Sexual well-being among older adults in China (SWELL): protocol for a multicenter cross-sectional study.

Sexual well-being among older adults in China (SWELL): protocol for a multicenter cross-sectional study.
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DOI:
10.1136/bmjopen-2022-067338
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发表时间:
2023-01-30
期刊:
影响因子:
2.9
通讯作者:
--
中科院分区:
医学3区
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--
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现有的性健康研究普遍关注年轻人群,而对老年人的性健康关注不够。该方案描述了一项关于中国老年人性健康及其相关性的研究的设计。我们提出了一项多中心观察性研究方案,旨在调查中国老年人的性健康状况(SWELL)。符合资格的参与者是来自中国东、西、南、北地区的50岁及以上的男性和女性,包括居住在社区的老年人和艾滋病病毒感染者的老年人。 SWELL 研究采用多阶段抽样方法。我们将收集有关性健康的调查问卷(性知识、性态度、性行为、性传播感染等)。血液样本将检测性激素(女性雌二醇,男性睾酮)、生化项目(如胆固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白、尿素、肌酐和尿酸)和梅毒(通过甲苯胺红不加热血清试验和梅毒螺旋体颗粒凝集试验测定)。初步分析将阐明中国老年人性健康的现状及其相关因素。二次分析将比较中国四个地区老年人的性健康状况。 SWELL 研究将招募大约 3540 名老年人。本研究经中山大学公共卫生学院(深圳)人类研究伦理委员会批准(批准文号SYSU-PHS[2019]006)。在进行任何研究程序之前,将获得所有参与者的口头知情同意。数据将被匿名化,并且不会通过任何数据、记录或出版物来识别参与者的身份。 SWELL 研究的结果将通过同行评审的科学期刊以及国内和国际会议广泛传播。
Existing studies on sexual health generally focus on younger populations, while the sexual well-being of older adults has received insufficient attention. This protocol describes the design of a study on sexual well-being and its correlates among older adults in China. We present the protocol for a multicentre observational study to investigate sexual well-being among Chinese older adults (SWELL). Eligible participants are men and women aged 50 years and older from East, West, South and North China, including older adults living in the community and older adults living with HIV. A multistage sampling approach is used in the SWELL Study. We will collect a questionnaire about sexual health (sexual knowledge, sexual attitude, sexual behaviours, sexually transmitted infections, etc). Blood specimens will be tested for sex hormones (estradiol for women, testosterone for men), biochemical items (eg, cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, urea, creatinine and uric acid) and syphilis (determined by toluidine red unheated serum test and Treponema pallidum particle agglutination test). The primary analysis will elucidate the current status of sexual health among older adults in China and its correlates. Secondary analyses will compare sexual well-being among older adults in four regions across China. Approximately 3540 older adults will be recruited into the SWELL Study. This study was approved by the Human Research Ethics Committee of the School of Public Health (Shenzhen), Sun Yat-sen University (approval number SYSU-PHS[2019]006). Verbal informed consent will be obtained from all participants before any study procedure. Data will be anonymised, and participants will not be identified through any data, transcripts or publications. Findings from the SWELL Study will be disseminated widely through peer-reviewed scientific journals and at national and international conferences.
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