老年男性血清睾酮水平及性生活频率与健康状况的相关性研究

龚宇; 湛斌; 易红; 赵凤兰; 肖贵元; 胡莹; 钟晓妮; 贾瑜; 周维康; 雷山川; 王莎莉; 彭斌

doi:10.16016/j.1000-5404.201812027

您当前的位置：

首页 >

文章列表页 >

老年男性血清睾酮水平及性生活频率与健康状况的相关性研究

公共卫生与预防医学 | 更新时间：2026-01-09

- 老年男性血清睾酮水平及性生活频率与健康状况的相关性研究
- Association of serum testosterone levels and sexual intercourse frequency with health status in elderly men
- 第三军医大学学报 2019年41卷第12期页码：1181-1186, 封三
- 作者机构：
  
  1.400053 重庆，重庆市老年病医院：皮肤科
  2.400053 重庆，重庆市老年病医院：老年科
  3.400016 重庆，重庆医科大学公共卫生与管理学院统计学教研室
  4.400014 重庆，重庆市第四人民医院皮肤科
  5.400014 重庆，重庆市人民医院皮肤科
  6.402160 重庆，重庆医科大学附属永川医院皮肤科
  7.400016 重庆，重庆医科大学基础医学院生理学教研室
- 作者简介：
  
  [彭斌，E-mail:penbin324@sina.com PENG Bin, E-mail: penbin324@sina.com
- 基金信息：
  
  重庆市卫生和计划生育委员会医学科研重点项目(2015ZDXM025)
- DOI：10.16016/j.1000-5404.201812027
  中图分类号： Q579.11;R161.7;R195.1
- 收稿：2018-12-04，
  
  修回：2019-02-12，
  
  纸质出版：2019-06-30
- 稿件说明：
移动端阅览
龚宇, 湛斌, 易红, 等. 老年男性血清睾酮水平及性生活频率与健康状况的相关性研究[J]. 第三军医大学学报, 2019,41(12):1181-1186, 封三.

Yu GONG, Bin ZHAN, Hong YI, et al. Association of serum testosterone levels and sexual intercourse frequency with health status in elderly men[J]. Journal of Third Military Medical University, 2019, 41(12): 1181-1186, 封三.
龚宇, 湛斌, 易红, 等. 老年男性血清睾酮水平及性生活频率与健康状况的相关性研究[J]. 第三军医大学学报, 2019,41(12):1181-1186, 封三. DOI： 10.16016/j.1000-5404.201812027.

Yu GONG, Bin ZHAN, Hong YI, et al. Association of serum testosterone levels and sexual intercourse frequency with health status in elderly men[J]. Journal of Third Military Medical University, 2019, 41(12): 1181-1186, 封三. DOI： 10.16016/j.1000-5404.201812027.

摘要

目的

探讨老年男性性生活特征与自测健康状况的相关性。

方法

采用简单随机抽样法选取2015年9月至2018年6月于重庆市老年病医院、重庆市人民医院、重庆医科大学附属永川医院及重庆市第四人民医院定期年度门诊体检的有固定性伴的老年男性626例，研究对象均自愿配合抽血检测血清总睾酮(TT)和游离睾酮(FT)水平，并配合问卷调查。问卷调查表由14个特征和自测健康评定量表(SRHMS V1.0)得分构成。Spearman相关分析评估性生活特征与SRHMS得分的关系。

结果

血清TT、FT水平和性交频率是反映老年男性性生活特征的指标。血清TT水平与SRHMS自测的健康总得分及生理健康、心理健康、社会健康得分的相关系数

分别为0.721、0.729、0.656、0.737(

0.001)；血清FT水平与四类得分的

分别为0.808、0.811、0.763、0.793(

0.001)；性交频率与四类得分的

分别为0.792、0.793、0.751、0.770(

0.001)。

结论

老年男性血清睾酮水平及性交频率与自测健康状况呈正相关，上述指标可考虑作为老年男性健康标准的参考。

Abstract

Objective

To examine the association of serum testosterone levels and sexual activities with self-rated health status in elderly men.

Methods

We recruited 626 elderly men with fixed partners from 4 hospitals in Chongqing by simple random sampling. All the participants were cooperative with blood tests for serum total testosterone (TT) and free testosterone (FT) levels and completed a survey questionnaire that consisted of 14 characteristics and a self-rated health measurement scale (SRHMS V1.0). Spearman rank correlation analysis was used to evaluate the relationship between the sexual activities of these participants and their SRHMS scores.

Results

We used serum TT and FT levels and the frequency of sexual intercourse as the indicators for the sexual life characteristics of the elderly men. The correlation coefficients of serum TT with SRHMS total health score

physiological health score

mental health score and social health score were 0.721

0.729

0.656

and 0.737

respectively (

0.001); the correlation coefficients of serum FT with the 4 self-rated SRHMS scores were 0.808

0.811

0.763

0.793

respectively (

0.001); the correlation coefficients of the frequency of sexual intercourse with the 4 scores were 0.792

0.793

0.751

and 0.770

respectively (

0.001).

Conclusion

Serum testosterone level and the frequency of sexual intercourse are positively correlated with the self-rated health status in elderly men

and they can serve as potential reference indicators for assessing the health status of elderly men.

关键词

Keywords

references

朱素蓉, 王娟娟, 卢伟.再谈健康定义的演变及认识[J].中国卫生资源, 2018, 21(2): 180-184. DOI: 10.13688/j.cnki.chr.2018.17415.

ZHU S R, WANG J J, LU W. Re-recognition of health: evolution and definition[J]. Chin Health Res, 2018, 21(2): 180-184. DOI: 10.13688/j.cnki.chr.2018.17415.

高亮, 王莉华.体育锻炼与老年人自评健康关系的调查研究[J].武汉体育学院学报, 2015, 49(8): 64-71. DOI: 10.15930/j.cnki.wtxb.2015.08.011.

GAO L, WANG L H. Investigation of the relationship between physical exercise and self-testing health of the elderly[J]. J Wuhan Inst Physical Edu, 2015, 49(8): 64-71. DOI: 10.15930/j.cnki.wtxb.2015.08.011.

LINDAU S T, SCHUMM L P, LAUMANN E O, et al. A study of sexuality and health among older adults in the United States[J]. N Engl J Med, 2007, 357(8): 762-774. DOI: 10.1056/nejmoa067423.

GALINSKY A M, WAITE L J. Sexual activity and psychological health as mediators of the relationship between physical health and marital quality[J]. J Gerontol B Psychol Sci Soc Sci, 2014, 69(3): 482-492. DOI: 10.1093/geronb/gbt165.

中华医学会老年医学分会, 中华老年医学杂志编辑部.中国健康老年人标准(2013)[J].中华老年医学杂志, 2013, 32(8): 801. DOI: 10.3760/cma.j.issn.0254-9026.2013.08.001.

Chinese Medical Association Geriatrics Society, Editorial Department of Chinese Journal of Geriatrics. Standard for healthy elderly in China (2013)[J]. Chin J Geriatr, 2013, 32(8): 801. DOI: 10.3760/cma.j.issn.0254-9026.2013.08.001.

杨琛, 王秀华, 谷灿, 等.老年人健康综合评估量表研究现状及进展[J].中国全科医学, 2016, 19(9): 991-996. DOI: 10.3969/j.issn.1007-9572.2016.09.001.

YANG C, WANG X H, GU C, et al. Research status and progress of comprehensive geriatric assessment scale[J]. Chin Gen Pract, 2016, 19(9): 991-996. DOI: 10.3969/j.issn.1007-9572.2016.09.001.

中国老年保健医学研究会老龄健康服务与标准化分会, 《中国老年保健医学》杂志编辑委员会.居家(养护)老年人身体健康评估服务标准(草案)[J].中国老年保健医学, 2018, 16(3): 25-27. DOI: 10.3969/j.issn.1672-2671.2018.03.006.

China Geriatric Health Care Research Society, Editorial Board of Chinese Journal of Geriatric Health Care. Standard of health assessment service for the elderly at home (maintenance) (Draft)[J]. Chin J Geriatr Care, 2018, 16(3): 25-27. DOI: 10.3969/j.issn.1672-2671.2018.03.006.

夏聪, 许军, 杨枭楠, 等.深圳市城镇老年人自测健康评定量表得分常模的制定[J].中国全科医学, 2017, 20(33): 4162-4166. DOI: 10.3969/j.issn.1007-9572.2017.00.112.

XIA C, XU J, YANG X N, et al. Establishment of the norm for serf-rated health measurement scale version 1.0 scores in urban elderly people in Shenzhen[J]. Chin General Pract, 2017, 20(33): 4162-4166. DOI: 10.3969/j.issn.1007-9572.2017.00.112.

姚文山.国家基本公共卫生服务规范[M].第3版.北京:中国原子能出版社, 2017:55.

YAO W S. National basic public health service specification[M]. 3rd ed. Beijing: China Atomic Energy Press, 2017:55.

任文霞, 罗文华.我国医药产业结构优化影响因素指标体系的构建与应用[J].医药导报, 2018, 37(2): 268-271. DOI: 10.3870/j.issn.1004- 0781.2018.02.033.

REN W X, LUO W H. Construction and response of the index system of influencing factors for the optimization of pharmaceutical industry structure in China[J]. Herald Med, 2018, 37(2): 268-271. DOI: 10.3870/j.issn.1004-0781.2018.02.033.

SYME M L, COHN T J. Examining aging sexual stigma attitudes among adults by gender, age, and generational status[J]. Aging Ment Health, 2016, 20(1): 36-45. DOI: 10.1080/13607863. 2015.1012044.

LEE D M, NAZROO J, O'CONNOR D B, et al. Sexual health and well-being among older men and women in England: findings from the English longitudinal study of ageing[J]. Arch Sex Behav, 2016, 45(1): 133-144. DOI: 10.1007/s10508- 014-0465-1.

高良敏, 付金翠, 杨霞, 等.云南省某地老年人性需求及其影响因素研究[J].卫生软科学, 2014, 28(6): 382-385.

GAO L M, FU J C, YANG X, et al. Study on the needs of elderly people in Yunnan province and its influencing factors [J]. Soft Sci Health, 2014, 28(6): 382-385.

FELDMAN H A, LONGCOPE C, DERBY C A, et al. Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts male aging study[J]. J Clin Endocrinol Metab, 2002, 87(2): 589-598. DOI: 10.1210/jcem.87.2. 8201.

KEIMIG R. Engaging experts: expanding participation and enhancing research in Chinese eldercare institutions[J]. J Aging Soc Policy, 2017, 29(5): 461-474. DOI: 10.1080/08959420.2017. 1364082.

TSITOURAS P D, MARTIN C E, HARMAN S M. Relationship of serum testosterone to sexual activity in healthy elderly men[J]. J Gerontol, 1982, 37(3): 288-293.

O'CONNOR D B, LEE D M, CORONA G, et al. The relationships between sex hormones and sexual function in middle-aged and older European men[J]. J Clin Endocrinol Metab, 2011, 96(10): E1577-E1587. DOI: 10.1210/jc.2010-2216.

LIAO P W, WU C C, CHEN K C, et al. Testosterone threshold for increased cardiovascular risk in middle-aged and elderly men: a locally weighted regression analysis[J]. J Sex Med, 2016, 13(12): 1872-1880. DOI: 10.1016/j.jsxm.2016.10.002.

王大光, 徐佳丽, 郭洪岩.老年人性健康研究[J].中国性科学, 2013, 22(1): 80-81. DOI: 10.3969/j.issn.1672-1993.2013.01.022.

WANG D G, XU J L, GUO H Y. Sexual health of the elderly[J]. Chin J Human Sex, 2013, 22(1): 80-81. DOI: 10.3969/j.issn. 1672-1993.2013.01.022.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

聚苯乙烯纳米塑料致雄性小鼠生殖毒性效应及初步机制

环境因素与男性生殖损害研究进展与展望

显微镜下精索静脉结扎术对胡桃夹综合征仅表现为左侧精索静脉曲张的疗效分析