日益常見的性短訊與青少年性行為增加有關


  【24drs.com】新研究認為,性短訊-發送具挑逗性的訊息和/或影像,與青少年的性活動與性行為增加有關。
  
  這篇超過400名7年級學生的研究發現一個「風險」:有17%在過去6個月曾經發送與性相關的訊息,另有5%曾經發送情色照片。
  
  曾經發送任何類型性短訊者,發生口交和陰道性交等各種性行為的機率是沒有發過性短訊者的4-7倍。此外,曾發送情色照片者,不論有無文字性簡訊,都更可能比只發文字性簡訊者更早發生性活動。
  
  第一作者、布朗大學Warren Alpert醫學院助理教授、羅德島醫院、Bradley/Hasbro兒童研究中心心理學家Christopher D. Houck博士表示,醫師和小兒科醫師也應告訴家長,如果他們看到自己孩子的手機內容有問題,他們不應該只是聳聳肩將它關機。
  
  Houck博士指出,另外,醫師和孩子之間談論收發性短訊的議題,可以導引到其他重要討論事項。
  
  研究者指出,研究結果也顯示,醫師應對中學病患提供教育。
  
  他們寫道,教育年輕人性短訊的可能後遺症、維持健康關係的策略、性短訊和其他風險行為之關係,這些或許可降低青少年風險。
  
  這篇研究線上登載於1月6日的小兒科期刊。
  
  根據研究者指出,12-13歲者有93%上網,71%有手機。
  
  他們寫道,雖然青少年比他們的家長更精於這些數位技術,但他們心智尚未成熟且疏於注意後遺症,會迅速導致嚴重後果;特別是那些情緒和行為異常、被認為有風險的青年更是如此。
  
  德州大學醫院Galveston分院的研究者去年進行了一篇有948名中學生的研究,該研究顯示,曾經傳出自己裸照的男孩和女孩,比那些未曾有這項行為者更可能發生性行為(P < .001)。
  
  第一作者、Jeff R. Temple博士當時表示,性短訊或許可以當作性行為的可靠指標,不過並不必然是原因或後果,只是一種關聯。
  
  這次研究的研究者試圖探討那些被視為有風險之青年人在這些議題上的情況,他們評估了羅德島5所中學、410名學生的資料,這些學生在2009-2012年間參與探討有風險之青少年的性風險預防研究,年紀都介於12-14歲、就讀7年級。
  
  校護、輔導員和管理員根據標準化檢核表確認行為和情緒問題的症狀,以確認學生的風險狀態。
  
  使用青少年危險行為評估(ARBA)以及性心理發展量表評估性風險行為,ARBA也被用來測量性行為意向;其他測量方法包括察覺父母與同儕認同量表與各種情感能力評估。
  
  結果顯示,有發性短訊者在生理上比沒發過者更成熟(P = .01),更會認為自己獲得家長和同儕認同他們的性行為(P值皆 < .01);有發性短訊的這些研究對象也更有意圖進行性行為、情感意識較低、情緒自我效度較低(P值皆 < .01)。
  
  此外,他們也更可能進行任何類型的性行為(校正風險比( [ORs])範圍為4.45-7.34),傳送裸照者比只傳文字性簡訊者更可能發生性活動(ORs範圍1.10-2.66);女孩比男孩(P = .03)、拉丁裔比非拉丁裔(P = .03)更可能發送情色照片。
  
  最後,相較於只發送文字性短訊者,曾發送裸照的研究對象更可能隔著衣服觸摸生殖器(OR,1.98;P = .03)、發生口交和陰道性交(OR值分別是 2.66和2.23;P值皆 < .01)。
  
  研究者寫道,這些資料認為,以手機進行的這些行為、具挑逗性的訊息可能是風險指標。
  
  Houck博士指出,醫師應幫助家長瞭解,不可以輕忽性短訊這件事;當家長發現孩子的手機或電子郵件有這些事情時,是個進行討論的大好時機。
  
  資料來源: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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