Sexual health among older adults in China and the United Kingdom: A multi-disciplinary study

中国和英国老年人的性健康：一项多学科研究

• 批准号: ES/T014547/1
• 负责人: Joseph Tucker
• 金额: $ 102.61万
• 依托单位: London School of Hygiene & Tropical Medicine
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FT014547%2F1
• 关键词: Sexual; health; among; older; adults

People who lived beyond the age of fifty years were uncommon in the mid-1800s. Remarkable advances in medicine have created substantial demographic changes, resulting in larger numbers of older adults, defined in this application as 50 years and older. This greying of the world's population has important implications for sexual health. An increasing number of older population sustain vibrant sexual lives and intimate relationships for a long period, needing support and medical advice on optimizing their sexual health. At the same time, a range of related frailties and disabilities alongside power imbalances may increase the risk of unprotected sex and HIV/sexually transmitted infections among some older adults. Sexual health is an increasingly important topic among elderly individuals across the world, but our conventional disciplinary approaches shy away from the topic. Much of the sexual health research has focused on youth, ignoring the tremendous demographic changes underway and incorrectly assuming that "age is a condom." Our UK-China joint team has a rich experience in behavioural science, sociology, anthropology, medicine, and public health. The common greying of the population in the UK and China demands innovative solutions to identify needs and barriers relevant to sexual health and gaps in sexual health services and ensure that they are inclusive, empowering, and reliable. Leveraging our multi-disciplinary team, we propose the following specific aims:Aim 1: Using an epidemiological study to understand sexual health and wellbeing among older adults in China, in comparison to existing data from National Survey of Sexual Attitudes and Lifestyles (NATSAL 3) in the UK. Aim 2: Determine preferences for sexual health services among diverse older adults, using discrete choice experiments (DCEs). Aim 3: Identify high-quality messages to promote uptake of inclusive sexual health services among older adults in China and the UK through two parallel crowdsourcing contests.Aim 4: Create policy recommendations about how to make sexual health services more adaptive to older adults' needs and preferences in diverse settings.DCEs are a survey-based method that quantifies participants' preferences for health care delivery, evaluating which attributes are most important to participants by observing how participants trade-off between various attributes. A crowdsourcing contest allows a group to solve a problem and then shares solutions with the wider public. Crowdsourcing interventions have successfully engaged marginalized groups in HIV testing program development, improved HIV test and condom use.

在19世纪中期，活过50岁的人并不多见。医学的显著进步造成了人口结构的重大变化，导致老年人的数量增加，在本申请中定义为50岁及以上。世界人口的老龄化对性健康有着重要的影响。越来越多的老年人口长期维持活跃的性生活和亲密关系，需要在优化性健康方面得到支持和医疗建议。与此同时，一系列相关的脆弱和残疾以及权力不平衡可能会增加一些老年人无保护的性行为和艾滋病毒/性传播感染的风险。性健康在世界各地的老年人中是一个越来越重要的话题，但我们传统的学科方法回避了这个话题。许多性健康研究都集中在年轻人身上，忽视了正在发生的巨大人口变化，错误地认为“年龄就是安全套”。我们的中英联合团队在行为科学、社会学、人类学、医学和公共卫生领域拥有丰富的经验。英国和中国的人口普遍老龄化，需要创新的解决方案，以确定与性健康相关的需求和障碍，以及性健康服务方面的差距，并确保这些服务具有包容性、赋权性和可靠性。利用我们的多学科团队，我们提出以下具体目标：目标1：利用流行病学研究来了解中国老年人的性健康和幸福感，并与英国国家性态度和生活方式调查（NATSAL 3）的现有数据进行比较。目的2：使用离散选择实验（DCEs）确定不同老年人对性健康服务的偏好。目标3：通过两个平行的众包竞赛，确定高质量的信息，以促进中国和英国老年人接受包容性性健康服务。目标4：就如何使性健康服务更适应不同环境下老年人的需求和偏好提出政策建议。dce是一种基于调查的方法，量化参与者对医疗保健服务的偏好，通过观察参与者如何在各种属性之间进行权衡，评估哪些属性对参与者最重要。众包竞赛允许一组人解决一个问题，然后与更广泛的公众分享解决方案。众包干预措施成功地使边缘化群体参与艾滋病毒检测项目的制定，改进了艾滋病毒检测和避孕套的使用。

项目成果

Sexual Behaviours and Sexual Health Among Middle-Aged and Older Adults in Britain: A Latent Class Analysis of The Natsal-3

英国中老年人的性行为和性健康：Natsal-3 的潜在类别分析

• DOI: 10.1101/2021.11.11.21265960
• 发表时间: 2021
• 作者: Khan J

Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods.

• DOI: 10.1136/bmjopen-2022-066783
• 发表时间: 2023-05-08
• 期刊: BMJ OPEN
• 影响因子: 2.9
• 作者: Kpokiri, Eneyi;Pan, Stephen W.;Ong, Jason J.;Greaves, Emily;Khan, Junead;Bowen, Sophie;Jannaway, Tracey;Terris-Prestholt, Fern;Tanton, Clare;Kuper, Hannah;Shakespeare, Thomas;Tucker, Joseph D.;Wu, Dan
• 通讯作者: Wu, Dan

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

• DOI: 10.1136/bmjopen-2022-067338
• 发表时间: 2023-01-30
• 期刊: BMJ open
• 影响因子: 2.9

Barriers and facilitators to accessing sexual health services for older LGBTQIA+ adults: a global scoping review and qualitative evidence synthesis.

老年 LGBTQIA 成年人获得性健康服务的障碍和促进因素：全球范围审查和定性证据综合。

• DOI: 10.1071/sh22144
• 发表时间: 2023
• 期刊: Sexual health
• 影响因子: 1.6
• 作者: Conyers H

Participatory approaches to delivering clinical sexually transmitted infections services: a narrative review.

提供临床性传播感染服务的参与式方法：叙述性回顾。

• DOI: 10.1071/sh22039
• 发表时间: 2022
• 期刊: Sexual health
• 影响因子: 1.6
• 作者: Tan RKJ