新冠疫情期间的性行为：澳大利亚维多利亚州的一项重复横断面调查。

Sexual behaviour during COVID-19: a repeated cross-sectional survey in Victoria, Australia.

机构信息

Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Vic. 3053, Australia.

Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Vic. 3053, Australia; and Melbourne Sexual Health Centre, Alfred Health, Carlton, Vic. 3053, Australia.

出版信息

Sex Health. 2022 Apr;19(2):92-100. doi: 10.1071/SH21235.

DOI:10.1071/SH21235

PMID:35484839

Abstract

BACKGROUND

During 2020, the State of Victoria (Australia) experienced two COVID-19 waves. Both resulted in community lockdowns followed by eased restrictions. We examined variation of sexual behaviour in Victorians over time during COVID-19.

METHODS

We conducted a repeated online survey at four timepoints corresponding with two lockdown (LD1, LD2) and two reduced restriction (RR1, RR2) periods in Victoria. A convenience sample of participants aged ≥18years was recruited via social media and asked about their recent (past 4weeks) sexual behaviour. Using multivariable logistic regression, we investigated variation in sexual behaviour between surveys.

RESULTS

A total of 1828 surveys were completed; 72% identified as female, 69% were aged 18-29years, 90% were metropolitan residents. The proportion reporting recent partnered sex ranged from 54.9% (LD2) to 70.2% (RR1). Across all timepoints, the most common sexual partners were regular (81.5%, n =842) and 10.8% (n =111) reported casual partners (e.g. hook-ups). Compared with LD1, respondents were >2-fold more likely to report casual partner(s) during reduced restrictions (RR1: aOR 2.0; 95% CI 1.1-3.7; RR2: aOR 2.8; 95% CI 1.3-5.9). Across all timepoints, 26.6% (n =486) reported using dating apps. Compared with LD1, dating app use for face-to-face activities (e.g. dates, hook-ups) was >4-fold higher during reduced restrictions (RR1: aOR 4.3; 95% CI 2.3-8.0; RR2: aOR 4.1; 95% CI 1.9-8.8). App use for distanced activities (e.g. sexting, virtual dates) was highest during LD1 (48.8%) than other periods.

CONCLUSIONS

In this convenience sample, self-reported sexual behaviours fluctuated between lockdowns and reduced restrictions. While dating apps may provide a mechanism for virtual connections, this may be temporary until physical connections are possible.

摘要

背景

2020 年期间，澳大利亚维多利亚州（Victoria）经历了两波 COVID-19 疫情。两波疫情均导致社区封锁，随后限制放宽。我们研究了 COVID-19 期间维多利亚州居民性行为的变化。

方法

我们在维多利亚州两次封锁（LD1、LD2）和两次限制放宽（RR1、RR2）期间的四个时间点进行了重复的在线调查。通过社交媒体招募了年龄≥18 岁的参与者进行便利抽样，并询问他们最近（过去 4 周）的性行为。我们使用多变量逻辑回归分析了调查之间性行为的变化。

结果

共完成了 1828 份调查；72%的调查对象为女性，69%的调查对象年龄在 18-29 岁之间，90%的调查对象居住在大都市区。报告最近有伴侣发生性行为的比例范围为 54.9%（LD2）至 70.2%（RR1）。在所有时间点，最常见的性伴侣是固定伴侣（81.5%，n=842），10.8%（n=111）的人报告了偶然伴侣（例如约炮）。与 LD1 相比，在限制放宽期间，报告偶然伴侣的可能性增加了两倍以上（RR1：aOR 2.0；95%CI 1.1-3.7；RR2：aOR 2.8；95%CI 1.3-5.9）。在所有时间点，26.6%（n=486）的人报告使用约会应用程序。与 LD1 相比，在限制放宽期间，用于面对面活动（例如约会、约炮）的约会应用程序使用增加了四倍以上（RR1：aOR 4.3；95%CI 2.3-8.0；RR2：aOR 4.1；95%CI 1.9-8.8）。用于远程活动（例如发色情短信、虚拟约会）的应用程序使用率在 LD1 期间（48.8%）最高，而在其他时期则较低。