Safe-Sex and Safe-Dating among Single People During COVID-19: Is it Possible?

One of the many new terms you may have heard during the COVID-19 pandemic is ‘quarantine bae’. This refers to one’s romantic partner during the pandemic, motivated by the avoidance of facing the obstacles of being single. The emergence of this term reflects the hurdles faced by single people as a result of social distancing restrictions, stay-at-home orders, fear of contracting COVID-19 and even spreading the disease to household members. Therefore, it is not surprising that a study of 26 countries found that being single was associated with higher levels of perceived stress during lockdown (Kowal et al., 2020). This is coupled with mandates dictating that abstinence is the gold standard for single people during this time (Cabello et al., 2020). As we wait for widespread COVID-19 vaccine accessibility in Canada and the possibility of a third wave, it is worth considering the following question: based on our learnings in the past year, is there a reasonable and safe way for single people to be sexual and/or date during the COVID-19 pandemic?

Currently, evidence shows that there is a very low likelihood of contracting COVID-19 through semen or vaginal fluids (Public Health Agency of Canada, 2020). However, partnered sexual activity involves close contact, which presents a very significant risk for transmission. For example, kissing, which is a very common practice during partnered sexual activity, can involve the exchange of saliva that may contain the virus (Eleuteri & Terzitta, 2021). Also, for single people hoping to date, activities such as getting coffee, going for dinner, or going to the movies, may also involve close contact (e.g., less than 6 ft distance) or even be logistically impossible due to lockdown closures. Even meeting potential dating or sexual partners in-person in the first place may pose a significant risk of exposure and is also more difficult due to COVID-19 restrictions. Thus, if you are a single person looking for 0% risk of transmission, it is clear that close contact partnered sexual activity and dating is not the way to go.

When partnered sexual activity does occur, the possibility of safe sex among single people during the pandemic is further threatened given pandemic trends in contraception use and safe sex practices. For instance, loneliness has been associated with sexual risk-taking (Martin & Knox, 1997). Thus, the social isolation and high levels of stress and loneliness experienced by single people may actually lead to increased levels of risky sexual behaviours. A recent study in Australia found a general decline in condom use during the pandemic among 149 heterosexual participants, which was especially pronounced among single people (Dacosta et al., 2021). It was suggested that this was a result of the burden of receiving additional COVID-19 health guidelines on top of sexual health guidelines. Although rates of Sexually Transmitted Infections (STIs) decreased substantially in Ontario since the pandemic’s onset (Public Health Ontario, 2020), this is likely due to a drop in STI screening and testing. In fact, this has already been shown to be a significant problem that disproportionately impacts the LGBTQIA+ community in Canada, with many delayed or missed asymptomatic STI diagnoses, a lack of STI screening, as well as lack of adherence to antiretroviral therapy for those who are HIV positive (Brennan et al., 2020). This also means that clinical eligibility for HIV Pre-Exposure Prophylaxis (PrEP) may be currently limited in Canada (Brennan et al., 2020). This difficulty in maintaining safe-sex practices presents another issue with in-person partnered sexual activity during the pandemic.

So, does this mean that abstinence is the way to go? Not necessarily, as this may depend on one’s personal definition of “abstinence.” In light of the current difficulties with meeting potential partners in-person, there has been a rapid increase in online dating applications usage, such as Tinder since social distancing measures have been imposed (Chisom, 2021). But will those who meet online end up in close contact if they do meet? Although some may, it seems that many are relying on online contacts instead. One study found that some of the most common new additions to peoples’ sexual activity during the pandemic was cybersex and filming oneself masturbating (Lehmiller et al., 2020). Being younger and living alone were also significant factors linked to adding these new sexual activities in peoples’ sexual lives (Lehmiller et al., 2020). Sexting is another common activity, and it has shown to be a mutually positive sex activity when both partners are comfortable with this engagement (Hudson & Fetro, 2015). A similar approach can be taken for dating relationships, as it is also feasible to maintain online dating relationships through instant messaging, telephone calls, and video calling. In fact, technology-based communications may even demonstrate a “hyperpersonalization effect,” in which in intimacy is heightened compared to in-person interactions (Walther, 1994). Interestingly, at a time when single people feel very limited in their sexual and dating activities, this research provides evidence of increased sexual diversity, as less common sexual and dating activities have become more normalized. This shows that single people can and are adapting their sexual and dating lives in unique and creative ways in support of safety.

For those who are not satisfied with these technology-based solutions there is another option. It seems that masturbation is not a part of medical professionals’ definition of abstinence in safety guidelines. As a result, single people can shift their perspectives and view this time as an opportunity to learn new strategies for sexual pleasure on their own (Lopes et al., 2020). They can then bring what they have learned to future partnered sexual activities once Canadians are vaccinated. Masturbation, therefore, provides a method for single people to engage in sexual activity without taking on any risk.

Another important point, made clear by the extensive literature about the failures of abstinence-only education (Santelli et al., 2006), is that it is not reasonable to assume that all people will adopt abstinence from in-person dating activities and partnered in-person sexual activities (Banerjee & Rao, 2020). This is coupled with the reality that among younger adults in Ontario, those who are single have been suggested to be less compliant with COVID-19 public health measures (Evidence Synthesis Unit, 2020). Therefore, those who are not satisfied with safer options and decide they are willing to take on some risks should be informed how to do so in a way that minimizes risks as much as possible. For example, a person who wants to go on an in-person date should consider activities that maintain social distance, such as a socially distanced walk. For those who wish to engage in close-contact sexual activities, despite public health recommendations, should adhere to other public health recommendations such as self-monitoring symptoms, avoiding kissing and face-to-face contact, wearing a mask, and engaging in safer sex practices (e.g., condom use, STI screening) (Public Health Agency of Canada, 2020). In addition, at-home STI Testing programs for chlamydia and gonorrhea are important tools during the COVID-19 era (Carnevale et al., 2021).

While in-person partnered sexual activity is a high risk option, many alternatives to engage sexually exist for single people during the age of COVID-19. According to the World Health Organization, sexual health is defined as “…a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease…” (2017). Although the absence of disease – specifically COVID-19 – is ideal, it is extremely important that young single adults are given accurate options and information, as maintaining sexual health is important during this stressful and unprecedented time.

SexLab is currently recruiting for a study looking at Sexual Outcomes in people who have tested positive for COVID-19. Check it out HERE! 

Rina Gutzin, B.A.H. Psychology 2021, Queen’s University

 

 

References

Banerjee, D., & Rao, T. (2020). Sexuality, sexual well being, and intimacy during COVID-19 pandemic: An advocacy perspective. Indian journal of psychiatry62(4), 418–426. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_484_20

Brennan, D. J., Card, K. G., Collict, D., Jollimore, J., & Lachowsky, N. J. (2020). How Might Social Distancing Impact Gay, Bisexual, Queer, Trans and Two-Spirit Men in Canada? AIDS and Behavior, 24(9), 2480-2482. https://doi.org/10.1007/s10461-020-02891-5

Cabello, F., Sánchez, F., Farré, J. M., & Montejo, A. L. (2020). Consensus on Recommendations for Safe Sexual Activity during the COVID-19 Coronavirus Pandemic. Journal of clinical medicine9(7), 2297. https://doi.org/10.3390/jcm9072297

Carnevale, C., Richards, P., Cohall, R., Choe, J., Zitaner, J., Hall, N., . . . Zucker, J. (2020). At-Home Testing for Sexually Transmitted Infections During the COVID-19 Pandemic. Sexually Transmitted Diseases, 48(1), 11-14. doi:10.1097/olq.0000000000001313

Chisom, O. B. (2021). Effects of Modern Dating Applications on Healthy Offline Intimate Relationships during the COVID-19 Pandemic: A Review of the Tinder Dating Application. Advances in Journalism and Communication, 9(1), 12-38. doi:10.4236/ajc.2021.91002

Eleuteri, S., & Terzitta, G. (2021). Sexuality during the COVID-19 pandemic: The importance of Internet. Sexologies, 30(1), 42-48. https://doi.org/10.1016/j.sexol.2020.12.008

Evidence Synthesis Unit (Research, Analysis and Evaluation Branch, Ministry of Health). (2020, December, 10). Evidence Briefing Note: Youth Compliance With COVID-19 Public Health Measures. Evidence Synthesis Network: COVID-19 Collaboration in Practice. https://esnetwork.ca/wp-content/uploads/2020/12/Evidence-Synthesis-BN_Youth-Compliance-with-COVID-19-Public-Health-Measures_11-DEC-2020-1.pdf

Hudson, H.K., & Fetro, J.V. (2015). Sextual activity: Predictors of sexting behaviors and intentions to sext among selected undergraduate students. Computers in Human Behavior, 49, 615–22. doi:10.1016/j.chb.2015.03.048.

Kowal, M., Coll-Martín, T., Ikizer, G., Rasmussen, J., Eichel, K., Studzinska, A., . . . Ahmed, O. (2020). Who Is the Most Stressed During COVID-19 Isolation? Data From 27 Countries. Applied Psychology: Health and Well-being, 12(4), 946-966. https://doi.org/10.1111/aphw.12234

Lehmiller, J. J., Garcia, J. R., Gesselman, A. N., & Mark, K. P. (2020). Less Sex, but More Sexual Diversity: Changes in Sexual Behavior during the COVID-19 Coronavirus Pandemic. Leisure Sciences, 1-10. https://doi.org/10.1080/01490400.2020.1774016

Lopes, G. P., Vale, F. B., Vieira, I., Filho, A. L., Abuhid, C., & Geber, S. (2020). COVID-19 and Sexuality: Reinventing Intimacy. Archives of Sexual Behavior, 49(8), 2735-2738. https://doi.org/10.1007/s10508-020-01796-7

Martin, J. I., & Knox, J. (1997). Loneliness and Sexual Risk Behavior in Gay Men. Psychological Reports, 81(3), 815–825. https://doi.org/10.2466/pr0.1997.81.3.815

Public Health Agency of Canada. (2020). Statement from the Chief Public Health Officer of Canada on September 2, 2020. Retrieved from the Government of Canada website: https://www.canada.ca/en/public-health/news/2020/09/statement-from-the-chief-public-health-officer-of-canada-on-september-2-2020.html

Public Health Ontario. (2020). Monthly Infectious Diseases Surveillance Report: Diseases of Public Health Significance cases for January to December 2020. Retrieved from the Public Health Ontario website: https://www.publichealthontario.ca/-/media/documents/surveillance-reports/infectious/surveillance-report-infectious-diseases-2020.pdf?la=en

Santelli, J., Ott, M. A., Lyon, M., Rogers, J., Summers, D., & Schleifer, R. (2006). Abstinence and abstinence-only education: A review of U.S. policies and programs. Journal of Adolescent Health, 38(1), 72-81. https://doi.org/10.1016/j.jadohealth.2005.10.006

Walther, J. B. (1996). Computer-mediated communication: Impersonal, interpersonal, and hyperpersonal interaction. Communication research23(1), 3-43. https://doi.org/10.1177/009365096023001001

Teenagers and the Media: The Good, the Bad and the Sexy

With the rise of technology, social media, and media consumption, children and adolescents of the 21st century are exposed to more information and entertainment sources than any previous generation. However, with these advancements, the line between media directed towards adults and media directed towards youth has been blurred. For example, the Netflix television show, Riverdale, is a high-school drama series directed towards adolescents. In response, many parents have criticized the show content's appropriateness, specifically its themes of underage drinking, drug use, gun violence, and sex. The most controversial topic seems to be the show's sympathetic and graphic portrayal of an adult teacher and an underaged student in a sexual relationship (Common Sense Media, n.d.).

It is understandable why so many parents are concerned with how sexual content in popular media may be affecting their children's sexual development and well-being. Although parental restrictions on social media sites like YouTube offer some protection against exposure to sexual content, the vast sources of information in television, movies, and the internet are nearly impossible to filter completely. The public's consensus is that early sexual media exposure negatively influences youth behaviour and attitudes, but it remains unclear to what extent. So far, evidence has shown that unrealistic portrayals of sex in the media might contribute to risky sexual behaviour and expectations. However, sexual media may also offer benefits that are overlooked due to this popular opinion, such as the potential for sexual health education. The pros and cons of sex in the media continue to fuel the heated debate over its impact on youth. As a result, many researchers have raised the following question: is sexual media contributing to long- term sexual health and development in adolescence?

What are the negative impacts?

One of the most popular theories about sexual media is that increased consumption during childhood and adolescence correlates with earlier sexual behaviour and teen pregnancy. As per the social learning theory proposed by Bandura (1971), children learn behaviour by observing and imitating peers and adults. Therefore, watching adults perform sexual acts would consequently influence youth to do the same. Indeed, three longitudinal surveys found that adolescents who consumed more sexual content in media were more likely to initiate sexual intercourse after a 2-year follow-up (Collins et al., 2017). There is also evidence that sexual media also encourages unsafe sexual practices due to their unrealistic depictions of sex. Perry et al. (2019) investigated sexually explicit media as a potential influence on sexual risk behaviour in men who have sex with men. The researchers found that men exposed to sexual media earlier in their lives were more likely to engage in condom-less anal sex. There was a 3% increase in risk probability with every earlier year. With these results in mind, they suggested that exposure to sexual media may be a milestone in sexual development.

However, the theory that exposure to sexual media influences sexual behaviour in adolescents is highly debated. Steinberg and Monahan (2011) argue that sexual behaviour in adolescence is not caused by media exposure; rather, it is the adolescent's propensity to exposing themselves to it that determines their sexual activity. In other words, sexual media exposure does not lead to early sex; it may just be predisposing differences between adolescents. Nevertheless, whether there is causation or not, the correlation observed and replicated multiple times cannot be ignored.

In addition to immediate concerns such as risky sexual behaviour, excessive exposure to sexual media during adolescence may also lead to less satisfying sexual relationships in the future. This may be due to the development of unrealistic expectations about sex which carry over into adulthood. To be specific, a 15-year longitudinal study on adolescents and their viewing of sexual content on television focused on "sexual perfectionism," which is the expectation that sex is uncomplicated, problem-free and always satisfying (Vangeel et al., 2020). By viewing television shows directed to adults during adolescence, individuals were more likely to report lower sexual and relational satisfaction ratings 15 years later. On the other hand, adolescents who viewed shows directed to youth were more likely to report higher ratings. Thus, it can be inferred that viewing mature portrayals of sex during adolescence may lead to developing long-lasting sexual scripts and expectations and feelings of disappointment or shame when faced with real-life sexual experiences that do not meet the ideal.

Are there benefits to sexual media exposure?

The increase of sexual themes in media is not without its benefits. Despite the bountiful evidence that it is an overall negative influence, studies have shown that they are also good learning opportunities for youth. In particular, modern media provides a good medium to communicate information about safe and healthy sex. A meta-analysis studied the effects of new- media interventions on condom-use and sexually transmitted infection testing and found that interactive media interventions were the most successful for women and young people (Swanton, Allom, & Mullan, 2015).

Furthermore, entertainment such as television shows has been found to have positive benefits to sexual attitudes in adolescents. For example, teenagers between the age of 12 and 17 self-reported in a survey that watching the show Friends helped improve their knowledge about condoms and facilitate discussions about condom efficacy with their parents (Collins et al., 2003). Another study found that exposing youth to the negative consequences of sex in media led to more negative moral judgements of unsafe pre-marital sex (Eyal & Kunkel, 2008). This evidence suggests that sexual media can be beneficial to sexual health and development, but only if these depictions are realistic and contain helpful knowledge.

Conclusion

In summary, research has documented many downsides to frequent sexual media exposure in adolescence, including a higher incidence of unsafe sex and lower sexual and relational satisfaction. However, it is essential to note that these issues are most applicable to idealized media portrayals of sex. Realistic sexual depictions have had more positive effects and have demonstrated their potential for healthy sex education.

Despite these research results, movies, music, television, and other media forms continue to depict and encourage unrealistic sex to appeal to audiences. But demanding that the media stop showing sexual content might be counterintuitive, as it does not teach youth about safe sexual decisions and practices any better. Instead, it is in our best interest to encourage sexual discussion and de-stigmatize the uglier aspects of sex, such as STIs. Adolescence is a crucial period for sexual development; it would be impossible to stop teenagers from consuming sexual media. But if the media is going to show them sex, they need to show both the good and the bad.

Tiana Nguyen, 5th Year Life Sciences, Queen’s University

References

Bandura, A. (1971). Social Learning Theory. General Learning Press.

Collins, R. L., Elliott, M. N., Berry, S. H., Kanouse, D. E., & Hunter, S. B. (2003).                       

Entertainment television as a healthy sex educator: the impact of condom-efficacy information in an episode of Friends. Pediatrics, 112(5), 1115-1121. DOI:      10.1542/peds.112.5.1115

Collins, R.L., Strasburger, V.C., Brown, J.D., Donnerstein, E., Lenhart, A., & Ward, L.A. (2017). Sexual media and childhood well-being and health. Pediatrics, 140(2), 162-166. https://doi.org/10.1542/peds.2016-1758X

Common Sense Media. (n.d.). Parent Reviews for Riverdale. Common Sense Media. https://www.commonsensemedia.org/tv-reviews/riverdale/user-reviews/adult

Eyal, K., & Kunkel, D. (2008). The effects of sex in television drama shows on emerging adults' sexual attitudes and moral judgments. Journal of Broadcasting & Electronic Media, 52(2), 161-180. https://doi.org/10.1080/08838150801991757 

Perry, N. S., Nelson, K. M., Carey, M. P., & Simoni, J. M. (2019). Sexually explicit media exposure as a sexual milestone among gay, bisexual, and other men who have sex with men. Health Psychology, 38(1), 29-32. http://dx.doi.org.proxy.queensu.ca/10.1037/hea0000678

Steinberg, L., & Monahan, K. C. (2011). Adolescents' exposure to sexy media does not hasten the initiation of sexual intercourse. Developmental Psychology, 47(2), 562-576. http://dx.doi.org.proxy.queensu.ca/10.1037/a0020613