title: Motivations for sexual risk behaviors among older men in Shanghai, China: a qualitative study.
abstract: BACKGROUND
  China's population is quickly aging and this trend is expected to continue. Thus it is important to develop HIV interventions to help protect older Chinese from infection. Limited information exists regarding sexual risk behaviors and associated personal motivations among persons aged 50 and over in China.
  
  
  METHODS
  In-depth interviews were conducted with 12 HIV-infected and 14 uninfected men aged 50 and over in Shanghai, China.
  
  
  RESULTS
  More than 71% of heterosexual participants had engaged in commercial sex, 37.5% either had engaged in casual sex or had a steady extramarital partner. All gay/bisexual participants had engaged in casual sex with men, and 16.7% had engaged in commercial sex. Personal motivations associated with sexual risk behaviors included sexual desire and interest in sex remaining high at an older age, unfulfilled sexual desires within marriage, homosexual or bisexual orientation, need to socialize with others, peer influence, personal choice of "hobby", and financial freedom.
  
  
  CONCLUSIONS
  This study sheds light on the sexual needs of older people. Our findings underscore the need for both greater education in order to reshape societal perceptions of sexuality among older adults and prevention strategies to help the older male population maintain a healthy sexual life.
authors.forename: Yanqiu
authors.initials: Y
authors.lastname: Zhou
authors.forename: Yingying
authors.initials: Y
authors.lastname: Ding
authors.forename: Kaikan
authors.initials: K
authors.lastname: Gu
authors.forename: Xiaonian
authors.initials: X
authors.lastname: Lu
authors.forename: Meiyang
authors.initials: M
authors.lastname: Gao
authors.affiliation: Department of Epidemiology, School of Public Health, Fudan University, and The Key Laboratory of Public Health Safety of Ministry of Education, Shanghai 200032, China. nhe@shmu.edu.cn.
authors.forename: Na
authors.initials: N
authors.lastname: He
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012309:Risk-Taking; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control
references.citation: J Clin Nurs. 2008 Feb;17(4):443-50
references.pmid: 18205677
references.citation: AIDS Patient Care STDS. 2005 Dec;19(12):848-52
references.pmid: 16375617
references.citation: J Sex Med. 2010 Oct;7 Suppl 5:315-29
references.pmid: 21029388
references.citation: N Engl J Med. 2007 Aug 23;357(8):762-74
references.pmid: 17715410
references.citation: J Sex Med. 2010 Oct;7 Suppl 5:291-304
references.pmid: 21029386
references.citation: AIDS Educ Prev. 2007 Aug;19(4):321-33
references.pmid: 17685845
references.citation: J Assoc Nurses AIDS Care. 2012 Nov-Dec;23(6):487-99
references.pmid: 22721926
references.citation: AIDS Behav. 2008 Nov;12(6):935-42
references.pmid: 18404364
references.citation: J Sex Med. 2010 Oct;7 Suppl 5:266-76
references.pmid: 21029384
references.citation: Sex Transm Dis. 2010 Jun;37(6):399-405
references.pmid: 20473245
references.citation: Lancet. 2003 Jun 21;361(9375):2125-6
references.pmid: 12826438
references.citation: Drug Alcohol Depend. 2013 Aug 1;131(3):278-83
references.pmid: 23312339
references.citation: J Adolesc Health. 2014 Jan;54(1):67-73
references.pmid: 24054813
references.citation: J Gerontol Nurs. 2003 Apr;29(4):18-24
references.pmid: 12710355
references.citation: J Gerontol Nurs. 2013 Nov;39(11):2-3
references.pmid: 24168295
references.citation: Sex Transm Dis. 2006 Feb;33(2):68-76
references.pmid: 16432476
references.citation: J Acquir Immune Defic Syndr. 2004 Aug 15;36(5):1057-66
references.pmid: 15247559