Chou Wen-Jiun, Liu Tai-Ling, Hsiao Ray C, Yen Cheng-Fang
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83341, Taiwan.
College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.
Children (Basel). 2024 Sep 30;11(10):1199. doi: 10.3390/children11101199.
This study examined the associations of passive and active online sexual risk behaviors with perceived family relationships, impulsivity, and attention-deficit/hyperactivity disorder (ADHD).
A total of 176 adolescents with ADHD and 173 adolescents without ADHD participated in this study. The participants' parents rated their parenting style on the Parental Bonding Instrument. The adolescents self-reported their lifelong experiences of passive and active online sexual risk behaviors, perceived family relationship quality on the family domain of the Taiwanese Quality of Life Questionnaire for Adolescents, and three domains of impulsivity on the Barratt Impulsiveness Scale version 11. Multivariable logistic regression was used to examine the associations of online sexual risk behaviors with perceived family relationships, impulsivity, and ADHD.
Overall, 114 participants (32.7%) reported passive forms of online sexual risk behaviors, and 49 (14.0%) reported active online sexual risk behaviors. Lack of foresight and self-control was significantly associated with passive online sexual risk behaviors ( = 0.003). Good family relationship was significantly associated with a decreased risk of active online sexual risk behaviors ( = 0.011), whereas seeking novelty and making decisions hastily was significantly associated with an increased risk of active online sexual risk behaviors ( = 0.048). ADHD diagnosis and inability to plan were not significantly associated with online sexual risk behaviors ( > 0.05).
A high proportion of Taiwanese adolescents reported exhibiting online sexual risk behaviors. The factors related to the manifestation of these behaviors should be considered when designing relevant intervention programs.
本研究探讨被动和主动在线性风险行为与感知到的家庭关系、冲动性及注意力缺陷多动障碍（ADHD）之间的关联。
共有176名患有ADHD的青少年和173名未患ADHD的青少年参与了本研究。参与者的父母在《父母教养方式问卷》上对他们的教养方式进行评分。青少年自我报告他们一生中被动和主动在线性风险行为的经历、在《台湾青少年生活质量问卷》家庭领域感知到的家庭关系质量，以及在《巴拉特冲动性量表》第11版上冲动性的三个领域。采用多变量逻辑回归来检验在线性风险行为与感知到的家庭关系、冲动性及ADHD之间的关联。
总体而言，114名参与者（32.7%）报告了被动形式的在线性风险行为，49名（14.0%）报告了主动在线性风险行为。缺乏远见和自我控制与被动在线性风险行为显著相关（P = 0.003）。良好的家庭关系与主动在线性风险行为风险降低显著相关（P = 0.011），而寻求新奇和匆忙做决定与主动在线性风险行为风险增加显著相关（P = 0.048）。ADHD诊断和无法制定计划与在线性风险行为无显著关联（P > 0.05）。
相当比例的台湾青少年报告表现出在线性风险行为。在设计相关干预项目时应考虑与这些行为表现相关的因素。
