Changes in Sexual Behavior Over the COVID-19 Pandemic Among a Community-Based Cohort of Men Who Have Sex With Men in Columbus, Ohio.


Journal

Sexually transmitted diseases
ISSN: 1537-4521
Titre abrégé: Sex Transm Dis
Pays: United States
ID NLM: 7705941

Informations de publication

Date de publication:
01 12 2022
Historique:
entrez: 11 11 2022
pubmed: 12 11 2022
medline: 16 11 2022
Statut: ppublish

Résumé

The purpose was to assess COVID-19 beliefs and attitudes and examine COVID-19-related changes in sexual behavior of men who have sex with men during 3 time periods: April-July 2020 (T1), August-December 2020 (T2), January-May 2021 (T3). Data were analyzed from 157 men who have sex with men in Ohio recruited to participate in a longitudinal multisite network study of syphilis epidemiology in 3 US cities: Columbus, Ohio; Baltimore, Maryland; and Chicago, Illinois. In April 2020, a COVID-19 module was appended to existing baseline and follow-up surveys to assess beliefs, attitudes, and changes in sexual behavior. Sample characteristics were summarized. Correlations between demographic variables (age, racial identity) and COVID-19 outcomes were examined. In response to COVID-19 social distancing restrictions and self-reported anxiety, some men limited sexual activity at T1, but the majority (n = 105 [67%]) continued to engage in sex. The number of men engaging in sex increased over time (T2: n = 124 [79%]; T3: n = 121 [77%]). At T1, men not in a relationship more frequently reported having less sex compared with prepandemic (n = 39 [57%]). By T3, men in a relationship more frequently reported less sex (n = 32 [54%]). Increased anxiety about sex and condom use was positively correlated with identifying as a man of color (P < 0.001). Most of the sample reported either starting or increasing online sexual activity during each time period. Future efforts to target sexual health during a pandemic or other health emergencies should prioritize men of color and address the unique perspective of both single and partnered men.

Sections du résumé

BACKGROUND
The purpose was to assess COVID-19 beliefs and attitudes and examine COVID-19-related changes in sexual behavior of men who have sex with men during 3 time periods: April-July 2020 (T1), August-December 2020 (T2), January-May 2021 (T3).
METHODS
Data were analyzed from 157 men who have sex with men in Ohio recruited to participate in a longitudinal multisite network study of syphilis epidemiology in 3 US cities: Columbus, Ohio; Baltimore, Maryland; and Chicago, Illinois. In April 2020, a COVID-19 module was appended to existing baseline and follow-up surveys to assess beliefs, attitudes, and changes in sexual behavior. Sample characteristics were summarized. Correlations between demographic variables (age, racial identity) and COVID-19 outcomes were examined.
RESULTS
In response to COVID-19 social distancing restrictions and self-reported anxiety, some men limited sexual activity at T1, but the majority (n = 105 [67%]) continued to engage in sex. The number of men engaging in sex increased over time (T2: n = 124 [79%]; T3: n = 121 [77%]). At T1, men not in a relationship more frequently reported having less sex compared with prepandemic (n = 39 [57%]). By T3, men in a relationship more frequently reported less sex (n = 32 [54%]). Increased anxiety about sex and condom use was positively correlated with identifying as a man of color (P < 0.001). Most of the sample reported either starting or increasing online sexual activity during each time period.
CONCLUSIONS
Future efforts to target sexual health during a pandemic or other health emergencies should prioritize men of color and address the unique perspective of both single and partnered men.

Identifiants

pubmed: 36367583
doi: 10.1097/OLQ.0000000000001719
pii: 00007435-202212000-00009
pmc: PMC9668357
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

844-850

Subventions

Organisme : ACL HHS
ID : U01PS005170
Pays : United States

Informations de copyright

Copyright © 2022 American Sexually Transmitted Diseases Association. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest and Sources of Funding: The author(s) declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

Centers for Disease Control and Prevention. COVID Data Tracker. Available at: https://covid.cdc.gov/covid-data-tracker/#cases_totalcases . Accessed August 16, 2021.
Delcea C, Chirilă VI, Săuchea AM. Effects of COVID-19 on sexual life—a meta-analysis. Sexologies 2021; 30:e49–e54.
Rushmore J, Copen CE, Schneider J, et al. Partner Seeking and Sexual Behavior in the United States During the COVID-19 Pandemic, March 2020 to March 2021. Sex Transm Dis 2021; 49:e57–e60.
Centers for Disease Control and Prevention. Percent of Delivered First Vaccine Doses Administered by U.S. States and Territories. Available at: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/distributing/first-doses.html . Accessed November 13, 2021.
Sanchez TH, Zlotorzynska M, Rai M, et al. Characterizing the impact of COVID-19 on men who have sex with men across the United States in April, 2020. AIDS Behav 2020; 24:2024–2032.
Ohio Department of Health. COVID-19 Dashboard. Ohio Department of Health Coronavirus (COVID-19). Available at: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/dashboards . Accessed September 30, 2021.
Ohio Department of Health. Public Health Orders. Ohio Department of Health Coronavirus (COVID-19). Available at: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/resources/public-health-orders . Accessed September 30, 2021.
Ohio Department of Health. COVID-19 Dashboard. Available at: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/dashboards . Accessed January 17, 2022.
Graham LF, Braithwaite K, Spikes P, et al. Exploring the mental health of Black men who have sex with men. Community Ment Health J 2009; 45:272–284.
Santos GM, Ackerman B, Rao A, et al. Economic, mental health, HIV prevention and HIV treatment impacts of COVID-19 and the COVID-19 response on a global sample of cisgender gay men and other men who have sex with men. AIDS Behav 2021; 25:311–321.
Shilo G, Mor Z. COVID-19 and the changes in the sexual behavior of men who have sex with men: Results of an online survey. J Sex Med 2020; 17:1827–1834.
Ohio Department of Health. COVID-19 Vaccine Fact Sheet: Priority Populations and Vaccine Distribution. Available at: https://coronavirus.ohio.gov/static/vaccine/general_fact_sheet.pdf . Accessed July 2, 2022.
Jaiswal J, Krause KD, Martino RJ, et al. SARS-CoV-2 vaccination hesitancy and behaviors in a National Sample of people living with HIV. AIDS Patient Care STDS 2022; 36:34–44.
Zheng W, Sun Y, Li H, et al. COVID-19 vaccine uptake and hesitancy among HIV-infected men who have sex with men in mainland China: A cross-sectional survey. Hum Vaccin Immunother 2021; 17:4971–4981.
Ousseine YM, Vaux S, Vandentorren S, et al. Predictors of uncertainty and unwillingness to receive the COVID-19 vaccine in men who have sex with men in France. Int J Environ Res Public Health 2022; 19:5372.
Bogart LM, Ojikutu BO, Tyagi K, et al. COVID-19 related medical mistrust, health impacts, and potential vaccine hesitancy among Black Americans living with HIV. J Acquir Immune Defic Syndr 2021; 86:200–207.
Sheek-Hussein M, Abu-Zidan FM, Stip E. Disaster management of the psychological impact of the COVID-19 pandemic. Int J Emerg Med 2021; 14:19.
Harkness A, Weinstein ER, Atuluru P, et al. “Let's hook up when the pandemic is over”: Latinx sexual minority men's sexual behavior during COVID-19. J Sex Res 2021; 58:951–957.
Song C, Wang Y, Li W, et al. Absence of 2019 novel coronavirus in semen and testes of COVID-19 patients. Biol Reprod 2020; 103:4–6.
Cipriano M, Giacalone A, Ruberti E. Sexual behaviors during COVID-19: The potential risk of transmission. Arch Sex Behav 2020; 49:1431–1432.
Huang HH, Wang PH, Yang YP, et al. A review of severe acute respiratory syndrome coronavirus 2 infection in the reproductive system. J Chin Med Assoc 2020; 83:895–897.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19) Social Distancing. Available at: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html . Accessed October 16, 2021.
Ibarra FP, Mehrad M, Di Mauro M, et al. Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west. Int Braz J Urol 2020; 46(suppl 1):104–112.
Thorbecke C. 6.6 Million More Americans File for Unemployment Amid COVID-19 Financial Crisis. 2020. Available at: https://abcnews.go.com/Business/66-million-americans-file-unemployment/story?id=70061717 . Accessed August 16, 2021.

Auteurs

JaNelle M Ricks (JM)

From the College of Public Health, Ohio State University, Columbus, OH.

Morgan Spahnie (M)

From the College of Public Health, Ohio State University, Columbus, OH.

Amiah Matthews (A)

From the College of Public Health, Ohio State University, Columbus, OH.

Casey E Copen (CE)

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Julie Rushmore (J)

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Kyle T Bernstein (KT)

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

William C Miller (WC)

From the College of Public Health, Ohio State University, Columbus, OH.

Abigail N Turner (AN)

College of Medicine, Ohio State University, Columbus, OH.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH