Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal).
Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal).
复制标题
DOI：
10.1016/s0140-6736(13)62035-8
复制
发表时间：
2013-11-30
期刊：
影响因子：
168.9
通讯作者：
Johnson, Anne M.
中科院分区：
文献类型：
--
作者：
Mercer, Catherine H.;Tanton, Clare;Prah, Philip;Erens, Bob;Sonnenberg, Pam;Clifton, Soazig;Macdowall, Wendy;Lewis, Ruth;Field, Nigel;Datta, Jessica;Copas, Andrew J.;Phelps, Andrew;Wellings, Kaye;Johnson, Anne M.
性行为和性关系是幸福的关键组成部分，并受到社会规范，态度和健康的影响。我们目前的数据在英国（英格兰，苏格兰和威尔士）的性行为和态度，从三个全国性的态度和生活方式调查（Natsal）。我们采用了多阶段、聚类和分层概率抽样设计。在每一个1727个抽样的邮政编码部门为Natsal-3，30或36个地址被随机选择，然后分配给采访者。为了对16-34岁的个体进行过抽样，我们将地址随机分配给核心样本（16-74岁的个体符合条件）或提升样本（仅16-34岁的个体符合条件）。调查人员在2010年9月6日至2012年8月31日期间访问了所有抽样地址，并从每个家庭中随机选择了一名合格的个人被邀请参加。参与者在自己家中通过计算机辅助面对面访谈和自我访谈完成调查。我们分析了这项调查的数据，根据2011年人口普查数据，加权考虑了不平等的选择概率和不回答，以纠正性别，年龄组和地区的差异。然后，我们比较了来自Natsal-1（1990-91），Natsal-2（1999-2001）和Natsal-3的16-44岁参与者的数据。完成了对来自26274个合格地址（57.7%）的15162名参与者（6293名男性，8869名女性）的访谈。 82.1%（95%CI 81.0 - 83.1%）的男性和77.7%（76.7 - 78.7%）的女性报告在过去一年中至少有一名异性性伴侣。这一比例一般随着年龄的增长而下降，与异性伴侣的性行为范围也是如此，特别是在妇女中。与Natsal-1相比，Natsal-2中报告的16-44岁个体的性活动和多样性增加在Natsal-3中普遍持续，但在男性中一般没有进一步增加。然而，在女性中，一生中男性性伴侣的数量（年龄校正比值比1.18，95% CI 1.08 - 1.28），报告曾与另一名女性生殖器接触的性经历的比例（1.69，1.43 - 2.00），在过去5年中报告至少有一名女性性伴侣的比例（2.00，1.59 - 2.51）在Natsal-3比Natsal-2增加。虽然在过去的4周内异性性交的次数报告自Natsal-2以来有所减少，但随着时间的推移，我们记录了异性恋剧目的扩展，特别是在口交和肛交方面。在纳萨尔-3，接受同性伴侣关系和不容忍婚姻中的非排他性在男性和女性中有所增加。在过去的60年里，英国的性生活方式发生了巨大的变化，女性的行为变化似乎比男性更大。性活动持续到晚年，尽管范围和频率有所减少，但强调了在整个生命过程中需要关注性健康和性幸福。由英国医学研究理事会和威康信托基金提供赠款，并得到经济和社会研究理事会和卫生部的支持。
Sexual behaviour and relationships are key components of wellbeing and are affected by social norms, attitudes, and health. We present data on sexual behaviours and attitudes in Britain (England, Scotland, and Wales) from the three National Surveys of Sexual Attitudes and Lifestyles (Natsal). We used a multistage, clustered, and stratified probability sample design. Within each of the 1727 sampled postcode sectors for Natsal-3, 30 or 36 addresses were randomly selected and then assigned to interviewers. To oversample individuals aged 16–34 years, we randomly allocated addresses to either the core sample (in which individuals aged 16–74 years were eligible) or the boost sample (in which only individuals aged 16–34 years were eligible). Interviewers visited all sampled addresses between Sept 6, 2010, and Aug 31, 2012, and randomly selected one eligible individual from each household to be invited to participate. Participants completed the survey in their own homes through computer-assisted face-to-face interviews and self-interview. We analysed data from this survey, weighted to account for unequal selection probabilities and non-response to correct for differences in sex, age group, and region according to 2011 Census figures. We then compared data from participants aged 16–44 years from Natsal-1 (1990–91), Natsal-2 (1999–2001), and Natsal-3. Interviews were completed with 15 162 participants (6293 men, 8869 women) from 26 274 eligible addresses (57·7%). 82·1% (95% CI 81·0–83·1%) of men and 77·7% (76·7–78·7%) of women reported at least one sexual partner of the opposite sex in the past year. The proportion generally decreased with age, as did the range of sexual practices with partners of the opposite sex, especially in women. The increased sexual activity and diversity reported in Natsal-2 in individuals aged 16–44 years when compared with Natsal-1 has generally been sustained in Natsal-3, but in men has generally not risen further. However, in women, the number of male sexual partners over the lifetime (age-adjusted odds ratio 1·18, 95% CI 1·08–1·28), proportion reporting ever having had a sexual experience with genital contact with another woman (1·69, 1·43–2·00), and proportion reporting at least one female sexual partner in the past 5 years (2·00, 1·59–2·51) increased in Natsal-3 compared with Natsal-2. While reported number of occasions of heterosexual intercourse in the past 4 weeks had reduced since Natsal-2, we recorded an expansion of heterosexual repertoires—particularly in oral and anal sex—over time. Acceptance of same-sex partnerships and intolerance of non-exclusivity in marriage increased in men and women in Natsal-3. Sexual lifestyles in Britain have changed substantially in the past 60 years, with changes in behaviour seeming greater in women than men. The continuation of sexual activity into later life—albeit reduced in range and frequency—emphasises that attention to sexual health and wellbeing is needed throughout the life course. Grants from the UK Medical Research Council and the Wellcome Trust, with support from the Economic and Social Research Council and the Department of Health.