Sexual dilemma among elderly men living with HIV/AIDS: a cross-sectional survey of the sexual needs and behaviours among HIV-positive men aged ≥50 years

作者全名："Li, Shan; Tan, Tianyu; Xiang, Dongwu; Bai, Chongyang; Zhou, Li; Wu, Guohui"

作者地址："[Li, Shan; Zhou, Li] Chongqing Med Univ, Sch Publ Hlth, Dept Epidemiol, Chongqing, Peoples R China; [Tan, Tianyu; Bai, Chongyang; Wu, Guohui] Chongqing Ctr Dis Control & Prevent, Chongqing 400042, Peoples R China; [Xiang, Dongwu] Chongqing Assoc STD & AIDS Prevent & Control, Chongqing 400042, Peoples R China; [Zhou, Li] Chongqing Med Univ, Sch Publ Hlth, Dept Epidemiol, YiXueYuan Rd, Chongqing, Peoples R China"

通信作者："Wu, GH (通讯作者)，Chongqing Ctr Dis Control & Prevent, Chongqing 400042, Peoples R China.; Zhou, L (通讯作者)，Chongqing Med Univ, Sch Publ Hlth, Dept Epidemiol, YiXueYuan Rd, Chongqing, Peoples R China."

来源：PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001083759000001

JCR分区：Q1

影响因子：3.9

年份：2023

卷号：224

期号：　

开始页：113

结束页：117

文献类型：Article

关键词：Elderly men; HIV/AIDS; Sexual needs; Sexual behaviours

摘要："Objectives: This study aimed to explore the factors associated with the sexual needs and behaviours among elderly men living with HIV/AIDS in Chongqing, China.Study design: 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.(c) 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved."

基金机构：Chongqing Natural Science Foundation Project [cstc2021jcyj-msxmX1171]; first batch of key disciplines on public health in Chongqing [YWBF2022072]; Chongqing medical scientific research project [2023MSXM113]

基金资助正文："This research was funded by the Chongqing Natural Science Foundation Project (cstc2021jcyj-msxmX1171), the first batch of key disciplines on public health in Chongqing (YWBF2022072) and the Chongqing medical scientific research project (2023MSXM113)."