■性活动对老年人的整体健康很重要。然而,对老年人的性生活研究不足。我们旨在调查中国老年人的性活动和性满意度的患病率和相关性。
■在这项多中心横断面研究中,在2020年6月至2022年12月期间,从中国四个地区招募了50岁及以上的个体。完成了由调查员管理的问卷,以收集有关社会人口统计的信息,健康状况(一般健康和特定健康),和性健康特征。性活动(包括阴道,口服,或肛交)在过去的一年中被视为性活跃。使用经过验证的五点李克特量表测量性满意度。Logistic回归用于评估性活动和性满意度的相关性。
■3001名老年人(1182名女性和1819名男性,平均年龄60.3±7.8岁)。大多数参与者生活在城市地区(1688人,56.2%),处于稳定关系(2531,84.3%),生活满意度(2141,71.3%)。46.8%的男性和40.7%的女性性生活活跃。自我报告的总体健康状况更好(良好:aOR0.53,95%CI0.34-0.82;公平:0.47,0.29-0.76;坏或非常坏:0.58,0.35-0.96;与非常好相比),在楼上行走没有困难(0.63,0.41-0.97),糖尿病(0.64,0.42-0.98),和更年期(0.57,0.36-0.92),与女性的性活动有关。在男性中没有发现这种联系。在性活跃的参与者中,约四分之三(男性:73.6%,女性:73.4%)性满足。自我报告的一般健康状况(男性[良好:0.25,0.12-0.53;一般:0.17,0.08-0.37;坏或非常坏:0.15,0.06-0.34];女性[良好:0.27,0.10-0.70;一般:0.11,0.04-0.30;坏或非常坏:0.11,0.04-0.32]),生活满意度(男性:1.73,1.22-2.46;女性:2.23,1.34-3.71)和与伴侣谈论性偏好(男性:1.77,1.23-2.56;女性:2.93,1.69-5.09)与性满意度相关。
■健康状态较好并且与伴侣轻松谈论性生活的老年人更有可能报告性满意度。对女人来说,更好的自我报告的一般健康状况和缺乏残疾与性活动相关.进一步的研究应该解决提高性满意度的措施,特别是在性活跃的老年人中。
本研究得到了中国自然科学基金会国际/区域研究合作项目[72061137001]和经济和社会研究理事会[ES/T014547/1]的支持。
UNASSIGNED: Sexual activity is important to the holistic health of older adults. However, the sexual lives of older adults are understudied. We aimed to investigate the prevalence and correlates of sexual activity and sexual satisfaction among older adults in
China.
UNASSIGNED: In this multi-centre cross-sectional study, individuals aged 50 years and older were recruited from four regions in
China between June 2020 and December 2022. An investigator-administered questionnaire was completed to collect information on socio-demographics, health status (general health and specific health), and sexual health characteristics. Sexual activity (including vaginal, oral, or anal sex) in the past year was treated as sexually active. Sexual satisfaction was measured using a validated five-point Likert scale. Logistic regression was used to assess correlates of sexual activity and sexual satisfaction.
UNASSIGNED: 3001 older adults (1182 women and 1819 men, mean age 60.3 ± 7.8 years) were recruited. Most participants were living in urban areas (1688, 56.2%), in a stable relationship (2531, 84.3%), and satisfied with life (2141, 71.3%). 46.8% of men and 40.7% of women were sexually active. Better self-reported general health status (good: aOR 0.53, 95% CI 0.34-0.82; fair: 0.47, 0.29-0.76; bad or very bad: 0.58, 0.35-0.96; versus very good), no difficulty walking upstairs (0.63, 0.41-0.97), diabetes (0.64, 0.42-0.98), and menopause (0.57, 0.36-0.92), were associated with sexual activity among women. Such an association was not found among men. Among sexually active participants, about three-quarters (men: 73.6%, women: 73.4%) were sexually satisfied. Self-reported general health status (men [good: 0.25, 0.12-0.53; fair: 0.17, 0.08-0.37; bad or very bad: 0.15, 0.06-0.34]; women [good: 0.27, 0.10-0.70; fair: 0.11, 0.04-0.30; bad or very bad: 0.11, 0.04-0.32]), life satisfaction (men: 1.73, 1.22-2.46; women: 2.23, 1.34-3.71) and talking about sexual preferences with a partner (men: 1.77, 1.23-2.56; women: 2.93, 1.69-5.09) were associated with sexual satisfaction.
UNASSIGNED: Older adults who had better health status and talked easily with their partners about their sex life were more likely to report sexual satisfaction. For women, better self-reported general health status and lack of disability were associated with sexual activity. Further research should address measures that improve sexual satisfaction, especially among sexually active older adults.
UNASSIGNED: This study was supported by the Natural Science Foundation of
China International/Regional Research Collaboration Project [72061137001] and the Economic and Social Research Council [ES/T014547/1].