Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing
Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing
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DOI：
10.1136/bmj.c810
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发表时间：
2010-03-09
影响因子：
105.7
通讯作者：
Gavrilova, Natalia
中科院分区：
文献类型：
--
作者：
Lindau, Stacy Tessler;Gavrilova, Natalia
目的 研究健康与性的几个维度之间的关系，并估计中老年人中不同性别和健康群体的性活跃生活年数。设计横断面研究。设置代表美国人口的两个样本：MIDUS（美国中年发展全国调查，1995-6）和 NSHAP（全国社会生活、健康和老龄化项目，2005-6）。参与者 3032 名 25 至 74 岁的成年人来自中年队列 (MIDUS) 的 1561 名女性、1471 名男性和来自晚年队列 (NSHAP) 的 3005 名 57 至 85 岁成年人（1550 名女性、1455 名男性）。主要结果指标是性活动、性生活质量、对性的兴趣以及性活跃寿命的平均剩余年数，称为性活跃预期寿命。结果总体而言，报告称，男性比女性更有可能进行性活跃良好的性生活质量，并对性感兴趣。这些性别差异随着年龄的增长而增加，在 75 岁至 85 岁群体中最为显着：性活跃的男性为 38.9%，女性为 16.8%；性活跃者的性生活质量良好，性活跃者的比例分别为 70.8% 和 50.9%；对性感兴趣的比例分别为 41.2% 和 11.4%。与健康状况不佳或一般的同龄人相比，健康状况良好或良好的男性和女性更有可能性活跃：年龄调整优势比 2.2 (P
Objectives To examine the relation between health and several dimensions of sexuality and to estimate years of sexually active life across sex and health groups in middle aged and older adults.Design Cross sectional study.Setting Two samples representative of the US population: MIDUS (the national survey of midlife development in the United States, 1995-6) and NSHAP (the national social life, health and ageing project, 2005-6).Participants 3032 adults aged 25 to 74 (1561 women, 1471 men) from the midlife cohort (MIDUS) and 3005 adults aged 57 to 85 (1550 women, 1455 men) from the later life cohort (NSHAP).Main outcome measures Sexual activity, quality of sexual life, interest in sex, and average remaining years of sexually active life, referred to as sexually active life expectancy.Results Overall, men were more likely than women to be sexually active, report a good quality sex life, and be interested in sex. These gender differences increased with age and were greatest among the 75 to 85 year old group: 38.9% of men compared with 16.8% of women were sexually active, 70.8% versus 50.9% of those who were sexually active had a good quality sex life, and 41.2% versus 11.4% were interested in sex. Men and women reporting very good or excellent health were more likely to be sexually active compared with their peers in poor or fair health: age adjusted odds ratio 2.2 (P