Sexting and Sexual Behavior Among Middle School Students
Sexting and Sexual Behavior Among Middle School Students
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DOI：
10.1542/peds.2013-2991
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发表时间：
2014-07-01
期刊：
影响因子：
8
通讯作者：
Kordic, Timothy
中科院分区：
文献类型：
--
作者：
Rice, Eric;Gibbs, Jeremy;Kordic, Timothy
目的：尚不清楚“性短信”(即发送/接收露骨的手机短信或图片信息)是否像高中生那样与早期青少年的性行为和性危险行为有关。到目前为止，还没有公布的数据专门在中学生的概率样本中检验这些关系。方法：2012年洛杉矶中学青年危险行为调查收集了1285名学生的概率样本。Logistic回归评估性短信行为的相关性，以及性短信与性行为和危险行为(即无保护措施的性行为)之间的关联。结果：在能够使用手机短信的学生中，20%的学生报告收到了短信，5%的学生报告发送了短信。每天至少发100次短信的学生更有可能同时报告收到(优势比[OR]：2.4)和发送(优势比：4.5)性短信，并报告有性行为(优势比：4.1)。发送性短信的学生(OR：3.2)和接收性短信的学生(OR：7.0)更有可能报告性行为。与不活跃的性行为相比，过度发短信和收受性短信与无保护措施的性行为(OR值分别为4.7和12.1)和使用避孕套(OR值分别为3.7和5.5)有关。结论：由于早期首次性行为与较高的性传播感染和青少年怀孕率相关，儿科医生应该与年轻青少年讨论性短信，因为这可能有助于对待性传播感染和怀孕预防的对话。应考虑将性短信及其相关风险纳入中学性教育课程。
OBJECTIVE: It is unknown if "sexting" (ie, sending/receiving sexually explicit cell phone text or picture messages) is associated with sexual activity and sexual risk behavior among early adolescents, as has been found for high school students. To date, no published data have examined these relationships exclusively among a probability sample of middle school students.METHODS: A probability sample of 1285 students was collected alongside the 2012 Youth Risk Behavior Survey in Los Angeles middle schools. Logistic regressions assessed the correlates of sexting behavior and associations between sexting and sexual activity and risk behavior (ie, unprotected sex).RESULTS: Twenty percent of students with text-capable cell phone access reported receiving a sext and 5% reported sending a sext. Students who text at least 100 times per day were more likely to report both receiving (odds ratio [OR]: 2.4) and sending (OR: 4.5) sexts and to be sexually active (OR: 4.1). Students who sent sexts (OR: 3.2) and students who received sexts (OR: 7.0) were more likely to report sexual activity. Compared with not being sexually active, excessive texting and receiving sexts were associated with both unprotected sex (ORs: 4.7 and 12.1, respectively) and with condom use (ORs: 3.7 and 5.5, respectively).CONCLUSIONS: Because early sexual debut is correlated with higher rates of sexually transmitted infections and teen pregnancies, pediatricians should discuss sexting with young adolescents because this may facilitate conversations about sexually transmitted infection and pregnancy prevention. Sexting and associated risks should be considered for inclusion in middle school sex education curricula.