Abstract：
To understand how household context factors impacted self-reported changes in solo and sexual behaviors in U.S. adults during early stages of the COVID- 19 pandemic, we conducted an online, nationally representative, cross-sectional survey of U.S. adults (N = 1010; aged 18-94 years; 62% response rate) from April 10-20, 2020. We used weighted descriptive statistics with Wilcoxon rank sign tests to understand the population prevalence and significance of self-reported changes (five-point scale: much less to much more) in 10 solo and partnered sexual behaviors. Ordinal regression was used to assess the impact of household predictor variables-including number of children at home, number of adults in home, partnership status (unpartnered, partnered and not living together, partnered and living together) and employment status (not working, employed not as essential worker, employed as essential worker). All models were adjusted for gender, age, sexual orientation, race/ethnicity, and residence location (urban, suburban, rural).All solo and partnered sexual behaviors showed some amount of significant change-increased activity for some and decreased for others-for U.S. adults during the pandemic. Not living with a partner was broadly associated with decreased affectionate partnered sexual behaviors; unpartnered adults reported increased sexting. Individuals not employed reported increased oral sex and increased consumption of sexually explicit materials as compared to non-essential workers. Number of children at home and household size were not significantly linked to self-reported behavior change. Ongoing sexual health-focused research should continue to focus on understanding how adults manage opportunities and constraints to their sexual lives in the context of a still-going pandemic. While many aspects of social life look more \"normal\" (e.g., many people have returned to their in-person offices and children are largely back in school), new and more-infectious strains of COVID-19 have proven that the pandemic may still yet impact daily living. Lessons learned from COVID need to include sexual health planning both for any future strains of COVID, as well as for future public health emergencies.
摘要：
为了了解家庭背景因素如何影响在COVID-19大流行早期阶段美国成年人自我报告的独奏和性行为变化，我们在网上进行了一次，具有全国代表性,从2020年4月10日至20日对美国成年人进行的横断面调查（N=1010；年龄18-94岁；应答率62％）。我们使用加权描述性统计和Wilcoxon等级符号检验来了解10种单独和伴侣性行为中自我报告变化的人群患病率和重要性（五点量表：少得多）。序数回归用于评估家庭预测变量的影响-包括家中儿童的数量，家里的成年人数量，伙伴关系地位(无伙伴关系，搭档而不是同居,伴侣和生活在一起)和就业状况(不工作，受雇于不作为基本工人，受雇为基本工人)。所有模型都根据性别进行了调整，年龄,性取向,种族/民族,和居住位置(城市，郊区,郊区农村)。在大流行期间，对于美国成年人来说，所有单独和伴侣性行为都显示出一定程度的显着变化-某些人的活动增加，而另一些人则减少。不与伴侣生活在一起与亲密伴侣的性行为减少广泛相关；无伴侣的成年人报告性交增加。与非必要工人相比，未雇用的个人报告口交增加，色情材料的消费增加。家庭中的儿童数量和家庭规模与自我报告的行为变化没有显着联系。正在进行的以性健康为重点的研究应继续侧重于了解成年人如何在大流行的情况下管理其性生活的机会和限制。虽然社交生活的许多方面看起来更“正常”(例如，许多人已经回到他们的面对面办公室，孩子们基本上回到了学校)，新的和更具传染性的COVID-19菌株证明，大流行仍可能影响日常生活。从COVID中学到的经验教训需要包括针对未来任何COVID菌株的性健康计划，以及未来的突发公共卫生事件。
