Evidence map›Paper›PMID 35140158›Full record

ArticleBMJ open2022

Intimate physical contact between people from different households during the COVID-19 pandemic: a mixed-methods study from a large, quasi-representative survey (Natsal-COVID).

Pam Sonnenberg, Dee Menezes, Lily Freeman, Karen J Maxwell, David Reid, Soazig Clifton, Clare Tanton, Andrew Copas, Julie Riddell, Emily Dema and 10 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Pam SonnenbergInstitute for Global Health, University College London, London, UK p.sonnenberg@ucl.ac.uk.ORCID 0000-0002-1067-1583
Dee MenezesInstitute of Health Informatics, University College London, London, UK.ORCID 0000-0002-1628-1228
Lily FreemanInstitute for Global Health, University College London, London, UK.
Karen J MaxwellMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID 0000-0002-2264-6510
David ReidInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-6832-2418
Soazig CliftonInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-4171-0805
Clare TantonFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-4612-1858
Andrew CopasInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-8968-5963
Julie RiddellMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID 0000-0002-8084-4566
Emily DemaInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-7254-2023
Raquel Bosó PérezMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID 0000-0001-7342-4566
Jo GibbsInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-5696-0260
Mary-Clare RidgeInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-9621-4529
Wendy MacdowallDepartment of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-5868-8336
Magnus UnemoInstitute for Global Health, University College London, London, UK.ORCID 0000-0003-1710-2081
Chris BonellFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-6253-6498
Anne M JohnsonInstitute for Global Health, University College London, London, UK.ORCID 0000-0003-1330-7100
Catherine H MercerInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-4220-5034
Kirstin MitchellMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4409-6601
Nigel FieldInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-2825-6652

Funding

Chief Scientist Office SPHSU18Medical Research Council MC_UU_00022/3
6 · The paper itself

Abstract

objectivesPhysical distancing as a non-pharmaceutical intervention aims to reduce interactions between people to prevent SARS-CoV-2 transmission. Intimate physical contact outside the household (IPCOH) may expand transmission networks by connecting households. We aimed to explore whether intimacy needs impacted adherence to physical distancing following lockdown in Britain in March 2020.

methodsThe Natsal-COVID web-panel survey (July-August 2020) used quota-sampling and weighting to achieve a quasi-representative population sample. We estimate reporting of IPCOH with a romantic/sexual partner in the 4 weeks prior to interview, describe the type of contact, identify demographic and behavioural factors associated with IPCOH and present age-adjusted ORs (aORs). Qualitative interviews (n=18) were conducted to understand the context, reasons and decision making around IPCOH.

resultsOf 6654 participants aged 18-59 years, 9.9% (95% CI 9.1% to 10.6%) reported IPCOH. IPCOH was highest in those aged 18-24 (17.7%), identifying as gay or lesbian (19.5%), and in steady non-cohabiting relationships (56.3%). IPCOH was associated with reporting risk behaviours (eg, condomless sex, higher alcohol consumption). IPCOH was less likely among those reporting bad/very bad health (aOR 0.54; 95% CI 0.32 to 0.93) but more likely among those with COVID-19 symptoms and/or diagnosis (aOR 1.34; 95% CI 1.10 to 1.65). Two-thirds (64.4%) of IPCOH was reported as being within a support bubble. Qualitative interviews found that people reporting IPCOH deliberated over, and made efforts to mitigate, the risks.

conclusionsGiven 90% of people did not report IPCOH, this contact may not be a large additional contributor to SARS-CoV-2 transmission, although heterogeneity exists within the population. Public health messages need to recognise how single people and partners living apart balance sexual intimacy and relationship needs with adherence to control measures.

Indexed as

COVID-19AdolescentAdultCommunicable Disease ControlFemaleHumansMiddle AgedPandemicsSARS-CoV-2Sexual PartnersYoung AdultCOVID-19epidemiologypublic healthsexual medicine

Identifiers

PMID35140158
PMCPMC8829844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.