Association between sexting and mental health among secondary vocational school students
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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。 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. -
Key words:
- Cellular phone /
- Communication /
- Mental health /
- Regression analysis /
- Students
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表 1 不同特征中职生心理健康指标检出率比较
Table 1. Comparion of prevalence of mental health indicators among secondary vocational school students with different charactenstics
人口统计学指标 选项 人数 统计值 焦虑 抑郁 非自杀式自伤意向 自杀意向 性别 男 739 84(11.37) 114(15.43) 55(7.44) 43(5.82) 女 841 139(16.53) 154(18.31) 121(14.39) 104(12.37) χ2值 8.64 2.33 19.17 19.98 P值 < 0.01 0.13 < 0.01 < 0.01 年级 一 503 81(16.10) 98(19.48) 66(13.12) 60(11.93) 二 505 75(14.85) 88(17.43) 65(12.87) 47(9.31) 三 572 67(11.71) 82(14.34) 45(7.87) 40(6.99) χ2值 4.59 5.15 9.71 7.73 P值 0.10 0.08 0.01 0.02 家庭经济水平 高 515 61(11.84) 75(14.56) 54(10.49) 38(7.38) 中 928 129(13.90) 156(16.81) 94(10.13) 89(9.59) 低 137 33(24.09) 37(27.01) 28(20.44) 20(14.60) χ2值 13.47 11.93 13.15 6.90 P值 < 0.01 < 0.01 < 0.01 0.03 母子联结* 低 450 96(21.33) 107(23.78) 87(19.33) 73(16.22) 中 378 39(10.32) 50(13.23) 33(8.73) 24(6.35) 高 622 88(10.29) 76(12.22) 42(6.75) 35(5.63) χ2值 31.91 28.93 44.72 40.11 P值 < 0.01 < 0.01 < 0.01 < 0.01 父子联结* 低 582 112(19.24) 128(21.99) 91(15.64) 76(13.06) 中 380 42(11.05) 54(14.21) 38(10.00) 29(7.63) 高 485 44(9.07) 51(10.52) 32(6.60) 27(5.57) χ2值 26.19 27.16 22.51 19.29 P值 < 0.01 < 0.01 < 0.01 < 0.01 学校生活感受 好 914 88(9.63) 118(12.91) 76(8.32) 62(6.78) 一般 561 98(17.47) 105(18.72) 72(12.83) 64(11.41) 差 105 37(35.24) 45(42.86) 28(26.67) 21(20.00) χ2值 59.04 61.87 34.57 24.06 P值 < 0.01 < 0.01 < 0.01 < 0.01 上学日屏幕使用时间/(h·d-1) < 3 500 58(11.60) 71(14.20) 42(8.40) 28(5.60) 3~4 676 86(12.72) 97(14.35) 72(10.65) 61(9.02) >4 404 79(19.55) 100(24.75) 62(15.35) 58(14.36) χ2值 13.55 23.39 11.18 20.41 P值 < 0.01 < 0.01 < 0.01 < 0.01 注：()内数字为检出率/%；*表示有缺失数据。 
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表 2 不同性别年级中职生收发性短信报告率比较
Table 2. Comparion of prevalence of sexting among secondary vocational school students by gender and grade
组别 选项 人数 统计值 接收过 发送过 转发过 有过任意一种 性别 男 739 132(17.86) 34(4.60) 29(3.92) 157(21.24) 女 841 57(6.78) 6(0.71) 15(1.78) 66(7.85) χ2值 45.89 24.09 6.66 58.24 P值 < 0.01 < 0.01 0.01 < 0.01 年级 一 503 56(11.13) 7(1.39) 9(1.79) 60(11.93) 二 505 74(14.65) 13(2.57) 24(4.75) 87(17.23) 三 572 59(10.31) 20(3.50) 11(1.92) 76(13.29) χ2值 5.28 4.81 10.63 6.34 P值 0.07 0.09 0.01 0.04 注：()内数字为报告率/%。
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表 3 中职生收发性短信与心理健康的单因素分析
Table 3. Univariate analysis of the association between sexting and mental health among secondary vocational school students
变量 选项 人数 统计值 焦虑 抑郁 非自杀式自伤意向 自杀意向 接收过 是 189 48(25.40) 51(26.98) 32(16.93) 30(15.87) 否 1 391 175(12.58) 217(15.60) 144(10.35) 117(8.41) χ2值 22.55 15.31 7.28 10.98 P值 < 0.01 < 0.01 < 0.01 < 0.01 发送过 是 40 12(30.00) 11(27.50) 7(17.50) 6(15.00) 否 1 540 256(16.62) 212(13.77) 169(10.97) 141(9.16) χ2值 4.95 6.07 1.68 1.58 P值 0.03 0.01 0.20 0.21 转发过 是 44 11(25.00) 16(36.36) 11(25.00) 10(22.73) 否 1 536 212(13.80) 252(16.41) 165(10.74) 137(8.92) χ2值 4.42 12.10 8.78 9.66 P值 0.04 < 0.01 < 0.01 < 0.01 有过任意 是 223 58(26.01) 63(28.25) 42(18.83) 39(17.49) 一种 否 1 357 165(12.16) 205(15.11) 134(9.87) 108(7.96) χ2值 30.31 23.49 15.53 20.61 P值 < 0.01 < 0.01 < 0.01 < 0.01 注：()内数字为检出率/%。
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表 4 中职生收发性短信与心理健康关联的Logistic回归分析[OR值(OR值95%CI)，n=1 580]
Table 4. Multiple Logistic regression analysis of the association between sexting and mental health among secondary vocational school students[OR(OR 95%CI), n=1 580]
自变量 焦虑 抑郁 非自杀式自伤意向 自杀意向 接收过 2.11(1.37~3.27)** 1.52(0.99~2.33) 1.69(1.02~2.79)* 2.26(1.35~3.80)** 发送过 2.75(1.16~6.52)* 2.03(0.87~4.76) 2.87(1.09~7.58)* 1.94(0.63~5.95) 转发过 1.43(0.63~3.24) 1.90(0.90~4.00) 2.85(1.29~6.29)** 2.80(1.23~6.36)* 有过任意一种 2.40(1.59~3.61)** 1.86(1.25~2.75)** 2.34(1.48~3.69)** 2.96(1.83~4.79)** 注：*P<0.05，**P<0.01。
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