The Public Health Agency of Sweden, Solna, Sweden; Department of Public Health Sciences, Division Global Health, Karolinska Institutet, Stockholm, Sweden.
The Public Health Agency of Sweden, Solna, Sweden.
J Sex Med. 2020 Nov;17(11):2141-2147. doi: 10.1016/j.jsxm.2020.08.001. Epub 2020 Aug 29.
Online arenas may facilitate sexual encounters. However, to what extent finding sexual partners online is associated with sexual risk behavior and sexual health outcomes is still not fully explored.
A stratified randomized population based study on sexual and reproductive health and rights of 50,000 Swedes was conducted in 2017. The final sample consisted of 14,537 women and men aged 16-84 years. We identified sexual health factors associated with finding sexual partners online and estimated prevalences thereof.
Having used the internet to meet sexual partners was reported by 11% (95% confidence interval: 10.1-12.3) of men and 7% (95% confidence interval: 6.0-7.4) of women and was most common among men aged 30-44 years (13.7%). After adjustment, those reporting a non-heterosexual identity were most likely to meet sexual partners online. Meeting sexual partners online was also associated with reporting several sexual risk behaviors: condomless sex with temporary partner during the past 12 months, adjusted odds ratio (AOR): 5.1 (3.8-6.8) for women and AOR: 6.0 (4.5-7.9) for men, and having had a test for sexually transmitted infections (STIs) generated a 4-fold AOR for both sexes, STI diagnosis showed a 2-fold AOR, ever having paid or given other compensation for sex AOR: 4.8 (2.7-8.8) for women and AOR: 4.2 (2.9-6.1) for men as well as ever having received money or other compensation for sex AOR: 4.0 (1.3-11.9) for women and AOR: 6.0 (2.4-15.1) for men.
Meeting sexual partners online was associated with sexual risk behaviors, which is of importance in tailoring sexual health interventions and STI/HIV-control activities.
Few studies of online sexual behaviors are based on population-based surveys of the general population with results stratified by sexual identity. However, the use of lifetime prevalence of ever having used the internet, smartphone, or app to meet sexual partners has limitations.
Meeting sexual partners online was associated with sexual risk behaviors in a randomized sample of the Swedish population, which is of importance to tailoring sexual health interventions. Deogan C, Jacobsson E, Mannheimer L, et al. Meeting Sexual Partners Online and Associations With Sexual Risk Behaviors in the Swedish Population. J Sex Med 2020;17:2141-2147.
在线平台可能会促成性接触。然而，通过网络寻找性伴侣与性风险行为和性健康结果之间的关联程度尚未得到充分探索。
2017 年，对瑞典 5 万名 16-84 岁的男性和女性进行了一项基于性和生殖健康及权利的分层随机人群研究。最终样本由 14537 名年龄在 16-84 岁的男性和女性组成。我们确定了与通过网络寻找性伴侣相关的性健康因素，并估计了其流行率。
11%（95%置信区间：10.1-12.3）的男性和 7%（95%置信区间：6.0-7.4）的女性报告称曾通过互联网寻找性伴侣，该比例在 30-44 岁的男性中最高（13.7%）。调整后，报告非异性恋身份的人最有可能通过网络寻找性伴侣。通过网络寻找性伴侣也与以下几种性风险行为相关：过去 12 个月中与临时伴侣发生无保护性行为，女性调整后的比值比（OR）为 5.1（3.8-6.8），男性调整后的 OR 为 6.0（4.5-7.9）；接受过性传播感染（STI）检测的可能性增加 4 倍，无论男女；STI 诊断的可能性增加 2 倍，曾经有偿或无偿提供性服务的可能性增加 4 倍（女性 OR：2.7-8.8；男性 OR：2.9-6.1），曾经收到过金钱或其他性补偿的可能性增加 4 倍（女性 OR：1.3-11.9；男性 OR：2.4-15.1）。
通过网络寻找性伴侣与性风险行为相关，这对于制定性健康干预措施和性传播感染/艾滋病毒控制活动具有重要意义。
基于对普通人群的基于人群的调查的在线性行为研究很少，且结果按性身份分层。然而，使用一生中曾使用互联网、智能手机或应用程序寻找性伴侣的终生流行率存在一定局限性。
在瑞典人群的随机样本中，通过网络寻找性伴侣与性风险行为相关，这对于制定性健康干预措施具有重要意义。
