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中职生收发性短信与心理健康的关联
引用本文:郑雨佳,房宇航,张家帅,廉启国,左霞云,余春艳,楼超华,涂晓雯,李立鹤,洪苹.中职生收发性短信与心理健康的关联[J].中国学校卫生,2022,43(2):203-206+210.
作者姓名:郑雨佳  房宇航  张家帅  廉启国  左霞云  余春艳  楼超华  涂晓雯  李立鹤  洪苹
作者单位:1.复旦大学公共卫生学院, 上海 200032
基金项目:中国计划生育协会调研项目20CFPAY03A
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, 男生的比例均高于女生(χ2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)的风险更高(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入全面性教育课程中, 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。

关 键 词:便携式电话    信息交流    精神卫生    回归分析    学生
收稿时间:2021-07-02

Association between sexting and mental health among secondary vocational school students
Affiliation:1.School of Public Health, Fudan University, Shanghai (200032), China
Abstract:  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 (χ2=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.
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