Casual Sex Research Articles

Sexual behaviour and incidence of sexually transmitted infections among men who have sex with men (MSM) using daily and event-driven pre-exposure prophylaxis (PrEP): Four-year follow-up of the Amsterdam PrEP (AMPrEP) demonstration project cohort.

An increasing number of countries are currently implementing or scaling-up HIV pre-exposure prophylaxis (PrEP) care. With the introduction of PrEP, there was apprehension that condom use would decline and sexually transmitted infections (STIs) would increase. To inform sexual health counselling and STI screening programmes, we aimed to study sexual behaviour and STI incidence among men who have sex with men (MSM) and transgender women who use long-term daily or event-driven PrEP. The Amsterdam PrEP demonstration project (AMPrEP) was a prospective, closed cohort study, providing oral daily PrEP and event-driven PrEP to MSM and transgender women from 2015 to 2020. Participants could choose their PrEP regimen and could switch at each three-monthly visit. STI testing occurred at and, upon request, in-between 3-monthly study visits. We assessed changes in numbers of sex partners and condomless anal sex (CAS) acts with casual partners over time using negative binomial regression, adjusted for age. We assessed HIV incidence and changes in incidence rates (IRs) of any STI (i.e., chlamydia, gonorrhoea, or infectious syphilis) and individual STIs over time using Poisson regression, adjusted for age and testing frequency. A total of 367 participants (365 MSM) commenced PrEP and were followed for a median 3.9 years (interquartile range [IQR] = 3.4-4.0). Median age was 40 years (IQR = 32-48), 315 participants (85.8%) self-declared ethnicity as white and 280 (76.3%) had a university or university of applied sciences degree. Overall median number of sex partners (past 3 months) was 13 (IQR = 6-26) and decreased per additional year on PrEP (adjusted rate ratio [aRR] = 0.86/year, 95% confidence interval [CI] = 0.83-0.88). Overall median number of CAS acts with casual partners (past 3 months) was 10 (IQR = 3-20.5) and also decreased (aRR = 0.92/year, 95% CI = 0.88-0.97). We diagnosed any STI in 1,092 consultations during 1,258 person years, resulting in an IR of 87/100 person years (95% CI = 82-92). IRs of any STI did not increase over time for daily PrEP or event-driven PrEP users. Two daily PrEP users, and no event-driven PrEP users, were diagnosed with HIV during their first year on PrEP. Study limitations include censoring follow-up due to COVID-19 measures and an underrepresentation of younger, non-white, practically educated, and transgender individuals. In this prospective cohort with a comparatively long follow-up period of 4 years, we observed very low HIV incidence and decreases in the numbers of casual sex partners and CAS acts over time. Although the STI incidence was high, it did not increase over time. The study was registered at the Netherlands Trial Register (NL5413) https://www.onderzoekmetmensen.nl/en/trial/22706.

Taking on a new meaning of physics mathematization for teaching in teacher education processes

This is a documented reflection that seeks to characterize an alternative conception of the ‘mathematization of physics for teaching’. The reflection was made on the academic production of the research group ‘Teaching and learning of physics’. This group has posed a sequence of research questions has been raised to find out how physics teachers understand the relationship between physics and mathematics in the physics teaching process. In 2003 they studied the idea of ‘mathematical beauty’ in the early days of quantum mechanics, suggesting that there would be a difference between the way scientists assume the physical/mathematical relationship and the way physics is taught. In 2010, they wondered if there would be research in this field that would allow transformations in teaching focused on equations as the set of mathematical–physical relationships, finding that there are at least three trends. In 2019, they verified that despite the research in the literature, many students continue with the same reductionist idea about this relationship. In 2020, they made a proposal, showing a possibility of educating the teacher’s thinking for new understandings in this regard. The main conclusion is that it is possible to develop mathematization processes in the classroom from three specific phases that educate scientific thinking. The first phase tries to make the student aware of the existence of phenomenology and describe it. The second phase educates the study of nature in a systematic way, building the meaning of the organization of a physical system. The third phase promotes explanation and argument so that students achieve an explanatory model. These phases are configured as a criterion to guide the sequence of activities in a class, a set of classes or a complete course and have been worked on and tested in ‘physics didactics’ courses in a physics teacher training course.

Long-term measurement and characterization of boundary layer optical turbulence

The United States Naval Academy long-term scintillation measurement campaign was a multi-year effort to characterize optical turbulence in the near-maritime atmospheric boundary layer (ABL). At its core, the field experiment consists of in situ measurements of bulk atmospheric and oceanographic parameters, as well as path-averaged measurements of the refractive index structure parameter, C n 2, collected using a large-aperture scintillometer. The field experiment ran from January 1st, 2020, through September 26th, 2023, representing the most comprehensive collection of optical turbulence measurements in the near-maritime ABL to date. Long-term measurements enable researchers to evaluate existing theory and develop new models applicable to this environment. The present study characterizes some of the physical relationships that affect optical turbulence. This characterization focuses on the relationship between local optical turbulence and select atmospheric and oceanographic parameters. The impact of temperature gradients on the extent of optical turbulence was analyzed, along with its interactions with relative humidity and wind speed. The diurnal and seasonal variations in measured C n 2 were examined, with comparisons drawn against other environments. Further information and the full dataset are publicly available through the optical turbulence benchmark repository [Jellen et al., GitHub, 2023].

Development and Validation of the Resilience Scale for Kidney Transplantation

PurposeThis study developed a resilience scale for kidney transplantation (RS-KTPL) and assessed its reliability and validity. MethodsThe tool was developed based on Devellis’ (2017) guidelines. During the tool development phase, the concept of resilience in 10 patients who had undergone a kidney transplant was analyzed by integrating results from the theoretical and field research stages. Initial tool items were then derived. These items underwent content validity verification, item review, and a preliminary survey. The validation phase involved two main surveys, conducted using the preliminary 59 items derived from the development phase for data gathering. The first survey had 266 participants, and the second had 205 participants. Using the collected data, the structural validity, convergent validity, discriminant validity, criterion validity, and reliability of the tool items were verified, ultimately establishing the final items. ResultsThe RS-KTPL comprises six factors with 27 items confirmed through EFA and CFA on a 4-point Likert scale: positive thought transition through recovery belief, supportive relationships with others, self-awareness of negative psychological reactions, physical health control, homeostasis control, and supportive relationships with medical staff. The cumulative explanation of the tool was 50.71%. The model fit of the RS-KTPL was represented as follows: GFI .88, CFI .93, TLI .91, RMSEA .04, and SRMRI .06. Convergent, discriminant, and criterion validity were also secured. The reliability of the tool, measured by Cronbach’s α was .87. ConclusionThe RS-KTPL can be used to identify the level of resilience in patients who have undergone a kidney transplant, enabling them to recognize their strengths and areas of improvement for enhanced resilience. This tool can be applied in clinical nursing practices to comprehensively assess the resilience of patients with a kidney transplant, providing direction for nursing intervention plans to enhance patient resilience.

Factors associated with HIV pre-exposure prophylaxis use among Asian men who have sex with men in Sydney and Melbourne, Australia: a cross-sectional study

Asian-born MSM are a priority population as Australia aims to end HIV transmission, but they reported additional barriers to access PrEP and other HIV prevention methods. This study investigates factors associated with PrEP use among Asian MSM in Sydney and Melbourne, Australia, to inform strategies to improve PrEP uptake in this population. This was a sub-analysis of a community-based cross-sectional survey conducted from March to June 2021. We recruited participants online in Sydney and Melbourne, Australia. Univariable and multivariable logistic regression analyses were performed to identify the factors associated with PrEP use in the last six months and lifetime. Latent class analyses were used to identify subgroups of Asian MSM sharing similar characteristics related to their risk practices for HIV. Overall, 870 Asian MSM were included: 288 Oceanian-born Asian MSM and 582 Asian-born MSM. Three latent classes were identified: 1) Asian-born MSM who recently arrived in Australia with limited English, were less likely to use PrEP and at higher risk of HIV infection (e.g., had condomless anal sex with a casual sex partner in the last six months) (4.6%); 2) Asian MSM who were at lower risk of HIV infection and less likely to use PrEP (69.3%) and; 3) Asian MSM who were at substantial risk of HIV infection and more likely to use PrEP (26.1%). Compared to Oceanian-born Asian MSM, those who were born in Southeast Asia (adjusted odds ratio (aOR)=0.5, 95% confidence interval (CI) 0.3-0.7) and South Asia (aOR=0.4, 95% CI 0.2-0.8) were less likely to ever use PrEP. Compared to Oceanian-born Asian MSM, those who were born in Southeast Asia (aOR=0.4, 95% CI 0.3-0.7), Northeast Asia (aOR=0.5, 95% CI 0.3-0.8) and South Asia (aOR=0.4, 95% CI 0.2-0.7) were less likely to use PrEP in the last six months. To end HIV transmission in Australia, it will be necessary to develop strategies to improve PrEP access for the significant minority of Asian-born MSM who are at substantial risk of HIV infection. EPFC and JJO are supported by an Australian National Health and Medical Research Council (NHMRC) Emerging Leadership Investigator Grant (EPFC: GNT1172873 and JJO: GNT1193955). CKF is supported by an Australian National Health and Medical Research Council (NHMRC) Leadership Investigator Grant (GNT1172900).

DeepOTF: Learning Equations-constrained Prediction for Electromagnetic Behavior

DeepOTF: Learning Equations-constrained Prediction for Electromagnetic Behavior

Men's attitudes toward third party casual sex

AbstractThe reproductive self-interest model of morality (RSIMM) is a framework for understanding moral judgments associated with sexual behavior. This model posits that individual differences in sexual strategies, mediated by one's religiosity and political orientation, casually influence people's moral judgments toward social hot-button issues. Previous work on the RSIMM has explained individual differences in attitudes toward abortion, prostitution, and contraception. Individuals more interested in long-term mating judged these behaviors as morally wrong. In this preregistered study, we proposed the RSIMM would account for individual differences in rape myth acceptance (RMA). RMA is the phenomenon of endorsing beliefs or stereotypes about rape that diminish the severity of assaults or shift blame from perpetrators to victims. We examined the relationship between political orientation, attitudes toward third-party casual sex, and RMA in a convenience sample of 308 participants (137 women). We predicted that more negative attitudes toward third parties' casual sex would correlate with increased RMA. Our hypothesis was supported for men but not women: Men who condemned others' casual sex, had more unrestricted attitudes about their own casual sex, and desired more casual sex were statistically more likely to accept more rape myths. In the discussion, we speculate that sex differences in the relationship between attitudes towards casual sex and RMA may be due to the costs of rape incurred by women but not men.

“It’s Complicated”: How Black and White Women Innovate with Situationships at Midlife

Abstract The sexual and romantic activities of unmarried women at midlife are often invisible in survey research based on normative categories of adult intimacy. However, women at this stage in the life course are structurally positioned to innovate with intimacy. In our interviews with 53 Black and white women between ages 33-58, outside of stable partnerships, and open to sex and intimacy with men, we find that women’s frustration with marriage and marriage-like commitment, negative experiences dating, and lack of interest in celibacy led them to experiment with a new form of intimacy. A majority engaged in ongoing liaisons in a liminal space between casual and committed—what emerging scholarship on the romantic relationships of Black women refer to as “situationships.” Black women, those with higher incomes, and queer-identified women were more likely to use situationships. We argue that women’s use of situationships challenged normative expectations that felt constraining to many at midlife and allowed women to enjoy the benefits of sexual and romantic company. Situationships enabled them to avoid casual sex and maintain autonomy and single identity. Finally, we highlight the disadvantages of situationships, emphasizing the importance of life stage and orientation to normative arrangements for situationship experiences.

Relation between Central European Climate Change and Eifel Volcanism during the Last 130,000 Years: The ELSA-23-Tephra-Stack

The analysis of tephra layers in maar lake sediments of the Eifel shows 14 well-visible tephra during the last glacial cycle from the Holocene to the Eemian (0–130,000 yr b2k). These tephra were analyzed for their petrographic composition, which allows us to connect several tephra to eruption sites. All tephra were dated by application of the ELSA-20 chronology, developed using the late Pleistocene infilled maar lake of Auel and the Holocene lake Holzmaar (0–60,000 yr b2k). We extend the ELSA-20 chronology with this paper for the millennia of 60,000–130,000 yr b2k (ELSA-23 chronology), which is based on the infilled maar lake records from Dehner, Hoher List, and Jungferweiher. The evaluation of the tephra from the entire last glacial cycle shows that all 14 tephra were close to interstadial warming of the North Atlantic sea surface temperatures. In particular, phreatomagmatic maar eruptions were systematically associated with Heinrich events or C-events. These events represent times of warming of the Southern Hemisphere, global sea level rise, and CO2 increase, which predate the abrupt interstadial warming events of the Northern Hemisphere. This synchroneity indicates a physical relationship between endogenic and exogenic processes. Changes in the lithospheric stress field in response to changes in continental ice loads have already been suggested as a potential candidate to explain the exogenic forcing of endogenic processes. The chronology of volcanic activity in the Eifel demonstrates that intraplate mantle plumes are also affected by the exogenic forcing of endogenic processes.

Modeling and prediction of high-precision global evapotranspiration: based on a different model of physical relationships

Abstract The interchange of water vapor between the land and the atmosphere is influenced by actual evapotranspiration (AET). A nonlinear model (AET-SWC-PET-GPP, ASPG) was developed in this study to combine potential evapotranspiration (PET), soil water content (SWC), and gross primary productivity (GPP) in order to quantitatively estimate AET. The Fluxnet Network 2015 global flux station dataset was used to compared to the AET models (AET-SWC, AS; AET-SWC-PET, ASP and AET-SWC-PET2, ASP2) with various combinations of influencing factors. The results show that the simulation accuracy of the ASPG model is higher than that of AS, ASP, and ASP2, with improvements in a coefficient of determination (R2) of 45.3, 8.1, and 5.7%, respectively.The ASPG performed well for various vegetation types, geographical regions, and time scales. It was also discovered that the fitting coefficients vary depending on the type of vegetation, each with its own range of values.The ASPG model put forth in this study can be used to more effectively estimate AET quantitatively on a global scale and can serve as a theoretical foundation for the accurate calculation of global evapotranspiration and the wise use of water resources.

Novel deep learning methods for 3D flow field segmentation and classification

Flow field segmentation and classification help researchers to understand vortex structure and thus turbulent flow. Existing deep learning methods are mainly based on global vorticity information and focused on 2D circumstance. In this paper, based on flow field theory, criteria for flow field segmentation and classification in 3D space using local velocity information and the physical relationship between local vorticity and vortex wake are conducted, and then novel physical local information-embedded flow field segmentation and classification methods in 3D space using Multilayer Perceptron (MLP) are proposed. Our methods consist of three modules: a preprocessing module, a flow field segmentation module and a flow field classification module. The preprocessing module calculates input for succeeding modules based on the above criteria. The segmentation and classification modules process corresponding input to identify vortex structure, and further classify the type of vortex wakes in a 3D flow field. Experimental results show that our method can identify vortex area with an accuracy rate that reaches 90% while reducing time consumption by more than 90% compared with existing segmentation methods; our classification method reaches an accuracy rate of 99.7% while reducing time consumption by more than 90% compared with existing classification methods. Our proposed methods proved to achieve good performance both on accuracy and efficiency.

Factors associated with voluntary HIV counseling and testing among young students engaging in casual sexual activity: a cross-sectional study from Eastern China

Factors associated with voluntary HIV counseling and testing among young students engaging in casual sexual activity: a cross-sectional study from Eastern China

Characteristics of Received HIV Prevention Advocacy from Persons Living with HIV in Uganda, and Associations with HIV Testing and Condom Use Among Social Network Members.

Receiving peer advocacy has been shown to result in increased HIV protective behaviors, but little research has gone beyond assessment of the mere presence of advocacy to examine aspects of advocacy driving these effects. With baseline data from a controlled trial of an advocacy training intervention, we studied characteristics of HIV prevention advocacy received among 599 social network members of persons living with HIV in Uganda and the association of these characteristics with the social network members' recent HIV testing (past six months) and consistent condom use, as well as perceived influence of advocacy on these behaviors. Participants reported on receipt of advocacy specific to HIV testing and condom use, as well as on measures of advocacy content, tone of delivery, support for autonomous regulation, and perceived influence on behavior. Receiving HIV testing advocacy and condom use advocacy were associated with recent HIV testing [65.2% vs. 51.4%; OR (95% CI) = 1.77 (1.11-2.84)], and consistent condom use with main sex partner [19.3% vs. 10.0%; OR (95% CI) = 2.16 (1.12-4.13)], respectively, compared to not receiving advocacy. Among those who received condom advocacy, perceived influence of the advocacy was positively correlated with consistent condom use, regardless of type of sex partner; support of autonomous regulation was a correlate of consistent condom use with casual sex partners, while judgmental advocacy was a correlate of consistent condom use with serodiscordant main partners. Among those who received testing advocacy, HIV testing in the past 6 months was positively correlated with receipt of direct support for getting tested. In multiple regression analysis, perceived influence of both HIV testing and condom use advocacy were positively correlated with advocacy that included access information and support of autonomous regulation; confrontational advocacy and judgmental advocacy were independent positive correlates of perceived influence of testing and condom use advocacy, respectively. These findings support associations that suggest potential benefits of peer advocacy from PLWH on HIV testing and condom use among their social network members, and indicate that advocacy content, tone of delivery, and support of autonomous regulation advocacy may play an important role in the success of advocacy.

No Women's Land: Australian Women Veterans' Experiences of the Culture of Military Service and Transition.

Women's experiences of military service and transition occur within a highly dominant masculinized culture. The vast majority of research on military veterans reflects men's experiences and needs. Women veterans' experiences, and therefore their transition support needs, are largely invisible. This study sought to understand the role and impact of gender in the context of the dominant masculinized culture on women veterans' experiences of military service and transition to civilian life. In-depth qualitative interviews with 22 Australian women veterans elicited four themes: (1) Fitting in a managing identity with the military; (2) Gender-based challenges in conforming to a masculinized culture-proving worthiness, assimilation, and survival strategies within that culture; (3) Women are valued less than men-consequences for women veterans, including misogyny, sexual harassment and assault, and system failures to recognize women's specific health needs and role as mothers; and (4) Separation and transition: being invisible as a woman veteran in the civilian world. Gendered military experiences can have long-term negative impacts on women veterans' mental and physical health, relationships, and identity due to a pervasive masculinized culture in which they remain largely invisible. This can create significant gender-based barriers to services and support for women veterans during their service, and it can also impede their transition support needs.

A pathway study of factors influencing quality of fertility life

BackgroudTo investigate the factors influencing fertility quality of life in infertile men, constructing a structural equation model of the factors influencing fertility quality of life in infertile men, and to provide suggested measures for improving fertility quality of life in infertile men.MethodsIt is a Observational study. Infertile men (n = 250) attending a fertility centre in a hospital in Xinjiang, matched 1:2 men with no obvious male factor in the control group (n = 500).The Quality of Fertility Life Scale, the Social Support Scale, the Fertility Stress Scale and the Positive Attention Awareness Scale were used to conduct the survey. The model was constructed by applying the maximum likelihood estimation method in Mplus 8.3 software, to explore the factors influencing the quality of reproductive life of infertile men through path analyses. Differences between the case and control groups were statistically significant (P < 0.05) in terms of total fertility quality of life scores, core entry dimensions, affective responses, physical and mental relationships, selective treatment dimensions, and treatment tolerance.ResultsPast medical history, history of exposure to hazardous environments, health insurance reimbursement, social support, fertility stress, and mindfulness are important factors affecting the quality of fertility life of infertile men.ConclusionThe quality of fertility life of infertile men is not optimistic. By improving the level of mindfulness, fertility stress, and social support, we propose appropriate measures to improve the quality of fertility life of infertile men. These measures can improve their confidence in clinical diagnosis and infertility treatment, enabling them to cope positively with these challenges.

Characteristics of men who have casual sex with men among Chinese university students: A cross-sectional study.

The characteristics of men who have sex with men (either exclusively or with both men and women; MSM) who engaged in casual sex among Chinese male university students have not been compared with the characteristics of men who have sex with only women (MSW). This information is important for tailoring targeted behavioral interventions to prevent human immunodeficiency virus (HIV)/sexually transmitted infection (STI) transmission in this subgroup of MSM. Data were derived from a large cross-sectional electronic questionnaire survey conducted at 13 universities in Zhejiang Province, China, in 2018. Bivariate analyses were used to compare demographic, HIV-related psychosocial, and behavioral characteristics between MSM and MSW students who engaged in casual sex during the previous year. Proportion differences between the two groups and their 95% confidence intervals were analyzed. Among the 583 sexually active male students who engaged in casual sex during the previous year, 128 and 455 were MSM and MSW, respectively. Compared with MSW students, larger proportions of MSM students reported knowing that male-to-male sexual behavior was the main mode of HIV transmission among Chinese students (62.5% vs. 45.5%), consenting to commercial sex (67.2% vs. 53.4%), wanting to know the HIV serostatus of partners before casual sex (65.8% vs. 51.3%), feeling at risk of HIV infection (40.5% vs. 11.8%), high condom-decision scale scores (55.3% vs. 42.6%), engaging in sex with ≥ 5 casual sex partners (44.6% vs. 25.9%), searching for casual partners online (89.2% vs. 51.3%), consuming alcohol before casual sex (64.8% vs. 45.0%), engaging in sex with regular partners (83.1% vs. 67.0%), engaging in commercial sex (54.2% vs. 26.4%), and visiting a clinic for voluntary counselling and testing (VCT) (16.4% vs. 8.4%). However, compared with MSW students, smaller proportions of MSM students reported knowing that consistent condom use could prevent HIV transmission (80.5% vs. 95.2%) and that VCT should be actively sought after risky sexual behavior (78.9% vs. 93.8%), using condoms sometimes/often (26.4% vs. 44.3%), and consistently using condoms (28.9% vs. 40.1%) while engaging in sex with casual partners. MSM students who engaged in casual sex were at a greater risk of HIV/STI transmission, compared with MSW students. Comprehensive interventions to address the risks of unprotected male-to-male sex, searching for casual sex partners online, and non-use of HIV testing services are needed to reduce the burden of HIV/STI transmission among this subgroup of MSM.

Self-regulatory Sex Motives Scale in Online Dating: Exploratory Factor Analysis and Internal Consistency.

Risky sex behavior is common among online dating users. Understanding the motives behind risky sex behavior might help identify suitable targets for prevention. We developed the Self-regulatory Sex Motives Scale in Online Dating (SSOD) to assess sex motives for casual sex in online dating users. This study evaluated the psychometric properties of the SSOD and examined the relationship between sex motives indexed by the SSOD and risky sex behavior. The new scale showed high internal consistency. Exploratory factor analysis suggested a one-factor solution. Sex motives were related to a higher frequency of having sex on the first date.

Developing an ADDU Online Pedagogical Framework

Online instruction has emerged as a popular alternative to face-to-face classroom instruction. It provides educational opportunities to individuals with geographic, time, or other constraints that make education difficult or impossible to pursue and another option to those who prefer online learning’s flexibility and instructional delivery method. One of the constraints and challenges that education institutions are confronted with is the threat brought about by COVID-19 pandemic that made physical relationship and interactions difficult for teachers and students in the usual classroom setting. This study was conducted to develop an Ateneo de Davao University (ADDU) online pedagogical framework that will help guide the university’s shift to online education. Following a developmental research design with twenty (20) participants involving a founder and nineteen (19) co-founders of the ADDU Center for Educational Research and Advocacy (ACERA) and the approved minutes as the main source of data, results were established. The results included the general framework of ADDU online pedagogy or education, considerations of Ignatian Pedagogical Paradigm (IPP) as an overarching framework and Analyze, Design, Develop, Implement, Evaluate (ADDIE) model which complements with formation, and metrics for evaluation to measure ADDU’s model for instruction. In conclusion, the study identified five major themes for online education which include teachers’ competencies and strategies for teaching online, preparation of instructional materials, agency of the student, formation in an online platform of instruction, student assessment and learning outcomes; developed a framework for online education in considerations of IPP as an overarching framework and ADDIE model which complements with formation; and proposed metrics to measure and evaluate the effectiveness, impact, and sustainability of University’s platform of online instruction. 

Kurgan Phenomenon in the Southern Caucasus: Results of an Interdisciplinary Multi‐Method Remote Sensing Survey Along the Kurekçay Valley (Goranboy Province, Western Azerbaijan)

ABSTRACTThis paper presents the results of a pilot study that combines findings from satellite remote sensing analyses and an intensive interdisciplinary survey conducted in November 2021 on kurgans along the Kurekçay Valley, in western Azerbaijan. Through the integration of various methods, including historical and contemporary satellite and aerial imagery analysis, topographic mapping and geophysical prospections, this research remotely maps and quantifies the density, size, morphology and distribution of the burial mounds in the area. Unlike previous studies focusing solely on individual burial mounds, this investigation adopts a broader approach by contextualizing the kurgans within their respective landscapes. The results contribute to a deeper understanding of the physical and symbolic aspects and relationships of these structures, providing valuable insights into the enduring burial practices that shaped the funerary traditions of the Southern Caucasus during the 4th and 1st millennium BCE. Furthermore, this approach supports an assessment of the condition of the individual kurgans, thereby opening new perspectives to develop innovative plans to protect these burial mounds and their settings.

Patterns of sex behaviors and factors associated with condomless anal intercourse during the COVID-19 pandemic among men who have sex with men in Hong Kong: A cross-sectional study.

The present study examined the patterns of sex behaviors before and during COVID-19, and identified the factors associated with condomless anal intercourse during COVID-19 from individual, interpersonal, and contextual level among men who have sex with men (MSM) in Hong Kong. A cross-sectional study was conducted among MSM in Hong Kong. A total of 463 MSM completed a cross-sectional telephone survey between March 2021 and January 2022. Among all participants, the mean number of regular sex partners, non-regular sex partners, and casual sex partners during the COVID-19 period were 1.24, 2.09, and 0.08 respectively. Among those who had sex with regular, non-regular, and casual sex partner during the COVID-19 period, respectively 52.4%, 31.8% and 46.7% reported condomless anal intercourse. Compared to the pre-COVID-19 period, participants reported significantly fewer number of regular and non-regular sex partners during the COVID-19 period. However, a higher level of condomless anal intercourse with all types of sex partners during the COVID-19 period was also observed. Adjusted for significant socio-demographic variables, results from logistic regression analyses revealed that perceived severity of COVID-19 (aOR = 0.72, 95% CI = 0.58, 0.88), COVID-19 risk reduction behaviors in general (aOR = 0.68, 95% CI = 0.48, 0.96), COVID-19 risk reduction behaviors during sex encounters (aOR = 0.45, 95% CI = 0.30, 0.66), condom negotiation (aOR = 0.61, 95% CI = 0.44, 0.86), and collective efficacy (aOR = 0.79, 95% CI = 0.64, 0.98) were protective factors of condomless anal intercourse with any type of sex partners during the COVID-19 period. The COVID-19 control measures have caused a dramatic impact on the sexual behavior of MSM in Hong Kong. Interventions that promote condom use during the COVID-19 pandemic are still needed and such interventions could emphasize prevention of both COVID-19 and HIV.