Objective: To investigate the utilization of sexual health services among community-based older adults in Chongqing and explore its potential correlates. Methods: A cross-sectional survey using multistage sampling among community-based older adults aged ≥50 years was conducted in Chongqing between June 2020 and December 2022. A questionnaire including information on demographic characteristics, general health, sexual health status, and sexual health services utilization was collected. Sexual health and reproductive services utilization was defined as having ever been tested for human immunodeficiency virus (HIV), or having had a male/gynecological reproductive health examination in the past year. Logistic regression was used to examine the correlates of the utilization of sexual health services. Results: A total of 794 community-based older adults participated in the study (482 were male, and 312 were female). The mean age was (62.8±8.2) years. The proportion of HIV testing was 18.0%, and the proportion of reproductive health examination was 10.1% among community-based older adults. The results of multivariate logistic regression analysis showed that the age group of 60-69 years (aOR=0.37, 95%CI: 0.18-0.76), female (aOR=11.34, 95%CI: 5.71-22.52), monthly income ≥5 000 yuan (aOR=3.05, 95%CI: 1.01-9.27), being sexual activity (aOR=4.99, 95%CI: 2.23-11.15) was significantly associated with had a reproductive health examination in the past year. Conclusions: The proportion of sexual health services utilization among older adults was low. Older sexual health education should be further strengthened, the close relationship between older adults should be correctly guided and dealt with, and the sexual health services suitable for the older population should be formulated.
目的： 了解我国重庆市中老年居民性健康服务使用情况，并探讨其潜在相关因素。 方法： 2020年6月至2022年12月，对重庆市≥50岁社区中老年人进行了多阶段抽样横断面调查。问卷调查内容包括社会人口学特征、一般健康特征、性健康特征以及性健康服务使用情况等相关信息。性健康服务使用情况定义为曾进行过HIV检测、最近1年曾进行过男科/妇科生殖健康体检。采用多因素logistic回归模型分析性健康服务使用的相关因素。 结果： 研究对象共794名（男性和女性分别为482名和312名），年龄（62.8±8.2）岁。中老年社区居民HIV检测的比例为18.0%，生殖健康体检的比例为10.1%。多因素logistic回归分析结果显示，60~69岁年龄组（aOR=0.37，95%CI：0.18~0.76）、女性（aOR=11.34，95%CI：5.71~22.52）、月均收入≥5 000元（aOR=3.05，95%CI：1.01~9.27）、性活跃（aOR=4.99，95%CI：2.23~11.15）与最近1年进行生殖健康体检有关。 结论： 中老年人对性健康服务的利用比例较低。应进一步加强我国中老年人性健康教育，正确引导和应对中老年人之间的亲密关系，制定适宜中老龄人群的性健康服务。.