An Exploratory Study of Transactional Sexting Among High School Students

PURPOSE

This study aims to gain more insight into the prevalence and associations of transactional sexting, which refers to the sending of self-made sexually explicit images or videos in exchange for something else.

METHODS

A survey was conducted among 2,626 high school students (n = 1,530 girls; 58.4% female) aged between 14 and 21 years (M = 16.14; SD = 1.02). We compared youth who engaged in transactional sexting and those who did not for a range of demographic and sexual health variables.

RESULTS

Youth who engaged in transactional sexting were more likely to be male, to identify as a sexual minority, to have retaken a year of school, and to be sexually active, than those who did not. We also found associations with sexual risk behaviors.

CONCLUSIONS

The results highlight the need for future research. Clinicians may screen for sexual health behaviors when counseling youth who have engaged in transactional sexting.

Hooking-Up, Religiosity, and Sexting Among College Students

The purpose of this study was to evaluate the mediation effect of sexting, and taking sexually suggestive photos on religiosity and hooking-up with three separate sexual outcomes. A web-based survey examined the relationship between religiosity and the three hooking-up outcomes among students reporting sexting or taking a sexually suggestive photo in the last 30 days (n = 231). Sexting, as well as taking sexually suggestive photos mediated the relationship between religiosity and hooking-up among females. Sexting may be initiated by females as a way to engage in a nonphysical sexual interaction, which ultimately predisposes them to a physical sexual outcome.

Adolescent Sexting Involvement Over 4 Years and Associations With Sexual Activity

PURPOSE

To investigate how demographic factors, dating, and sexual behaviors are related to both initial and changing rates of sexting over time, we examined sexting involvement among ethnically diverse adolescents over a 4-year period.

METHODS

A total of 1,042 participants from seven public high schools throughout southeast Texas (Dating it Safe study) were asked yearly about sexting involvement, as well as sexual and dating behaviors.

RESULTS

Using latent growth curve modeling, results revealed that males and white participants had greater initial involvement in sexting compared with females and Hispanic and other ethnicities, respectively. In addition, we found that sexting significantly increased over the 4-year period. Finally, participants who had sex and who had more dating partners at each wave were significantly more likely to be involved in sexting than their counterparts, even after controlling for their initial sexting involvement.

CONCLUSIONS

Involvement in sexting increases steadily from adolescence into emerging adulthood. The present study extends prior research by identifying a longitudinal association between sexting and sexual activity.

Posting Sexually Explicit Images or Videos of Oneself Online Is Associated With Impulsivity and Hypersexuality but Not Measures of Psychopathology in a Sample of US Veterans

INTRODUCTION

Sending sexually explicit text messages ("sexting") is prevalent among US adults; however, the mental health correlates of this behavior among adults have not been studied adequately. Furthermore, there are few studies examining the related but distinct behavior of posting sexually explicit photos or videos of oneself online (posting sexual images [PSI]) and the mental health correlates of this behavior.

AIM

To examine associations between sexting, PSI, impulsivity, hypersexuality, and measures of psychopathology.

METHODS

Using a national convenience sample of 283 US post-deployment, post-9/11 military veterans, we evaluated the prevalence of 2 behaviors: sexting and PSI and the associations of these behaviors with psychopathology, suicidal ideation, sexual behaviors, hypersexuality, sexually transmitted infections, trauma history, and measures of impulsivity.

MAIN OUTCOME MEASURE

Measures of psychopathology including depression, anxiety, post-traumatic stress disorder, insomnia, substance dependence, hypersexuality, and suicidal ideation, as well as measures of impulsivity, sexual behavior, and trauma.

RESULTS

Sexting was found to be common among post-9/11 veterans (68.9%). A smaller number of veterans engaged in PSI (16.3%). PSI veterans were more likely to be younger, male, less educated, and unemployed. After adjusting for covariates, no associations were detected between PSI or sexting and the examined measures of psychopathology. However, PSI was associated with higher levels of impulsivity and hypersexuality, whereas sexting was not associated with these measures.

CLINICAL IMPLICATIONS

Results from this study suggest that not all digital sexual behaviors are associated with psychopathology. However, PSI was associated with hypersexuality and impulsivity. Those who engage with PSI may benefit from guidance on how to manage their impulsivity to prevent ego-dystonic sexual behaviors.

STRENGTHS & LIMITATIONS

The strengths of this study include differentiating PSI from sexting broadly, highlighting that digital sexual behaviors are heterogeneous. Limitations include the study's cross-sectional design, which limits causal interpretations. More research is also needed in civilian populations.

CONCLUSION

PSI was less prevalent than sexting in our sample. This behavior was associated with impulsivity and hypersexuality but not with elevated levels of psychopathology. Sexting was not associated with any of these measures. Turban JL, Shirk SD, Potenza MN, et al. Posting Sexually Explicit Images or Videos of Oneself Online Is Associated with Impulsivity and Hypersexuality but Not Measures of Psychopathology in a Sample of US Veterans. J Sex Med 2020;17:163-167.

Onset Trajectories of Sexting and Other Sexual Behaviors Across High School: A Longitudinal Growth Mixture Modeling Approach

Sexting is receiving substantial scholarly attention and is now considered commonplace in adolescence. Little is known, however, about the normative contexts and the development of adolescent sexting behavior, including the initiation of sexting in relation to other sexual behaviors. In this study, we used growth mixture modeling to identify classes of onset trajectories for sexual behaviors across high school. Participants included 429 high school students (54% female) who completed annual assessments of sexual behavior over a three-year period. We identified four distinct classes: postponement (9%) with no behaviors other than hand-holding and kissing initiated by Grade 11, gradual onset (44%) with sexting and other sexual behaviors emerging incrementally across high school, continuous onset (32%) with sexting and other sexual behaviors within the first three years of high school, early onset (15%) with initiation of sexting and all other sexual behaviors prior to or by the end of Grade 9. Boys were more likely than girls to be members of the postponement versus gradual onset class, while Black students were more likely than White students to be members of the early versus gradual onset class. Sexting behavior appears to be common in adolescence and co-emerges with genital contact behavior across varying trajectories of sexual development. These findings provide the foundation for contextualizing sexting within normative sexual development. Further, this information can inform efforts to promote sexual health.

The Nature and Extent of Sexting Among a National Sample of Middle and High School Students in the U.S

Sexting is the sending or receiving of sexually explicit or sexually suggestive images or video, usually via mobile devices. Despite widespread public concern about these behaviors as they occur among adolescents, including potentially serious legal consequences, relatively little research has been done to estimate the frequency of sexting among middle and high school students. The current study contributes to this scant body of knowledge by reporting prevalence rates for sending and receiving sexually explicit images or video among a nationally representative sample of 5593 American middle and high school students. Overall, approximately 13% of students reported that they had sent a sext, while 18.5% had received a sext. About one-third of those who sext had done it just one time. Rates of asking for, being asked for, and sharing of sexts are also presented, and are broken down further by gender, sexual orientation, race, and age. Implications for preventing sexting behaviors with these results in mind are also discussed.

An Examination of Sexting, Sexual Violence, and Alcohol Use Among Men Arrested for Domestic Violence

Technological advances provide greater opportunity for electronic communication to occur within romantic relationships. Sexting, defined as sending sexually explicit content via electronic mediums, is one such type of communication and its association with alcohol use and partner violence is supported by existing research. We extend this knowledge by examining the prevalence of past-year sexting within a clinical sample of men arrested for domestic violence (N = 312). The associations between sexting, alcohol use, and sexual violence perpetration in the past year were also examined. Findings indicated that sexting was a prevalent behavior among this population, with 60% of the sample having requested a sext from someone, 55% having been asked to send a sext, and 41% having sent a sext within the past year. Logistic regression analyses indicated that sexting was linked to past-year sexual violence perpetration, even after controlling for age and past-year alcohol use. This is the first study to provide evidence that sexting is prevalent among men arrested for domestic violence. Moreover, men who endorsed sexting within the past year were more likely to have perpetrated past-year sexual violence than men who did not engage in sexting. Understanding the relation between sexting and other problematic behaviors, such as alcohol use and sexual violence, will inform intervention efforts across various populations.

An Exploratory Study of Sexting Behaviors Among Heterosexual and Sexual Minority Early Adolescents

PURPOSE

Although research on adolescent sexting-the sending of self-made sexually explicit pictures through digital media-has increased in recent years, prior studies have primarily focused on older youth and the act of sending of such images. Little is known about the experiences of early adolescent sexual minority youth, who might be particularly vulnerable to abusive forms of sexting. To address this gap in the literature, we aim to investigate differences in the prevalence of a wide range of sexting behaviors among a convenience sample of heterosexual and sexual minority early adolescents.

METHODS

A survey was conducted among 3,109 adolescents (53.5% girls; n = 1,647) aged between 12 and 15 years (mean = 13.01 years; standard deviation = .83). We examined differences in sexting behavior by sexual orientation, controlling for gender, age, and amount of Internet use.

RESULTS

The results show that sexual minority youth were more likely to have sent, received, and asked for sexting images. They were also more likely to have experienced pressure to send sexually explicit pictures. There were no associations between sexual minority status and the perpetration of nonconsensual forms of sexting.

CONCLUSIONS

Several types of sexting were not uncommon among heterosexual and sexual minority youth. Clinicians and counselors should be aware that sexual minority youth are more likely to experience, but not to perpetrate, abusive sexting behaviors. The results underscore the need for educational efforts to focus on resilience training for sexual minority adolescents.

Sextual Intercourse: Considering Social-Cognitive Predictors and Subsequent Outcomes of Sexting Behavior in Adulthood

The purpose of this study was to identify specific social-cognitive factors that may influence the likelihood of engaging in sexting, and potential positive and negative outcomes of such behaviors, in adults. We asked 244 adult participants (64.5% women) to complete a set of online measures reflecting sexting engagement, social-cognitive factors (definitions, differential association, differential reinforcement, and imitation), and outcomes of sexting behavior (risky sexual behavior appraisal, sexual satisfaction, and relationship satisfaction). Results showed that 77.6% of our sample had sexted. Sexting in the context of a romantic relationship was predicted by differential reinforcement and friend imitation, while positive definitions of sexting alone predicted sexting someone outside the context of a romantic relationship. This indicates that motivations for sexting engagement may be context specific in adulthood. Those who had sexted demonstrated significantly higher sexual satisfaction than those who had never sexted. However, sexting outside of a romantic relationship predicted reduced perceived risk and heightened perceived benefit of engaging in real-life risky sexual behaviors. This suggests there may be both positive and negative implications of sexting engagement in adulthood.

"When It Deviates It Becomes Harassment, Doesn't It?" A Qualitative Study on the Definition of Sexting According to Adolescents and Young Adults, Parents, and Teachers

Sexting was originally made public by dramatic consequences involving youths with contents that were disseminated and then used as a base for harassment. Despite a growing public and research interest, there is no consensus regarding its definition and measurements. As part of a larger qualitative study on sexting, we aimed to gather and compare opinions and perceptions of 32 youths (16-21 years) and 29 adults (11 parents and 18 teachers) on how sexting can be defined. Different constituent elements were discussed in terms of knowledge, mediums (text-only, photographs, videos, etc.), characteristics, actions (receiving, sending, disseminating, etc.) and contexts. The knowledge and the use of the term sexting was approximate for several participants. Youths used more suggestive elements in their definition and the vast majority of them defined sexting as an activity that could be positive and respectful between two consenting persons. It is necessary to develop a precise and consensual definition of sexting by separating different dimensions and by using a specific vocabulary according to youth perceptions as their main definition of sexting seems to be different from the one of most adults. Prevention messages should aim to reduce the risks by targeting the problems linked to sexting rather than prohibiting sexting per se. This exploratory study could pave the way for a clearer definition and measurement of sexting.

Longitudinal relationships between sexting and involvement in both bullying and cyberbullying

INTRODUCTION

Sexting is a new way to explore sexuality among adolescents that can be associated with bullying behaviors. Previous studies have focused on peer-victimization but relationships between bullying and different forms of sexting have not been explored. This study evaluates the reciprocal relationships between the perpetration of traditional bullying, cyberbullying, and four forms of sexting (sending, receiving, third-party forwarding, and receiving sexts via an intermediary).

METHODS

The sample consisted of 1736 Spanish High School students (46.3% female; M_age = 13.60, SD = 1.25). Four direct questions were used to assess sexting, the EBIPQ to measure traditional bullying and the ECIPQ to evaluate cyberbullying. These measures were completed twice, four months apart. A cross-lagged panel analysis evaluated the reciprocal associations of all study measures.

RESULTS

Traditional bullying and cyberbullying were positively, reciprocally associated with each other. Generally, those young people who engaged in sexting at T1 were more likely to report engaging in sexting at T2. Third-party forwarding of sexts (forwarding on sexts which have been sent to a young person by others) displays clear relationships with bullying. Young people who reported using traditional bullying behaviours at T1 were more likely to report third-party forwarding of sexual content at T2. Bullies are more likely to later report third-party forwarding of sexts.

CONCLUSIONS

A focus on bullying behavior may be important for intervention efforts targeting to prevent possible negative outcomes of engaging in sexting. Recommendations are provided for educational and prevention efforts.

Social media and children: what is the paediatrician's role?

Social media use has become an integral part of children's and adolescents' lives. It has become a novel way of interaction among people and influences people's social lives and public opinion as well as people's purchasing decisions and businesses. Any website or platform that allows social interaction is considered to be a social media site. Social media use among children in 25 European countries has been reported to be 38% among 9-12 year olds and 77% among those aged 13-16 years. All these children report having their own profile on at least one social network site. While social networking provides children and adolescents with many opportunities and benefits, it also carries many risks. Among the benefits are socialization and communication enhancement, improving learning skills, positive impact on education and getting health information. Potential risks of social media use include falsifying age and identity, cyberbullying, sexting, Facebook depression, gamification, glamourization, cyberostracism and sleep disturbances.Conclusion: Paediatricians play a vital role in promoting the physical, mental and social welfare of all children. There is a critical need for paediatricians to play an active role, guiding children and families appropriately through the impact of social networking, in order to become a real driver of children's development.

Management of non-consensually shared youth-produced sexual images: A Delphi study with adolescents as experts

There is an increased availability of online child abuse images, a proportion of which is created by young people in coercive and non- coercive relationships (sexting).

OBJECTIVES

This Delphi study with adolescents as "experts" who had taken and shared sexual images, was conducted to identify appropriate responses to sexting where images are shared without consent and identify indicators of distress and ways to facilitate disclosure when the sharing of images causes anxiety or is associated with further victimization.

PARTICIPANTS AND SETTING

124 adolescents from the United Kingdom completed an online survey. All self-identified as taking and sharing sexual images of themselves. 45 provided full survey responses (73% female; mean age 16.24) and of these 23 completed the second round. Recruitment was through social media and local schools.

METHODS

An online two-round Delphi method was completed using a vignettes-based questionnaire. To assess consensus, a defined average percentage agreement (80% cut-off) was used. Qualitative content analysis identified relevant themes in responses to Round 1 which informed the Round 2 items.

RESULTS

In the first round 60 items were identified that endorsed views of problem identification, facilitation of disclosure, proportionate responding, and problem management. Overall, participants agreed that the clear majority of statements identified in Round 2 were important and thus achieved consensus.

CONCLUSIONS

This study represents a novel and inclusive approach through the formation of an expert panel of young people. These views may inform appropriate victim-centered management of cases where images have been shared without permission.

Longitudinal associations between sexting, cyberbullying, and bullying among adolescents: Cross-lagged panel analysis

INTRODUCTION

While adolescent sexting, or the sending of sexually explicit images, has been cross-sectionally associated with bullying and cyberbullying, there is a lack of longitudinal studies in this area. To address this gap in the literature, we examined the longitudinal link between sexting and 1) traditional, in-person, bullying victimization and 2) cyberbullying victimization.

METHODS

We used data from a longitudinal study of ethnically diverse adolescents recruited from multiple public high schools in southeast Texas. Three waves of data were used (T2, T3 and T4). Cross-lagged panel analysis was performed in Mplus to analyze the data.

RESULTS & CONCLUSIONS

Cross-lagged panel analyses identified autoregressive effects for all three variables, and cross-lagged effects for cyberbullying. Sexting was associated with subsequent cyberbullying victimization across all time points, and T3 cyberbullying victimization was associated with engagement in sexting one year later. Furthermore, T2 cyberbullying victimization indirectly associated with T4 sexting via T3 cyberbullying victimization. For traditional bullying, a cross-lagged effect was found between T3 sexting and T4 offline bullying victimization. Although T2 sexting did not directly link to subsequent traditional bullying victimization, a significant mediation effect was identified such that T3 sexting mediated the effects of T2 sexting on T4 traditional bullying victimization. Results show that sexting adolescents may be at risk for (cyber)bullying victimization and highlight the need to address both sexting and bullying in prevention and intervention efforts.

Online Sexual Experiences Predict Subsequent Sexual Health and Victimization Outcomes Among Female Adolescents: A Latent Class Analysis

Adolescents' online sexual experiences (e.g., pornography use, sexual chatting, sexualized social media use, and nude image exchange) provide a new context for sexual socialization. Traditionally, online sexual experiences are often aggregated averages, which neglect their complexity and fail to identify individual differences in the experience. Moreover, the lack of longitudinal research in this area has failed to determine if these experiences predict later offline sexual health and violence outcomes. An analysis of two waves of surveys completed by ethnically and socioeconomically diverse female adolescents (N = 296; 49% maltreated; aged 14-16 years) participating in a larger cross-sequential study was conducted to address these gaps. Established latent classes from the prerequisite study of online sexual experiences at Time 1 were Online Abstinent (low probability of any online sexual experiences), Online Inclusive (high probability of all online sexual experiences), Attractors (high probability of attracting attention from others), and Seekers (high probability of seeking out sexual content and interaction). Class membership uniquely predicted HIV risk, number of physically violent romantic partners, and the occurrence of sexual assault at Time 2. Although membership in risker online sexual experience classes predicted later offline risk and victimization, this was especially true for maltreated participants. These findings demonstrate the advantages of examining online sexual experiences in a way that emphasizes their complexity and individual differences in influential susceptibility.

"Sex Pics?": Longitudinal Predictors of Sexting Among Adolescents

PURPOSE

To analyze the longitudinal relationships of demographic characteristics (i.e., sex, age, and sexual orientation), personality traits according to the Big Five model, and several indicators of psychological adjustment (i.e., depression symptoms, self-esteem, and problematic Internet use) with sexting behavior among adolescents over 1 year.

METHOD

A total of 1,208 adolescents (638 girls; mean age = 13.57, SD = 1.09) completed measures at baseline and after 1 year of follow-up. The relationships among variables were examined using structural equation modeling.

RESULTS

Out of the sample, 10.7% and 19.2% of adolescents reported producing and sending sexual content at time 1 (T1) and time 2 (T2), respectively. Higher ages at T1 predicted more engagement in sexting at T2. Less conscientiousness and more extraversion at T1 increased T2 sexting. Finally, more depressive symptoms at T1 predicted more sexting at T2.

CONCLUSIONS

Sexting increases significantly over the course of adolescence. Educational efforts should pay attention to demographic and psychological characteristics of adolescents to tailor preventive programs and prevent possible negative outcomes of engaging in sexting.

The Associations between Substance Use, Sexual Behavior, Deviant Behaviors and Adolescents' Engagement in Sexting: Does Relationship Context Matter?

While prior research has identified multiple associations between engagement in sexting and risky behaviors, most existing studies do not take into account the contexts in which sexting occurs. The present study extends prior research by examining whether the associations between adolescents' sexting behavior and engagement in substance use, sexual behaviors, and deviant behaviors differ depending on the relational context (within or outside of a romantic relationship) in which young people engage in sexting. Results from a survey of 1187 secondary school students (61.3% girls, n = 728) between 16 and 22 years old (M = 17.82 years; SD = 0.88) revealed that sexting with a romantic partner is not a significant marker of engagement in risk behaviors. However, single youth who engage in sexting outside of a romantic relationship are more likely to report substance use, relative to their non-sexting counterparts. These findings underscore the need to use more nuanced measures to investigate sexting and for sexual education initiatives to integrate messages about substance use.

Associations Between Croatian Adolescents' Use of Sexually Explicit Material and Sexual Behavior: Does Parental Monitoring Play a Role?

The use of sexually explicit material (SEM) has become a part of adolescent sexual socialization, at least in the Western world. Adolescent and young people's SEM use has been associated with risky sexual behaviors, which has recently resulted in policy debates about restricting access to SEM. Such development seems to suggest a crisis of the preventive role of parental oversight. Based on the Differential Susceptibility to Media Effects Model, this study assessed the role of parental monitoring in the context of adolescent vulnerability to SEM-associated risky or potentially adverse outcomes (sexual activity, sexual aggressiveness, and sexting). Using an online sample of Croatian 16-year-olds (N = 1265) and structural equation modeling approach, parental monitoring was found consistently and negatively related to the problematic behavioral outcomes, regardless of participants' gender. While SEM use was related to sexual experience and sexting, higher levels of parental monitoring were associated with less frequent SEM use and lower acceptance of sexual permissiveness. Despite parents' fears about losing the ability to monitor their adolescent children's lives in the Internet era, there is evidence that parental engagement remains an important protective factor.

How public health nurses' deal with sexting among young people: a qualitative inquiry using the critical incident technique

Background

Globally, the potentially harmful effects of using cell phone technology for ‘sexting’ among young people, is a public health concern. The background literature indicates that sexting might have adverse psychosocial consequences for some young people who share partially nude images (‘selfies’). Public health nurses (PHNs) could offer guidance to children and young people on digital safety, yet little is known about their role in this regard. This study explored PHNs’ knowledge and confidence in addressing the issue among young people.

Method

A qualitative study was undertaken using the Critical Incident Technique. The study took place in 2016. Eighteen semi-structured interviews were conducted with PHNs in a region of England. Data were analysed through thematic analysis, and managed through the use of NViVo 11 software. From the entire data set, thirteen critical incidents were identified of which nine were deemed relevant for reporting in this paper.

Results

PHNs regarded sexting as a contemporary ‘normalised’ practice that takes place in what young people consider to be trusting relationships. PHNs’ knowledge was informed by media reports that supported their beliefs about young peoples’ vulnerability to risk-taking sexual behaviour. They were not confident about discussing sexting with young people, even though some PHNs had done so in light of concerns about potential child sexual exploitation.

Conclusion

PHNs have a role to play in advising young people on digital safety, but findings of the study show that their role is not fully realised. They have some knowledge of sexting as a possible signifier of abusive behaviour. However, they are not always confident in dealing with the issue. Improving PHNs ability to promote digital safety through better understanding of technology use among young people is good safeguarding practice. This may, in turn, better define this important nursing contribution to public health.

Risky Business: Talking with Your Patients About Cyberbullying and Sexting

This article reviews cyberbullying and sexting research and presents new research exploring relatively neglected areas of cyberbullying and cell phone ownership among children and outcomes following sexting in college. Two samples are studied: 4584 elementary school children and 1332 college freshman. Findings include: owning a cell phone increased the risk of becoming involved in cyberbullying in grades 3, 4, and 5; and, of college freshman who sexted, 61% reported no outcomes, 19% reported negative outcomes, 13% reported positive outcomes, and 7% reported mixed outcomes. This information may be useful when considering discussing these digital technology risks with patients.

Sextortion of Minors: Characteristics and Dynamics

PURPOSE

Sextortion (threats to expose sexual images to coerce victims to provide additional pictures, sex, or other favors) has been identified as an emerging online threat to youth, but research is scarce. We describe sextortion incidents from a large sample of victims (n = 1,385) and examine whether incidents occurring to minors (n = 572) are more or less serious than those experienced by young adults (n = 813).

METHODS

We ran advertising campaigns on Facebook to recruit victims of sextortion, ages 18-25, for an online survey. We use cross tabulations and logistic regression to analyze incidents that began when 18- and 19-year-old respondents were minors (ages 17 and younger) and compare them with incidents that began at ages 18-25 years. Most minor victims were female (91%) and aged 16 or 17 when incidents started (75%).

RESULTS

Almost 60% of respondents who were minors when sextortion occurred knew perpetrators in person, often as romantic partners. Most knowingly provided images to perpetrators (75%), but also felt pressured to do so (67%). About one-third were threatened with physical assaults and menaced for >6 months. Half did not disclose incidents, and few reported to police or websites. Perpetrators against minors (vs. adults) were more likely to pressure victims into producing initial sexual images, demand additional images, threaten victims for >6 months, and urge victims to harm themselves.

CONCLUSIONS

Sextortion incidents were serious victimizations, and often co-occurred with teen dating violence. We describe resources so that practitioners can help victims find support and legal advice and remove posted images.

Sexting and the Definition Issue

Sexting among youths has become a necessary topic of interest in research because of the negative consequences that this activity could create, especially when content is shared with others. Indeed, this loss of control could lead to humiliation, (cyber)bullying, or harassment. The development of new technologies, press coverage, and increase of prevalence rates could also explain the growth of interest in sexting. However, its definition is still a gray area. This review examines the different definitions of sexting used in the literature and its correlates. Several elements of the definition of sexting were assessed: actions (sending, receiving, and forwarding); media types (text, images, and videos); sexual characteristics; and transmission modes. Nine databases were searched for studies on sexting among youths up to 18 years of age. Eighteen studies published between 2012 and 2015 were included. Prevalence rates of sexting ranged between .9% and 60% partly depending on the definition. Most studies assessed sending, but when sending and receiving were measured, prevalence rates were higher for receiving. Some articles found associations with age, gender, race, sexual behavior, romantic relationships, risky behaviors, online activity, psychological difficulties, and social pressure. Finding a consensus regarding the definition is essential to assess accurately the activity and adapt prevention. Adolescents' interpretations of the activity are important as sexting could be used as a sexual behavior between two consenting persons. Prevention strategies should focus on sexting that goes wrong when it is forwarded to a third party and when it occurs in a context of pressure or harassment.

Sexting by High School Students

In the last 8 years, several studies have documented that many adolescents acknowledge having exchanged sexually explicit cell phone pictures of themselves, a behavior termed sexting. Differences across studies in how sexting was defined, recruitment strategies, and cohort have resulted in sometimes significant differences in as basic a metric as what percentage of adolescents have sent, received, or forwarded such sexts. The psychosocial and even legal risks associated with sexting by minors are significantly serious that accurate estimates of its prevalence, including over time, are important to ascertain. In the present study, students (N = 656) from a single private high school were surveyed regarding their participation in sexting. Students at this same school were similarly surveyed four years earlier. In this second survey, reported rates of sending (males 15.8%; females 13.6%) and receiving (males 40.5%; females 30.6%) sexually explicit cell phone pictures (revealing genitals or buttocks of either sex or female breasts) were generally similar to those reported at the same school 4 years earlier. Rates of forwarding sexts (males 12.2%; females 7.6%) were much lower than those previously acknowledged at this school. Correlates of sexting in this study were similar to those reported previously. Overall, our findings suggest that sexting by adolescents (with the exception of forwarding) remains a fairly common behavior, despite its risks.

Social Media Use and its Association with Sexual Risk and Parental Monitoring among a Primarily Hispanic Adolescent Population

STUDY OBJECTIVE

In this study we assessed the association between social media (SM) use with sexual risk, and with parental monitoring among Hispanic adolescents.

DESIGN

Self-administered anonymous survey.

SETTING

Urban primary care clinics.

PARTICIPANTS

Primarily Hispanic adolescents ages 13-21 years old.

INTERVENTIONS AND MAIN OUTCOME MEASURES

Chi-square and regression analyses controlling for age and gender were used to assess associations between SM use or sexting and sexual behaviors (kissing, touching genitals, vaginal oral, and anal sex), sexual risk (≥4 lifetime partners, >1 recent partner, inconsistent condom use, and history of sexually transmitted infection diagnosis) and contraceptive use. Similar analyses were used to assess relationships between adolescent-reported parental monitoring and SM use, and sexting.

RESULTS

Participants with frequent SM use (social networking sites or apps) had greater odds of all sexual activity. Ever sexters had greater odds of penetrative sex only (oral, vaginal, and anal sex) as well as use of hormonal contraception (except long-acting reversible contraception). Approximately half of the participants reported parental access to profiles on SM. Female participants had higher odds of parental access to online profiles and having a parental discussion of privacy settings. Those having privacy discussions had greater odds of "private" profiles on SM and lower odds of ever sexting.

CONCLUSION

Frequent SM use and sexting was associated with an increase in all types of sexual behaviors; sexting alone was associated with more lifetime and recent sexual partners. Parental discussion of privacy settings was found to be protective. Providers and parents should be aware of the effect of SM use on sexual behaviors.

[Sexting as a risk? : On consensual and non-consensual distribution of personal erotic pictures using digital media]

BACKGROUND

Digital media are used for the purpose of various sexual experiences. In recent years the exchange of erotic text messages or images ("sexting") has gained the attention of academic research and has increasingly been the center of public discussion on sexual boundary violations and violence via digital media. The unwanted forwarding of images to a third party is especially relevant in this respect. In contrast to media reports about sexting as a risk behavior with serious consequences, there is little empirical analysis about the actual sexting practice of adolescents and adults in Germany.

OBJECTIVE

This paper is the first to describe sexting behavior of young adults in Germany on the basis of a large representative student sample.

MATERIAL AND METHODS

Data were collected in 2012 in the course of a nationwide study. Students from 15 universities were asked among other things about their experiences with sending erotic text messages or images, the non-consensual forwarding of images and its consequences.

RESULTS

More than half of the student sample reported sending erotic text messages, 26.8% of women and 16.8% of men had sent erotic images to someone, in most cases to their partner. Of the sexters, 2% mentioned that their images had been forwarded to another person without their consent.

CONCLUSION

The results indicate that in Germany sexting is mostly practiced in the context of a romantic relationship. Only a small percentage experience unwanted forwarding of images, and negative consequences are not reported for all incidents; however, this does not relativize the impact of those events implicating serious negative consequences for the involved person.