Initial Impacts of COVID-19 on Sex Life and Relationship Quality in Steady Relationships in Britain: Findings from a Large, Quasi-representative Survey (Natsal-COVID)

ABSTRACT Intimate relationships are ubiquitous and exert a strong influence on health. Widespread disruption to them may impact wellbeing at a population level. We investigated the extent to which the first COVID-19 lockdown (March 2020) affected steady relationships in Britain. In total, 6,654 participants aged 18–59 years completed a web-panel survey (July–August 2020). Quasi-representativeness was achieved via quota sampling and weighting. We explored changes in sex life and relationship quality among participants in steady relationships (n = 4,271) by age, gender, and cohabitation status, and examined factors associated with deterioration to a lower-quality relationship. A total of 64.2% of participants were in a steady relationship (of whom 88.9% were cohabiting). A total of 22.1% perceived no change in their sex-life quality, and 59.5% no change in their relationship quality. Among those perceiving change, sex-life quality was more commonly reported to decrease and relationship quality to improve. There was significant variation by age; less often by gender or cohabitation. Overall, 10.6% reported sexual difficulties that started/worsened during lockdown. In total, 6.9% reported deterioration to a ”lower quality” relationship, more commonly those: aged 18–24 and aged 35–44; not living with partner (women only); and reporting depression/anxiety and decrease in sex-life quality. In conclusion, intimate relationship quality is yet another way in which COVID-19 has led to divergence in experience.

[1]  C. Mercer,et al.  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) , 2021, BMJ Open.

[2]  Mine Kühn,et al.  Mental Health before and during the COVID-19 Pandemic: The Role of Partnership and Parenthood Status in Growing Disparities between Types of Families , 2021, Journal of health and social behavior.

[3]  Francesca Talamini,et al.  Relationship satisfaction in the early stages of the COVID-19 pandemic: A cross-national examination of situational, dispositional, and relationship factors , 2021, PloS one.

[4]  R. Slatcher,et al.  Love in the Time of COVID: Perceived Partner Responsiveness Buffers People From Lower Relationship Quality Associated With COVID-Related Stressors , 2020, Social Psychological and Personality Science.

[5]  C. Mercer,et al.  Methodology of Natsal-COVID Wave 1: a large, quasi-representative survey with qualitative follow-up measuring the impact of COVID-19 on sexual and reproductive health in Britain. , 2021, Wellcome open research.

[6]  K. Skivington,et al.  COVID-19 pandemic and its impact on social relationships and health , 2021, Journal of Epidemiology & Community Health.

[7]  C. Mercer,et al.  Impacts of COVID-19 on sexual behaviour in Britain: findings from a large, quasi-representative survey (Natsal-COVID) , 2021, Sexually Transmitted Infections.

[8]  E. Portch,et al.  Changes in Sexual Desire and Behaviors among UK Young Adults During Social Lockdown Due to COVID-19 , 2021, Journal of sex research.

[9]  C. Pieh,et al.  Associations between Relationship Quality and Mental Health during COVID-19 in the United Kingdom , 2021, International journal of environmental research and public health.

[10]  C. Pieh,et al.  Relationship quality and mental health during COVID-19 lockdown , 2020, PloS one.

[11]  D. Herbenick,et al.  Romantic Relationship Conflict Due to the COVID-19 Pandemic and Changes in Intimate and Sexual Behaviors in a Nationally Representative Sample of American Adults , 2020, Journal of sex & marital therapy.

[12]  P. Pietromonaco,et al.  Applying relationship science to evaluate how the COVID-19 pandemic may impact couples' relationships. , 2020, The American psychologist.

[13]  J. Mikolai,et al.  Intersecting household-level health and socio-economic vulnerabilities and the COVID-19 crisis: An analysis from the UK , 2020, SSM - Population Health.

[14]  Senhu Wang,et al.  Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom , 2020, Psychiatry Research.

[15]  A. Gesselman,et al.  Less Sex, but More Sexual Diversity: Changes in Sexual Behavior during the COVID-19 Coronavirus Pandemic , 2020, Leisure Sciences.

[16]  S. Katikireddi,et al.  Mental health and health behaviours before and during the COVID-19 lockdown: Longitudinal analyses of the UK Household Longitudinal Study , 2020, medRxiv.

[17]  C. Bambra,et al.  The COVID-19 pandemic and health inequalities , 2020, Journal of Epidemiology & Community Health.

[18]  M. Hotopf,et al.  Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population , 2020, The Lancet Psychiatry.

[19]  S. Katikireddi,et al.  Mitigating the wider health effects of covid-19 pandemic response , 2020, BMJ.

[20]  P. Pietromonaco,et al.  Interpersonal Mechanisms Linking Close Relationships to Health , 2017, The American psychologist.

[21]  R. Kuijer,et al.  Weathering the storm? The impact of trauma on romantic relationships. , 2017, Current opinion in psychology.

[22]  M. McCabe,et al.  Sexual dysfunction and relationship stress: how does this association vary for men and women? , 2017, Current opinion in psychology.

[23]  Lisa A. Neff,et al.  Acknowledging the Elephant in the Room: How Stressful Environmental Contexts Shape Relationship Dynamics. , 2017, Current opinion in psychology.

[24]  C. Mercer,et al.  How can we objectively categorise partnership type? A novel classification of population survey data to inform epidemiological research and clinical practice , 2016, Sexually Transmitted Infections.

[25]  E. Impett,et al.  Sexual Frequency Predicts Greater Well-Being, But More is Not Always Better , 2016 .

[26]  Kaye Wellings,et al.  Nonprobability Web Surveys to Measure Sexual Behaviors and Attitudes in the General Population: A Comparison With a Probability Sample Interview Survey , 2014, Journal of medical Internet research.

[27]  Anne M Johnson,et al.  Sexual function in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) , 2013, The Lancet.

[28]  J. Datta,et al.  The Natsal-SF: a validated measure of sexual function for use in community surveys , 2012, European Journal of Epidemiology.

[29]  David C. Atkins,et al.  Breaking up is hard to do: the impact of unmarried relationship dissolution on mental health and life satisfaction. , 2011, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[30]  M. Meana,et al.  Why Did Passion Wane? A Qualitative Study of Married Women's Attributions for Declines in Sexual Desire , 2010, Journal of sex & marital therapy.

[31]  Omri Gillath,et al.  When sex is more than just sex: attachment orientations, sexual experience, and relationship quality. , 2006, Journal of personality and social psychology.

[32]  T. Ledermann,et al.  Associations Among Everyday Stress, Critical Life Events, and Sexual Problems , 2006, The Journal of nervous and mental disease.

[33]  E. Byers Relationship satisfaction and sexual satisfaction: A longitudinal study of individuals in long‐term relationships , 2005, Journal of sex research.

[34]  Jacquelyn C Campbell,et al.  Health consequences of intimate partner violence , 2002, The Lancet.

[35]  R. Baumeister,et al.  Gender differences in erotic plasticity: the female sex drive as socially flexible and responsive. , 2000, Psychological bulletin.

[36]  B R Karney,et al.  The longitudinal course of marital quality and stability: a review of theory, method, and research. , 1995, Psychological bulletin.