Challenges in the Practice of Sexual Medicine in the Time of COVID-19 in the United Kingdom
Challenges in the Practice of Sexual Medicine in the Time of COVID-19 in the United Kingdom
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DOI：
10.1016/j.jsxm.2020.05.001
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发表时间：
2020-07-01
影响因子：
3.5
通讯作者：
Tully, Mark A.
中科院分区：
文献类型：
--
作者：
Jacob, Louis;Smith, Lee;Tully, Mark A.
背景：2020年3月23日，英国政府发布了自我隔离/保持社交距离指南，以降低新冠病毒的传播风险。这种指导对性行为的影响尚不清楚。目的：调查英国公众样本中COVID-19自我隔离/社交距离期间性活动的水平及其相关性。方法：本文通过在线调查对横断面流行病学研究的数据进行了预先计划的中期分析。结果：性活动是用以下问题来衡量的：“自我隔离后，你平均每周有多少次性活动？”收集了人口统计学和临床数据，包括性别、年龄、婚姻状况、就业、家庭年收入、地区、目前吸烟状况、目前饮酒情况、慢性身体疾病数量、慢性精神疾病数量、自我隔离期间出现的任何身体症状以及自我隔离/保持社交距离的天数。使用多变量logistic回归模型研究了几个因素（自变量）与性活动（因变量）之间的关系。结果：868人被纳入本研究。其中63.1%的女性和21.8%的成年人年龄在25岁至34岁之间。在自我隔离/保持社交距离期间，39.9%的人口报告每周至少进行性活动一次。与性活动显著相关的变量（因变量）是男性、年龄较小、已婚或有家庭伴侣、饮酒以及自我隔离/保持社交距离的天数较多。临床意义：在因COVID-19大流行而自我隔离的868名英国成年人样本中，性活动的患病率低于40%。报告性活动水平特别低的人群包括女性、老年人、未婚者和戒酒者。优势和局限性：这是第一项调查英国COVID-19自我隔离/社交距离期间性活动的研究。参与者被要求自我报告他们的性行为，这可能会给研究结果带来自我报告的偏见。其次，分析是横断面的，因此不可能确定当前大流行期间性活动的轨迹。结论：在2019冠状病毒病大流行期间，促进健康和福祉的干预措施应考虑积极的性健康信息，以减轻与自我隔离/社交距离有关的有害健康后果，并应针对性活动水平最低的人群。国际性医学学会版权所有Elsevier Inc.出版。版权所有。
Background: On 23rd March 2020, the UK government released self-isolation/social distancing guidance to reduce the risk of transmission of SARS-CoV-2. The influence such guidance has on sexual activity is not known.Aim: To investigate levels and correlates of sexual activity during COVID-19 self-isolation/social distancing in a sample of the UK public.Methods: This paper presents preplanned interim analyses of data from a cross-sectional epidemiological study, administered through an online survey.Outcomes: Sexual activity was measured using the following question: "On average after self-isolating how many times have you engaged in sexual activity weekly?" Demographic and clinical data were collected, including sex, age, marital status, employment, annual household income, region, current smoking status, current alcohol consumption, number of chronic physical conditions, number of chronic psychiatric conditions, any physical symptom experienced during self-isolation, and number of days of self-isolation/social distancing. The association between several factors (independent variables) and sexual activity (dependent variable) was studied using a multivariable logistic regression model.Results: 868 individuals were included in this study. There were 63.1% of women, and 21.8% of adults who were aged between 25 and 34 years. During self-isolation/social distancing, 39.9% of the population reported engaging in sexual activity at least once per week. Variables significantly associated with sexual activity (dependent variable) were being male, a younger age, being married or in a domestic partnership, consuming alcohol, and a higher number of days of self-isolation/social distancing.Clinical Implications: In this sample of 868 UK adults self-isolating owing to the COVID-19 pandemic, the prevalence of sexual activity was lower than 40%. Those reporting particularly low levels of sexual activity included females, older adults, those not married, and those who abstain from alcohol consumption.Strength and Limitations: This is the first study to investigate sexual activity during the UK COVID-19 self-isolation/social distancing. Participants were asked to self-report their sexual activity potentially introducing self-reporting bias into the findings. Second, analyses were cross-sectional and thus it is not possible to determine trajectories of sexual activity during the current pandemic.Conclusion: Interventions to promote health and well-being during the COVID-19 pandemic should consider positive sexual health messages in mitigating the detrimental health consequences in relation to self-isolation/social distancing and should target those with the lowest levels of sexual activity. Copyright (C) 2020, International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.