Sexual Behavior Change Among Gay and Bisexual Men During the First COVID-19 Pandemic Wave in the United States.

Sexual Behavior Change Among Gay and Bisexual Men During the First COVID-19 Pandemic Wave in the United States.
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DOI:
10.1007/s13178-021-00625-3
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发表时间:
2023
期刊:
Sexuality research & social policy : journal of NSRC : SR & SP
影响因子:
--
通讯作者:
Gallegos SG
Gallegos SG
中科院分区:
其他
文献类型:
--
作者:
McKay T;Henne J;Gonzales G;Gavulic KA;Quarles R;Gallegos SG

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在经历了数十年的艾滋病毒和其他性传播感染之后,男同性恋和双性恋男性正在通过调整他们的性行为来应对冠状病毒(COVID-19)大流行带来的新的不确定风险。本文使用了2020年4月10日至5月10日收集的728名同性恋和双性恋男性的全国样本数据,以研究美国应对第一波大流行的性行为变化。我们还评估行为改变是否与全州范围内的公共卫生措施(包括居家令)有关。性少数男性报告说,在第一次浪潮中,他们的性行为和伴侣选择发生了重大变化。10名男子中有9名报告说,在接受采访时的过去30天内,他们要么有一个性伴侣,要么没有性伴侣,与大流行之前相比,这一比例有所下降,接受调查的男子中有近一半人。报告在过去30天内没有性伴侣的显著预测是增加暴露于呆在家里的命令。性少数男性也减少了与临时伴侣的互动,增加了无接触性行为(例如,手淫和虚拟性行为),并采取新的策略来降低他们从伴侣那里感染的风险。艾滋病毒抗体阳性的男子特别有可能采取避免临时伴侣和避免乘坐公共交通工具等策略来会见性伴侣。性少数男性在第一波疫情中的行为变化可能减少了冠状病毒大流行对其社区的影响。尽管在最初的第一波调查中,我们样本中的大多数男性的性行为发生了重大变化,但我们发现了一些关于某些行为变化随时间推移的可持续性以及不向伴侣披露COVID-19症状的担忧。
After decades of navigating HIV and other sexually transmitted infections, gay and bisexual men are responding to new and uncertain risks presented by the coronavirus (COVID-19) pandemic by adapting their sexual behavior. This paper uses data from a national sample of 728 gay and bisexual men collected from April 10 to May 10, 2020, to examine changes to sexual behavior in response to the first wave of the pandemic in the USA. We also assess whether behavior modifications are associated with exposure to statewide public health measures, including Stay-at-Home orders. Sexual minority men report significant changes to their sexual behavior and partner selection during the first wave. Nine out of 10 men reported having either one sexual partner or no sexual partner in the last 30 days at the time of interview, a decrease compared to just before the pandemic for nearly half of men surveyed. Reporting no sexual partners in the last 30 days was significantly predicted by increased exposure to a Stay-at-Home order. Sexual minority men also reduced interactions with casual partners, increased no-contact sexual behaviors (e.g., masturbation and virtual sex), and engaged in new strategies to reduce their risks of infection from partners. HIV-positive men were particularly likely to adopt strategies including avoiding casual partners and avoiding public transportation to meet sexual partners. Sexual minority men’s behavior changes during the first wave may have reduced the impact of the coronavirus pandemic on their communities. Despite substantial changes in sexual behavior for most men in our sample during the initial first wave, we identify some concerns around the sustainability of certain behavioral changes over time and nondisclosure of COVID-19 symptoms to partners.
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