'Stay at home …': exploring the impact of the COVID-19 public health response on sexual behaviour and health service use among men who have sex with men: findings from a large online survey in the UK.
'Stay at home …': exploring the impact of the COVID-19 public health response on sexual behaviour and health service use among men who have sex with men: findings from a large online survey in the UK.
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DOI：
10.1136/sextrans-2021-055039
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发表时间：
2022-08
影响因子：
3.6
通讯作者：
Mercer CH
中科院分区：
文献类型：
--
作者：
Howarth AR;Saunders J;Reid D;Kelly I;Wayal S;Weatherburn P;Hughes G;Mercer CH
为应对2019冠状病毒病疫情，英国于2020年3月23日首次实施全国封城，导致英国性病╱艾滋病服务减少。我们调查了大流行期间的性行为、性保健的使用和需求。参与者（N=2018），包括男性（顺式/跨性别），跨性别者和报告与另一名男性（顺式/跨性别）发生性关系的性别多元化人群或出生时被指定为男性的非二元人群，完成了一项在线横断面调查（2020年6月23日至2020年7月14日），以回应社交媒体和约会应用程序上的广告。自封锁开始以来的3个月内，性行为，服务使用和未满足的STI检测需求（任何新的男性和/或多个无安全套肛交（CAS）合作伙伴没有STI检测）进行了检查，并使用多变量分析与2017年调查（N=1918）中相同的3个月进行了比较。自封锁开始以来，36.7%的参与者报告了一个或多个新的伴侣，17.3%的参与者报告了与多个伴侣的CAS，29.7%的参与者进行了HIV检测（在1815名未知/阴性状态中），24.9%的参与者进行了STI检测，15.4%的参与者使用了暴露前预防（PrEP）。自封锁开始以来，25.3%的参与者对STI测试的需求未得到满足。与白色参与者相比，亚洲参与者更有可能这样做（调整后OR（aOR）=1.76，（1.14至2.72），p=0.01）;对于居住在苏格兰的参与者（aOR=2.02，（1.40 - 2.91），p<0.001）或北方爱尔兰（aOR=1.93，（1.02-3.63），p=0.04）与英国相比;对于HIV感染者（aOR=1.83，（1.32 - 2.53），p<0.001）。与2017年相比，2020年同等子样本报告新男性伴侣（46.8% vs 71.1%，p<0.001）、多个CAS伴侣（20.3% vs 30.8%，p<0.001）以及过去3个月未满足STI检测需求（32.8% vs 42.5%，p<0.001）的可能性较小。我们发现，在英国最初的封锁期间，尽管性活动减少，服务获得不平等，但与男性发生性关系的男性中仍有可能持续传播性病/艾滋病毒。这些发现将支持公共卫生规划，以减轻COVID-19应对期间和之后的健康风险。
The first UK national lockdown began on 23 March 2020, in response to the COVID-19 pandemic, and led to reduced STI/HIV service provision in the UK. We investigated sexual behaviour, use and need for sexual healthcare during the pandemic. Participants (N=2018), including men (cis/transgender), transwomen and gender-diverse people reporting sex with another man (cis/transgender) or non-binary person assigned male at birth, completed an online cross-sectional survey (23 June 2020–14 July 2020), in response to adverts on social media and dating apps. Sexual behaviour, service use and unmet need for STI testing (any new male and/or multiple condomless anal sex (CAS) partners without STI testing) in the 3 months since lockdown began were examined and compared using multivariable analyses with an equivalent 3-month period in a 2017 survey (N=1918), conducted by the same research team. Since lockdown began, 36.7% of participants reported one or more new partners, 17.3% reported CAS with multiple partners, 29.7% HIV testing (among 1815 of unknown/negative status), 24.9% STI testing and 15.4% using pre-exposure prophylaxis (PrEP). Since lockdown began, 25.3% of participants had unmet need for STI testing. This was more likely among Asian versus white participants (adjusted OR (aOR)=1.76, (1.14 to 2.72), p=0.01); for participants living in Scotland (aOR=2.02, (1.40 to 2.91), p<0.001) or Northern Ireland (aOR=1.93, (1.02–3.63), p=0.04) versus England; and for those living with HIV (aOR=1.83, (1.32 to 2.53), p<0.001). Compared to 2017, the equivalent 2020 subsample were less likely to report new male partners (46.8% vs 71.1%, p<0.001), multiple CAS partners (20.3% vs 30.8%, p<0.001) and have unmet need for STI testing (32.8% vs 42.5%, p<0.001) in the past 3 months. We found potential for ongoing STI/HIV transmission among men who have sex with men during the initial UK lockdown, despite reduced sexual activity, and inequalities in service access. These findings will support public health planning to mitigate health risks during and after the COVID-19 response.
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影响因子：
2
作者：
Jaspal, Rusi;Kennedy, Lauren;Tariq, Shema
通讯作者：
Tariq, Shema
影响因子：
3.5
作者：
Shilo, Guy;Mor, Zohar
通讯作者：
Mor, Zohar
影响因子：
4.4
作者：
Stephenson, Rob;Chavanduka, Tanaka M. D.;Rogers, Erin
通讯作者：
Rogers, Erin
影响因子：
3.6
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
通讯作者：
Vuylsteke B
DOI：
10.3390/ijerph17207379
发表时间：
2020-10-10
影响因子：
--
作者：
Hickson F;Appenroth M;Koppe U;Schmidt AJ;Reid D;Weatherburn P
通讯作者：
Weatherburn P