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Table 3 Perceived effects of the COVID-19 pandemic in relation to sexual behaviors

From: Evidence of secular trends during the COVID-19 pandemic in a stepped wedge cluster randomized trial examining sexual and reproductive health outcomes among Indigenous youth

Perceived effects of the COVID pandemic

Average number of sex acts, (SD)

IRRa

(95% CI)

Average number of protected sex acts, (SD)

IRRa

(95% CI)

 

Did not endorse item

Endorsed item

  

Did not endorse item

Endorsed item

  

Quarantined at home during the Montana sheltering-in-place order during Spring 2020

1.2 (1.2)

.47 (1.2)

0.51

(.23–1.1)

.79 (1.4)

.22 (.82)

.36

(.11–1.1)

Accessed services from IHS or tribal health services for SRH itemsb during Spring 2020

.37 (1.0)

1.5 (1.9)

2.8

(1.4–5.5)

.12 (.57)

1.0 (1.5)

2.7

(.85–8.4)

Wanted or needed to access SRH items but could not

.54 (1.3)

1.0 (1.6)

1.3

(.45–4.0)

.35 (.98)

0.0 (0.0)

0.0

(0.0–0.0)

Concerned about contracting COVID-19 prevented access to SRH services

.53 (1.3)

.84 (1.5)

1.0

(.41–2.5)

.29 (.91)

.42 (1.1)

1.0

(.25–4.1)

Worried about contracting COVID-19

.64 (1.5)

.55 (1.2)

.76

(.38–1.5)

.34 (1.0)

.30 (.89)

2.1

(.67–6.5)

Stayed at home more due to concern about contracting COVID-19

.48 (1.2)

.67 (1.4)

1.3

(.64–2.5)

.19 (.68)

.43 (1.1)

1.4

(.42–4.5)

Had sex with less people due to COVID-19

.41 (1.1)

2.4 (2.5)

3.6

(1.6–8.1)

.17 (.64)

1.9 (1.9)

1.4

(.40–5.2)

Had sex with more people due to COVID-19

.58 (1.3)

.5 (.71)

.82

(.06–12.0)

.31 (.95)

.50 (.71)

5.6

(.45–69.8)

Had sex with the same amount of people due to COVID-19

2.1 (2.4)

.41 (1.1)

.31

(.14–.70)

1.7 (1.8)

.16 (.64)

.53

(.15–1.9)

Had sex less times due to COVID

.43 (1.2)

1.9 (1.9)

2.7

(1.2–6.4)

.19 (.72)

1.4 (1.7)

2.4

(.74–7.8)

Had sex more times due to COVID

.54 (1.3)

1.4 (1.5)

2.0

.50–7.8)

.29 (.92)

1.0 (1.2)

3.1

(.66–14.7)

Had sex the same amount of times due to COVID

1.8 (1.8)

.38 (1.1)

.36

(.17–.75)

1.3 (1.6)

.15 (.67)

.24

(0.1–0.7)

Used condoms less times due to COVID

.45 (1.2)

1.6 (1.4)

2.5

(.83–7.4)

.26 (.84)

.63 (1.4)

.76

(.17–3.3)

Used condoms more times due to COVID

.51 (1.2)

.9 (1.2)

1.4

(.37–5.2)

.25 (.85)

.86 (1.2)

4.6

(1.22–17.6)

Used condoms the same amount of times due to COVID

1.3 (1.3)

.43 (1.2)

.47

(.19–1.1)

.73 (1.3)

.22 (.80)

.44

(.14–1.4)

  1. Abbreviations: IHS Indian Health Services, SRH sexual and reproductive health, IRR incidence rate ratio, CI confidence interval, SD standard deviation
  2. aIRRs were derived from a negative binomial regression model with the number of protected acts of vaginal and anal sex (past 30 days) as the dependent variable, with the model offset by the number of sexual acts (past 30 days)
  3. bSRH items included condoms, birth control, a pregnancy test, or a STI test