College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
College of Medical and Dental Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Health Soc Care Community. 2019 Jul;27(4):1063-1073. doi: 10.1111/hsc.12723. Epub 2019 Feb 25.
Over the past decade, the potential harms regarding young people's use of technology have attracted mounting political, media and research attention worldwide. One practice engaged in by many young people is that of "sexting" and the sharing of partially, or complete nude images ("selfies"). Such images are not always retained within private spaces and are prone to be shared, with significant psychosocial consequences for young people involved. A significant risk is the hidden nature of some online interactions, with potential for grooming and child sexual exploitation. As key professionals working with young people, public health nurses have potential to educate and explore the risks with them. Yet to date, to our knowledge there has been no research in relation to public health nurses' understandings of the practices involved or their potential harms. A qualitative study was undertaken drawing theoretically on the common-sense model (CSM) to frame the analysis. Eighteen semi-structured interviews were conducted with public health nurses in a region of England in 2016. Data were analysed through thematic analysis, and mapped to the five domains of CSM. Public health nurses' understandings of young people's sexting practices were shaped largely by media reports, rather than scientific, disciplinary knowledge. Sexting did not resonate with many public health nurses' own experiences of being a young person and was therefore difficult to understand. All were able to express an opinion about the causes and consequences of sexting and we present these as a "perceived hierarchy of risk". All public health nurses acknowledged the importance of their role in dealing with harm reduction associated with sexting among young people, but they need education and support to do this effectively and confidently. Findings can be transferred carefully to many contexts and countries because sexting is a practice among young people that transcends geographical boundaries.
在过去的十年中，年轻人使用技术所带来的潜在危害引起了全世界越来越多的政治、媒体和研究关注。许多年轻人的一种做法是“发送色情短信”以及分享部分或完整的裸体图像（“自拍”）。这些图像并不总是保留在私人空间内，并且容易被分享，这给涉及的年轻人带来了重大的心理社会后果。一个显著的风险是一些在线互动的隐蔽性质，可能存在诱骗和儿童性剥削。作为与年轻人合作的主要专业人员，公共卫生护士有潜力对他们进行教育和探讨这些风险。然而，据我们所知，迄今为止，还没有关于公共卫生护士对所涉及的做法及其潜在危害的理解的研究。本研究从理论上借鉴了常识模型（CSM）来进行分析，开展了一项定性研究。2016 年，在英格兰的一个地区对 18 名公共卫生护士进行了半结构式访谈。通过主题分析对数据进行分析，并映射到 CSM 的五个领域。公共卫生护士对年轻人发送色情短信做法的理解主要受到媒体报道的影响，而不是科学、学科知识。许多公共卫生护士自己作为年轻人的经历并没有引起发送色情短信的共鸣，因此很难理解。所有人都能够表达对发送色情短信的原因和后果的看法，我们将这些看法呈现为“感知风险层次结构”。所有公共卫生护士都承认他们在处理与年轻人发送色情短信相关的减少危害方面的重要作用，但他们需要接受教育和支持，才能有效地、有信心地履行这一职责。这些发现可以谨慎地转移到许多背景和国家，因为发送色情短信是年轻人中普遍存在的一种做法，超越了地理界限。
