Sexually active status and its correlates among community-based older adults in Tianjin
10.3760/cma.j.cn112338-20230519-00316
- VernacularTitle:天津市中老年社区居民性活跃现状及相关因素分析
- Author:
Bingyi WANG
1
;
Xinyi LI
;
Xin PENG
;
Leiwen FU
;
Tian TIAN
;
Yong LU
;
Peng XU
;
Maohe YU
;
Huachun ZOU
Author Information
1. 中山大学公共卫生学院(深圳),深圳 518107
- Keywords:
Community-based older adults;
Sexually active status;
Sexual health
- From:
Chinese Journal of Epidemiology
2023;44(12):1874-1879
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the sexually active status among community-based older adults aged ≥50 years in Tianjin, China, and to explore the potential correlates.Methods:A cross-sectional survey using multistage sampling among community-based older adults aged ≥50 was conducted between June 2020 and December 2022. The estimated sample size was 735. The survey collected questionnaire information through face-to-face interviews with investigators, including sociodemographic, health, and sexual lifestyle characteristics. The multivariable logistic regression model was used to assess correlates of sexually active status.Results:A total of 776 study participants (510 males and 266 females) were included, whose major age distribution was 50-59 years (45.9%). The overall sexual activity prevalence of the participants was 45.6%. Older age (60-69: a OR=0.67, 95% CI: 0.45-0.99; ≥70: a OR=0.12, 95% CI: 0.07-0.21), being male (a OR=1.93, 95% CI: 1.32-2.82), living in urban area (a OR=0.18, 95% CI: 0.12-0.28), living with spouse/married (a OR=2.80, 95% CI: 1.41-5.58), living alone (a OR=0.51, 95% CI: 0.27-0.96), having difficulty climbing stairs or walking (a OR=0.55, 95% CI: 0.31-0.97), having chronic diseases (one chronic disease: a OR=0.55, 95% CI: 0.36-0.85; two or more chronic diseases: a OR=0.53, 95% CI: 0.33-0.84) were associated with sexually active status among older adults. Conclusions:Many community-based older adults remained sexually active. There was an association between physical health and sexually active status among community-based older adults. Incorporating sexual health services into healthcare services for community-based older adults could be advocated, with a concurrent emphasis on enhancing the awareness and competence of providing sexual health services among community-based healthcare workers.