{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T17:40:16Z","timestamp":1756662016492,"version":"3.44.0"},"reference-count":63,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"unspecified","delay-in-days":131,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]},{"name":"UCL Coronavirus Response Fund","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]},{"name":"Medical Research Council\/Chief Scientist Office Social and Public Health Sciences Unit","award":["MC_UU_00022\/3; SPHSU18"],"award-info":[{"award-number":["MC_UU_00022\/3; SPHSU18"]}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["212931\/Z\/18\/Z"],"award-info":[{"award-number":["212931\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,3,14]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>A national lockdown was implemented in the UK from March 2020 to reduce COVID-19 transmission which impacted mental health and sexual behaviours. This study investigated the association between sexual behaviours and poor mental health among British adults during the early phase of the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>The Natsal-COVID web-panel survey is a quasirepresentative population sample of 6654 British adults (18\u201359 years; July\u2013August 2020). We examined associations between sexual behaviours in the 4\u2009months after the start of the first lockdown and poor mental health in the past 2\u2009weeks (Patient Health Questionnaire (PHQ)-2 for depression and Generalised Anxiety Disorder-2 for anxiety, combined into PHQ-4 for psychological distress) using multivariable logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among participants with complete data (n=6500), 54.8% reported psychological distress (28.0% mild, 15.6% moderate and 11.3% severe). After adjusting for age, gender and relationship status, psychological distress was higher among participants identifying as bisexual (adjusted OR 2.13 (95% CI: 1.61 to 2.82)) or other minority sexual identities (3.20, 1.60\u20136.41) compared with heterosexual. Psychological distress was also higher among those reporting experiencing sexual difficulties (very often\/always vs never: 3.70, 2.64\u20135.18) or 2+partners since lockdown (compared with one: 3.90, 2.78\u20135.47). Psychological distress was less among participants reporting higher sexual frequency (5+occasions of sex in the past 4 weeks vs none: 0.64, 0.48\u20130.86).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Psychological distress was common among British adults during the COVID-19 pandemic, and this was associated with sexual behaviours. These findings have important implications for the design and implementation of interventions for populations at risk of poor mental and sexual health, including during international crises.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjph-2024-001443","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T12:44:47Z","timestamp":1747313087000},"page":"e001443","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual behaviours and lifestyles associated with poor mental health among British adults during the early phase of the COVID-19 pandemic: findings from a large, quasirepresentative, cross-sectional web-panel survey (Natsal-COVID)"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9432-7105","authenticated-orcid":false,"given":"Emily","family":"Jordan","sequence":"first","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Dema","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soazig","family":"Clifton","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8968-5963","authenticated-orcid":false,"given":"Andrew","family":"Copas","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Riddell","sequence":"additional","affiliation":[{"name":"University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Bos\u00f3 P\u00e9rez","sequence":"additional","affiliation":[{"name":"University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine H","family":"Mercer","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstin Rebecca","family":"Mitchell","sequence":"additional","affiliation":[{"name":"University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Field","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pam","family":"Sonnenberg","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"2025083110250034000_3.1.e001443.1","unstructured":"World Health Organisation . 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