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Change of sexual behavior among men who have sex with men before, during and after COVID-19 pandemic in China: a cross-sectional study.
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- Author(s): Wang S;Wang S; Yang J; Yang J; Niu D; Niu D; Hou Y; Hou Y; Fei L; Fei L; Zhao H; Zhao H; Chen F; Chen F; Lv F; Lv F
- Source:
BMC infectious diseases [BMC Infect Dis] 2023 Aug 10; Vol. 23 (1), pp. 527. Date of Electronic Publication: 2023 Aug 10.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms: HIV Infections*/epidemiology ; HIV Infections*/prevention & control ; Sexual and Gender Minorities* ; COVID-19*/epidemiology ; Substance-Related Disorders*/epidemiology; Male ; Humans ; Homosexuality, Male ; Cross-Sectional Studies ; Pandemics ; Sexual Behavior ; Sexual Partners ; China/epidemiology ; Risk-Taking
- Abstract: Introduction: The COVID-19 epidemic control and prevention strategies affected people's sexual activities and behaviors. Little was known about long-term effects of COVID-19 prevention and control strategies on sexual behaviors among men who have sex with men (MSM). This study aimed to examine changes in risky sexual behaviors of MSM before and after the local epidemic.
Methods: An online survey was conducted nationwide from June 1 to June 10, 2022. MSM aged 16 years and above, residing in China were recruited through convenience sampling. A generalized estimating equation model with modified Poisson regression was used to analyze changes in multiple sexual partners, unprotected sex, mobility for sexual activity, and recreational substance use before and after the local epidemic.
Results: Compared to the pre-pandemic (36.5%), the prevalence of multiple sexual partners (11.5%) significantly decreased during the local epidemic and then increased after the local epidemic (25.2%) but remained lower than pre-pandemic, as did the prevalence of unprotected sex (31.1%, 19.4%, and 26.1%), mobility for sexual activity (7.5%, 2.8%, and 4.1%) and recreational substance use (47.7%, 27.2%, and 39.5%). Compared to the pre-pandemic, higher declines in the prevalence of risky sexual behaviors during the local epidemic existed among MSM living without a regular partner (44% decrease in unprotected sex and 46% in recreational substance use), with a bachelor's degree and above (70% decrease in multiple sex partners, 39% in unprotected sex, 67% in mobility for sexual activity and 44% in recreational substance use), higher incomes (70% decrease in multiple sex partners), self-identified gay or bisexual/unsure (38-71%), and HIV infection (49-83% decrease respectively in these four indicators). After the local epidemic, the declines in the above indicators compared to the pre-pandemic were correspondingly. And higher declines existed among MSM living without a regular partner (8% decrease in unprotected sex and 13% in recreational substance use), with a bachelor's degree and above (33% decrease in multiple sex partners), higher incomes (55% decrease in mobility for sexual activity), self-identified gay (51% decrease in mobility for sexual activity), and HIV infection (32%, 68%, 24% decrease respectively in unprotected sex, mobility for sexual activity and recreational substance use).
Conclusions: Risky sexual behaviors reduced considerably during the local epidemic, then seemed rebounded after the outbreak but wouldn't return to pre-pandemic levels. More attention should be paid to vulnerable people with lower socio-economic status, HIV-positive, and sexual minorities for sustained HIV and COVID-19 prevention.
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AIDS Behav. 2021 Jan;25(1):73-84. (PMID: 32737817) - Grant Information: 2021-ZHCH330-001 Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences
- Contributed Indexing: Keywords: COVID-19; China; HIV; Local epidemic; Men who have sex with men; Sexual behavior
- Publication Date: Date Created: 20230810 Date Completed: 20230814 Latest Revision: 20231121
- Publication Date: 20231215
- Accession Number: PMC10416525
- Accession Number: 10.1186/s12879-023-08488-2
- Accession Number: 37563554
- Source:
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