COVID-19 and the Changes in the Sexual Behavior of Men Who Have Sex With Men: Results of an Online Survey
COVID-19 and the Changes in the Sexual Behavior of Men Who Have Sex With Men: Results of an Online Survey
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DOI：
10.1016/j.jsxm.2020.07.085
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发表时间：
2020-10-01
影响因子：
3.5
通讯作者：
Mor, Zohar
中科院分区：
文献类型：
--
作者：
Shilo, Guy;Mor, Zohar
背景：2019冠状病毒病（COVID-19）大流行后的社交距离可能会影响男男性行为者（MSM）的性行为。2020年3月初，以色列仅对家庭成员实施旅行限制和社会接触限制。这些限制对男男性行为者的性行为和心理健康的影响尚不清楚。目的：评估以色列男同性恋者在社交距离期间的性行为和心理健康状况，并比较在2019冠状病毒病（COVID-19）大流行期间和社交距离前的性行为。方法：在2020年3月至4月的社交距离期间，通过MSM使用的流行地理空间应用程序通过匿名网络问卷收集数据。结果：因变量是违反社交距离规定的随意性行为。自变量是人口统计学特征、限制社交距离之前和期间的性行为以及心理健康。结果：在2562名参与者中，1012名（39.5%）在此期间继续遇到新的随意性伴侣。年龄较小、单身、精神痛苦程度较高的人在社交距离期间可能会发生随意性行为。男男性接触者降低了他们的性风险，并限制了他们的性行为——尤其是与性伴侣接吻。参与者在约会应用上花费的时间也比在社交疏远之前的时期要多，他们使用色情电话、网络摄像头和色情内容的时间也增加了。他们认为严重急性呼吸综合征冠状病毒的威胁大于艾滋病毒：只有3.2%的人会想象自己与感染SARS-CoV-2的伴侣发生性关系，而在感染艾滋病毒的情况下，这一比例为30.1%,P < 0.01。临床意义：由于COVID-19的威胁，男同性恋者在社交距离期间减少了他们的风险行为。保持社交距离期间的随意性行为与消极的精神痛苦感有关。在未来的COVID-19发病浪潮中，未来的公共卫生应对措施应在遏制措施和保持社会距离的必要性之间取得平衡，避免可能带来的精神和社会负担。优势和局限性：这是以色列的第一项研究，也是世界上为数不多的在2019冠状病毒病社交距离期间研究男同性恋者性行为的研究之一。它涉及一个相对较大的样本，通过方便抽样，这限制了因果关系。应谨慎解释调查结果，特别是因为与covid -19相关的行为和情况可能会迅速变化。结论：应将社交距离造成的负面痛苦感视为弱势群体（如男同性恋者）坚持治疗的潜在障碍。未来的公共卫生应对措施应在遏制措施及其可能带来的精神、社会和经济负担之间取得平衡。国际性医学学会版权所有Elsevier Inc.出版。版权所有。
Background: Social distancing in the wake of the coronavirus disease 2019 (COVID-19) pandemic may affect the sexual behavior of men who have sex with men (MSM). In early March 2020, Israel imposed travel restrictions and limited social contacts to household members only. The effects of these restrictions on the sexual behavior and mental health of MSM are unknown.Aim: To assess sexual behaviors and mental health of Israeli MSM during social distancing and to compare sexual behaviors before and during social distancing, due to the COVID-19 pandemic.Methods: Data were collected through anonymous web-based questionnaires in a popular geospatial application used by MSM between March and April 2020 during the social-distancing period.Outcomes: The dependent variable was casual sex, in violation of social-distancing regulations. Independent variables were demographic characteristics, sexual behaviors before and during social-distancing restrictions, and mental health.Results: Of the 2,562 participants, 1,012 (39.5%) continued to meet new casual sex partners during this period. Being of a younger age, single, and with higher levels of mental distress predicted engagement in casual sex during the social-distancing period. MSM reduced their sexual risk and limited sexual repertoire-in particular, kissing with their sexual partners. Participants also spent more time in dating applications than in the pre-social-distancing period and increased their use of sex phone, webcams, and porn consumption. They perceived the threat of severe acute respiratory syndrome coronavirus to be greater than that of HIV: only 3.2% could imagine themselves having sex with a partner who is infected with SARS-CoV-2 compared with 30.1% in case of HIV, P < .01.Clinical Implications: MSM reduced their risk behaviors during social distancing because of the threat of COVID-19. Casual sex during social distancing was associated with negative feelings of mental distress. Future public health response in the future waves of COVID-19 morbidity should strike a balance between containment measures and the need for social distancing with its possible mental and social burdens.Strengths and Limitations: This is the first study in Israel and one of the few in the world to examine sexual behaviors among MSM during the COVID-19 social distancing period. It involved a relatively large sample, through convenience sampling, which limits causality. Findings should be interpreted cautiously, specifically because COVID-19-related behaviors and circumstances may change rapidly.Conclusion: The negative feelings of distress due to social distancing should be considered as a potential barrier to adherence among vulnerable populations, such as MSM. Future public health response should strike a balance between containment measures and its possible mental, social, and financial burdens. Copyright (C) 2020, International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.