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There was no evidence for a change in relationship satisfaction or intimate partner violence, but both men and women reported a small decrease in sexual pleasure, and women reported a small decrease in sexual desire. The sexual behaviors with greatest reduction were casual sex, hookups, and number of partners, and the most diminished as aspect of sexual functioning was sexual enjoyment. Depression symptoms, relationship status, and perceived importance of social distancing emerged as predictors of these reductions. Less than half of individuals who engaged with casual sex partners before the start of the pandemic ceased this behavior completely after the start of the pandemic. Individuals waited on average 6\u20137 weeks before reengaging in casual sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>These results inform public health response to the effects of the pandemic and add to our understanding of how the pandemic has continued to impact sexual behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths and Limitations<\/jats:title><jats:p>This is the first known study to evaluate sexual behavior several months into the COVID-19 pandemic using a large national sample. However, the results of this study are limited by its convenience sampling method and cross-sectional design.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>These results indicate that the changes in sexual behavior observed in the early months of the pandemic have continued, with small but significant decreases in many partnered sexual behaviors and a small increase in men\u2019s solitary sexual behaviors.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2021.08.008","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T03:25:18Z","timestamp":1629689118000},"page":"1851-1862","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":74,"title":["The Impact of the COVID-19 Pandemic on Sexual Behaviors: Findings From a National Survey in the United States"],"prefix":"10.1093","volume":"18","author":[{"given":"Neil","family":"Gleason","sequence":"first","affiliation":[{"name":"Department of Psychology, University of Washington , Seattle, WA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swagata","family":"Banik","sequence":"additional","affiliation":[{"name":"Center for Health Disparities Research & Education, Baldwin Wallace University , Berea, OH , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Braverman","sequence":"additional","affiliation":[{"name":"Independent Scholar , Montreal, Quebec , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Coleman","sequence":"additional","affiliation":[{"name":"Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota Medical School , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,8,22]]},"reference":[{"key":"2023041407060846400_","volume-title":"Timeline: WHO\u2019s COVID-19 response","author":"World Health Organization"},{"key":"2023041407060846400_","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1038\/s41585-020-0365-1","article-title":"Making love in the time of corona\u2014Considering relationships in lockdown","volume":"17","author":"Dewitte","year":"2020","journal-title":"Nat Rev Urol"},{"key":"2023041407060846400_","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2020.100299","article-title":"The impact of COVID-19 on sexual health: A preliminary framework based on a qualitative study with clinical sexologists","volume":"9","author":"Pascoal","year":"2021","journal-title":"Sex Med"},{"key":"2023041407060846400_","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1186\/s12978-020-0900-9","article-title":"Sexual and reproductive health (SRH): A key issue in the emergency response to the coronavirus disease (COVID- 19) outbreak","volume":"17","author":"Tang","year":"2020","journal-title":"Reprod Health"},{"key":"2023041407060846400_","volume-title":"Impact of the COVID-19 pandemic on family planning and ending gender-based violence, female genital mutilation and child marriage","author":"United Nations Population Fund"},{"key":"2023041407060846400_","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1080\/0092623X.2020.1810185","article-title":"Romantic relationship conflict due to the COVID-19 pandemic and changes in intimate and sexual behaviors in a Nationally Representative Sample of American Adults","volume":"46","author":"Luetke","year":"2020","journal-title":"J Sex Marital Ther"},{"key":"2023041407060846400_","article-title":"Marriage in the time of COVID: A national study of marital quality, sexual behavior and reproductive health during the COVID-19 pandemic","author":"Milhausen","year":"2020","journal-title":"Presented at the: Society for the Scientific Study of Sexuality Annual Conference. 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