Sexuality, sexual well being, and intimacy during COVID-19 pandemic: An advocacy perspective.
Sexuality, sexual well being, and intimacy during COVID-19 pandemic: An advocacy perspective.
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DOI：
10.4103/psychiatry.indianjpsychiatry_484_20
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发表时间：
2020-07
影响因子：
3.1
通讯作者：
Rao TSS
中科院分区：
文献类型：
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作者：
Banerjee D;Rao TSS
由严重急性呼吸道综合征（SARS）-CoV-2引起的2019冠状病毒病（COVID-19）已成为全球公共卫生威胁。其影响远远超出了健康危机的范围，而且具有长期的心理社会和经济影响。尽管人们正在深入研究抑郁、焦虑、创伤后压力和睡眠障碍等心理学分支，但关于这一流行病期间性健康和性行为的文献却非常缺乏。考虑到物理距离;旅行限制;人与人之间的高传播率;关于SARS-CoV-2性传播途径的错误信息和不确定性;以及对亲密关系，性行为和安全性行为的恐惧显着增加。这在新定居或分居的夫妇和一线卫生工作者中更为突出，他们接触病毒的风险增加。对他们来说，与性关系有关的内疚和痛苦可能会增加原发性精神疾病和性障碍。这反过来又会影响夫妻之间的关系和情感纽带，并影响在大流行病危机期间的健康应对。虽然禁欲是预防传播的最安全做法，但并非在所有情况下都切实可行。降低风险咨询，与隔离伴侣发生性关系，以及数字性行为是值得探索的其他选择。还有其他的数字安全问题，不健康的技术使用，网络犯罪和在线勒索。在此背景下，这篇倡导文章回顾了过去疫情对性行为的影响，回顾了目前的建议，并提出了在COVID-19大流行期间性健康的方法和途径，这对整体公共卫生至关重要。
The coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome (SARS)-CoV-2, has emerged as a global public health threat. The implications are much beyond just health crisis, and it has long-lasting psychosocial and economic implications. Although the psychological offshoots such as depression, anxiety, posttraumatic stress, and sleep disturbances are being studied in-depth, there is a dearth of literature on the sexual well-being and sexual practices during this pandemic. Considering the physical distancing; travel restrictions; the high human–human transmission rate; misinformation and uncertainty about the sexual routes of transmission for SARS-CoV-2; and fear about intimacy, sexuality, and safe sexual practices have increased significantly. This is more prominent in newly settled or distanced couples and the frontline health workers, with increased risk exposure to the virus. For them, guilt and distress associated with sexual relationships might increase primary psychiatric and sexual disorders. This, in turn, impacts relationships and emotional bonding in couples and affects healthy coping during the pandemic crisis. Although sexual abstinence is the safest practice to prevent transmission, it is not practically feasible in all cases. Risk reduction counseling, sex with quarantined partners, and digital sex are other options that are worth exploring. There are additional concerns of digital safety, unhealthy use of technology, cyber-crimes, and online extortion. Keeping this in the background, this advocacy article glances through the effects of past outbreaks on sexuality, reviews the current recommendations, and proposes methods and approaches for sexual well-being during the COVID-19 pandemic, which is vital for overall public health.