Sex in the Time of COVID-19: Results of an Online Survey of Gay, Bisexual and Other Men Who Have Sex with Men's Experience of Sex and HIV Prevention During the US COVID-19 Epidemic
Sex in the Time of COVID-19: Results of an Online Survey of Gay, Bisexual and Other Men Who Have Sex with Men's Experience of Sex and HIV Prevention During the US COVID-19 Epidemic
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DOI：
10.1007/s10461-020-03024-8
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发表时间：
2020-09-02
影响因子：
4.4
通讯作者：
Rogers, Erin
中科院分区：
文献类型：
--
作者：
Stephenson, Rob;Chavanduka, Tanaka M. D.;Rogers, Erin
本文介绍了最近对美国同性恋、双性恋和其他男男性行为者（GBMSM）进行的横断面调查的数据，以了解COVID-19封锁期间性行为的变化和获得艾滋病毒预防选择（即避孕套和暴露前预防（PrEP））的情况。2020年4月至5月期间，“2019冠状病毒病时期的爱与性”调查在网上进行。通过社交网络平台上的广告招募GBMSM，招募样本量为518 GBMSM。分析考虑了自我报告的性行为措施的三个变化：性伴侣的数量，肛交伴侣的数量和未受到暴露前预防（PrEP）或避孕套保护的肛交伴侣的数量。大约三分之二的样本报告说，他们认为有可能通过性行为感染COVID-19，肛交被认为是风险最小的性行为。男性普遍认为在COVID-19期间减少性伴侣数量并不重要，但报告称在COVID-19期间有适度的性行为意愿。在20,202年2月至4月至5月期间，参与者报告称，在COVID-19期间平均增加了2.3个性伴侣，平均增加了2.1个肛交伴侣（范围- 40至70），但无保护措施肛交伴侣的数量增加非常小。COVID-19期间性行为的增加与同期物质使用的增加有关。在COVID-19封锁期间，仍有高水平的性活动报告，而这些高水平的性活动往往被物质使用和酗酒的增加所掩盖。在COVID-19期间，显然需要继续提供全面的艾滋病毒预防和护理服务，远程医疗和其他电子医疗平台为提供服务提供了安全、灵活的机制。
This paper presents data from a recent cross-sectional survey of gay, bisexual and other men who have sex with men (GBMSM) in the US, to understand changes in sexual behavior and access to HIV prevention options (i.e. condoms and pre-exposure prophylaxis (PrEP)) during the COVID-19 lockdown period. TheLove and Sex in the Time of COVID-19survey was conducted online from April to May, 2020. GBMSM were recruited through advertisements featured on social networking platforms, recruiting a sample size of 518 GBMSM. Analysis considers changes three in self-reported measures of sexual behavior: number of sex partners, number of anal sex partners and number of anal sex partners not protected by pre-exposure prophylaxis (PrEP) or condoms. Approximately two-thirds of the sample reported that they believed it was possible to contract COVID-19 through sex, with anal sex reported as the least risky sex act. Men did not generally feel it was important to reduce their number of sex partners during COVID-19, but reported a moderate willingness to have sex during COVID-19. For the period between February and April-May 20,202, participants reported a mean increase of 2.3 sex partners during COVID-19, a mean increase of 2.1 anal sex partners (range - 40 to 70), but a very small increase in the number of unprotected anal sex partners. Increases in sexual behavior during COVID-19 were associated with increases in substance use during the same period. High levels of sexual activity continue to be reported during the COVID-19 lockdown period and these high levels of sexual activity are often paralleled by increases in substance use and binge drinking. There is a clear need to continue to provide comprehensive HIV prevention and care services during COVID-19, and telehealth and other eHealth platforms provide a safe, flexible mechanism for providing services.