Sexually Transmitted Infections and Older Adults
Sexually Transmitted Infections and Older Adults
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DOI：
10.3928/00989134-20130918-01
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发表时间：
2013-11-01
影响因子：
1.3
通讯作者：
Johnson, Beverly K.
中科院分区：
文献类型：
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作者：
Johnson, Beverly K.
老年人在晚年仍然性活跃。一系列性传播感染（STI），如衣原体，淋病，梅毒和艾滋病毒已在老年人中报告。老年人群中性传播感染的风险因素包括（a）与衰老相关的正常性变化（例如，获得勃起的时间增加，阴道润滑减少，性激素减少）;（B）社会心理变化（例如，失去伴侣或配偶以及重新进入约会场所）;以及（c）危险的性行为，包括不使用或很少使用避孕套。根据疾病控制和预防中心和美国预防服务工作组的指导方针，无论年龄大小，都应对成年人进行性传播感染筛查。正如本文所讨论的，护士可以使用评估指南，并参与干预措施，如咨询和教育老年人，以减少性传播感染的风险或转诊治疗。许多在线资源都存在护士和老年人增加性病的知识
Older adults continue to be sexually active in their later years. A range of sexually transmitted infections (STIs) such as chlamydia, gonorrhea, syphilis, and HIV have been reported among older adults. Risk factors for STIs in older populations include (a) normal sexual changes associated with aging (e.g., increased time to attain an erection, decreased vaginal lubrication, decreases in sexual hormones); (b) psychosocial changes (e.g., loss of partner or spouse and re-entering the dating scene); and (c) risky sexual behaviors, including no or infrequent use of condoms. Screening of adults for STIs should occur regardless of age based on guidelines such as those from the Centers for Disease Control and Prevention and the U.S. Preventive Services Task Force. As discussed in this article, nurses can use assessment guides and engage in interventions such as counseling and education with older adults to reduce STI risk or refer for treatment. Numerous online resources exist for both nurses and older adults to increase knowledge of STIs