Impact of COVID-19 and Mpox on Sexual Practices and Disease Mitigation Strategies Over Time Among Men Who Have Sex With Men Affiliated With Collective Sex Venues.

IF 2.4 4区 医学 Q3 INFECTIOUS DISEASES
Sexually transmitted diseases Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI:10.1097/OLQ.0000000000002063
Aniruddha Hazra, Laura K Rusie, Tasneem Wasanwala, Nirmalpal Sachdev, Taylor Guidry, Irina Tabidze, Supriya D Mehta
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引用次数: 0

Abstract

Background: The COVID-19 pandemic and subsequent multinational mpox outbreak significantly disrupted sexual health care delivery, particularly impacting men who have sex with men (MSM). This study investigated these public health emergencies in relation to perceptions, attitudes, and sexual practices among MSM affiliated with a collective sex venue (CSV).

Methods: Electronic surveys were sent to clientele of a high-volume CSV between June 2021 and November 2022 across 3 time periods defined as pre-Omicron, post-Omicron, and mpox. Data collection encompassed sociodemographics, health care access, sexually transmitted infection/HIV status, COVID-19 testing, and sexual behaviors. Multivariable regression analyses identified factors associated with self-reported COVID-19 testing and positivity, and mpox exposure.

Results: Among 1135 responses, demographics were largely cisgender MSM and predominantly White. Increased self-reported COVID-19 positivity was associated with having more sex partners and frequenting bathhouses for meeting sex partners. Confidence in COVID-19 mitigation strategies decreased post-Omicron. Factors linked to mpox exposure included younger age, increased sex partners, sexually transmitted infection positivity, and lower confidence in mitigation strategies.

Discussion: These findings underscore the intersectionality between sexual behaviors and public health responses to COVID-19 and mpox among MSM communities affiliated with a CSV. Decreased confidence in mitigation strategies and changes in sexual behaviors during public health emergencies underscore the need for targeted interventions and messaging. Collaboration between health departments and CSVs can facilitate responses to current and future public health threats and interventions.

COVID-19 和 Mpox 随着时间推移对集体性场所男性同性性行为者的性行为和疾病缓解策略的影响。
背景:COVID-19 大流行和随后的多国麻疹疫情极大地扰乱了性保健服务的提供,尤其是对男男性行为者(MSM)造成了影响。本研究调查了这些公共卫生突发事件与集体性场所(CSV)的 MSM 的观念、态度和性行为的关系:方法:在 2021 年 6 月至 2022 年 11 月期间,向一家高流量集体性行为场所的客户发送了电子调查问卷,调查分为三个时间段,分别定义为 "前"、"后 "和 "前"。数据收集内容包括社会人口统计学、医疗保健服务、性传播疾病/艾滋病毒感染状况、COVID-19 检测和性行为。多变量回归分析确定了与自我报告的 COVID-19 检测和阳性以及 mpox 暴露相关的因素:在 1,135 份回复中,人口统计学特征主要是顺性别 MSM 和白人。自我报告的 COVID-19 阳性率增加与性伴侣增多和经常去澡堂认识性伴侣有关。对 COVID-19 缓解策略的信心在欧姆克隆后有所下降。与接触 mpox 相关的因素包括年龄较小、性伴侣较多、性传播感染呈阳性以及对缓解策略的信心较低:这些发现强调了性行为与公共卫生应对 COVID-19 和 mpox 在与 CSV 有联系的 MSM 群体中的交叉性。在公共卫生突发事件期间,人们对缓解策略的信心降低,性行为发生变化,这突出表明有必要采取有针对性的干预措施和传播信息。卫生部门和 CSV 之间的合作可以促进对当前和未来公共卫生威胁和干预措施的响应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexually transmitted diseases
Sexually transmitted diseases 医学-传染病学
CiteScore
4.00
自引率
16.10%
发文量
289
审稿时长
3-8 weeks
期刊介绍: ​Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association​, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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