Mental Well-Being and Sexual Intimacy among Men and Gender Diverse People Who Have Sex with Men during the First UK COVID-19 Lockdown: A Mixed-Methods Study.

Edelman, N.L., Witzel, T.C., Samba, P., Nutland, W. and Nadarzynski, T. 2022. Mental Well-Being and Sexual Intimacy among Men and Gender Diverse People Who Have Sex with Men during the First UK COVID-19 Lockdown: A Mixed-Methods Study. International Journal of Environmental Research and Public Health. 19 (12) 6985. https://doi.org/10.3390/ijerph19126985

TitleMental Well-Being and Sexual Intimacy among Men and Gender Diverse People Who Have Sex with Men during the First UK COVID-19 Lockdown: A Mixed-Methods Study.
TypeJournal article
AuthorsEdelman, N.L., Witzel, T.C., Samba, P., Nutland, W. and Nadarzynski, T.
AbstractThis mixed-methods study aimed to explore mental well-being, circumstances and strategies around managing sexual intimacy and risk during the first UK COVID-19 lockdown (Spring 2020) among men and gender diverse people who have sex with men (MGDPSM), commencing while lockdown was in progress. n = 1429 MGDPSM completed the survey and 14 undertook an in-depth interview. Low mental well-being was reported by 49.6% of the survey participants. Low mental well-being was not predicted by relationship and living circumstance, sexual networking app use, or by casual sexual partners. Low mental well-being was associated with more frequent COVID-19 anxiety (OR = 5.08 CI: 3.74, 6.88 <i>p</i> &lt; 0.001) and with younger age (18-24 years OR = 2.23 CI:1.41-3.53 <i>p</i> = 0.001, 25-34 years OR = 1.45 CI:1.04-2.02 <i>p</i> = 0.029, 35-44 years OR = 1.41 CI:1.00-1.99 <i>p</i> = 0.052). The interview participants understood their lockdown experiences as being relative to normalcy, and those experiencing more dramatic changes faced greater challenges. Living with partners was felt to protect well-being. Many participants reported intimacy interruption challenges. The findings indicate that mental well-being is predicted by age and COVID-19 impact, highlighting opportunities for targeting MGDPSM who are most vulnerable to poor mental health. Services that support MGDPSM during COVID-19 recovery efforts must provide non-judgemental and affirming support.
KeywordsSexual behaviour
Mental health
MSM
Intimacy
Well-being
Mixed-methods
Gender-diverse
Covid-19
Humans
Mental Health
Communicable Disease Control
Adolescent
Adult
Sexual Partners
Male
Young Adult
United Kingdom
COVID-19
Article number6985
JournalInternational Journal of Environmental Research and Public Health
Journal citation19 (12)
ISSN1660-4601
1661-7827
Year2022
PublisherMDPI
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph19126985
PubMed ID35742234
Publication dates
Published07 Jun 2022
Published online07 Jun 2022
Published in print01 Jun 2022
LicenseCC BY

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