{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:34:50Z","timestamp":1789043690577,"version":"build-2803163510"},"reference-count":55,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T00:00:00Z","timestamp":1653091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UNSW Sydney Faculty of Arts &amp; Social Sciences HDR Faculty"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: While a large body of evidence indicates changes in alcohol and other drug use among young people as a result of the COVID-19 pandemic, there is a lack of evidence around changes in sexual practices and how the pandemic may be impacting the potential spread of blood-borne viruses and sexually transmissible infections (BBVs\/STIs). Most of what we know about sex during COVID-19 lockdowns is largely based on solitary sexual practices, which may not answer the critical question around how the pandemic may be shaping sexual practices among young people. Against this backdrop, this study explored how the COVID-19 pandemic may be shaping BBVs\/STIs risk and protective practices among a sample of onshore African and Asian international students in Sydney, Australia. Methods: This phenomenological qualitative study involved semi-structured telephone and face-to-face interviews with 16 international university students in Sydney, between September 2020\u2013March 2021. Generated data were coded using NVivo and analysis was guided by reflexive thematic analysis. Results: Participants reported elevated mental health distress because of the COVID-19 pandemic. Some participants reported engaging in casual sexual hook-ups as a strategy to mitigate the mental health distress they were experiencing. Some of these sexual hook-ups were condomless partly because COVID-related disruptions impacted condom accessibility. Additionally, the preventive practices of some participants who were sexually active during the lockdowns were focused on preventing COVID-19, while the risk of BBVs\/STIs were downplayed. Conclusions: This study indicates a need for a comprehensive public health response to the evolving and near-endemic COVID-19 situation. Such a comprehensive approach should focus on empowering young people to prevent both SARS-CoV-2 and BBVs\/STIs.<\/jats:p>","DOI":"10.3390\/ijerph19106264","type":"journal-article","created":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T09:18:08Z","timestamp":1653124688000},"page":"6264","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["\u201cCompared to COVID, HIV Is Nothing\u201d: Exploring How Onshore East Asian and Sub-Saharan African International Students in Sydney Navigate COVID-19 versus BBVs\/STIs Risk Spectrum"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9211-1813","authenticated-orcid":false,"given":"Sylvester Reuben","family":"Okeke","sequence":"first","affiliation":[{"name":"Centre for Social Research in Health, University of New South Wales Sydney, Sydney 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,21]]},"reference":[{"key":"ref_1","unstructured":"UNAIDS (2021, August 25). Confronting Inequalities: Lessons for Pandemic Responses from 40 Years of AIDS. Global AIDS Update 2021. Available online: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2021-global-aids-update_en.pdf."},{"key":"ref_2","first-page":"103","article-title":"How Does the Cov\u0131d-19 Pandemic affect the target 90-90-90?","volume":"19","author":"Karaosmanoglu","year":"2021","journal-title":"Curr. HIV Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.amepre.2021.03.009","article-title":"Impact of the COVID-19 Pandemic on Chlamydia and Gonorrhea Screening in the U.S.","volume":"61","author":"Pinto","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Sent\u00eds, A., Prats-Uribe, A., L\u00f3pez-Corbeto, E., Montoro-Fernandez, M., Nomah, D.K., de Olalla, P.G., Mercuriali, L., Borrell, N., Guadalupe-Fern\u00e1ndez, V., and Reyes-Urue\u00f1a, J. (2021). The impact of the COVID-19 pandemic on Sexually Transmitted Infections surveillance data: Incidence drop or artefact?. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11630-x"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1080\/0309877X.2019.1673326","article-title":"Loneliness among international students in the UK","volume":"44","author":"Wawera","year":"2020","journal-title":"J. Furth. High. Educ."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.21106\/ijtmrph.82","article-title":"Social isolation, loneliness, and mental and emotional well-being among international students in the United States","volume":"3","author":"Girmay","year":"2019","journal-title":"Int. J. Transl. Med. Res. Public Health"},{"key":"ref_7","first-page":"661","article-title":"International students and mental health","volume":"6","author":"Sawyer","year":"2016","journal-title":"J. Int. Stud."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Liu, C., McCabe, M., Dawson, A., Cyrzon, C., Shankar, S., Gerges, N., Kellett-Renzella, S., Chye, Y., and Cornish, K. (2021). Identifying predictors of university students\u2019 wellbeing during the COVID-19 pandemic\u2014A data-driven approach. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18136730"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"100179","DOI":"10.1016\/j.jadr.2021.100179","article-title":"Prevalence and socio-demographic correlates of depression, anxiety, and co-morbidity during COVID-19: A cross-sectional study among public and private university students of Bangladesh","volume":"5","author":"Mehareen","year":"2021","journal-title":"J. Affect. Disord. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1111\/gwao.12610","article-title":"Intersecting marginalities: International students\u2019 struggles for \u201csurvival\u201d in COVID-19","volume":"28","author":"Coffey","year":"2021","journal-title":"Gend. Work. Organ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"710878","DOI":"10.3389\/fpsyt.2021.710878","article-title":"Gender differences in mental health disorder and substance abuse of Chinese international college students during the covid-19 pandemic","volume":"12","author":"Li","year":"2021","journal-title":"Front. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"108488","DOI":"10.1016\/j.drugalcdep.2020.108488","article-title":"Alcohol use and mental health during COVID-19 lockdown: A cross-sectional study in a sample of UK adults","volume":"219","author":"Jacob","year":"2021","journal-title":"Drug Alcohol Depend."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"106532","DOI":"10.1016\/j.addbeh.2020.106532","article-title":"Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women","volume":"110","author":"Rodriguez","year":"2020","journal-title":"Addict. Behav."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Stanton, R., To, Q.G., Khalesi, S., Williams, S.L., Alley, S.J., Thwaite, T.L., Fenning, A.S., and Vandelanotte, C. (2020). Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17114065"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"542549","DOI":"10.1111\/pcn.13099","article-title":"Alcohol use in Australia during the early days of the COVID-19 pandemic: Initial results from the COLLATE project","volume":"74","author":"Neill","year":"2020","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_16","first-page":"2","article-title":"Solitary and joint online pornography use during the first COVID-19 lockdown in Portugal: Intrapersonal and interpersonal correlates","volume":"15","author":"Rodriguez","year":"2021","journal-title":"Cyberpsychol. J. Psychosoc. Res. Ceyberspace"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"100342","DOI":"10.1016\/j.esxm.2021.100342","article-title":"Changes in sexual fantasy and solitary sexual practice during social lockdown among young adults in the UK","volume":"9","author":"Cascalheira","year":"2021","journal-title":"Sex. Med."},{"key":"ref_18","unstructured":"Reeders, D. (2011). Responding to Diversity: Meeting the Sexual and Reproductive Health Needs of International Students, Centre for Culture, Ethnicity and Health. Available online: https:\/\/www.ceh.org.au\/wp-content\/uploads\/2018\/05\/responding-to-diversity-002.pdf."},{"key":"ref_19","unstructured":"Poljski, C. (2011). On Your Own: Sexual and Reproductive Health of Female International Students in Australia, Multicultural Centre for Women\u2019s Health. Available online: https:\/\/www.mcwh.com.au\/downloads\/publications\/On_Your_Own_Report_2011.pdf."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1136\/sextrans-2020-054688","article-title":"Love during lockdown: Findings from an online survey examining the impact of COVID-19 on the sexual health of people living in Australia","volume":"97","author":"Coombe","year":"2021","journal-title":"Sex. Transm. Infect."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Davids, E.L., Zembe, Y., de Vries, P.J., Mathews, C., and Swartz, A. (2021). Exploring condom use decision-making among adolescents: The synergistic role of affective and rational processes. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11926-y"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/08870446.2017.1385787","article-title":"Emotion, health decision making, and health behaviour","volume":"33","author":"Ferrer","year":"2018","journal-title":"Psychol. Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1080\/09540120500333509","article-title":"Patterns of reasoning and decision making about condom use by urban college students","volume":"18","author":"Patel","year":"2006","journal-title":"AIDS Care"},{"key":"ref_24","unstructured":"United Nations General Assembly (UNGA) (2020, December 09). United Nations General Assembly Resolution 70\/1\u2014Transforming Our World: The 2030 Agenda for Sustainable Development: UNGA 2015. Available online: https:\/\/www.un.org\/en\/development\/desa\/population\/migration\/generalassembly\/docs\/globalcompact\/ARES701E.pdf."},{"key":"ref_25","unstructured":"World Health Organization (2016). 69th World Health Assembly Closes, World Health Organization. Available online: https:\/\/www.who.int\/hiv\/strategy2016-2021\/en\/."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/2049463714541642","article-title":"Interpretative phenomenological analysis as useful methodology for research on the lived experience of pain","volume":"9","author":"Smith","year":"2015","journal-title":"Br. J. Pain"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Okeke, S.R. (2021). How perceived Australian sexual norms shape sexual practices of East Asian and sub-Saharan African international students in Sydney. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-10445-0"},{"key":"ref_28","unstructured":"Smith, J.A., Flowers, P., and Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, Method and Research, SAGE."},{"key":"ref_29","unstructured":"Creswell, J.W., and Poth, C.N. (2017). Qualitative Inquiry and Research Design Choosing among Five Approaches, Sage Publications. [4th ed.]."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1136\/eb-2018-102990","article-title":"Phenomenology as a healthcare research method","volume":"21","author":"Rodriguez","year":"2018","journal-title":"Evid. Based Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? What counts as quality practice in (reflexive) thematic analysis?","volume":"18","author":"Braun","year":"2020","journal-title":"Qual. Res. Psychol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s13690-021-00777-z","article-title":"\u201cI always prefer to withdraw than use a condom\u201d: Contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney","volume":"80","author":"Okeke","year":"2022","journal-title":"Arch Public Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"102196","DOI":"10.1016\/j.janxdis.2020.102196","article-title":"Coronaphobia: Fear and the 2019-nCoV out-break","volume":"70","author":"Asmundson","year":"2020","journal-title":"J. Anxiety Disord."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"102083","DOI":"10.1016\/j.ajp.2020.102083","article-title":"Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic","volume":"51","author":"Roy","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Anand, V., Verma, L., Aggarwal, A., Nanjundappa, P., and Rai, H. (2021). COVID-19 and psychological distress: Lessons for India. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0255683"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"102073","DOI":"10.1016\/j.ajp.2020.102073","article-title":"First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies","volume":"51","author":"Mamun","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1001\/jamapediatrics.2021.2482","article-title":"Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: A Meta-analysis","volume":"175","author":"Racine","year":"2021","journal-title":"JAMA Pediatr."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Godoy, L.D., Falcoski, R., Incrocci, R.M., Versuti, F.M., and Padovan-Neto, F.E. (2021). The psychological impact of the COVID-19 pandemic in remote learning in higher education. Educ. Sci., 11.","DOI":"10.3390\/educsci11090473"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"100218","DOI":"10.1016\/j.ijchp.2020.100218","article-title":"Mental health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity","volume":"21","author":"Chi","year":"2021","journal-title":"Int. J. Clin. Health Psychol."},{"key":"ref_40","first-page":"100093","article-title":"Adolescents\u2019 symptoms of anxiety and depression before and during the COVID-19 outbreak-A prospective population-based study of teenagers in Norway","volume":"5","author":"Hafstad","year":"2021","journal-title":"Lancet Reg. Health-Eur."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s10964-020-01332-9","article-title":"Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic","volume":"50","author":"Magson","year":"2021","journal-title":"J. Youth Adolesc."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Filho, W.L., Wall, T., Rayman-Bacchus, L., Mifsud, M., Pritchard, D.J., Lovren, V.O., Farinha, C., Petrovic, D.S., and Balogun, A. (2021). Impacts of COVID-19 and social isolation on academic staff and students at universities: A cross-sectional study. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11040-z"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1080\/10376178.2021.1997147","article-title":"Understanding the support needs of Australian nursing students during COVID-19: A cross-sectional study","volume":"57","author":"Alomari","year":"2021","journal-title":"Contemp. Nurse"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e047727","DOI":"10.1136\/bmjopen-2020-047727","article-title":"Rate of condom use among sexually active adolescents: A nationwide cross-sectional study in Taiwan from 2012 to 2016","volume":"11","author":"Siu","year":"2021","journal-title":"BMJ Open"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1071\/SH20040","article-title":"Premarital relationships and condom use among young people in Suva, Fiji","volume":"17","author":"Mitchell","year":"2020","journal-title":"Sex. Health"},{"key":"ref_46","first-page":"1733245","article-title":"The levels and factors associated with inconsistent condom use among young males with older, same-sex partners in South Africa","volume":"6","author":"Billings","year":"2020","journal-title":"Cogent Soc. Sci."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/j.neubiorev.2012.02.003","article-title":"Decision making under stress: A selective review","volume":"36","author":"Starcke","year":"2012","journal-title":"Neurosci. Behav. Rev."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Tarantino, V., Tasca, I., Giannetto, N., Mangano, G.R., Turriziani, P., and Oliveri, M. (2021). Impact of perceived stress and immune status on decision-making abilities during COVID-19 pandemic lockdown. Behav. Sci., 11.","DOI":"10.3390\/bs11120167"},{"key":"ref_49","unstructured":"Fallon, C.K., Matthews, G., Panganiban, A.R., Wohleber, R., and Roberts, R.D. (2013, January 10\u201313). Emotional intelligence and decision making under stress. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2013, Baltimore, MD, USA."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.ynstr.2015.12.006","article-title":"Stress potentiates decision biases: A stress induced deliberation-to-intuition (SIDI) model","volume":"3","author":"Yu","year":"2016","journal-title":"Neurobiol. Stress"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1016\/j.sexol.2020.12.007","article-title":"Condom use during COVID-19: Findings from an Australian sample of heterosexual young adults","volume":"30","author":"Dacosta","year":"2021","journal-title":"Sexologies"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jsxm.2019.10.005","article-title":"Predictors of condomless sex and sexual health behaviors in a sample of Portuguese single adults","volume":"17","author":"Rodrigues","year":"2020","journal-title":"J Sex Med."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1080\/01639625.2019.1594584","article-title":"\u201cIf he looks clean\u2026\u201d: Condom use decisions in prostitution","volume":"41","author":"Stone","year":"2020","journal-title":"Deviant Behav."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1080\/00224499.2016.1143440","article-title":"How condom discontinuation occurs: Interviews with emerging adult women","volume":"54","author":"Mullinax","year":"2017","journal-title":"J. Sex Res."},{"key":"ref_55","unstructured":"Tregenza, H. (2021, January 27). Coronavirus Shutdown Could Be Responsible for Decrease in Sexually Transmitted Infection Rates in the ACT. Available online: https:\/\/www.abc.net.au\/news\/2020-05-20\/coronavirus-shutdown-leads-to-apparent-drop-in-stis-in-canberra\/12264908."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6264\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:16:01Z","timestamp":1760138161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6264"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,21]]},"references-count":55,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["ijerph19106264"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19106264","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,21]]}}}