Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the USA
Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the USA
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DOI：
10.1016/j.drugalcdep.2020.108260
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发表时间：
2020-11-01
影响因子：
4.2
通讯作者：
Simpson, Kit N.
中科院分区：
文献类型：
--
作者：
Starks, Tyrel J.;Jones, S. Scott;Simpson, Kit N.
背景：吸毒的性少数族裔男性具有较高的性传播艾滋病毒的风险。性行为也可能增加患新冠肺炎的风险。本研究比较了新冠肺炎流行前和期间活跃在社交网络和约会应用上的少数民族性行为人群中大麻的使用、其他非法药物的使用(即可卡因/可卡因、冰毒、摇头丸、羟基丁胺和氯胺酮)以及与临时伴侣的性行为。方法：这项队列对照研究比较了455名成年受访者(2020年5月6日至17日接受调查)和从65,707名艾滋病前调查的匹配样本中挑选出来的样本。参与者在社交网络和约会应用上被招募，并在网上完成调查。结果：在COVID队列中，报告使用大麻的比例显著下降(34.5%比COVID前的45.7%，p<；001)，他们的非法药物使用(11.0%比COVID前的22.9%，p<；.001)。虽然每月临时伴侣的数量稳定，但在COVID期间，报告与临时伴侣发生无套肛交的比例显著下降(26.4%与COVID前的71.6%，p<；.001)。在COVID队列中，非法使用毒品(不包括大麻)对每月临时性伴的数量(ARR=1.45比2.84，p<；.01)和无公寓肛交的几率(AOR=2.00比5.22，P=.04)的影响显著更大。结论：在COVID队列中，尽管参与者报告吸毒和与临时伴侣发生无公寓肛交的比例下降，但吸毒与性行为之间的关联被放大。吸食毒品的性少数族裔男性更有可能从事性行为，从而使他们面临艾滋病毒和新冠肺炎传播的风险。
Background: Sexual minority men who use drugs have high sexual HIV transmission risk. Sexual interactions may also increase COVID-19 risk.This study compared marijuana use, other illegal drugs use (i.e. cocaine/crack, methamphetamine, MDMA/ecstasy, GHB, and ketamine) and sexual behavior with casual partners among sexual minority cismen active on social networking and dating applications before and during the COVID-19 epidemic.Methods: This cohort-control study compared 455 adult respondents (surveyed May 6th to 17th, 2020) and a matched sample selected from 65,707 respondents surveyed pre-COVID. Participants were recruited on social networking and dating applications and completed surveys online.Results: The proportion reporting marijuana use declined significantly in the COVID cohort (34.5 % versus 45.7 % pre-COVID,p < .001) as did their illegal drug use (11.0 % versus 22.9 % pre-COVID, p < .001). While the number of casual partners per month was stable, the proportion reporting condomless anal sex with casual partners declined significantly during COVID (26.4 % versus 71.6 % pre-COVID, p < .001). The effect of illegal drug use (excluding marijuana) on number of casual partners per month (aRR = 1.45 pre-COVID versus 2.84, p < .01) and odds of condomless anal sex (aOR = 2.00 pre-COVID versus 5.22, p = .04) were significantly greater in the COVID cohort.Conclusions: While the proportion of participants reporting drug use and condomless anal sex with casual partners declined in the COVID cohort, the association between drug use and sexual behavior was magnified. Sexual minority men who use drugs are significantly more likely to engage in sexual behaviors that place them at risk for HIV and COVID-19 transmission.