日益常见的性短讯与青少年性行为增加有关


  【24drs.com】新研究认为,性短讯-发送具挑逗性的讯息和/或影像,与青少年的性活动与性行为增加有关。
  
  这篇超过400名7年级学生的研究发现一个「风险」:有17%在过去6个月曾经发送与性相关的讯息,另有5%曾经发送情色照片。
  
  曾经发送任何类型性短讯者,发生口交和阴道性交等各种性行为的机率是没有发过性短讯者的4-7倍。此外,曾发送情色照片者,不论有无文字性简讯,都更可能比只发文字性简讯者更早发生性活动。
  
  第一作者、布朗大学Warren Alpert医学院助理教授、罗德岛医院、Bradley/Hasbro儿童研究中心心理学家Christopher D. Houck博士表示,医师和小儿科医师也应告诉家长,如果他们看到自己孩子的手机内容有问题,他们不应该只是耸耸肩将它关机。
  
  Houck博士指出,另外,医师和孩子之间谈论收发性短讯的议题,可以导引到其它重要讨论事项。
  
  研究者指出,研究结果也显示,医师应对中学病患提供教育。
  
  他们写道,教育年轻人性短讯的可能后遗症、维持健康关系的策略、性短讯和其它风险行为之关系,这些或许可降低青少年风险。
  
  这篇研究在线登载于1月6日的小儿科期刊。
  
  根据研究者指出,12-13岁者有93%上网,71%有手机。
  
  他们写道,虽然青少年比他们的家长更精于这些数码技术,但他们心智尚未成熟且疏于注意后遗症,会迅速导致严重后果;特别是那些情绪和行为异常、被认为有风险的青年更是如此。
  
  德州大学医院Galveston分院的研究者去年进行了一篇有948名中学生的研究,该研究显示,曾经传出自己裸照的男孩和女孩,比那些未曾有这项行为者更可能发生性行为(P < .001)。
  
  第一作者、Jeff R. Temple博士当时表示,性短讯或许可以当作性行为的可靠指标,不过并不必然是原因或后果,只是一种关联。
  
  这次研究的研究者试图探讨那些被视为有风险之青年人在这些议题上的情况,他们评估了罗德岛5所中学、410名学生的资料,这些学生在2009-2012年间参与探讨有风险之青少年的性风险预防研究,年纪都介于12-14岁、就读7年级。
  
  校护、辅导员和管理员根据标准化检核表确认行为和情绪问题的症状,以确认学生的风险状态。
  
  使用青少年危险行为评估(ARBA)以及性心理发展量表评估性风险行为,ARBA也被用来测量性行为意向;其它测量方法包括察觉父母与同侪认同量表与各种情感能力评估。
  
  结果显示,有发性短讯者在生理上比没发过者更成熟(P = .01),更会认为自己获得家长和同侪认同他们的性行为(P值皆 < .01);有发性短讯的这些研究对象也更有意图进行性行为、情感意识较低、情绪自我效度较低(P值皆 < .01)。
  
  此外,他们也更可能进行任何类型的性行为(校正风险比( [ORs])范围为4.45-7.34),传送裸照者比只传文字性简讯者更可能发生性活动(ORs范围1.10-2.66);女孩比男孩(P = .03)、拉丁裔比非拉丁裔(P = .03)更可能发送情色照片。
  
  最后,相较于只发送文字性短讯者,曾发送裸照的研究对象更可能隔著衣服触摸生殖器(OR,1.98;P = .03)、发生口交和阴道性交(OR值分别是 2.66和2.23;P值皆 < .01)。
  
  研究者写道,这些资料认为,以手机进行的这些行为、具挑逗性的讯息可能是风险指标。
  
  Houck博士指出,医师应帮助家长了解,不可以轻忽性短讯这件事;当家长发现孩子的手机或电子邮件有这些事情时,是个进行讨论的大好时机。
  
  资料来源:http://www.24drs.com/professional/list/content.asp?x_idno=7044&x_classno=0&x_chkdelpoint=Y
  

Sexting Common, Linked to Increased Sexual Activity in Teens

By Deborah Brauser
Medscape Medical News

Sexting, the practice of sending sexually explicit messages and/or pictures, is linked to increased sexual activity and behavior in young teens, new research suggests.

A study of more than 400 7th graders deemed "at risk" showed that 17% reported having sent sexual text messages during the previous 6 months, and an additional 5% reported sending sexual photos.

Participants who engaged in any type of sexting were 4 to 7 times more likely to engage in a variety of sexual behaviors, including oral and vaginal sex, compared with those who did not engage in the practice. In addition, those who sent explicit photos with or without sexual messages were significantly more likely to engage in early sexual activity than those who sent sexual texts only.

"Clinicians and pediatricians should also convey to parents that if they see questionable things on their kids' phones, they shouldn't just shrug it off," lead author Christopher D. Houck, PhD, staff psychologist at Rhode Island Hospital and the Bradley/Hasbro Children's Research Center in Providence and assistant professor at the Warren Alpert Medical School of Brown University, told Medscape Medical News.

"Also, asking about sending or receiving sexual messages might open a conversation between clinicians and kids that could lead to other important discussions," added Dr. Houck.

The investigators note that the findings also show that clinicians should provide education to their middle school patients.

"Educating young people about possible consequences of sexting, strategies for maintaining healthy relationships, and the relationship of sexting to other risk behaviors may reduce adolescent risk," they write.

The study was published online January 6 in Pediatrics.

Digitally Savvy but Immature

According to the investigators, 93% of 12- to 13-year-olds have access to the Internet, and 71% have mobile access.

"Although adolescents may be more digitally savvy than their parents, their lack of maturity and inattention to consequence can quickly lead to serious negative outcomes," they write.

Dr. Christopher Houck

"This may be particularly true for youth identified as at-risk because of emotional and behavioral difficulties."

A study of 948 high school students published last year by researchers from the University of Texas Medical Branch in Galveston, and reported at the time by Medscape Medical News, showed that both the boys and girls who sent nude photos of themselves were significantly more likely to have had sex than those who did not sext (P < .001).

"Sexting may be a fairly reliable indicator of sexual behaviors, although it may not necessarily be a cause or a consequence, just an association," said lead author Jeff R. Temple, PhD, at the time.

The current study's investigators sought to examine these issues in a younger, at-risk population.

They evaluated data for 410 students from 5 middle schools in Rhode Island who participated between 2009 and 2012 in a sexual risk prevention trial designed for at-risk early adolescents. All were between the ages of 12 and 14 years and in the seventh grade.

At-risk status was determined by school nurses, counselors, and administrators using standardized checklists to identify symptoms of behavioral and emotional difficulties.

The Adolescent Risk Behavior Assessment (ARBA) and the Psychosexual Development Inventory were used to assess sexual risk behaviors, and the ARBA was used to measure sexual behavior intentions. Other measures used included the Perceived Parental and Peer Approval scales and various emotional competency assessments.

Don't Ignore Sexting

Results showed that the participants who engaged in sexting had more physical maturity than those who did not sext (P = .01) and more perceived approval of their sexual behavior from parents and peers (both, P < .01).

Those participants who were sexting also reported significantly more intentions to engage in sexual behavior, lower emotional awareness, and lower emotional self-efficacy (P < .01 for all).

In addition, they were significantly more likely to engage in any sexual behaviors (adjusted odds ratios [ORs] ranged from 4.45 to 7.34), and those who sent nude photos were more likely than those who only sent texts to engage in sexual activity (ORs ranged from 1.10 to 2.66).

Significantly more girls than boys (P = .03) and more Latinos than non-Latinos (P = .03) sexted explicit photos.

Finally, study participants who sent nude photos were significantly more likely to participate in touching genitals through clothes (OR, 1.98; P = .03) and in oral and vaginal sex (OR, 2.66 and OR, 2.23, respectively; P < .01 for both) than those who sent texts only.

"These data suggest that phone behaviors, even flirtatious messages, may be an indicator of risk," write the investigators.

Dr. Houck added that clinicians should help parents to understand that sexting is something that should not be ignored.

"For parents who monitor what's going on in their kids' phones or emails, this is a great opportunity to be able to open up discussions," he said.

The study authors have reported no relevant financial relationships.

Pediatrics. Published online January 6, 2014.

    
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