Objective To explore the prevalence of sexting among secondary vocational school students and to examine the correlation between sexting and mental health, so as to provide evidence for prevention and intervention on adolescents’ mental health.
Methods In April 2021, three secondary vocational schools from central urban area, outskirts and outer suburbs in Shanghai, among 1 580 students were selected by cluster sampling.
Results The proportions of students who received and who forwarded others’ private photos or videos were 11.96% and 2.78%, respectively. The proportion of students who sent others personal photos or videos was 2.54%. And the proportions of boys were higher than those of girls (χ 2 =45.89, 24.09, 6.66, P<0.01). The results of multivariable Logistic analysis showed that compared with those who had never sexted, students who had ever had any sexting were at higher risk of anxiety ( OR = 2.40, 95% CI = 1.59-3.61), depression ( OR = 1.86, 95% CI = 1.25-2.75), non-suicidal self-injury intention ( OR = 2.34, 95% CI = 1.48-3.69) and suicidal intention ( OR = 2.96, 95% CI = 1.83-4.79) ( P<0.05).
Conclusion There is a significant correlation between sexting and mental health among secondary vocational school students. The latent risks of sexting should be included in the curriculum of comprehensive sex education for teenagers to enhance their media literacy and decision making capability, so as to prevent sexual assault or abuse caused by sexting and promote sexual and reproductive health and as well as mental health of adolescents.
【摘要】 目的探究中职生收发性短信行为现状, 以及性短信行为与心理健康之间的关联, 为青少年心理健康的预防和 干预提供科学依据。 方法于2021年4月, 在上海市中心城区、近郊区和远郊区各选取1所中等职业技术学校, 并在每所 学校以专业系/部为单位进行整群抽样, 共选取了 1 580名学生。 结果有11.96%和2.78%的中职生分别接收或转发过其 他同龄人的私密照片或视频, 2.54%向他人发送过自己的私密照片或视频, 男生的比例均髙于女生(χ 2值分别为45.89, 24.09, 6.66, P值均<0.01)。多因素Logistic回归分析显示, 相较于没有过收发性短信的中职生, 有过任意一种性短信收发 行为者出现焦虑( OR = 2.40, 95% CI = 1.59~3.61)、抑郁( OR = 1.86, 95% CI = 1.25~ 2.75)、非自杀式自伤意向( OR = 2.34, 95% CI = 1.48~3.69)、自杀意向( OR = 2.96, 95% CI = 1.83~4.79)的风险更髙( P值均<0.05)。 结论中职生收发性短信行为 与心理健康存在关联。应将性短信的潜在风险纳人全面性教育课程中, 增强青少年的媒体信息素养和行为决策能力, 从而 促进青少年的性与生殖健康以及心理健康。