PDF(Pubmed)
Abstract：
UNASSIGNED: To determine individual- and country-level factors associated with self-reported changes in solo and partnered sexual behaviors in an international sample of adults during COVID-19.
UNASSIGNED: Data were from the International Sexual Health And REproductive Health during COVID-19 study (I-SHARE)-a cross-sectional, multi-country study (N = 26 countries) assessing adult (N = 19,654) sexual/reproductive health before and during the first wave of COVID-19. We examined self-reported changes (three-point scale: decreased, no change, increased) in solo masturbation, hugging/holding hands/cuddling with a partner, sex with a primary partner, sex with a casual partner, sexting with a partner, viewing sexually explicit media and partnered cybersex. Ordinal regression assessed the impact of individual (age, gender- and sexual-identity, romantic partnership status, employment and income stability, household change and content, mental well-being, changes in alcohol use, and changes in marijuana use) and country-level (e.g., Oxford Stringency Index, Human Development Index, and the Palma Ratio) factors on behavior change.
UNASSIGNED: The most common behavior to increase was hugging, kissing, or cuddling with a partner (21.5%), and the most common behavior to decrease was sex with a main partner (36.7%). Household factors like job/income instability and having children over the age of 12 years were significantly associated with decreased affectionate and sexual partnered sexual behaviors; more frequent substance use was linked to significantly increased solo, partnered, and virtual sexual behaviors.
UNASSIGNED: Understanding changes in sexual behaviors-as well as the factors that make changes more or less likely among adults around the world-are important to ensure adequate sexual health support development for future public health emergencies.
UNASSIGNED: Data were from the International Sexual Health And REproductive Health during COVID-19 study (I-SHARE)-a cross-sectional, multi-country study (N = 26 countries) assessing adult (N = 19,654) sexual/reproductive health before and during the first wave of COVID-19. We examined self-reported changes (three-point scale: decreased, no change, increased) in solo masturbation, hugging/holding hands/cuddling with a partner, sex with a primary partner, sex with a casual partner, sexting with a partner, viewing sexually explicit media and partnered cybersex. Ordinal regression assessed the impact of individual (age, gender- and sexual-identity, romantic partnership status, employment and income stability, household change and content, mental well-being, changes in alcohol use, and changes in marijuana use) and country-level (e.g., Oxford Stringency Index, Human Development Index, and the Palma Ratio) factors on behavior change.
UNASSIGNED: The most common behavior to increase was hugging, kissing, or cuddling with a partner (21.5%), and the most common behavior to decrease was sex with a main partner (36.7%). Household factors like job/income instability and having children over the age of 12 years were significantly associated with decreased affectionate and sexual partnered sexual behaviors; more frequent substance use was linked to significantly increased solo, partnered, and virtual sexual behaviors.
UNASSIGNED: Understanding changes in sexual behaviors-as well as the factors that make changes more or less likely among adults around the world-are important to ensure adequate sexual health support development for future public health emergencies.
摘要：
■确定与COVID-19期间国际成年人样本中自我报告的单独和伴侣性行为变化相关的个人和国家层面因素。
■数据来自COVID-19研究期间的国际性健康和生殖健康(I-SHARE)-一个横截面，多国研究(N=26个国家)评估第一波COVID-19之前和期间的成年人(N=19,654)性/生殖健康。我们检查了自我报告的变化(三点量表：下降，没有变化,增加)在独奏手淫中，拥抱/牵手/拥抱伴侣，和主要伴侣做爱,和一个随意的伴侣做爱,和伴侣发短信，观看露骨的媒体和合作的网络性行为。有序回归评估了个体的影响(年龄，性别和性别认同，浪漫的伙伴关系状态，就业和收入稳定，家庭变化和内容，心理健康，酒精使用的变化，以及大麻使用的变化)和国家一级(例如，牛津严格性指数，人类发展指数,和帕尔马比率)影响行为变化的因素。
■最常见的增加行为是拥抱，接吻,或与伴侣拥抱(21.5%)，最常见的减少行为是与主要伴侣发生性关系（36.7％）。家庭因素，如工作/收入不稳定和有12岁以上的孩子，与情感和性伴侣性行为的减少显着相关;更频繁的物质使用与单独显著增加有关，合作,和虚拟的性行为。
■了解性行为的变化，以及使世界各地成年人或多或少可能发生变化的因素，对于确保为未来的公共卫生紧急情况提供适当的性健康支持发展非常重要。
■数据来自COVID-19研究期间的国际性健康和生殖健康(I-SHARE)-一个横截面，多国研究(N=26个国家)评估第一波COVID-19之前和期间的成年人(N=19,654)性/生殖健康。我们检查了自我报告的变化(三点量表：下降，没有变化,增加)在独奏手淫中，拥抱/牵手/拥抱伴侣，和主要伴侣做爱,和一个随意的伴侣做爱,和伴侣发短信，观看露骨的媒体和合作的网络性行为。有序回归评估了个体的影响(年龄，性别和性别认同，浪漫的伙伴关系状态，就业和收入稳定，家庭变化和内容，心理健康，酒精使用的变化，以及大麻使用的变化)和国家一级(例如，牛津严格性指数，人类发展指数,和帕尔马比率)影响行为变化的因素。
■最常见的增加行为是拥抱，接吻,或与伴侣拥抱(21.5%)，最常见的减少行为是与主要伴侣发生性关系（36.7％）。家庭因素，如工作/收入不稳定和有12岁以上的孩子，与情感和性伴侣性行为的减少显着相关;更频繁的物质使用与单独显著增加有关，合作,和虚拟的性行为。
■了解性行为的变化，以及使世界各地成年人或多或少可能发生变化的因素，对于确保为未来的公共卫生紧急情况提供适当的性健康支持发展非常重要。
