Reduced sexual contacts with non-steady partners and less PrEP use among MSM in Belgium during the first weeks of the COVID-19 lockdown: results of an online survey.
Reduced sexual contacts with non-steady partners and less PrEP use among MSM in Belgium during the first weeks of the COVID-19 lockdown: results of an online survey.
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DOI：
10.1136/sextrans-2020-054756
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发表时间：
2021-09
影响因子：
3.6
通讯作者：
Vuylsteke B
中科院分区：
文献类型：
--
作者：
Reyniers T;Rotsaert A;Thunissen E;Buffel V;Masquillier C;Van Landeghem E;Vanhamel J;Nöstlinger C;Wouters E;Laga M;Vuylsteke B
为了解比利时新冠肺炎封锁后的头几周男男性行为者(MSM)中与不稳定伴侣发生肉体性行为的变化，以及与社会人口因素、性行为、药物、酒精和暴露前预防措施(PrEP)使用的关系。第二个目标是探讨PrEP使用的变化和PrEP后续行动的必要性。一项横断面的在线调查。该问卷在2020年4月10日至27日期间以荷兰语、法语和英语提供，并通过比利时各地的性健康和女同性恋者、男同性恋者、双性恋者、跨性别者、同性恋者或双性人组织进行传播。资格标准包括18岁或以上，不完全是异性恋，生活或出生在比利时。样本包括694名男男性接触者。在封锁的头几周，与不稳定伴侣发生肉体性行为的比例从591%下降到8.9%。与那些与不稳定的伴侣发生性关系的人相比，与他们的同龄人相比，那些与不稳定的伴侣发生性关系的人更有可能感染艾滋病毒，使用PrEP，或者在封锁之前参与性行为，如群交、化学性行为和性工作。在封锁前使用PrEP的人中，47.0%的人在封锁期间停止使用PrEP，19.7%的人使用事件驱动的PrEP，33.3%的人在封锁期间使用日常PrEP。近三分之二的PrEP用户在封锁前几周预约了PrEP护理，少数人在其他地方或在线接受了随访。一些PrEP用户对他们的后续行动表示担忧。在我们调查的男男性接触者中，在新冠肺炎封锁的头几周里，与不稳定的伴侣的性接触大幅减少，这表明在此期间艾滋病毒和性传播疾病的风险很低。我们建议确保获得性健康服务，如艾滋病毒检测和对拥有多个性伴侣并从事化学性行为或群体性行为等性行为的小群体进行PrEP后续治疗，即使在大流行威胁的时候也是如此。
To examine changes in the occurrence of physical sex with non-steady partners among men who have sex with men (MSM) in Belgium during the first weeks of the COVID-19 lockdown and associations with sociodemographic factors, sexual practices, drug, alcohol and pre-exposure prophylaxis (PrEP) use. A secondary objective was to explore changes in PrEP use and the need for PrEP follow-up. A cross-sectional online survey. The questionnaire was available in Dutch, French and English, between April 10 and 27 (2020), and disseminated via sexual health and lesbian, gay, bisexual, trans, queer or intersex organisations throughout Belgium. Eligibility criteria included being 18 years or older, not being exclusively heterosexual and living or being born in Belgium. The sample included 694 MSM. Physical sex with non-steady partners decreased from 59.1% to 8.9% during the first weeks of the lockdown. Those who had sex with non-steady partners were significantly more likely to be HIV positive, to use PrEP or to have engaged in sexual practices such as group sex, chemsex and sex work before the lockdown, compared with their counterparts. Among those who used PrEP before the lockdown, 47.0% stopped using PrEP, 19.7% used event-driven PrEP and 33.3% used daily PrEP during the lockdown. Almost two-thirds of PrEP users had a PrEP care appointment in the weeks before the lockdown and a minority received follow-up elsewhere or online. Some PrEP users had concerns regarding their follow-up. MSM in our survey substantially reduced sexual contact with non-steady partners during the first weeks of the COVID-19 lockdown, suggesting that the risk for HIV and STI transmission in this period was low. We recommend ensuring access to sexual health services, such as HIV testing and follow-up for PrEP for the small group having multiple sex partners and engaging in sexual practices such as chemsex, or group sex, even in times of a pandemic threat.
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影响因子：
3.8
作者：
Newcomb, Michael E.;Ryan, Daniel T.;Garofalo, Robert;Mustanski, Brian
通讯作者：
Mustanski, Brian
影响因子：
4.4
作者：
Mimiaga, Matthew J.;Reisner, Sari L.;Mayer, Kenneth H.
通讯作者：
Mayer, Kenneth H.
DOI：
10.3390/ijerph16224411
发表时间：
2019-11-01
影响因子：
--
作者：
Bullinger，Johannes;Reyniers，Thijs;Nostlinger，Christiana
通讯作者：
Nostlinger，Christiana
DOI：
10.1186/s13011-018-0159-0
发表时间：
2018-05-24
期刊：
Substance abuse treatment, prevention, and policy
影响因子：
--
作者：
Park SH;Al-Ajlouni Y;Palamar JJ;Goedel WC;Estreet A;Elbel B;Sherman SE;Duncan DT
通讯作者：
Duncan DT
影响因子：
4.4
作者：
Sanchez, Travis H.;Zlotorzynska, Maria;Baral, Stefan D.
通讯作者：
Baral, Stefan D.