Method. The study is a secondary analysis of the data from the Second Youth Internet Safety Study (YISS-2) conducted in 2005. YISS-2 was a cross-sectional study assessing the characteristics of incidence, risk factors, and consequences among youth exposed to unwanted sexual contents. Thirty-minute telephone interviews were conducted with a sample size of 1,500 adolescents who were 10-17 years-old (51% male, mean age=14.24, 73% White, 12% Black, 9% Hispanic) and accessed the internet at least once a month for the past six months from the date of the telephone interview. The participants were selected utilizing a random sampling method through a random dialing system. Risky online behavior was measured by six self-report questions rated by frequency (alpha=.62). Unwanted sexual behavior was also measured by six self-report questions rated by frequency (alpha=.71). A series of multiple linear regression analyses was conducted to predict the effects of risky online behavior and unwanted sexual exposure on mental health outcomes in adolescents. Five sub-scales of the Child Behavior Checklist (CBCL) were utilized to analyze mental health outcomes (i.e., withdrawn depressed symptomology, social problems, attention problems, rule breaking behaviors, and aggressive behaviors).
Results. The results of the multiple regression indicated risky online behavior and unwanted sexual exposure increased likelihood of mental health problems. Both factors had significant impacts on all five mental health outcomes assessed in this study.
Implications. Informed with the findings that risky online behavior and unwanted sexual exposure affect mental health of youth, mental health practitioners need to increase efforts centered in psycho-education and prevention directed toward parents and other individuals who collaborate with youth. The findings imply the importance of implementing prevention and intervention to target children for purposes of instilling children and adolescents with safe and informed internet practices. Finally, emphasis on advocacy for policy to increase internet safety and limit the ease of access to explicit or harmful content online will be effective toward maintaining the well-being of youth.