目的:本研究旨在探讨重庆市老年男性HIV/AIDS患者的性需求和行为影响因素。中国。
方法:本研究采用横断面设计。
方法:数据是在2021年7月至12月通过便利抽样使用结构化问卷通过面对面访谈收集的。进行卡方检验和逻辑回归以确定与性需求和行为相关的因素。
结果:总计,63.70%的参与者(493/774)报告有性需求。50-59岁(比值比[OR]=7.257,95%置信区间[CI]:4.620,11.401)和已婚或同居者(OR=1.595,95%CI:1.133,2.246)报告性需求高。在那些有性需求的人中,69.17%(341/493)报告在过去一年中发生过性行为。总的来说,11.37%(40/341)和9.68%(33/341)报告有商业性行为和随意性行为,分别。60-69岁的参与者(OR=2.175,95%CI:1.128,4.193),已婚或同居者(OR=3.371,95%CI:2.192,5.184)和受雇者(OR=2.301,95%CI:1.339,3.954)从事性行为的几率更高,而了解艾滋病相关知识的参与者(OR=0.504,95%CI:0.307,0.829)和接受抗逆转录病毒治疗(ART)≥1年(ART1-2年:OR=0.374,95%CI:0.176,0.795;ART≥3年:OR=0.429,95%CI:0.218,0.846)参与性行为的可能性较低。
结论:重庆市老年男性HIV/AIDS患者的性需求和行为,中国,保持在高水平。感染艾滋病毒/艾滋病的老年男子的性需求和行为之间存在差异。有必要不断传播性健康教育和推广避孕套的使用。
OBJECTIVE: This study aimed to explore the factors associated with the sexual needs and behaviours among elderly men living with HIV/AIDS in Chongqing, China.
METHODS: The study used a cross-sectional design.
METHODS: Data were collected through face-to-face interviews using a structured questionnaire by convenience sampling from July to December 2021. The chi-squared test and logistic regression were conducted to identify factors associated with sexual needs and behaviours.
RESULTS: In total, 63.70% of participants (493/774) reported having sexual needs. Individuals aged 50-59 years (odds ratio [OR] = 7.257, 95% confidence interval [CI]: 4.620, 11.401) and those who were married or cohabiting (OR = 1.595, 95% CI: 1.133, 2.246) reported high sexual needs. Among those with sexual needs, 69.17% (341/493) reported having sex in the past year. In total, 11.37% (40/341) and 9.68% (33/341) reported having commercial and casual sex, respectively. Participants aged 60-69 years (OR = 2.175, 95% CI: 1.128, 4.193), those who were married or cohabiting (OR = 3.371, 95% CI: 2.192, 5.184) and individuals who were employed (OR = 2.301, 95% CI: 1.339, 3.954) had higher odds of engaging in sexual behaviour, while participants with an awareness of AIDS-related knowledge (OR = 0.504, 95% CI: 0.307, 0.829) and those who had ≥1 year of antiretroviral therapy (ART) (ART 1-2 years: OR = 0.374, 95% CI: 0.176, 0.795; ART ≥3 years: OR = 0.429, 95% CI: 0.218, 0.846) had a lower likelihood of engaging in sexual behaviour.
CONCLUSIONS: The sexual needs and behaviours of elderly men living with HIV/AIDS in Chongqing, China, remain at a high level. There was a discrepancy between sexual needs and behaviours among elderly men living with HIV/AIDS. Continuous dissemination of sexual health education and the promotion of condom use are necessary.