Associations of social media and health content use with sexual risk behaviours among adolescents in South Africa.
Associations of social media and health content use with sexual risk behaviours among adolescents in South Africa.
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DOI：
10.1080/26410397.2023.2267893
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发表时间：
2023-12
影响因子：
6
通讯作者：
Cluver L
中科院分区：
文献类型：
--
作者：
Banougnin BH;Toska E;Maughan-Brown B;Rudgard W;Hertzog L;Jochim J;Armstrong A;Cluver L
移动的电话使用率的提高为资源匮乏环境中的青少年的性健康和生殖健康带来了潜在的新机遇和风险。我们调查了南非10-24岁人群中移动的电话接入/使用与性风险之间的关联。在2014年至2018年期间，分三波对1563名青少年（69%为艾滋病毒感染者）进行了采访。我们评估了移动的手机访问和使用，以搜索健康内容和社交媒体。自我报告的性风险包括：过去12个月内使用药物后的性行为、无保护措施的性行为、多个性伴侣和不公平的性伴侣。我们使用协变量调整的混合效应logistic回归模型研究了移动的电话接入/使用与性风险之间的关联。单独使用移动的电话与任何性风险无关。单独使用社交媒体（与不使用移动的电话访问相比）与无保护性行为的概率显著增加相关（调整后的平均边际效应[艾姆斯] + 4.7个百分点[ppts]，95% CI 1.6-7.8）。然而，健康内容的使用（与没有移动的电话访问）与物质使用后的性行为（艾姆斯-5.3 ppts，95% CI-7.4至-3.2）和无保护性行为（艾姆斯-7.5 ppts，95% CI-10.6至-4.4）的概率显著降低相关。此外，使用移动的电话和使用健康内容与男孩多个性伴侣的风险增加有关。健康内容的使用与未感染艾滋病毒的青少年不公平性伙伴关系的风险增加有关。研究结果表明，迫切需要制定战略，利用移动的手机的使用，以保护免受社交媒体曝光带来的日益增长的风险。
Increasing rates of mobile phone access present potential new opportunities and risks for adolescents’ sexual and reproductive health in resource-poor settings. We investigated associations between mobile phone access/use and sexual risks in a cohort of 10–24-year-olds in South Africa. 1563 adolescents (69% living with HIV) were interviewed in three waves between 2014 and 2018. We assessed mobile phone access and use to search for health content and social media. Self-reported sexual risks included: sex after substance use, unprotected sex, multiple sexual partnerships and inequitable sexual partnerships in the past 12 months. We examined associations between mobile phone access/use and sexual risks using covariate-adjusted mixed-effects logistic regression models. Mobile phone access alone was not associated with any sexual risks. Social media use alone (vs. no mobile phone access) was associated with a significantly increased probability of unprotected sex (adjusted average marginal effects [AMEs] + 4.7 percentage points [ppts], 95% CI 1.6–7.8). However, health content use (vs. no mobile phone access) was associated with significantly decreased probabilities of sex after substance use (AMEs –5.3 ppts, 95% CI –7.4 to –3.2) and unprotected sex (AMEs –7.5 ppts, 95% CI –10.6 to –4.4). Moreover, mobile phone access and health content use were associated with increased risks of multiple sexual partnerships in boys. Health content use was associated with increased risks of inequitable sexual partnerships in adolescents not living with HIV. Results suggest an urgent need for strategies to harness mobile phone use for protection from growing risks due to social media exposure.
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影响因子：
1.5
作者：
Vidotto, Davide;Vermunt, Jeroen K.;Van Deun, Katrijn
通讯作者：
Van Deun, Katrijn
影响因子：
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作者：
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影响因子：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Taylor, Myra
影响因子：
2.6
作者：
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通讯作者：
Lwamba, Chibwe