From the Epidemiology Department.
Environmental Health Sciences Department.
Sex Transm Dis. 2021 Aug 1;48(8):589-594. doi: 10.1097/OLQ.0000000000001444.
COVID-19 stay-at-home orders enacted in New Orleans, LA on March 16, 2020, may have caused changes in the way young men interacted with sex partners.
An online substudy was conducted (May 21, 2020 to June 9, 2020) among Black men who have sex with women, 18 years and older, and who had previously enrolled in the parent study Check It (May 17, 2017 to March 6, 2020) to assess changes in sexual behavior during the stay-at-home orders.
Among 111 participants, from enrollment in Check It to during stay-at-home orders, recent vaginal sex declined from 96.4% to 47.8% (P < 0.0001), reports of multiple female sex partners declined from 45.0% to 14.4% (P < 0.0001), and sexual abstinence increased from 3.6% to 38.7% (P < 0.0001). Among those who did have vaginal sex, condomless sex rates did not change between enrollment in Check It and the substudy (64.5% vs 67.9%, P = 0.68). During stay-at-home orders oral sex, virtual sex, and pornography viewing were 40.5%, 42.3%, and 76.6%, respectively. Some (17.1%) acquired a new sex partner during stay-at-home orders, and 44.1% left their home to meet a partner for sex. Only 27.9% had seen information about safe sex during the pandemic. Income was diminished for 62.2% and 23.4% moved away from New Orleans when stay-at-home orders were enacted.
Although there was an overall reduction in physical sex, half of participants reported physical sex, with many leaving their home to have sex during stay-at-home orders and many not using condoms. Others adopted sexual abstinence, increased virtual sex, and/or pornography viewing, which may have protected them from both sexually transmitted infections and COVID-19.
2020 年 3 月 16 日，新奥尔良市颁布了 COVID-19 居家令，这可能改变了年轻男性与性伴侣的互动方式。
一项在线子研究（2020 年 5 月 21 日至 2020 年 6 月 9 日）在年龄在 18 岁及以上、曾参与 Check It 研究（2017 年 5 月 17 日至 2020 年 3 月 6 日）的与女性发生性行为的黑人男性中进行，以评估居家令期间性行为的变化。
在 111 名参与者中，从 Check It 的登记到居家令期间，最近的阴道性交从 96.4%下降到 47.8%（P<0.0001），报告的多个女性性伴侣从 45.0%下降到 14.4%（P<0.0001），性禁欲从 3.6%上升到 38.7%（P<0.0001）。在那些确实有阴道性交的人中，登记参加 Check It 和子研究时，无保护性行为的比例没有变化（64.5%与 67.9%，P=0.68）。在居家令期间，口交、虚拟性接触和色情片观看的比例分别为 40.5%、42.3%和 76.6%。一些人（17.1%）在居家令期间获得了新的性伴侣，44.1%离开家去与伴侣发生性关系。只有 27.9%的人在大流行期间看到了有关安全性行为的信息。62.2%的人收入减少，23.4%的人在居家令颁布时离开新奥尔良。
尽管实际性行为总体减少，但仍有一半的参与者报告有实际性行为，许多人离开家在居家令期间发生性行为，而且许多人没有使用避孕套。其他人则选择禁欲、增加虚拟性接触和/或观看色情片，这可能使他们免受性传播感染和 COVID-19 的影响。
