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Jeffrey Klausner, a primary care physician in Los Angeles, has treated gay men for decades. Since the start of the coronavirus pandemic, he said, many patients have so dramatically changed their sexual behavior that they shrug off the need for routine screenings for sexually transmitted diseases. But attitudes among these patients are shifting, Klausner has noticed, now that California and other states are loosening policies on social distancing. Concerns about sexual intimacy during an epidemic are universal and not limited to gay men, of course. Public health experts, including those long involved in HIV prevention, recognize that a proportion of all people are likely to ignore or reject categorical mandates about sexual behavior—whether they involve using condoms or limiting contact because of social distancing norms. The coronavirus is known to spread through oral and nasal secretions but not specifically through sexual intercourse.
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