Mourikis Iraklis, Kokka Ioulia, Koumantarou-Malisiova Elli, Kontoangelos Konstantinos, Konstantakopoulos George, Papageorgiou Charalabos
First Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Outpatient Specialty Clinic for Sexual Health Eginition Hospital, Athens, Greece.
First Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, Athens, Greece.
Front Psychiatry. 2022 Aug 18;13:949077. doi: 10.3389/fpsyt.2022.949077. eCollection 2022.
Implemented social distancing measures may have forestalled the spread of COVID-19, yet they suppressed the natural human need for contact. The aim of this systematic review was to explore the impact of the COVID-19 pandemic on adult sexual wellbeing and sexual behavior. An extensive search in Pubmed, Scopus, and PsycInfo databases based on PRISMA guidelines was conducted. After applying specific eligibility criteria, screening resulted in 38 studies. Results were drawn from 31,911 subjects and outlined the negative effect of the pandemic in sexual frequency, function, satisfaction, and the behavioral changes regarding masturbation and internet-based practices. Meta-analyses of the drawn data on 1,343 female, and 1,372 male subjects quantified the degree of sexual function change during the COVID-19 pandemic vs. prior the pandemic. A random effects model revealed the significant negative impact of the pandemic on female sexual function (SMD: 0.76, 95% CI:0.74 to 1.59), while no significant change was found for the males (SMD: 0.25, 95% Cl: -0.03 to 0.52). Significant heterogeneity was identified across included studies ( < 0.00001, I = 97%, I = 90% for females and males, respectively). As part of the global health, sexual wellbeing should be on the focus of clinicians and researchers.
实施社交距离措施可能已经阻止了新冠病毒的传播，但它们抑制了人类对接触的自然需求。本系统综述的目的是探讨新冠疫情对成人性健康和性行为的影响。我们根据PRISMA指南在PubMed、Scopus和PsycInfo数据库中进行了广泛检索。在应用特定的纳入标准后，筛选出38项研究。结果来自31911名受试者，概述了疫情对性频率、性功能、性满意度以及手淫和基于网络行为的行为变化的负面影响。对1343名女性和1372名男性受试者提取的数据进行的荟萃分析量化了新冠疫情期间与疫情之前性功能变化的程度。随机效应模型显示疫情对女性性功能有显著负面影响（标准化均数差：0.76，95%置信区间：0.74至1.59），而男性未发现显著变化（标准化均数差：0.25，95%置信区间：-0.03至0.52）。纳入的研究中发现了显著的异质性（P<0.00001，I²分别为97%和90%，女性和男性）。作为全球健康的一部分，性健康应成为临床医生和研究人员关注的焦点。
