中国老年艾滋病毒感染者性健康和生殖健康服务利用的相关因素：来自性健康（SWELL）研究的结果

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-04-28 DOI:10.1016/j.puhe.2025.105729

Xin Peng , Xinyi Li , Bingyi Wang , Ying Wang , Peng Xu , Yong Lu , Bingyu Liang , Lin Ouyang , Guohui Wu , Maohe Yu , Jiewei Liu , Xiaopei Shen , Xiaojun Meng , Siyang Liu , Yong Cai , Huachun Zou

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引用次数: 0

摘要

目的性与生殖健康（SRH）对个人整体健康至关重要，本研究旨在探讨中国老年HIV感染者（PLHIV）的性与生殖健康服务利用情况及其相关性。研究设计横断面研究。方法采用横断面研究方法，收集中国HIV/AIDS治疗医院50岁及以上老年HIV患者的数据。性健康和生殖健康服务包括生殖健康检查、性传播感染检测、性生活咨询和宫颈癌筛查。采用多变量logistic回归模型分析SRH服务利用的相关因素（四个二分类结果变量）。结果共纳入老年PLHIV患者680例，其中男性500例，女性180例。平均年龄60.3±7.8岁。18.2%的参与者接受了生殖健康检查，9.0%接受了性传播感染检测，36.1%寻求过性生活咨询，36.1%的女性接受过宫颈癌筛查。女性（aOR = 3.26, 95% CI: 1.89-5.60）、高学历（2.15,1.11-4.15）、高收入（2.08,1.24-3.50）和身体健康状况（2.11,1.14-3.90）接受生殖健康检查的可能性更大。有工作（2.05,1.05-3.97）、身体健康状况（2.91,1.39-6.00）、同性恋（2.17,1.06-4.47）或有性欲（2.14,1.01-4.66）的个体更易接受性传播感染检测。居住在城市（4.33,1.89-9.92）、受过高等教育（3.71,1.20-11.45）、抑郁（4.13,1.82-9.37）、双性恋取向（2.80,1.23-6.36）和性满意度（2.64,1.37）的个体更易接受性传播感染检测。1.22-5.72)与寻求性生活咨询呈正相关。高学历人群（5.79,2.00-16.70）、高收入人群（3.98,1.24-12.76）、身体健康状况人群（13.91,2.89-66.92）接受宫颈癌筛查的可能性更高。结论改进针对老年艾滋病毒感染者的性健康生殖健康信息和服务有助于提高老年艾滋病毒感染者性健康生殖健康服务的使用率。

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Correlates of the sexual and reproductive health service utilization among older people living with HIV in China: Findings from the sexual well-being (SWELL) Study

Objectives

Sexual and reproductive health (SRH) is vital to personal overall well-being, this study aims to explore the SRH service utilization and its correlates among older people living with HIV (PLHIV) in China.

Study design

Cross-sectional study.

Methods

We conducted a cross-sectional study to collect data from older PLHIV aged 50 and above in HIV/AIDS treatment hospitals in China. SRH services included reproductive health examination, STI testing, sexual life counseling, and cervical cancer screening. Multivariable logistic regression models were used to analyze the correlates of SRH service utilization (four dichotomous outcome variables).

Results

680 older PLHIV (500 males and 180 females) were enrolled. The mean age was 60.3 ± 7.8 years. 18.2 % of participants received a reproductive health examination, 9.0 % received STI testing, 36.1 % sought sexual life counseling, and 36.1 % of females had screened for cervical cancer. Females (aOR = 3.26, 95 %CI: 1.89–5.60), those with higher education (2.15, 1.11–4.15), higher income (2.08, 1.24–3.50), and a physical health condition (2.11, 1.14–3.90) were more likely to have received a reproductive health examination. Individuals who were employed (2.05, 1.05–3.97), had a physical health condition (2.91, 1.39–6.00), identified as homosexual (2.17, 1.06–4.47), or reported sexual desire (2.14, 1.01–4.66) were more likely to have received STI testing Living in urban areas (4.33,1.89–9.92), higher education (3.71, 1.20–11.45), depression (4.13, 1.82–9.37), bisexual orientation (2.80, 1.23–6.36), and sexual satisfaction (2.64, 1.22–5.72) were positively significantly associated with seeking sexual life counseling. Those with higher education (5.79, 2.00–16.70), higher income (3.98, 1.24–12.76), and a physical health condition (13.91, 2.89–66.92) were more likely to have screened for cervical cancer.

Conclusion

Improving the SRH messages and services tailored for older PLHIV may be conducive to improving their utilization of SRH services.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.