Titchen Kanani E, Maslyanskaya Sofya, Silver Ellen J, Coupey Susan M
Division of Adolescent Medicine, Department of Pediatrics, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Division of General Academic Pediatrics, Department of Pediatrics, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
J Pediatr Adolesc Gynecol. 2019 Oct;32(5):481-486. doi: 10.1016/j.jpag.2019.07.004. Epub 2019 Jul 19.
To explore whether sexting by young adolescent girls and boys is associated with adverse life experiences including exploitative or violent sexual relationships.
Cross-sectional, anonymous survey of a convenience sample of minor adolescents younger than age 18 years recruited while waiting for care in clinics affiliated with a children's hospital in a low-resource, high-poverty, urban community.
Five hundred fifty-five adolescents aged 14-17 years, 63% girls and 37% boys.
We measured sexting by asking, "Have you ever sent a sexually suggestive or naked picture of yourself to another person through text or e-mail?" The survey also measured risk behaviors, sexual abuse, intimate partner violence (IPV), and arrest and included a validated depression scale.
Mean age was 15.6 ± 1.1 years; 59% were Hispanic, 28% were black; 44% of girls and 46% of boys ever had sex; 24% of girls and 20% of boys ever sent a sext. More girls than boys reported sexual abuse (16% vs 3%; P < .01), IPV victimization (15% vs 7%; P < .01), and depression (33% vs 17%; P < .01). More boys than girls reported arrest (15% vs 7%; P < .01). Independent associations with sexting for girls were: ever had sex (odds ratio [OR], 4.59; 95% confidence interval [CI], 2.29-9.19; P < .001); sexual abuse (OR, 3.81; 95% CI, 1.80-8.05; P < .001); IPV victim (OR, 2.72; 95% CI, 1.11-6.62; P < .05), and for boys: ever had sex (OR, 4.26; 95% CI, 1.47-12.32; P < .01); sexual abuse (OR, 38.48; 95% CI, 1.48-999.46; P < .05); IPV perpetration (OR, 16.73; 95% CI, 1.64-170.75; 95% CI, P < .05), as well as cannabis use, older age, other race, and arrest.
For young adolescents, sexting is independently associated with exploitative and abusive sexual relationships including sexual abuse and IPV with similarities and differences in predictors of sexting for girls and boys.
探讨青少年女孩和男孩发送性短信是否与不良生活经历相关，包括剥削性或暴力性关系。
对一家位于资源匮乏、高贫困城市社区的儿童医院附属诊所候诊的18岁以下未成年青少年便利样本进行横断面匿名调查。
555名年龄在14 - 17岁的青少年，其中63%为女孩，37%为男孩。
我们通过询问“你是否曾通过短信或电子邮件向他人发送过自己带有性暗示或裸体的照片？”来衡量发送性短信的情况。该调查还衡量了风险行为、性虐待、亲密伴侣暴力（IPV）以及被捕情况，并纳入了一个经过验证的抑郁量表。
平均年龄为15.6±1.1岁；59%为西班牙裔，28%为黑人；44%的女孩和46%的男孩曾有过性行为；24%的女孩和20%的男孩曾发送过性短信。报告遭受性虐待的女孩多于男孩（16%对3%；P<.01），遭受IPV侵害的女孩多于男孩（15%对7%；P<.01），抑郁的女孩多于男孩（33%对17%；P<.01）。报告被捕的男孩多于女孩（15%对7%；P<.01）。与女孩发送性短信独立相关的因素有：曾有过性行为（优势比[OR]，4.59；95%置信区间[CI]，2.29 - 9.19；P<.001）；性虐待（OR，3.81；95%CI，1.80 - 8.05；P<.001）；IPV受害者（OR，2.72；95%CI，1.11 - 6.62；P<.05），而与男孩发送性短信独立相关的因素有：曾有过性行为（OR，4.26；95%CI，1.47 - 12.32；P<.01）；性虐待（OR，38.48；95%CI，1.48 - 999.46；P<.05）；实施IPV（OR，16.73；95%CI，1.64 - 170.75；95%CI，P<.05），以及使用大麻、年龄较大、其他种族和被捕情况。
对于青少年而言，发送性短信与剥削性和虐待性的性关系独立相关，包括性虐待和IPV，女孩和男孩发送性短信的预测因素存在异同。
