental health of middle-aged and old people,and to provide scientific basis for promoting healthy sexual behavior and mental state of middle-aged and old people.Methods From June 2017 to June 2019,a sample survey was conducted among 367 middle-aged and elderly people in communities near the Second Hospital of Jinhua.Questionnaires were used to analyze their sexual life,depression and anxiety.Results 367 middle-aged and elderly people aged 40 to 70 years were included in this study,including 156 males(42.5%)and 211 females(57.5%).There were no significant differences in the average monthly sexual frequency,time of sexual intercourse,sexual satisfaction and orgasm frequency of spouses between the sexes(P>0.05),but the total score of sexual quality,sexual desire score,sexual satisfaction of spouses and orgasm frequency of males were significantly higher than those of females(P<0.05).51(13.9%)middle-aged and elderly patients with anxiety were significantly lower than those without anxiety in terms of sexual frequency,time of sexual intercourse,total score of sexual quality,sexual desire score,sexual satisfaction,sexual satisfaction and orgasm frequency of spouse.There were 46(12.5%)middle-aged and elderly patients with depression,and their monthly sexual frequency,sexual intercourse time,total score of sexual quality,sexual satisfaction and orgasm frequency of spouse were significantly lower than those without depression symptoms(P<0.05).Conclusions The occurrence of anxiety and depression in middle-aged and elderly people is related to low sexual frequency,short duration and low sexual quality.We should pay attention to the sexual life of middle-aged and elderly people,promote healthy sexual behaviors and reduce the occurrence of adverse psychological problems by means of science popularization and education.