Aims:To investigate the self-reported impact of COVID-19 measures on access to testing for HIV and other sexually transmitted infections (STIs) and condoms and factors associated with reduced access among adults in Sweden.Methods:Cross-sectional data were collected in late 2020 through a web panel with adults (18-49 years) in Sweden as part of the International Sexual Health And REproductive health survey (I-SHARE) ( N=1307). The primary outcome was self-reported access to HIV/STI testing and condoms during COVID-19 measures. Logistic regression was used to assess adjusted odds ratios of experiencing reduced access to HIV/STI testing and condoms in relation to sociodemographic characteristics, changes in sexual behaviours and COVID-19-related factors.Results:Of the 1138 sexually active respondents, 17% wanted an HIV/STI test, and of those over half (57%) reported reduced access during the COVID-19 measures in 2020. Compared with cis-women, transgender or non-binary respondents were more likely to experience lower access to testing. Among those who usually used condoms ( n=568), 23% reported hampered condom access due to COVID-19 restrictions. Reduced condom access was associated with identifying as non-cis gender and a cis-man compared with cis-woman, non-heterosexual orientation, being foreign-born and financially worried.Conclusions:Findings indicate that access to HIV/STI testing and condoms among sexually active adults of reproductive age in Sweden was disrupted during the COVID-19 pandemic in 2020 with varied impact depending on sexual orientation, gender identity or socioeconomic situation. This signals the importance of ensuring equitable access to sexual and reproductive health services and commodities in future crises response.

中文翻译：

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COVID-19 措施对瑞典成年人获得 HIV/STI 检测和安全套的影响：一项横断面在线调查

目的：调查自我报告的 COVID-19 措施对瑞典成年人获得艾滋病毒和其他性传播感染 (STI) 检测以及安全套的影响以及与获得率下降相关的因素。方法：收集横断面数据2020 年底，作为国际性健康和生殖健康调查 (I-SHARE) (N=1307) 的一部分，通过瑞典成年人（18-49 岁）的网络小组进行了调查。主要结果是自我报告在 COVID-19 措施期间获得 HIV/STI 检测和安全套的情况。使用 Logistic 回归来评估与社会人口特征、性行为变化和 COVID-19 相关因素相关的 HIV/STI 检测和安全套获取机会减少的调整后比值比。结果：在 1138 名性活跃的受访者中，17% 想要艾滋病毒/性传播感染检测，超过一半 (57%) 的受访者表示，在 2020 年的 COVID-19 措施期间，获得检测的机会减少了。与顺性别女性相比，跨性别或非二元受访者获得检测的机会更有可能较低。在那些经常使用安全套的人 (n=568) 中，23% 的人表示，由于 COVID-19 的限制，他们无法使用安全套。安全套获取机会的减少与非顺性别、顺男性（与顺女性相比）、非异性恋取向、外国出生以及经济上的担忧有关。结论：调查结果表明，获得艾滋病毒/性传播感染检测和安全套的机会在2020 年 COVID-19 大流行期间，瑞典育龄成年人的性活跃受到干扰，根据性取向、性别认同或社会经济状况，影响各不相同。这表明在未来的危机应对中确保公平获得性健康和生殖健康服务和商品的重要性。