与 COVID-19 大流行期间葡萄牙的 Chemsex 相关的因素。
Factors associated with chemsex in Portugal during the COVID-19 pandemic.
机构信息
Universidade Nova de Lisboa, Instituto de Higiene e Medicina Tropical, Global Health and Tropical Medicine; Lisboa, LS, Portugal.
Universidade Federal do Sergipe, Departamento de Enfermagem, Lagarto, SE, Brazil.
出版信息
Rev Lat Am Enfermagem. 2021 Aug 30;29:e3474. doi: 10.1590/1518-8345.4975.3474. eCollection 2021.
Abstract
OBJECTIVE
to investigate the factors associated with the practice of sex under the influence of drugs (chemsex) among Portuguese men who have sex with men during the period of social distancing to prevent the COVID-19.
METHOD
online survey applied in May 2020 to a sample of 1,301 participants living in Portugal, recruited according to Respondent Driven Sampling and via social media Facebook®. Descriptive and bivariate analyses were performed along with logistic regression to calculate adjusted Odds Ratio (ORa).
RESULTS
the prevalence of chemsex was 20.2%. The likelihood of practicing chemsex increased with group sex (ORa: 28.4, 95%CI 16.93-47.49); unprotected sex (ORa: 7.1 95%CI 4.57-10.99); the use of pre-exposure prophylaxis (PrEP) to prevent COVID-19 (ORa: 4.2, 95%CI 2.71-6.39) and COVID-19 testing (ORa: 1.9, 95%CI 1.15-3.10).
CONCLUSION
the practice of chemsex among men who have sex with men during the COVID-19 pandemic in Portugal was very frequent and may support greater understanding of the role and impact of sexual behavior on the COVID-19 transmission rates and the current pandemic situation in Portugal.
摘要
目的
调查与葡萄牙男男性行为者在 COVID-19 社交隔离期间进行药物影响下性行为（Chemsex）相关的因素。
方法
2020 年 5 月，采用在线调查方式对居住在葡萄牙的 1301 名参与者进行了抽样调查，调查对象是根据应答者驱动抽样法（RDS）和 Facebook®社交媒体招募的。同时进行了描述性和双变量分析，以及逻辑回归来计算调整后的优势比（ORa）。
结果
Chemsex 的患病率为 20.2%。进行 Chemsex 的可能性随着群交（ORa：28.4，95%CI 16.93-47.49）、无保护性行为（ORa：7.1，95%CI 4.57-10.99）、使用暴露前预防（PrEP）来预防 COVID-19（ORa：4.2，95%CI 2.71-6.39）和 COVID-19 检测（ORa：1.9，95%CI 1.15-3.10）而增加。
结论
在葡萄牙 COVID-19 大流行期间，男男性行为者进行 Chemsex 的情况非常普遍，这可能有助于更好地理解性行为在 COVID-19 传播率中的作用和影响，以及葡萄牙当前的大流行情况。
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